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For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

Bed Category ( Paedetrics)

Nursery Category 1 ( Nursing)


1 2,000 1,600

Nursery Category 2 ( Semi Nursing)


2 1,650 1,320

Nursery Category 3( Semi Paying)


3 1,150 920

INTENSIVE CARE CHARGES

CCU / IMCU/PICU monitoring charges


4 3,800 3,040

HDU monitoring charges


5 3,300 2,640

ICU monitoring charges


6 3,800 3,040

OTHER SPECIAL CARE CHARGES

Labour room charges for delivery


7 1,540 1,232

NNU charges - level 1 ( Nursing)


8 NNULEV1 1,540 1,232

NNU charges - level 2


9 NNULEV2 ( Semi Nursing) 1,540 1,232

NNU charges - level 3


10 NNULEV3( Semi Paying) 1,540 1,232

Doctor visit charges for indoor consultions

11 Nursing Home 775 620

12 Semi Nursing Home 625 500

13 Semi Paynig / Genl.ward 500 400

ECG CHARGES

Electrocardiogram ( ECG )
14 150 120

ECHO LAB CHARGES

BHEL Schedule E Page 1 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
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Carotid doppler
15 2,030 1,624

Dobutamine stress echo


16 3,052 2,442

Echocardiogram with Doppler ( Echo )


17 1,694 1,355

Fetal cardiac assessment ( Echo )


18 2,331 1,865

Holter test (cardiac lab) ( Echo )


19 1,526 1,221

Stress Echo
20 2,793 2,234

Tilt table test ( Cardiology ) ( Echo )


21 3,220 2,576

Transoeophageal - Echocardiography / Multiplane


22 TEE ( Echo ) 3,220 2,576

Treadmill test ( TMT)


23 1,442 1,154

Contrast for Echocardiography


24 847 678

Stress Echo with Contrast


25 3,640 2,912

NEUROLOGY PROCEDURES CHARGES

Botox injection under EMG control


26 476 381

EEG
27 1,120 896

Electroretinography
28 1,407 1,126

EMG
29 1,680 1,344

EMG / NCV
30 3,171 2,537

Evoked Potential - Auditory ( AEP / BAER / BERA )


31 1,400 1,120

Evoked potential - P300


32 1,274 1,019

Evoked Potential - Somatosensory


33 1,498 1,198

BHEL Schedule E Page 2 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

Evoked Potential - Visual ( VEP / VER )


34 1,400 1,120

Long term bedside EEG ( 6 - 24 hrs )


35 3,850 3,080

NCV / NCS ( Nerve conduction velocity / study )


36 1,589 1,271

Repetitive nerve stimulation / Decremental response


37 ( RNST ) 1,400 1,120

Video EEG ( 1 - 24 hrs )


38 2,310 1,848

Sleep deprivation EEG


39 1,498 1,198

Diagnostic sleep studies


40 2,695 2,156

Electrocorticography -
41 7,700 6,160

PAEDIATRIC CARDIAC SCIENCES LAB CHARGES

Echocardiogram with Doppler ( Paedtriatric Cardiac


42 Sciences ) 1,540 1,232

Electrocardiogram ECG ( Paedtriatric Cardiac Sciences )


43 154 123

Fetal Cardiac Assessment ( Paedtriatric Cardiac Sciences )


44 2,121 1,697

Holter Test ( Paedtriatric Cardiac Sciences )


45 1,386 1,109

Tilt Table Test ( Paediatric Cardiac Sciences )


46 2,926 2,341

Transoeophageal Echocardiography / Multiplane TEE ( Paedtriatric Cardiac Sciences )


47 2,926 2,341

PET CT SCAN

F-18 isotope charges


48 3,500 2,800

F-18 PET Bone scan with limited contrast enhanced


49 CT (F-18 isotope charges extra) 4,900 3,920

F-18 PET Bone scan with whole body contrast enhanced CT (F-18 isotope charges extra)
50 9,100 7,280

F-18 PET scan with limited CT (F-18 isotope charges extra)


51 2,800 2,240

BHEL Schedule E Page 3 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

FDG isotope charges


52 8,000 6,400

FDG PET CT Angiography Brain with Contrast (FDG


53 isotope charges extra) 5,600 4,480

FDG PET CT Brain plain (FDG isotope charges extra)


54 2,100 1,680

FDG PET CT Brain plain with Contrast (FDG isotope charges extra)
55 3,500 2,800

FDG PET CT Cardiac plain (FDG isotope charges extra)


56 4,200 3,360

FDG PET CT Myocardial Viability and Perfusion study plain (FDG isotope charges extra)
57 6,300 5,040

FDG PET CT Whole Body Plain (FDG isotope charges extra)


58 7,000 5,600

PET CT - Regional somatostatin ( DOTANOC ) receptor imaging ( regional )


59 5,600 4,480

PET CT guided procedure


60 6,300 5,040

RESPIRATORY & CHEST MEDICINE LAB CHARGES

Pulmonary rehabilitation program


61 770 616

Spirometery
62 945 756

Spirometery + Diffusion studies


63 1,400 1,120

Spirometery + Lung Volume + Diffusion studies


64 1,400 1,120

65 SPET 1,400 1,120

66 FeNO 2,100 1,680

67 RESP Muscle Pressure 700 560

Spirometry with Reversibility ( Drugs )


68 945 756

URODYNAMIC TEST CHARGES

Complete Urodynamic Study ( Uroflowmetery ,


69 Cystometrography and UPP ) 1,274 1,019

BHEL Schedule E Page 4 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

Electromyography ( EMG ) urinary sphincter


70 280 224

Urethral profile pressure ( UPP )


71 343 274

Uroflowmetery ( UFM )
72 476 381

Voiding cystometery
73 938 750

Water cystometrography ( CMG )


74 938 750

Water cystometrography ( CMG ) with


75 Electrmyography ( EMG ) 1,211 969

OTHER SPECIAL CARE CHARGES

Anaesthesia charges for stent removal after


76 lithotripsy ( additional to package ) 301 241

Anaesthetists charges for Argon laser photocoagulation ( single sitting ) for diabetic
77 maculopathy - 364 291

Anaesthetists charges for Combined retinal


78 digital fluorescein & indocyanine green ( ICG ) 350 280
imaging angiography
Anaesthetists charges for Retinal digital
79 flurorescein imaging angiography 231 185

Anaesthetists charges for Retinal digital indocyanine green ( ICG ) imaging angiography
80 371 297

Anaesthetists charges for YAG laser


81 photocoagulation - 371 297

Venography guided laser assisted saphenous vein


82 closure (B/L) - 3,437 2,750

Venography guided laser assisted saphenous


83 vein closure (U/L) - Doctor Anaesthesia 2,748 2,198
C h arges

DERMATOLOGY PROCEDURES CHARGES

Skin - Corn paring


84 300 240

Skin Cauterisation - Multiple lesions


85 900 720

Skin Cauterisation - Single lesion


86 300 240

Skin Cauterisation - Two lesions


87 500 400

BHEL Schedule E Page 5 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

Skin Cryosurgery - Multiple Lesions


88 1,500 1,200

Skin Cryosurgery - Single Lesion


89 500 400

Skin Cryosurgery - Two Lesions


90 1,000 800

Skin OPD - Intralesional injection procedure


91 300 240

Skin OPD - PUVA Therapy


92 210 168

Skin OPD - Skin patch testing procedure


93 910 728

Skin OPD - Slit smear for AFB procedure


94 210 168

Skin OPD - Trichloacetia acid cauterisation - Multiple lesions


95 500 400

Skin OPD - Trichloacetia acid cauterisation - Single lesion


96 210 168

Skin OPD - Trichloacetia acid cauterisation - Two lesions


97 420 336

Skin OPD scraping for fungus procedure


98 140 112

ENT PROCEDURE CHARGES

Diagnostic laryngoscopy
99 504 403

Electronystagmography ( ENG )
100 1,001 801

Impedance Audiometry
101 308 246

Nasal Endoscopy
102 924 739

Pure tone audiometry ( PTA )


103 273 218

BEDSIDE PROCEDURES CHARGES

Allergy testing in casualty / Prick testing for ant


104 39 31

Antibiotic infusion charges


105 200 160

BHEL Schedule E Page 6 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

Dressing in casualty
106 150 120

ICP Monitoring Charges


107 462 370

Ryle's tube insertion in casualty


108 116 92

Suture removal / Dressings / Stent removal in D


109 84 67

Tracheostomy tube changing charges in casual


110 154 123

Resuscitation charges of newborn baby


111 791 633

Diabetic foot - minor outpatient procedure


112 651 521

PHYSIOTHERAPY

Physiotherapy - three or more modalities


113 350 280

Physiotherapy - one modalities


114 150 120

Physiotherapy - two modalities


115 250 200

Physiotherapy - laser
116 150 120

NST CHARGES

NST ( first visit )


117 240 192

NST ( subsequent visit )


118 140 112

MEDICAL MONITOR USAGE CHARGES

Paediatric pulse oximetry charges


119 245 196

NEBULISATION CHARGES

Nebulisation charges
120 150 120

NIGS USAGE CHARGES

BHEL Schedule E Page 7 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.
Navigation image guide system
121 (NIGS) Usage Charges 2,100 1,680

OXYGEN THERAPY CHARGES

CPAP / BiPAP usage per night


122 700 560

123 Oxygen charges per day 500 400

PHOTOTHERAPY CHARGES

Paediatric phototherapy charges


124 350 280

Thromboelastography ( TEG ) +
125 Heparinase test charges 1,274 1,019

Thromboelastography ( TEG )
126 test charges 847 678

Flexible Ureteroscope usage charges


127 7,000 5,600

VENTILATOR CHARGES

Bipap usage charges per 24 hrs- Adult


128 1,470 1,176

Paediatric ventilator usage charges per


129 day (in PICU / NNU) 1,348 1,078

Ventilator usage charges per day - Adult


130 1,470 1,176

BED SIDE PROCEDURE

Above-knee / above-elbow plaster cast application


131 1,890 1,512

Above-knee / above-elbow plaster cast Removal /cutting


132 250 200

Bronchoscopy -
133 3,052 2,442

Fibreoptic laryngoscopy
134 1,449 1,159

Bedside incision & drainage


135 2,380 1,904

Below-knee / Below-elbow plaster cast application -


136 1,400 1,120

BHEL Schedule E Page 8 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

Band ligation of haemorrhoids ( bedside ) - doctor charges


137 2,541 2,033

Bone marrow aspiration -


138 1,323 1,058

Bone marrow biopsy & aspiration -


139 2,380 1,904

Bone marrow biopsy -


140 1,750 1,400

Bed side suturing -


141 1,155 924

Burn wound dressing ( large )


142 4,000 3,200

Burn wound dressing ( minor )


143 2,000 1,600

Burn wound dressing ( medium )


144 3,000 2,400

Cardiac output monitoring by thoracic


145 bio-impedance method 3,983 3,186

Central venous line insertion -


146 2,093 1,674

Debridement ( large )
147 5,096 4,077

Debridement ( medium )
148 3,395 2,716

Debridement ( small )
149 1,680 1,344

Diagnostic sleep studies test charges


150 3,815 3,052

Epidural analgesia for labour patient -


151 1,470 1,176

Epidural block ( Cervical ) -


152 2,555 2,044

Epidural block ( Thoracic )


153 1,701 1,361

FNAC / Trucut needle biopsy -


154 1,155 924

Hormonal stimulation suppression test -


155 1,155 924

Intra articular injections of steroids /


156 hyaluronidase into small joint - 600 480

BHEL Schedule E Page 9 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.
Intra articular injections of steroids /
157 hyaluronidase into large joint 1,050 840

Intercostal chest tube ( ICD ) insertion


158 2,933 2,346

ICD / Trachostomy tube Change IN WARD


159 770 616

Injection sclerotherapy of haemorrhoids /


160 piles 2,541 2,033

IV / Peripheral cannulation
161 700 560

Joint aspiration ( large ) -


162 1,155 924

Joint aspiration ( small ) -


163 742 594

Kidney biopsy -
164 2,450 1,960

Liver biopsy -
165 2,450 1,960

Lumbar Puncture / CSF aspiration -


166 1,680 1,344

Lumbar sympathetic block -


167 2,142 1,714

Nitrous Oxide Sedation -


168 1,400 1,120

Nasal packing
169 2,023 1,618

Oral incisional biopsy


170 1,869 1,495

Charges for taking blood gas sample -


171 1,015 812

Ventricular Tapping
172 3,381 2,705

Pulmonary artery catheterisation ( Swan


173 Ganz ) 3,815 3,052

Pericardial aspiration -
174 2,023 1,618

Pocket for endocardial pacemaker under GA


175 in Cath lab - Anaesthetists charges 3,119 2,495

Pocket for endocardial pacemaker under GA


176 in Cath lab - Cath Lab Charges 2,310 1,848

BHEL Schedule E Page 10 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.
Pocket for endocardial pacemaker under GA
177 in Cath lab - Surgeon fee 11,550 9,240

Phlebotomy -
178 1,400 1,120

IVIG therapy -
179 1,540 1,232

Pleurodesis -
180 1,155 924

Pulse monitoring infusion - Non Biological -


181 1,155 924

Pamidronate infusion -
182 1,540 1,232

Spica plaster cast application in ward -


183 3,290 2,632

Skull traction application -


184 3,045 2,436

Therapeutic ascites aspiration ( large volume paracentesis ) -


185 1,540 1,232

Therapeutic ascites aspiration ( small volume paracentesis ) -


186 1,155 924

Target localisation in MRI / CT for


187 stereotactic surgery - 6,293 5,034

Tracheostomy
188 6,776 5,421

Total Intra Venous Sedation ( TIVS ) -


189 1,400 1,120

Therapeutic pleural aspiration -


190 1,610 1,288

191 Transcranial doppler - 1,400 1,120

Urinary Foley's catheterisation in ward -


192 1,869 1,495

Pacemaker Programming
193 5,565 4,452

Carotid endarterectomy ADD ON for cardiac surgery


194 26,600 21,280

CARDIAC ELECTROPHYSIOLOGY STUDIES


195 19,600 15,680

CARDIAC RADIO FREQUENCY ( RF ) ABLATION


196 11,200 8,960

BHEL Schedule E Page 11 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

IABP - ADD ON FOR CARDIAC SURGERY


197 35,700 28,560

GYNAECOLOGY CHARGES

Colposcopy/Cautery
198 2,520 2,016

Colposcopy/LEEP
199 3,920 3,136

Diagnostic Hyster/D&C
200 6,300 5,040

Colpo/Hystero/D&C
201 6,860 5,488

Colpo/Hystero/LEEP
202 8,050 6,440

CRITICAL CARE PROCEDURES

BIPAP Initiation -
203 700 560

204 BIPAP Monitoring - 700 560

Ventilator Initiation -
205 700 560

Ventilator Monitoring -
206 700 560

Biliary microlith study


207 3,850 3,080

Diabetic foot clinic ( major dressing ) -


208 420 336

Diabetic foot clinic ( minor dressing ) -


209 245 196

Diabetic foot - minor procedure


210 539 431

Outpatient extensor tenotomy


211 924 739

Foot scan ( foot pressure analysis )


212 385 308

Outpatient liquid silicone heel injection


213 924 739

Outpatient extensor tenotomy


214 924 739

BHEL Schedule E Page 12 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

Description

Neonatologist / paediatrician post-natal charges


215 1,015 812

Neonatology / paediatric consultant attendance + resuscitation charges of


216 newborn 1,838 1,470

Outpatient Arterial flow studies in


217 vascular lab - 280 224

Outpatient venous flow studies in vascular lab -


218 455 364

Portable Echocardiography
219 ( Paediatric) 910 728

Redo sternotomy / Mini


220 sternotomy 14,000 11,200

Wound care therapy charges


221 FOR OUTPATIENTS ( Intermittent pneumatic limb compression ) - 315 252

ENT PROCEDURES

Auditory Steady State Response ( ASSR ) -


222 2,156 1,725

Detailed BERA for hearing loss -


223 1,386 1,109

Distortion Product Otoacoustic Emisssion (


224 DPOAE ) - 616 493

OTO-acoustic emission test for newborn


225 babies 119 95

GASTROENTEROLOGY PROCEDURES

Anorectal manometery -
226 427 342

Ascitic Tap Diagnostic -


227 1,057 846

Bedside bronchoscopy -
228 3,052 2,442

Capsule endoscopy (Allowed only in


229 case of Obscure GI bleed, if Upper & Lower Endoscopy Is Normal) 5,775 4,620

Colonoscopy ( limited to left side


230 2,030 1,624

Colonoscopy ( whole ) -
231 2,772 2,218

BHEL Schedule E Page 13 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.
Double Balloon Enteroscopy Both side -
232 8,386 6,709

Double Balloon Enteroscopy Single side -


233 5,593 4,474

Diagnostic Thoracoscopy with biopsy in


234 Endoscopy 7,707 6,166

Diagnostic nasal & sinus endoscopy /


235 postoperative endoscopic cleaning - 825 660

Endoscopic banding ( first session ) -


236 4,235 3,388

Endoscopic biliary stenting -


237 8,456 6,765

Endoscopic ultrasound -
238 3,500 2,800

Endoscopic oesophageal stricture dilatation


239 2,709 2,167

Endoscopic endo-prosthesis placement -


240 6,426 5,141

Endoscopic foreign body removal -


241 4,662 3,730

Endoscopic mechanical lithotropsy -


242 7,693 6,154

Endoscopy Mucosal Resection -


243 7,623 6,098

Enteroscopy -
244 4,515 3,612

Endoscopic oesophageal dilatation for achalasia -


245 4,235 3,388

Endoscopic oesophageal stricture dilatation


246 4,235 3,388

Endoscopic polypectomy -
247 7,693 6,154

Endoscopic papillotomy ( EPT ) -


248 7,693 6,154

Endoscopic placement of Ryles tube -


249 2,541 2,033

Endoscopic pancreatic stenting


250 8,456 6,765

ERCP -
251 4,179 3,343

BHEL Schedule E Page 14 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

ERCP Cystogastromy -
252 9,534 7,627

Esophageal and Rectal manometery -


253 2,450 1,960

Endoscopy submucosal dissection -


254 7,623 6,098

Endoscopic sclerotherapy -
255 3,850 3,080

Endoscopic ( EUS ) guided cystogastrom


256 9,534 7,627

Endoscopic ultrasound ( EUS ) guided celiac


257 block - 6,356 5,085

Flexible sigmoidoscopy
258 1,736 1,389

HVPG (Hepatic Venous Pressure Gradient)


259 2,891 2,313

HVPG - Fluroscopy charges


260 1,012 809

Liver biopsy
261 2,450 1,960

Naso-jejunal tube insertion ( Fluroscopic )


262 1,904 1,523

Naso-jejunal tube insertion ( endoscopic ) -


263 2,541 2,033

Naso-biliary drainange ( NBD ) -


264 7,497 5,998

Oesophageal pH monitoring -
265 2,450 1,960

Percutaneous endoscopic gastrostomy ( PEG)


266 5,432 4,346

PNEUMO PROJECT BRONCHOSCOPY


267 1,848 1,478

Radio frequency ablation ( Gastroenterology)


268 6,356 5,085

Sengstaken tube placement


269 1,274 1,019

Therapeutic ascites aspiration ( largevolume paracentesis ) -


270 1,540 1,232

Transjuglar liver biopsy (done in endoscopy)


271 2,100 1,680

BHEL Schedule E Page 15 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

Upper gastrointestinal ( UGI ) endoscopy


272 1,862 1,490

INERVENTIONAL RADIOLOGY PROCEDURES

X-ray alcohol ablation of tumour


273 (interventional radiology) - 4,914 3,931

Embolization of abdominal tumours


274 (Interventional radiology) - 12,705 10,164

Radio-frequency ( RF ) ablation ( Interventional radiology ) -


275 10,108 8,086

X-ray guided aspiration - Interventional radiology


276 1,596 1,277

LITHOTRIPSY CHARGES

Lithotripsy procedure (stone 1.6 - 2.5 cm) package charges


277 20,790 16,632

Anaesthetists charges for PAC for lithotripsy


278 700 560

NEPHROLOGY PROCEDURES

Acute vascular access for dialysis -


279 1,890 1,512

CRRT - planning and monitoring -


280 3,150 2,520

Haemodialysis (emergency) charges


281 2,520 2,016

Haemodialysis charges
282 1,225 980

Internal jugular ( IJ ) catheter / subclavion catheter insertion


283 1,470 1,176

Pleural / Peritoneal tapping


284 1,400 1,120

ONCOLOGY PROCEDURES

Chemotherapy planning / supervision -


285 700 560

OPTHALMIC PACKAGE CHARGES

Anti VEGF injection (per eye) -


286 Package charges 8,200 8,200

BHEL Schedule E Page 16 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
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Rates in ₹.

OPHTHALMOLOGY PROCEDURES

Argon laser photocoagulation ( single sitting) for diabetic maculopathy - hospital charges
287 847 678

Argon laser photocoagulation ( single sitting) for diabetic maculopathy - Doctor fees
288 1,463 1,170

Combined retinal digital fluorescein &


289 indocyanine green ( ICG ) imaging angiography - 1,500 1,200

Laser photocoagulation for ARMD - doctor fee


290 2,793 2,234

Laser photocoagulation for ARMD - hospital


291 charges 1,694 1,355

Laser photocoagulation ( PRP package ) - doctor fee


292 4,235 3,388

Laser photocoagulation ( PRP package ) -


293 hospital charges 2,541 2,033

Laser photocoagulation for retinopathy of


294 prematurity ( ROP ) - doctor fee 4,000 3,200

Laser photocoagulation for retinopathy of prematurity ( ROP ) - hospital charges


295 2,000 1,600

Laser photocoagulation for vasculitis ( more than one quadrant ) - doctor fee
296 2,793 2,234

Laser photocoagulation for vasculitis ( more than one quadrant ) - hospital charges
297 1,694 1,355

Laser photocoagulation for


298 vascular occlusions ( more than one quadrant ) -Doctor 2,793 2,234

Laser photocoagulation for


299 vascular occlusions ( more than one quadrant ) -Hospital 1,694 1,355

Laser photocoagulation for vascular occlusions ( one quadrant ) - doctor fee


300 1,463 1,170

Laser photocoagulation for vascular occlusions ( one


301 quadrant ) - hospital 847 678

Laser photocoagulation for vasculitis ( one quadrant ) - doctor fee


302 1,463 1,170

Laser photocoagulation for vasculitis ( one quadrant ) - hospital charges


303 847 678

Optical coherence tomography ( OCT ) -


304 1,000 800

YAG laser photocoagulation


305 1,351 1,081

BHEL Schedule E Page 17 of 115 Rates effective from 15.08.2014


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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
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OPHTHALMOLOGY PROCEDURES CHARGES

Automated Perimetery
306 1,022 818

Diabetic retiniopathy screening


307 105 84

Eye Ultrasonography A & B scan


308 938 750

Eye Ultrasonography B scan


309 560 448

Eye Ultrasonography Biometeric A scan


310 371 297

Lee's screen charting


311 385 308

Orthoptic exercise
312 50 40

Refraction and Orthoptic checkup


313 50 40

314 Goldman Perimetry (Field) 350 280

315 Hoss Screen 250 200

316 Goinoscopy 350 280

317 VER 500 400

318 ERG 500 400

319 EOG 500 400

320 Chalazion LA/GA 1800 1,440

321 OCT (Optical Coherence Tomography) 1000 800

322 Sub tenon Injection (per eye) 1000 800

323 Posterior Sub Tenon Injection 1000 800

324 Visual Fields(both eyes) 1000 800

BHEL Schedule E Page 18 of 115 Rates effective from 15.08.2014


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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

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325 ICG 3250 2,600

326 CCT 300 240

327 Diurnal variation 500 400

328 Specular Microscopy both eyes 600 480

329 Injection Manitol 350 280

330 Corneal Scraping 400 320

331 Corneal Foreign Body Removal 1200 960

332 Prone dark room Test 300 240

333 Suture Removal 300 240

334 Punctal Plug per plug 300 240

335 Tonopen Tonometry 200 160

336 Indirect Opthalmoscopy 250 200

337 FFA BOTH EYES 3000 2,400

338 Fundus Photo 500 400

339 GDX 500 400

340 Water Drinking Test 400 320

341 Trabeculetomy 8000 6,400

342 T.T.T 3200 2,560

343 Buckle Removal 3500 2,800

344 Conjunctival Tear 2000 1,600

BHEL Schedule E Page 19 of 115 Rates effective from 15.08.2014


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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

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345 Cyst Removal 1500 1,200

346 Cyclocryo 1800 1,440

347 Entropion 2800 2,240

348 Pterygium 2000 1,600

349 Tarsorraphy Permanent Temporary 2800 2,240

350 Uncomlicated Lid tear 1950 1,560

351 Inj. Avastin (single patient) 8200 8,200

OTHER PROCEDURES

CPAP titration -
352 5,390 4,312

ELECTIVE CARDIOVERSION PACKAGE CHARGES


353 5,880 4,704

APTT ( Activated partial thromboplastin


354 time ) 315 252

Clot retraction test


355 140 112

Pulmonary artery catheterisation ( Swan


356 Ganz ) - 3,815 3,052

PAEDIATRIC PROCEDURES

Bedside paediatric vascular cut down under


357 GA ( venesection ) - 7,000 5,600

Exchange transfusion -
358 2,772 2,218

Paediatric bone marrow aspiration -


359 1,330 1,064

Paediatric bone marrow biopsy + aspiration


360 2,380 1,904

Paediatric bone marrow biopsy -


361 1,750 1,400

Paediatric bronchoscopy -
362 3,045 2,436

BHEL Schedule E Page 20 of 115 Rates effective from 15.08.2014


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Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

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Paediatric kidney biopsy -


363 2,450 1,960

Paediatric liver biopsy -


364 2,450 1,960

Paediatric lumbar puncture -


365 1,680 1,344

Paediatric pleural tap -


366 1,610 1,288

Surfactant delivery procedure -


367 3,045 2,436

Sweat test fot cystic fibrosis -


368 1,330 1,064

PAIN CONTROL PROCEDURES

Electronic PCA pump installation -


369 2,100 1,680

MECHANICAL INFUSOR ( BAXTER ) PUMP INSTALLATION


370 210 168

Mechanical infusor ( Baxter )


371 pump installation - 1,274 1,019

ULTRASOUND PROCEDURES

Ultrasound guided FNAC


372 2,100 1,680

Biopsy under guidance of ultrasound / CT /


373 MRI fusion 2,100 1,680

374 Endobronchial Ultrasound 6,167 4,934

Salpingo sonography
375 1,540 1,232

Ultrasound skin marking for lesion


376 840 672

Ultrasound diagnostic needle aspiration for


377 560 448
Ascitis

Ultrasound guided aspiration


378 1,540 1,232

Ultrasound guided liver abscess aspiration


379 2,240 1,792

Ultrasound guided liver biopsy


380 2,240 1,792

BHEL Schedule E Page 21 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

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Ultrasound guided MTP


381 2,100 1,680

Ultrasound guided ovarian cyst aspiration


382 2,100 1,680

Ultrasound guided perigraft aspiration


383 (outside the dept.) 1,400 1,120

Ultrasound guided transrectal prostatic aspiration / biopsy


384 2,100 1,680

Ultrasound guided renal biopsy - Dept. charges


385 2,240 1,792

Ultrasound guided therapeutic aspiration for ascitis


386 1,820 1,456

Ultrasound guided therapeutic aspiration for pleural fluid


387 1,820 1,456

388 Ultrasound needle aspiration for Pleural effusion ( diagnostic ) 560 448

Ultrasound guided breast biopsy


389 1,680 1,344

URODYNAMICS PROCEDURES (OPD)

Catheterization with instillation with any


390 medicine - Procedure Charges 1,274 1,019

Catheterization
391 952 762

Cyst Excision
392 1,911 1,529

Dressing Major
393 637 510

Dressing Minor
394 315 252

Frenuloplasty
395 1,652 1,322

Bladder wash with catheter removal


396 637 510

Prostatic Biopsy
397 1,876 1,501

Superficial Biopsy
398 1,274 1,019

399 Testicular Biopsy 2,303 1,842

BHEL Schedule E Page 22 of 115 Rates effective from 15.08.2014


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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

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Urethral Dilatation
400 1,701 1,361

VASCULAR PROCEDURES

Ankle - brachial index ( ABI ) tonometry


401 210 168

Outpatient ankle - brachial index ( ABI )


402 tonometry 210 168

403 Arterial catheterisation ( subclavian / femoral / any other ) 210 168

Arterial catheterisation ( subclavian /


404 2,093 1,674
femoral / any other ) -

AV Access
405 8,400 6,720

Fluoroscopic guided percutanous tumor


406 embolisation 19,691 15,753

Fluroscopy guided vascular sclerotherapy in


407 cath lab 13,125 10,500

Implantable Central Venous Access Device


408 Placement 5,775 4,620

Inpatient wound care system therapy ( Intermittent pneumatic limb compression )


409 301 241

410 Peripheral catheter guided thrombolysis in cath lab 19,691 15,753

Peripheral embolisation for bleeding


411 19,516 15,613

Recanalization for Chronic Total Vascular


412 Occlusion 20,216 16,173

Tissue ischaemia monitoring


413 196 157

Uterine artery embolisation in cath lab


414 19,688 15,750

415 Venography guided laser assisted saphenous vein closure (B/L) 25,270 20,216

MRI

416 MRI Both Forearms 9,240 7,392

417 MRI & MR Spectroscopy Prostate 6,930 5,544

BHEL Schedule E Page 23 of 115 Rates effective from 15.08.2014


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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
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418 MRI Abdomen 5,600 4,480

419 MRI Abdomen & Pelvis 9,240 7,392

420 MRI Abdomen & Pelvis with Cont 11,550 9,240

421 MRI Abdomen With Contrast 6,930 5,544

422 MRI Adrenal Glands 5,600 4,480

423 MRI and MRA Brain 6,930 5,544

424 MRI Anorectal Region 5,390 4,312

425 MRI Anorectal Region For Fistu 5,600 4,480

426 MRI Both Arm 9,240 7,392

427 MRI Both Elbows 9,240 7,392

428 MRI Both Feet 9,240 7,392

429 MRI Both Femurs 9,240 7,392

430 MRI Both Hand 9,240 7,392

431 MRI Both Knees 9,240 7,392

432 MRI Both Shoulders 9,240 7,392

433 MRI Both Thighs 9,240 7,392

434 MRI Both Wrists 9,240 7,392

435 MRI Brachial Plexus 5,600 4,480

436 MRI Brachial Plexus & Cervical 9,240 7,392

437 MRI Brachial Plexus with contr 6,930 5,544

BHEL Schedule E Page 24 of 115 Rates effective from 15.08.2014


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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

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Rates in ₹.

438 MRI Brain 5,600 4,480

439 MRI Brain With Contrast 6,930 5,544

440 MRI Brain with contrast and MRA 9,240 7,392

441 MRI Brain With MRA Head & Neck 10,780 8,624

442 MRI Brain With MRA Neck Vessel 9,240 7,392

443 MRI Brain with Spectroscopy 6,930 5,544

444 MRI Breasts 6,930 5,544

445 MRI Cervical Spine 5,600 4,480

446 MRI Cervical Spine & Brachial 9,240 7,392

447 MRI Cervical Spine With Contra 6,930 5,544

448 MRI Chest 5,600 4,480

449 MRI Chest with Contrast 6,930 5,544

450 MRI Cholangiogram 5,600 4,480

451 MRI CSF flow study 6,160 4,928

452 MRI Face & Neck Plain 5,600 4,480

453 MRI Face & Neck with Contrast 6,930 5,544

454 MRI for the Groin 5,600 4,480

455 MRI Hips 5,600 4,480

456 MRI Hips and Sacoiliac Joints 5,600 4,480

457 MRI Internal Auditary Meatus 5,600 4,480

BHEL Schedule E Page 25 of 115 Rates effective from 15.08.2014


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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

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Other
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Rates in ₹.

458 MRI Kidneys 6,930 5,544

459 MRI Larynx 5,600 4,480

460 MRI Ankle 5,600 4,480

461 MRI Arm 5,600 4,480

462 MRI Arm With Contrast 6,930 5,544

463 MRI Elbow 5,600 4,480

464 MRI Femur 5,600 4,480

465 MRI Foot 5,600 4,480

466 MRI Forearm 5,600 4,480

467 MRI Hand 5,600 4,480

468 MRI Hip 5,600 4,480

469 MRI Knee 5,600 4,480

470 MRI Leg 5,600 4,480

471 MRI Shoulder 5,600 4,480

472 MRI Thigh 5,600 4,480

473 MRI Wrist 5,600 4,480

474 MRI Legs 9,240 7,392

475 MRI Legs With Contrast 11,550 9,240

476 MRI Liver 6,930 5,544

477 MRI Liver Iron Estimation 2,800 2,240

BHEL Schedule E Page 26 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

478 MRI Lumbar Spine 5,600 4,480

479 MRI Lumbar Spine With Contrast 6,930 5,544

480 MRI Miscellaneous Region 5,600 4,480

481 MRI Neck 5,600 4,480

482 MRI Neck with Contrast 6,930 5,544

483 MRI Oesophagus 5,600 4,480

484 MRI Orbits 5,600 4,480

485 MRI Ovaries 5,600 4,480

486 MRI Pancreas 5,600 4,480

487 MRI Paranasal Sinuses 5,600 4,480

488 MRI Parotid Glands 5,600 4,480

489 MRI Pelvic Floor Study 5,600 4,480

490 MRI Pelvis 5,600 4,480

491 MRI Pelvis For Undescended Tes 5,600 4,480

492 MRI Pelvis with Contrast & MRA 9,240 7,392

493 MRI Perineum With Endorectal Contrast 5,390 4,312

494 MRI Pituitary Gland 4,620 3,696

495 MRI Pituitary Gland with Contrast 6,930 5,544

496 MRI Portoraphy 5,600 4,480

497 MRI Prostate 5,600 4,480

BHEL Schedule E Page 27 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

498 MRI Prostate With Endorectal Contrast 5,390 4,312

499 MRI Sacro-Iliac Joints 5,600 4,480

500 MRI Sacrum & Coccyx 4,620 3,696

501 MRI Sella 6,930 5,544

502 MRI Sinuses 5,600 4,480

503 MRI Spleen 5,600 4,480

504 MRI Temporal Bones 5,600 4,480

505 MRI Temporomandibular Joints 5,600 4,480

506 MRI Testes 5,600 4,480

507 MRI Thoracic Spine 5,600 4,480

508 MRI Thoracic Spine With Contrast 6,930 5,544

509 MRI Thoraco-lumbar Spine 5,600 4,480

510 MRI Thoraco-lumbar Spine With Contrast 6,930 5,544

511 MRI Upper Abdomen With MRCP 5,600 4,480

512 MRI Upper Arm With Contrast 6,930 5,544

513 MRI Upper Extremities 5,600 4,480

514 MRI Urinary Tract 5,600 4,480

515 MRI Uterus 5,600 4,480

516 MRI Whole body Screening 11,550 9,240

517 MRI Whole Spine 13,860 11,088

BHEL Schedule E Page 28 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
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Rates in ₹.

518 MRI Whole Spine Screening 1,155 924

519 MRI Whole Spine Screening & MRA 5,775 4,620

520 MRI Whole Spine with Contrast 16,100 12,880

521 Multiphase MRI Liver With Contrast 6,930 5,544

522 MRI Both Ankles 6,930 5,544

523 MRI Extended Study 1,400 1,120

CT SCAN

524 CT Scan Angiography Head & Neck 8,400 6,720

525 CT Scan Lower Extremity 2,695 2,156

526 CT Scan Upper Extremity 2,695 2,156

527 CT Scan Neck Plain 2,695 2,156

528 CT Scan Neck, Abdomen & Pelvis with Contrast 7,700 6,160

529 CT Scan Pelvimetry 3,850 3,080

530 CT Scan Perfusion 3,850 3,080

531 CT Scan Thoracic Spine 2,695 2,156

532 CT per joint - Contrast 3,850 3,080

533 CT per joint - Plain 2,695 2,156

534 CT Scan Abdomen & Pelvis Including 5,810 4,648

535 CT Scan Abdomen & Pelvis Plain 3,850 3,080

536 CT Scan Abdomen & Pelvis With contrast 5,040 4,032

BHEL Schedule E Page 29 of 115 Rates effective from 15.08.2014


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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

537 CT Scan Airway 4,200 3,360

538 CT Scan Angio Lower Extremitie 6,930 5,544

539 CT Scan Angio Upper Extremitie 6,930 5,544

540 CT Scan Angiography Abdomen 6,930 5,544

541 CT Scan Angiography Chest 6,930 5,544

542 CT Scan Angiography Extremitie 6,930 5,544

543 CT Scan Angiography Head 6,930 5,544

544 CT Scan Angiography Head & Neck 8,400 6,720

545 CT Scan Angiography Neck 6,930 5,544

546 CT Scan Angiography Pelvis 6,930 5,544

547 CT Scan Both Ankles 2,695 2,156

548 CT Scan Both Arms 2,695 2,156

549 CT Scan Both Elbows 2,695 2,156

550 CT Scan Both Femora 2,695 2,156

551 CT Scan Both Forearms 2,695 2,156

552 CT Scan Both Hands 2,695 2,156

553 CT Scan Both Hips 2,695 2,156

554 CT Scan Both Knees 2,695 2,156

555 CT Scan Both Shoulders 2,695 2,156

556 CT Scan Both Wrists 2,695 2,156

BHEL Schedule E Page 30 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

557 CT Scan Brain & Neck With Contrast 4,620 3,696

558 CT Scan Brain Plain 1,540 1,232

559 CT Scan Brain With Contrast 2,310 1,848

560 CT Scan Brain, Neck, Chest, Abdomen 9,240 7,392

561 CT Scan Calcaneus/Heel 2,695 2,156

562 CT Scan Cervical Spine 2,695 2,156

563 CT Scan Cervical Spine with contrast 3,850 3,080

564 CT Scan Chest & Upper Abdomen 3,850 3,080

565 CT Scan Chest Plain 2,695 2,156

566 CT Scan Chest With Contrast 3,850 3,080

567 CT Scan Chest, Abdomen & Pelvis 6,160 4,928

568 CT Scan Coronary Angiography 8,400 6,720

569 CT Scan Coronary Calcium Scoring 2,310 1,848

570 CT Scan Face With Contrast 3,850 3,080

571 CT Scan Fistuolography 3,850 3,080

572 CT Scan KUB Plain 3,080 2,464

573 CT Scan KUB With Contrast 5,040 4,032

574 CT Scan Ankle Plain 2,695 2,156

575 CT Scan Ankle with contrast 3,850 3,080

576 CT Scan Arm 2,695 2,156

BHEL Schedule E Page 31 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

577 CT Scan Elbow 2,695 2,156

578 CT Scan Femur 2,695 2,156

579 CT Scan Foot Plain 2,695 2,156

580 CT Scan Foot with Contrast 3,850 3,080

581 CT Scan Forearm 2,695 2,156

582 CT Scan Hand 2,695 2,156

583 CT Scan Hip Contrast 3,850 3,080

584 CT Scan Knee 2,695 2,156

585 CT Scan Shoulder 2,695 2,156

586 CT Scan Wrist 2,695 2,156

587 CT Scan Lower Abdomen Plain 2,310 1,848

588 CT Scan Lower Abdomen With Contrast 3,500 2,800

589 CT Scan Lower Extremity 2,695 2,156

590 CT Scan Lumbosacral Spine 2,695 2,156

591 CT Scan Lumbosacral Spine with Contrast 3,850 3,080

592 CT Scan Mastoid 2,695 2,156

593 CT Scan Mastoid Contrast 3,850 3,080

594 CT Scan Neck Plain 2,695 2,156

595 CT Scan Neck With Contrast 3,850 3,080

596 CT scan of the Face & Neck with contrast 5,040 4,032

BHEL Schedule E Page 32 of 115 Rates effective from 15.08.2014


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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

597 CT Scan Orbit & Brain Plain 3,080 2,464

598 CT Scan Orbit & Brain With Contrast 4,620 3,696

599 CT Scan Orbit Plain 2,695 2,156

600 CT Scan Orbit With Contrast 3,850 3,080

601 CT Scan Paranasal Sinuses With contrast 3,850 3,080

602 CT Scan Pelvis With Contrast 3,500 2,800

603 CT Scan Peripheral Angiography 8,470 6,776

604 CT Scan Pit Fossa Plain 2,695 2,156

605 CT Scan Pit Fossa With Contrast 3,850 3,080

606 CT Scan Pulmonary Angiography 6,930 5,544

607 CT Scan Renal Angiography 6,930 5,544

608 CT Scan Saco-iliac Joints 2,695 2,156

609 CT Scan Sacroiliac Joints with Contrast 3,850 3,080

610 CT Scan Sacrum/Coccyx 2,695 2,156

611 CT Scan Sacrum/Coccyx with contrast 3,850 3,080

612 CT Scan Sinography 3,850 3,080

613 CT scan Spine (one segment) 2,695 2,156

614 CT scan Spine (one segment) with contrast 3,850 3,080

615 CT scan Spine two segments) 5,390 4,312

616 CT scan Spine two segments) with contast 6,300 5,040

BHEL Schedule E Page 33 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

617 CT Scan Sterno-Clavicular Joint 2,695 2,156

618 CT Scan Sternum 2,695 2,156

619 CT Scan Temporal Region With Contrast 3,850 3,080

620 CT Scan Temporomandibular Joint 2,695 2,156

621 CT Scan Thoracic Spine 2,695 2,156

622 CT Scan Thoracic Spine with contrast 3,850 3,080

623 CT Scan Upper Abdomen Plain 2,310 1,848

624 CT Scan Upper Abdomen With Contrast 3,500 2,800

625 CT Scan Upper Extremity 3,850 3,080

626 CT Scan Whole Spine 8,050 6,440

627 CT Scanogram 1,400 1,120

628 CT Sialogram 2,695 2,156

629 CT Scan Thorax, High Resolution 2,695 2,156

630 CT Scan Ca Score Spine Std 2,310 1,848

631 CT ANGIO CHEST ABDOMEN PELVIS 8,470 6,776

632 CT Contrast for Per Area 1,155 924

633 CT Contrast for Neck & Head 1,540 1,232

634 CT Contrast for Neck Chest Abdomen Pelvis 2,485 1,988

635 CT Contrast for Head & Orbit 1,540 1,232

636 CT Contrast for Abdomen With Chest 1,540 1,232

BHEL Schedule E Page 34 of 115 Rates effective from 15.08.2014


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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

ULTRASOUND

637 Ultrasound Nephrostomy 630 504

638 Ultrasound Parotid Gland 630 504

639 Ultrasound Submandibular Gland 630 504

640 Ultrasound Appendix Region 630 504

641 Ultrasound Aspiration Miscella 1,400 1,120

642 Ultrasound Aspiration Neck Reg 1,400 1,120

643 Ultrasound Aspiration Thoracic 1,400 1,120

644 Ultrasound Aspiration Urinary 1,400 1,120

645 Ultrasound Biopsy Miscellaneou 3,080 2,464

646 Ultrasound Biopsy Thorax 3,080 2,464

647 Ultrasound Biopsy Urinary Syst 3,080 2,464

648 Ultrasound Both Ankles 1,260 1,008

649 Ultrasound Both Feet 1,260 1,008

650 Ultrasound Both Knees 1,260 1,008

651 Ultrasound Doppler, Deep Abdom 1,960 1,568

652 Ultrasound Doppler, Testis 1,960 1,568

653 Ultrasound Drainage Miscellane 1,400 1,120

654 Ultrasound Drainage Thoracic Region 1,400 1,120

655 Ultrasound Evaluation of the Breasts 1,400 1,120

BHEL Schedule E Page 35 of 115 Rates effective from 15.08.2014


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Metros,
Other
Hyd. &
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Rates in ₹.

656 Ultrasound Evaluation of the Neck/Thyroid 1,400 1,120

657 Ultrasound Extremity 630 504

658 Ultrasound Follicular Study 770 616

659 Ultrasound For Pleural Effusio 630 504

660 Ultrasound for Rib Fracture 630 504

661 Ultrasound Guided Breast FNAC 1,400 1,120

662 Ultrasound Head 630 504

663 Ultrasound Hip Neonatal Assess 630 504

664 Ultrasound Hips 630 504

665 Ultrasound Miscellaneous Regio 630 504

666 Ultrasound Neck FNAC 1,400 1,120

667 Ultrasound Obstetric And Feta 2,800 2,240

668 Ultrasound of the Both Elbow 1,260 1,008

669 Ultrasound of the Both Hands 1,260 1,008

670 Ultrasound of the Both Shoulde 1,260 1,008

671 Ultrasound of the Both Wrists 1,260 1,008

672 Ultrasound of the Elbow 630 504

673 Ultrasound of the Hand 630 504

674 Ultrasound of the Shoulder 630 504

675 Ultrasound of the Wrist 630 504

BHEL Schedule E Page 36 of 115 Rates effective from 15.08.2014


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Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

676 Ultrasound Parathyroid 630 504

677 Ultrasound Parotid Gland Both 630 504

678 Ultrasound Pelvis, 630 504

679 Ultrasound Ankle 630 504

680 Ultrasound Foot 630 504

681 Ultrasound Knee 630 504

682 Ultrasound Submandibular Gland 630 504

683 Ultrasound Temporo-Mandibular 630 504

684 Ultrasound Testies 945 756

685 Ultrasound Trans Rectal Prosta 1,085 868

686 Ultrasound Urinary Tract 630 504

687 Upper Abdominal Doppler Study 1,960 1,568

688 Upper Abdominal Ultrasound 630 504

689 Urinary Tract Ultrasound(KUB) 630 504

690 Whole Abdomen Ultrasound 910 728

691 ULTRASOUND GUIDED FNAC HIP 1,400 1,120

692 Ultrasound Neck 630 504

X-RAYS

693 X-Ray Abdomen Erect 210 168

694 X-Ray Abdomen Erect-Supine 420 336

BHEL Schedule E Page 37 of 115 Rates effective from 15.08.2014


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Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

695 X-Ray Abdomen Supine 210 168

696 X-Ray Acromio-Clavicular Joint 210 168

697 X-Ray Ankle Both 560 448

698 X-Ray Ankle 280 224

699 X-Ray Apicogram 210 168

700 X-Ray Arm, Both One View Each 210 168

701 X-Ray Arm, Both Two Views Each 420 336

702 X-Ray Arm, One View 210 168

703 X-Ray Arm, Two Views 420 336

704 X-Ray Base of Skull 210 168

705 X-Ray Bladder 210 168

706 X-Ray Bone Age 210 168

707 X-Ray Cervical Spine 420 336

708 X-Ray Cervico-Thoracic Spine 420 336

709 X-Ray Chest AP View 210 168

710 X-Ray Chest Decubitus 210 168

711 X-Ray Chest Lateral 210 168

712 X-Ray Chest PA & Left Lateral 420 336

713 X-Ray Chest PA & Right Lateral 420 336

714 X-Ray Chest PA View 210 168

BHEL Schedule E Page 38 of 115 Rates effective from 15.08.2014


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Other
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Rates in ₹.

715 X-Ray Chest PA, Right & Left L 630 504

716 X-Ray Clavicles Both 420 336

717 X-Ray Clavicles 210 168

718 X-Ray Clavicles Right One View 210 168

719 X-Ray Clavicles Right Three View 630 504

720 X-Ray Clavicles Right Two View 420 336

721 X-Ray Craniovertebaral Junctio 420 336

722 X-Ray Elbow, Both 560 448

723 X-Ray Elbow, 280 224

724 X-Ray Feet Both 560 448

725 X-Ray Feet Both Weight Bearing 420 336

726 X-Ray Femur Both 840 672

727 X-Ray Femur 420 336

728 X-Ray Foot 280 224

729 X-Ray Forearm, Both 560 448

730 X-Ray Forearm, 280 224

731 X-Ray Hand, Both 560 448

732 X-Ray Hand, 280 224

733 X-Ray Heel Both 560 448

734 X-Ray Heel 280 224

BHEL Schedule E Page 39 of 115 Rates effective from 15.08.2014


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Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

735 X-Ray Hip Both 420 336

736 X-Ray Hip 210 168

737 X-Ray Humerus, Both One View E 420 336

738 X-Ray Humerus, Both Two View E 840 672

739 X-Ray Humerus, one View 210 168

740 X-Ray Humerus, Two Views 420 336

741 X-Ray Internal Auditory Meatus 210 168

742 X-Ray Knee Both AP 350 280

743 X-Ray Knee 350 280

744 X-Ray Knee Weight Bearing 350 280

745 X-Ray Knee Skyline View 350 280

746 X-Ray Knees Both 700 560

747 X-Ray Knees Both Weight Bearin 700 560

748 X-Ray KUB 420 336

749 X-Ray Leg Both 560 448

750 X-Ray Leg 280 224

751 X-Ray Lumbar-Sacral Spine 420 336

752 X-Ray Lumbar-Sacral Spine -AP, 420 336

753 X-Ray Lumbar-Sacral Spine -Lat 420 336

754 X-Ray Mandible PA View 210 168

BHEL Schedule E Page 40 of 115 Rates effective from 15.08.2014


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Metros,
Other
Hyd. &
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B'lore
Rates in ₹.

755 X-Ray Mandible Three Views 630 504

756 X-Ray Mandible Two Views 420 336

757 X-Ray Mastoids Bilateral Obliq 420 336

758 X-Ray Mastoids Oblique & Towne 630 504

759 X-Ray Mastoids Towne's View 210 168

760 X-Ray Mastoids Unilateral Obli 420 336

761 X-Ray Maxilla 210 168

762 X-Ray Nasal Bones 210 168

763 X-Ray Occlusal Non-Digital 280 224

764 X-Ray Optic Foramen 560 448

765 X-Ray Orbits 210 168

766 X-Ray Paranasal Sinuses One Vi 210 168

767 X-Ray Paranasal Sinuses Two Vi 420 336

768 X-Ray Parotid Gland 210 168

769 X-Ray Pelvis - Judet views both 420 336

770 X-Ray Pelvis -AP 210 168

771 X-Ray Ribs Both AP & Oblique View 840 672

772 X-Ray Ribs Both AP View 420 336

773 X-Ray Ribs Both Oblique Views 420 336

774 X-Ray Ribs one side AP & Oblique V 420 336

BHEL Schedule E Page 41 of 115 Rates effective from 15.08.2014


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Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

775 X-Ray Ribs one side AP View 210 168

776 X-Ray Ribs one side Oblique View 210 168

777 X-Ray Sacro Iliac Joints -Both 420 336

778 X-Ray Sacro Iliac Joints -PA 210 168

779 X-Ray Sacro Iliac Joints -PA, 630 504

780 X-Ray Sacrum & Coccyx 420 336

781 X-Ray Scaphoid, Right 210 168

782 X-Ray Scapula Both One View 210 168

783 X-Ray Scapula Both Two Views 420 336

784 X-Ray Scapula One View 210 168

785 X-Ray Scapula Two Views 420 336

786 X-Ray Shoulder Both Three View 1,260 1,008

787 X-Ray Shoulder Both two Views 840 672

788 X-Ray Shoulder One View 210 168

789 X-Ray Shoulder Three Vire 630 504

790 X-Ray Shoulder Two Views 420 336

791 X-Ray Skull Lateral 210 168

792 X-Ray Skull PA 210 168

793 X-Ray Skull PA & Lateral 420 336

794 X-Ray Soft Tissue Neck AP & La 420 336

BHEL Schedule E Page 42 of 115 Rates effective from 15.08.2014


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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

795 X-Ray Soft Tissue Neck Lateral 210 168

796 X-Ray Soft Tissue Study 210 168

797 X-Ray Spine - 3 views 630 504

798 X-Ray Spine - 4 views 840 672

799 X-Ray Spine - 5 views 1,050 840

800 X-Ray Spine - 6 views 1,260 1,008

801 X-Ray Sterno-Clevicular Joint 630 504

802 X-Ray Sterno-Clevicular Joint 420 336

803 X-Ray Sternum AP & Oblique Vie 420 336

804 X-Ray Sternum AP View 210 168

805 X-Ray Sternum Oblique View 210 168

806 X-Ray Styloid Process 210 168

807 X-Ray Submandibular Lateral View 210 168

808 X-Ray Submandibular Two Views 420 336

809 X-Ray Temporo-Mandibular Joint 420 336

810 X-Ray Thoracic Inlet 210 168

811 X-Ray Thoracic Spine 420 336

812 X-Ray Thoraco-Lumbar Spine 420 336

813 X-Ray Thumb, Both 420 336

814 X-Ray Thumb, 210 168

BHEL Schedule E Page 43 of 115 Rates effective from 15.08.2014


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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

815 X-Ray Toe, Great 210 168

816 X-Ray Whole Spine 1,050 840

817 X-Ray Wrist, Both 560 448

818 X-Ray Wrist, 280 224

819 X-RAY LUMBER SPINE LATERAL 210 168

820 X-Ray Knee Skyline Single View 175 140

821 X-Ray Cervical Spine Flexion & Extension 420 336

822 X-Ray Hip AP & Lat 420 336

823 X-Ray Both Knees Lateral 420 336

824 X-Ray Both Hands LAT 280 224

825 X-RAY CERVICLE SPINE LAT. VIEW 210 168

826 X-RAY Both Ankle Lat. View 280 224

NUCLEAR MEDICINE

827 NM Scan Bone SPECT 3,850 3,080

828 NM Scan Captopril Renogram with GFR Evaluation 6,300 5,040

829 NM Scan D. R. C. G 2,030 1,624

830 NM Scan DMSA Renal 3,500 2,800

831 NM Scan DTPA Renal with GFR Evaluation 3,150 2,520

832 NM Scan DTPA Renal Transplant Scan with GFR Evalua 3,150 2,520

833 NM Scan Gastric Emptying Time 1,750 1,400

BHEL Schedule E Page 44 of 115 Rates effective from 15.08.2014


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Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

834 NM Scan Hepatobiliary 3,360 2,688

835 NM Scan HMPAO Brain Perfusion SPECT 5,040 4,032

836 NM Scan Liver 3,360 2,688

837 NM Scan Lung Perfusion 2,940 2,352

838 NM Scan Lung Perfusion (Quantification) 2,940 2,352

839 NM Scan Lymphoscintigraphy using Tc99m Labelled Na 5,040 4,032

840 NM Scan Resting MUGA for LV Function Assessment 2,940 2,352

841 NM Scan Tc99m for GE Reflux 1,960 1,568

842 NM Scan Tc99m Labelled RBC Blood Pool 4,690 3,752

843 NM Scan Tc99m Labelled RBC Venogram 3,780 3,024

844 NM Scan Tc99m MIBI Parathyroid 5,040 4,032

845 NM Scan Tc99m Testicular 1,680 1,344

846 NM Scan Tc99m Thyroid and Uptake 1,400 1,120

847 NM Scan Thallium201 / Tc99mGHA Brain SPECT 3,850 3,080

848 NM Scan Three Phase Bone 3,500 2,800

849 NM Scan Whole Body Bone 3,500 2,800

850 NM Scan Whole Body Iodine 5,040 4,032

851 NM.Therapy I-131 (5 mCi) 3,850 3,080

852 NM.Therapy I-131 (10 mCi) 5,250 4,200

853 NM.Therapy I-131 (15 mCi) 6,160 4,928

BHEL Schedule E Page 45 of 115 Rates effective from 15.08.2014


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Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

854 Non-Ionic Contrast Meal 3,850 3,080

MAMMOGRAPHY

855 Bilateral X-Ray Mammogram 1,000 800

856 Ductography 1,000 800

857 X-Ray Mammogram 630 504

DEXA

858 Bone Densitometry one site 800 640

859 Bone Densitometry: 3 sites 2,400 1,920

Other Procedures

860 Cystogram 2,800 2,240

861 Dacrocystogram Bilateral 4,550 3,640

862 Dacrocystogram 2,310 1,848

863 Diaphragm Fluoroscopy 280 224

864 Fistulogram 2,100 1,680

865 Gastrografin Enema 3,500 2,800

866 Gastrografin Series 2,800 2,240

867 Gastrografin Swallow 2,450 1,960

868 Hysterosalpingogram 3,150 2,520

869 Cholangiogram, T-Tube 3,500 2,800

870 IVP 3,500 2,800

BHEL Schedule E Page 46 of 115 Rates effective from 15.08.2014


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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

871 Micturating Cystourethrogram 2,940 2,352

872 Retrograde Pyelogram 3,500 2,800

873 Retrograde Urethrography 2,940 2,352

874 RGU with MCU 2,940 2,352

875 Sialogram Sublingual Gland 2,310 1,848

876 Sialogram, Parotid Bilateral 4,620 3,696

877 Sialogram, Parotid 2,310 1,848

878 Sialogram, Submandibular Bilateral 4,620 3,696

879 Sialogram, Submandibular 2,310 1,848

880 Sinogram 1,540 1,232

881 Small Bowel Enema Tubeless 2,940 2,352

882 Small Bowel Enema With Tube 3,500 2,800

883 Water soluble Contrast Meal 3,080 2,464

884 Water soluble Contrast Swallow 2,310 1,848

PATHOLOGICAL TESTS

885 ABSOLUTE EOSINOPHIL COUNT; AEC 98 78

886 ABSOLUTE LYMPHOCYTE COUNT 84 67

887 ABSOLUTE NEUTROPHIL COUNT 98 78

888 ACETYLCHOLINE RECEPTOR BINDING ANTIBODY; ACHR Ab 6300 5,040

889 ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY; ACHR BLOCKING Ab 6300 5,040

BHEL Schedule E Page 47 of 115 Rates effective from 15.08.2014


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Metros,
Other
Hyd. &
Sl. No Item Description Places
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Rates in ₹.

890 ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY; ACHR MODUL ATING Ab 8400 6,720

891 ACETYLCHOLINESTERASE, AMNIOTIC FLUID 4410 3,528

892 ACID PHOSPHATASE, PROSTATIC Includes Total Acid Phosphatase 182 146

893 ACID PHOSPHATASE, TOTAL 98 78

894 ACTH 868 694

895 ACTIVATED PROTEIN C-RESISTANCE; APCR 2345 1,876

896 ACTH, PL ASMA, BY EXTRACTION 7287 5,830

897 ADENOSINE DEAMINASE ; ADA 357 286

898 AFB IDENTIFICATION, RAPID; PNB TEST 945 756

899 AFB STAIN, MISCELL ANEOUSIncludes Auramine & Z.N staining 147 118

900 AFP (ALPHA FETOPROTEIN), AMNIOTIC FLUID 483 386

901 AFP (ALPHA FETOPROTEIN), PREGNANCY 483 386

902 AFP (ALPHA FETOPROTEIN), TUMOR MARKER 483 386

903 ALBERT STAIN 147 118

904 ALBUMIN & IgG, CSF Includes CSF IgG/ Albumin Ratio 1421 1,137

905 ALBUMIN, CSF 756 605

906 ALBUMIN, SERUM 70 56

907 ALCOHOL SCREEN, BLOOD 399 319

908 ALCOHOL SCREEN, URINE 399 319

909 ALDEHYDE CHOPRA TEST FOR KAL A AZAR 147 118

BHEL Schedule E Page 48 of 115 Rates effective from 15.08.2014


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Rates in ₹.

910 ALDOL ASE 399 319

911 ALDOSTERONE, 24-HOUR URINE 945 756

912 ALDOSTERONE, SERUM 945 756

913 ALKALINE PHOSPHATASE; ALP 98 78

914 ALKALINE PHOSPHATASE,BONE-SPECIFIC; BSAP 2730 2,184

ALKALINE PHOSPHATASE ISOENZYMES; ALP ISOENZYMES Includes total


915 2730 2,184
alkalinephosphatase

916 ALKAPTONURIA, URINE 168 134

Antigen Allergy Testing

917 ACACIA 665 532

918 ALDER 665 532

919 ALMOND 665 532

920 ALTERNARIA TENUIS 665 532

921 APPLE 665 532

922 ASPERGILLUS FUMIGATUS 665 532

923 BAHIA GRASS 665 532

924 BANANA 665 532

925 BEEF 665 532

926 BERMUDA GRASS (CYNODON DACTYLON) 665 532

927 BRINJAL 665 532

928 BUCKWHEAT 665 532

BHEL Schedule E Page 49 of 115 Rates effective from 15.08.2014


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Other
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Rates in ₹.

929 CABBAGE 665 532

930 CANDIDA ALBICANS 665 532

931 CAROB 665 532

932 CARROT 665 532

933 CASEIN 665 532

934 CASHEWNUT 665 532

935 CAT EPITHELIUM & DANDER 665 532

936 CELERY 665 532

937 CHEDDAR 665 532

938 CHICKEN 665 532

939 CHICKPEA 665 532

940 CL ADOSPORIUM HERBARUM 665 532

941 COCKLEBUR 665 532

942 COCOA 665 532

943 COCONUT 665 532

944 COCKROACH 665 532

945 COFFEE 665 532

946 COMMON PIGWEED 665 532

947 COTTON WOOD 665 532

948 COW DANDER 665 532

BHEL Schedule E Page 50 of 115 Rates effective from 15.08.2014


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Rates in ₹.

949 CUCUMBER 665 532

950 DOG DANDER 665 532

951 EGG WHITE 665 532

952 EGG YOLK 665 532

953 ELM 665 532

954 EUCALYPTUS 665 532

955 FISH 665 532

956 GARLIC 1050 840

957 GLUTEN 665 532

958 GOOSEFOOT 665 532

959 HORSE DANDER 665 532

960 HOUSE DUST 665 532

961 JOHNSON GRASS (SORGHUM HALEPENSE) 665 532

962 LEMON 665 532

963 LENTIL 665 532

964 LOBSTER 665 532

965 MAIZE 665 532

966 MANGO 665 532

967 MEADOW GRASS 665 532

968 MEL ALEUCA 665 532

BHEL Schedule E Page 51 of 115 Rates effective from 15.08.2014


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Rates in ₹.

969 MESQUITE 665 532

970 MILK 1050 840

971 MITES (Includes Dermatophagoides Pteronyssinus, Dermatophagoides Farinae) 665 532

972 MUG WORT (ARTEMISIA VULGARIS) 665 532

973 MUSHROOM 665 532

974 MULBERRY 665 532

975 MUTTON 665 532

976 OAK 665 532

977 OAT 665 532

978 OLIVE 665 532

979 ONION 665 532

980 ORANGE 665 532

981 PAPRIKA 665 532

982 PEA 665 532

983 PEAR 665 532

984 PEACH 665 532

985 PECAN 665 532

986 PEANUT 665 532

987 PENICILLIUM NOTATUM 665 532

988 PINEAPPLE 665 532

BHEL Schedule E Page 52 of 115 Rates effective from 15.08.2014


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989 PISTACHIO 665 532

990 PORK 665 532

991 POTATO 665 532

992 RAGWEED 665 532

993 RAPESEED 665 532

994 RICE 665 532

995 RYE 665 532

996 RYE GRASS 665 532

997 SESAME 665 532

998 SHRIMP (PRAWN) 665 532

999 SOYBEAN 665 532

1000 SPINACH 665 532

1001 STRAWBERRY 665 532

1002 TIMOTHY GRASS 665 532

1003 TOMATO 665 532

1004 TURKEY 665 532

1005 WALNUT 665 532

1006 WHEAT 665 532

1007 WHITE BEAN 665 532

1008 WHITE PINE 665 532

BHEL Schedule E Page 53 of 115 Rates effective from 15.08.2014


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Rates in ₹.

1009 WILLOW 665 532

1010 YEAST 2660 2,128

1011 ANY 5 ALLERGENS 5320 4,256

1012 ANY 10 ALLERGENS 2128 1,702

1013 ALPHA-1-ACID GLYCOPROTEIN 2625 2,100

1014 ALPHA-1-ANTITRYPSIN PHENOTYPE 4690 3,752

1015 ALPHA-1-ANTITRYPSIN QUANTITATION; AAT 1176 941

1016 ALPHA-2-MACROGLOBULIN 2450 1,960

1017 ALPHA SUBUNIT 5040 4,032

1018 ALUMINUM, DIALYSIS FLUID 1190 952

1019 ALUMINUM, PL ASMA 1190 952

1020 ALUMINUM, SERUM 1190 952

1021 AMENORRHOEA / ANDROLOGY SCREEN *FSH *LH *Prolactin 959 767

1022 AMENORRHOEA PROFILE *Estradiol *FSH *LH *Prolactin * Progesterone *TSH 1575 1,260

1023 AMIKACIN 1575 1,260

1024 5 - AMINOLEVULINIC ACID (5 -AL A), URINE, QUALITATIVE 2345 1,876

1025 AMINO ACIDS, QUALITATIVE, CSF 637 510

1026 AMINO ACIDS, QUALITATIVE, ONE DIMENSIONAL, URINE 637 510

1027 AMINO ACIDS, QUALITATIVE, PL ASMA 637 510

1028 AMINO ACIDS, QUALITATIVE, TWO DIMENSIONAL, URINE 714 571

BHEL Schedule E Page 54 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1029 AMINO ACIDS, QUALITATIVE, URINE & PL ASMA 1099 879

1030 AMINO ACID, QUANTITATIVE, CSF 18249 14,599

1031 AMINO ACID, QUANTITATIVE, CSF (2-5) Physician to specify 2-5 amino acids to be tested. 5985 4,788

1032 AMIODARONE Includes metabolite Desethylamiodarone. 3430 2,744

1033 AMITRIPTYLINE Includes metabolite Nortriptyline. 2450 1,960

1034 AML ETO t( 8;21) GENE REARRANGEMENT, PCR QUALITATIVE 602 482

1035 AMMONIA, BLOOD 791 633

1036 AMOEBIC SEROLOGY, IgG , SERUM 385 308

1037 AMPHETAMINE SCREEN, URINE 287 230

1038 AMYL ASE (DIASTASE) URINE 245 196

1039 AMYL ASE, FLUID 3395 2,716

1040 AMYL ASE ISOENZYMES 245 196

1041 AMYL ASE, SERUM 756 605

1042 ANCA (ANTINEUTROPHIL CYTOPL ASMIC ANTIBODIES), IFA IN DILUTIONS 2037 1,630

1043 ANCA-MPO; ANTI MYELOPEROXIDASE ANTIBODIES, EIA. Corresponds with p-ANCA 945 756

1044 ANCA-PR3; SERIN PROTEINASE 3 ANTIBODIES, EIA. Corresponds with c-ANCA 945 756

1045 ANDROLOGY PANEL *FSH *LH *Testosterone, Total & Free 1575 1,260

1046 3-alpha-ANDROSTANEDIOL GLUCURONIDE;3-ALPHA DIOL G 6265 5,012

1047 ANDROSTENEDIONE 1099 879

1048 ANDROSTENEDIONE STIMUL ATION BY ACTH 1099 879

BHEL Schedule E Page 55 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1049 ANEMIA PANEL 1 * Complete Blood Count * Serum Iron Studies *Ferritin *CRP 791 633

ANEMIA PANEL 2 *Complete Blood Count* Serum Iron Studies* Ferritin* Protein Total*
1050 1750 1,400
Albumin* A:G Ratio* Transferrin * CRP * Hb Electrophoresis

ANEMIA PANEL 3 *Complete Blood Count* Serum Iron Studies* Ferritin* Protein Total*
1051 2373 1,898
Albumin* A:G Ratio* Transferrin * CRP * Lead Blood

1052 ANGIOTENSIN CONVERTING ENZYME; ACE 602 482

1053 ANGIOTENSIN II 3395 2,716

ANTENATAL PANEL 1 *Complete Blood Count * Blood Group + Rh Factor * Urine R/E* HIV -
1054 714 571
1 & 2 * HBsAg * VDRL * Glucose F / PP / R

1055 ANTENATAL PANEL 2 *Antenatal Panel 1 * Hb Electrophoresis 1190 952

1056 ANTI A TITRE 245 196

1057 ANTI B TITRE 245 196

1058 ANTI CYCLIC CITRULLINATED PEPTIDE;ANTI CCP 1099 879

1059 ANTI ds DNA ANTIBODY, CRITHIDIA IFA (Double Stranded, Native) 945 756

1060 ANTI - ds DNA ANTIBODY, CRITHIDIA IFA in DILUTIONS 1883 1,506

1061 ANTI - ds DNA ANTIBODY, EIA 637 510

1062 ANTI - ss DNA ANTIBODY 1421 1,137

1063 ANTI DNase B, SERUM; ANTIDEOXYRIBONUCLEASE B 714 571

1064 ANTI MULLERIAN HORMONE 1155 924

1065 ANTI NUCLEAR ANTIBODY / FACTOR (ANA / ANF),IFA (HEP-2) 910 728

1066 ANTI NUCLEAR ANTIBODY / FACTOR (ANA / ANF),IFA (HEP-2) IN DILUTIONS 1729 1,383

1067 ANTI NUCLEAR ANTIBODY / FACTOR (ANA/ANF), EIA 399 319

1068 ANTI SOLUBLE LIVER ANTIGEN; SL A 791 633

BHEL Schedule E Page 56 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1069 ANTI SPERM ANTIBODY, SERUM 483 386

1070 ANTI STREPTOLYSIN - O (ASO) TITRE 322 258

1071 ANTITHROMBIN III, ANTIGENIC 5509 4,407

1072 ANTITHROMBIN III, FUNCTIONAL 1729 1,383

1073 ANTI THYROGLOBULIN ANTIBODY; ANTI Tg 756 605

ANTI THYROID PEROXIDASE ANTIBODY; ANTI TPO


1074 1421 1,137
ANTI THYROID ANTIBODIES PANEL *Antithyroglobulin Antibody *Antithyroid Peroxidase

1075 Antibody 399 319

1076 APOLIPOPROTEINS A1 & B Includes Apo A1/Apo B Ratio 1176 941

1077 ARGININE VASOPRESSIN & OSMOL ALITY, BLOOD Arginine Vasopressin is performed on 714 571

1078 ARGININE VASOPRESSIN / ANTI DIURETIC HORMONE (ADH) PL ASMA 7322 5,858

1079 ARSENIC, BLOOD 1729 1,383

1080 ARSENIC, 24-HOUR URINE 1729 1,383

1081 ARSENIC, RANDOM URINE 1729 1,383

1082 ARTHRITIS PANEL BASIC *Hemogram *CRP *RA Factor *ASO *Uric Acid 945 756

ARTHRITIS PANEL 1 *Complete Blood Count *ESR *CRP *RA Factor*Anti


1083 1498 1,198
NuclearAntibody/Factor *Urea *Uric Acid*SGOT *SGPT *Urine R/E

ARTHRITIS PANEL 2 *Complete Blood Count *ESR *CRP *RA Factor*Anti


1084 1883 1,506
NuclearAntibody/Factor *Uric Acid *ASO*Protein Electrophoresis *Urine R/E

1085 ASPERGILLUS ANTIBODY, IgG, SERUM 1022 818

1086 ASPERGILLUS ANTIBODY, IgM, SERUM 1022 818

1087 ASPERGILLUS ANTIBODIES PANEL, IgG & IgM, SERUM 1960 1,568

1088 ATRIAL NATRIURETIC FACTOR 7350 5,880

BHEL Schedule E Page 57 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1089 BABESIA ANTIBODIES, IgG & IgM 2800 2,240

BACTERIAL MENINGITIS SCREEN *Group B Streptococcus * H.influenzae Type B*


1090 1575 1,260
Streptococcus pneumoniae * Neisseria meningitidis Group A, C, Y, W 135 & B * E. coli K1

BARBITURATE SCREEN, URINE Qualitative screen for amobarbital, butabarbital, butalbital,


1091 399 319
pentobarbital, phenobarbital and secobarbital

1092 BCR-ABL PCR Qualitative 1925 1,540

1093 BCR-ABL PCR Quantitative 3465 2,772

BENZODIAZEPINE SCREEN, URINE Qualitative screen for chlordiazepoxide, clonazepam,


1094 demoxepam, desalkylflurazepam, diazepam, flunitrazepam, flurazepam, lorazepam, 399 319
nitrazepam, nordiazepam, oxazepam and other benzodiazepines

1095 6 BETA HYDROXYCORTISOL, 24-HOUR URINE Includes creatinine 9590 7,672

1096 Beta - 2 - GLYCOPROTEIN 1, IgA 560 448

1097 Beta - 2 - GLYCOPROTEIN 1, IgG 560 448

1098 Beta - 2 - GLYCOPROTEIN 1, IgM 560 448

1099 Beta - 2 - GLYCOPROTEIN 1, PANEL * IgG * IgM * IgA 1512 1,210

1100 BETA-2-MICROGLOBULIN, RANDOM URINE 756 605

1101 BETA - 2 - MICROGLOBULIN, SERUM 756 605

1102 BILIRUBIN, DIRECT 77 62

1103 BILIRUBIN, TOTAL 77 62

1104 BILIRUBIN TOTAL, DIRECT AND INDIRECT 154 123

1105 BIOTINIDASE DEFICIENCY, QUANTITATIVE, BLOOD 2345 1,876

1106 BIOTINIDASE, NEWBORN SCREEN 399 319

1107 BISMUTH, 24-HOUR URINE 1995 1,596

1108 BISMUTH, RANDOM URINE 1995 1,596

BHEL Schedule E Page 58 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1109 BL ASTOMYCES ANTIBODY 3115 2,492

1110 BLEEDING TIME; BT 126 101

1111 BLOOD GAS ANALYSIS, ARTERIAL 483 386

1112 BLOOD GAS ANALYSIS, VENOUS 483 386

1113 BLOOD GROUP, ABO & Rh FACTOR Forward & Reverse Grouping 84 67

1114 BLOOD PICTURE; PERIPHERAL BLOOD SMEAR EXAMINATION 77 62

1115 BNP; B-TYPE NATRIURETIC PEPTIDE 1022 818

BOH ( BAD OBSTETRIC HISTORY) PANEL *Cardiolipin Antibodies Panel *


1116 2961 2,369
LupusAnticoagulant Panel

BONE MARROW ASPIRATE EXAMINATION PANEL 1 * Microscopy of Bone Marrow &


1117 525 420
Peripheral Blood* Special Stains * CBC

BONE MARROW ASPIRATE EXAMINATION PANEL 2 * Bone Marrow AspirateExamination


1118 1099 879
Panel 1 * Histopathology

1119 BONE MARROW, IRON STAIN 245 196

1120 BONE MARROW, TREPHINE BIOPSY PANEL * Histopathology * Reticulin stain * Iron stain 637 510

BORRELIA BURGDORFERI (LYME DISEASE) DNA, REALTIME PCR, CSF OR SYNOVIAL


1121 8820 7,056
FLUID

BREAST CANCER PANEL 1 * ER (Estrogen Receptor) *PR (Progesterone Receptor) Includes


1122 1400 1,120
pathologist review for presence of malignant cells

BREAST CANCER PANEL 2 *ER*PR*Cathepsin D. Includes pathologist review for presence


1123 2450 1,960
of malignant cells

BREAST CANCER PANEL 3 *ER*PR*c-erb B2 (HER-2 neu). Includes Pathologist review for
1124 2240 1,792
presence of malignant cells

BREAST METASTATIC MARKER * ER (Estrogen Receptor) *PR (Progesterone Receptor)*CA


1125 2170 1,736
15.3. Includes pathologist review for presence of malignant cells

1126 BREAST MONITOR PANEL * CA 15.3 * CEA 1190 952

BRUCELL A ANTIBODY; BRUCELL A AGGLUTINATION TEST Includes antibody to B.


1127 399 319
abortus and B. melitensis

1128 BUCCAL SMEAR FOR BARR BODIES ( SEX CHROMATIN) 203 162

BHEL Schedule E Page 59 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1129 BUN; BLOOD UREA NITROGEN 70 56

1130 BUPROPION 3969 3,175

1131 C. DIFFICILE TOXIN A & B, STOOL 1421 1,137

1132 C-PEPTIDE, 24-HOUR URINE 4585 3,668

1133 C-PEPTIDE STIMUL ATION BY GLUCAGON 602 482

1134 C-REACTIVE PROTEIN, CARDIO;hsCRP 448 358

1135 C1 ESTERASE INHIBITOR, FUNCTIONAL ACTIVITY; C1 INACTIVATOR, FUNCTIONAL 2331 1,865

1136 C1 ESTERASE INHIBITOR, PROTEIN QUANTITATION; C1 INHIBITOR, QUANTITATIVE 1344 1,075

1137 C1 COMPLEMENT COMPONENT 2226 1,781

1138 C2 COMPLEMENT COMPONENT 2226 1,781

1139 C3 and C4 COMPLEMENT PANEL 728 582

1140 C3 COMPLEMENT COMPONENT 385 308

1141 C4 COMPLEMENT COMPONENT 385 308

1142 C5 COMPLEMENT COMPONENT 3633 2,906

1143 C6 COMPLEMENT COMPONENT 3836 3,069

1144 C7 COMPLEMENT COMPONENT 3661 2,929

1145 C8 COMPLEMENT COMPONENT 3661 2,929

1146 C9 COMPLEMENT COMPONENT 3661 2,929

1147 CA 125 ; OVARIAN CANCER MARKER 791 633

1148 CA 15.3; BREAST CANCER MARKER 791 633

BHEL Schedule E Page 60 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1149 CA 19.9; PANCREATIC CANCER MARKER 3696 2,957

1150 CA 27.29; BREAST CANCER MARKER 791 633

1151 CA 27.29 & CA 15.3 BREAST CANCER MARKERS PANEL 868 694

1152 CA 72.4; GASTRIC CANCER MARKER 1694 1,355

1153 (CA) CYFRA 21-1; LUNG CANCER MARKER 1883 1,506

1154 CADMIUM, BLOOD 3934 3,147

1155 CADMIUM, 24-HOUR URINE 1883 1,506

1156 CADMIUM, RANDOM URINE 1883 1,506

1157 CALCITONIN 1267 1,014

1158 CALCITONIN STIMUL ATION BY CALCIUM PENTAGASTRIN 1267 1,014

1159 CALCIUM, 24-HOUR URINE 147 118

1160 CALCIUM, IONIZED 322 258

1161 CALCIUM, SERUM 98 78

1162 CALCIUM, TOTAL & IONIZED 399 319

CANNABINOIDS (Delta-9-THC Metabolites), SCREEN, URINE; MARIJUANA, SCREEN,


1163 399 319
URINE

1164 CARBAMAZEPINE 483 386

1165 CARBAMAZEPINE, FREE 2912 2,330

CARDIAC ENZYME PANEL; MYOCARDIAL INFARCTION PANEL *CPK *CPK-MB *HBDH*LDH


1166 602 482
*SGOT

1167 CARDIOLIPIN ANTIBODIES PANEL *IgG *IgA *IgM 1421 1,137

1168 CARDIOLIPIN ANTIBODY, IgA 483 386

BHEL Schedule E Page 61 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1169 CARDIOLIPIN ANTIBODY, IgG 483 386

1170 CARDIOLIPIN ANTIBODY, IgM 483 386

CATECHOL AMINES, 24-HOUR URINE Includes Epinephrine, Norepinephrine and


1171 2695 2,156
Dopamine

1172 CARNITINE 9765 7,812

1173 CAROTENE 2905 2,324

1174 CATECHOL AMINES, PL ASMA Includes Epinephrine, Norepinephrine and Dopamine 4501 3,601

1175 CATECHOL AMINES PL ASMA, SUPPRESSION BY CLONIDINE 4501 3,601

CATECHOL AMINES, RANDOM URINE Includes Epinephrine, Norepinephrine and


1176 2730 2,184
Dopamine

1177 CEA; CARCINO EMBRYONIC ANTIGEN 399 319

1178 CENTROMERE ANTIBODY 791 633

1179 CERULOPL ASMIN 637 510

1180 CHIKUNGUNYA VIRUS ANTIBODY, IgM 560 448

CHL AMYDIA IgG ANTIBODY PANEL *Chlamydia trachomatis, IgG *Chlamydia


1181 791 633
pneumoniae,IgG

1182 CATECHOL AMINES & VMA, 24-HOUR URINE 4809 3,847

CHL AMYDIA / CHL AMYDOPHIL A GROUP ANTIBODY Pan-reactive for Trachoma,


1183 3290 2,632
Psittacosis,and Pneumoniae

1184 CHL AMYDIA PNEUMONIAE ANTIBODIES PANEL, IgM, IgG & IgA 4039 3,231

1185 CHL AMYDIA & CHL AMYDOPHIL A ANTIBODY PANEL 3, IgM, IgG and IgA 11214 8,971

1186 CHL AMYDIA PSITTACI ANTIBODIES PANEL, IgM, IgG and IgA 3934 3,147

1187 CHL AMYDIA TRACHOMATIS ANTIBODIES PANEL, IgM, IgG & IgA 3934 3,147

1188 CHLORIDE, FLUID 147 118

BHEL Schedule E Page 62 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1189 CHLORIDE, 24-HOUR URINE 147 118

1190 CHLORIDE, RANDOM URINE 147 118

1191 CHLORIDE, SERUM 84 67

1192 CHOLESTEROL, FLUID 84 67

1193 CHOLESTEROL, TOTAL 84 67

1194 CHOLINESTERASE, SERUM 287 230

1195 CHROMIUM, BLOOD 1883 1,506

1196 CHROMIUM, 24-HOUR URINE 1883 1,506

1197 CHROMIUM, RANDOM URINE 1883 1,506

1198 CHROMOGRANIN A; CGA 4312 3,450

1199 CHROMOSOME (KARYOTYPE) ANALYSIS, BLOOD 1729 1,383

1200 CHROMOSOME ANALYSIS FOR HEMATOLOGIC MALIGNANCY 1729 1,383

1201 CHROMOSOME ANALYSIS, PHIL ADELPHIA 1729 1,383

1202 CHROMOSOME ANALYSIS, SOLID TUMOUR 5425 4,340

1203 CHROMOSOME ANALYSIS,PRODUCTS OF CONCEPTION 3003 2,402

1204 CHYLE EXAMINATION 287 230

1205 CITRATE, 24 HOUR URINE 483 386

1206 CLOMIPRAMINE Includes metabolite N-Desmethylclomipramine 4074 3,259

1207 CLONAZEPAM 3766 3,013

1208 CLORAZEPATE Measured as metabolite Nordiazepam 6944 5,555

BHEL Schedule E Page 63 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1209 CLOZAPINE 2912 2,330

1210 CLOT RETRACTION TEST 147 118

1211 CLOTTING TIME; CT 126 101

COAGUL ATION PROFILE 1 *CBC *BT *CT *Prothrombin studies *APTT*Thrombin TimeDoes
1212 1176 941
not include Factor VIII assay

1213 COAGUL ATION PROFILE 2 *Coagulation Profile 1 *Factor VIII assay 1806 1,445

1214 COBALT, BLOOD 1883 1,506

1215 COBALT, 24-HOUR URINE 1883 1,506

1216 COBALT, RANDOM URINE 1883 1,506

COCAINE & METABOLITE SCREEN, URINE Measured primarily as


1217 399 319
metaboliteBenzoylecgonine

1218 COCCIDIOIDES ANTIBODY 2464 1,971

1219 COLL AGEN CROSS-LINKED N-TELOPEPTIDE (NTx), URINE 4620 3,696

COLL AGEN DISEASES ANTIBODY PANEL * ANA *Anti-ds-DNA * Sm *SS-A/Ro* SS-B/La* Scl-
1220 5425 4,340
70 * Jo-1 * Centromere *RNP-Sm Complex

COMPLEMENT PROFILE * C1q Complement (Code RW028) *C3 ComplementC4


1221 4900 3,920
Complement *Properdin Factor B (Code RW155)

1222 COMPLEMENT, TOTAL ( CH50) 4039 3,231

COMPLETE BLOOD COUNT;CBC * Hemoglobin *PCV *TLC *RBC Count *MCV * MCH*MCHC
1223 *Platelet Count * Automated DLC * Absolute Differential Counts * RDW Does not include 210 168
ESR
COMPLETE BODY PANEL *SMA 32 *Hemogram *Urine, R/E * Stool,R/E *Lipid
1224 2730 2,184
Profile,Extended

1225 COOMBS TEST, DIRECT 245 196

1226 COOMBS TEST, INDIRECT 287 230

1227 COPPER, 24-HOUR URINE, ATOMIC ABSORPTION 1099 879

1228 COPPER, RANDOM URINE, ATOMIC ABSORPTION 1099 879

BHEL Schedule E Page 64 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1229 COPPER, SERUM, ATOMIC ABSORPTION 770 616

1230 CORTICOSTERONE 4865 3,892

1231 CORTISOL BINDING GLOBULIN ; TRANSCORTIN 2982 2,386

1232 CORTISOL, FREE, 24-HOUR URINE 483 386

1233 CORTISOL, FREE, SERUM 4620 3,696

1234 CORTISOL, SERUM (MORNING SAMPLE) 322 258

1235 CORTISOL, SERUM (EVENING SAMPLE) 322 258

1236 CORTISOL, MORNING AND EVENING,SERUM 574 459

1237 CORTISOL, SERUM (MIDNIGHT SAMPLE) 322 258

1238 CORTISOL STIMUL ATION BY ACTH 1specimen 322 258

1239 CORTISOL SUPPRESSION BY DEXAMETHASONE, OVERNIGHT SCREENING 322 258

1240 COXSACKIE A ANTIBODY PANEL, CF Includes 2, 4, 7, 9, 10 & 16 4655 3,724

1241 COXSACKIE ANTIBODY, IgG 1036 829

1242 COXSACKIE ANTIBODY igM 1960 1,568

1243 COXSACKIE ANTIBODIES PANEL, IgG & IgM 154 123

1244 CPK; CREATINE KINASE 4655 3,724

1245 CPK ISOENZYME ELECTROPHORESIS; Includes Total CPK 245 196

1246 CPK-MB 287 230

1247 CREATININE CLEARANCE TEST Includes serum and urine creatinine 77 62

1248 CREATININE, FLUID 147 118

BHEL Schedule E Page 65 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1249 CREATININE, 24-HOUR URINE 147 118

1250 CREATININE, RANDOM URINE 77 62

1251 CREATININE, SERUM 3500 2,800

CRYOGLOBULINS PANEL Immunofixation Electrophoresis for classification of


1252 560 448
Cryoglobulins

1253 CRYOGLOBULINS, QUALITATIVE TEST 2772 2,218

1254 CRYPTOCOCCUS ANTIBODY 1176 941

1255 CRYPTOCOCCUS ANTIGEN,CSF 1176 941

1256 CRYPTOCOCCUS ANTIGEN,SERUM 147 118

1257 CRYPTOSPORIDIUM/ISOSPORA IDENTIFICATION,STOOL Includes Auramine and Z.N.stains 2345 1,876

1258 CSF PROTEIN ELECTROPHORESIS/OLIGOCLONAL BANDS 2520 2,016

1259 CSF & SERUM PROTEIN ELECTROPHORESIS/OLIGOCLONAL BANDS 679 543

1260 CULTURE ACTINOMYCES Does not include ANTIBIOTIC SENSITIVITY 637 510

CULTURE AEROBIC BACTERIA IDENTIFICATION Does not include ANTIBIOTIC


1261 637 510
SENSITIVITY

1262 CULTURED AEROBIC BACTERIA SENSITIVITY 1267 1,014

CULTURE AEROBIC BACTERIA IDENTIFICATION AND SENSITIVITY includeS ANTIBIOTIC


1263 602 482
SENSITIVITY

1264 CULTURE, AEROBIC, BLOOD, RAPID Includes ANTIBIOTIC SENSITIVITY if indicated 637 510

1265 CULTURE, AEROBIC, BODY FLUIDS, RAPID Includes ANTIBIOTIC SENSITIVITY if indicated 322 258

1266 CULTURE, AEROBIC, CSF Includes ANTIBIOTIC SENSITIVITY if indicated 322 258

1267 CULTURE, AEROBIC, EAR SWAB Includes ANTIBIOTIC SENSITIVITY if indicated 322 258

1268 CULTURE, AEROBIC, EYE SWAB Includes ANTIBIOTIC SENSITIVITY if indicated 322 258

BHEL Schedule E Page 66 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

CULTURE, AEROBIC, MISCELL ANEOUS Includes ANTIBIOTIC SENSITIVITY if indicated


1269 364 291
(For collection sites/specimens not listed individually)
CULTURE, AEROBIC, MISCELL ANEOUS WITH GRAM STAIN Includes ANTIBIOTIC
1270 SENSITIVITY 322 258
if indicated

1271 CULTURE, AEROBIC, NASAL SWAB Includes ANTIBIOTIC SENSITIVITY if indicated 322 258

1272 CULTURE, AEROBIC, PUS Includes ANTIBIOTIC SENSITIVITY if indicated 322 258

1273 CULTURE, AEROBIC, SEMEN Includes ANTIBIOTIC SENSITIVITY if indicated 322 258

1274 CULTURE, AEROBIC, SPUTUM Includes ANTIBIOTIC SENSITIVITY if indicated 322 258

1275 CULTURE, AEROBIC, THROAT SWAB Includes ANTIBIOTIC SENSITIVITY if indicated 322 258

1276 CULTURE, AEROBIC, VAGINAL SWAB Includes ANTIBIOTIC SENSITIVITY if indicated 1960 1,568

CULTURED AFB ANTITUBERCUL AR DRUG SENSITIVITY 4 drugs panel (Streptomycin,


1277 2961 2,369
Isoniazid, Rifampicin, Ethambutol)

CULTURED AFB ANTITUBERCUL AR DRUG SENSITIVITY 5 drugs panel


1278 5670 4,536
(Streptomycin,Isoniazid, Rifampicin, Ethambutol, Pyrazinamide)
CULTURED AFB ANTITUBERCUL AR DRUG SENSITIVITY 10 drugs panel (Streptomycin,
1279 Isoniazid, Rifampicin, Ethambutol, Pyrazinamide, Clofazimine, Ethionamide, Capreomycin, 6090 4,872
Kannamycin, Amikacin)
CULTURED AFB ANTITUBERCUL AR DRUG SENSITIVITY 11 drugs panel (Streptomycin,
1280 Isoniazid, Rifampicin, Ethambutol, Pyrazinamide, Clofazimine, Ethionamide, Capreomycin, 6790 5,432
Kannamycin, Amikacin, Ofloxacin)
CULTURED AFB ANTITUBERCUL AR DRUG SENSITIVITY 12 drugs panel (Streptomycin,
1281 Isoniazid, Rifampicin, Ethambutol, Pyrazinamide, Clofazimine, Ethionamide, Capreomycin, 1421 1,137
Kannamycin, Amikacin, Ofloxacin, PAS)

1282 CULTURED AFB ANTITUBERCUL AR DRUG SENSITIVITY, Amikacin 1421 1,137

1283 CULTURED AFB ANTITUBERCUL AR DRUG SENSITIVITY, Capreomycin 602 482

1284 560 448


CULTURED FUNGUS IDENTIFICATION Does not include ANTIBIOTIC SENSITIVITY

1285 CULTURE, GONOCOCCUS Does not include ANTIBIOTIC SENSITIVITY 399 319

1286 CULTURE, HAEMOPHILUS Does not include ANTIBIOTIC SENSITIVITY 483 386

1287 CULTURE, NOCARDIA Does not include ANTIBIOTIC SENSITIVITY 287 230

1288 CULTURE, STOOL Includes ANTIBIOTIC SENSITIVITY if indicated 287 230

BHEL Schedule E Page 67 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1289 CULTURE, URINE Includes ANTIBIOTIC SENSITIVITY if indicated 406 325

1290 CULTURE,WATER; PRESUMPTIVE COLIFORM COUNT 1400 1,120

CYCLOSPORINE, CMIA
1291 1750 1,400
Measured as the metabolite Cyclosporin A

CYCLOSPORINE, LC-MS/MS
1292 693 554
Measured as the metabolite Cyclosporin A

1293 CYSTATIN C, SERUM 791 633

1294 CYSTICERCOSIS ( TAENIA SOLIUM), IgG 322 258

1295 CYSTIC FIBROSIS, NEWBORN, SCREEN 322 258

1296 CYTOLOGY, CELL BLOCK PREPARATION 322 258

1297 CYTOLOGY, CONSULTATION - SECOND OPINION 448 358

1298 CYTOLOGY, FINE NEEDLE ASPIRATION;FNAC 322 258

1299 CYTOLOGY (PAP SMEAR) EXAMINATION 322 258

1300 CYTOLOGY, GENITAL, FEMALE; PAP SMEAR, FEMALE 322 258

1301 CYTOMEGALOVIRUS (CMV) AVIDITY , IgG, 567 454

1302 CYTOMEGALOVIRUS (CMV) ANTIBODIES PANEL, IgG & IgM 322 258

1303 CYTOMEGALOVIRUS (CMV) ANTIBODY, IgG 322 258

1304 CYTOMEGALOVIRUS (CMV) ANTIBODY, IgM 5250 4,200

1305 CYTOMEGALOVIRUS (CMV), DNA, QUANTITATIVE, PCR 2345 1,876

1306 CYTOMEGALOVIRUS (CMV), QUALITATIVE, PCR 714 571

1307 D - DIMER, QUANTITATIVE 7350 5,880

DEEP VEIN THROMBOSIS PANEL;DVT PANEL *Antithrombin III Functional


1308 1092 874
*Cardiolipin Antibodies IgG and IgM *dRVVT *Protein C Functional *Protein S Functional

BHEL Schedule E Page 68 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1309 DENGUE FEVER COMBINED PANEL *Dengue fever antibodies IgG & IgM 1176 941

1310 DENGUE FEVER NS1 ANTIGEN 1400 1,120

1311 DEOXYCORTICOSTERONE 6055 4,844

1312 DESIPRAMINE 2912 2,330

1313 DEXAMETHASONE 3528 2,822

1314 DHEA; DEHYDROEPIANDROSTERONE 1421 1,137

1315 DHEA STIMUL ATION BY ACTH 1421 1,137

1316 DHEA SULPHATE; DEHYDROEPIANDROSTERONE SULPHATE 602 482

1317 DIABETES PANEL BASIC *Glucose F / PP / R * HbA1c 259 207

1318 DIABETES PANEL 1 *Glucose F + PP *Cholesterol *Triglycerides *Hb A1c *Urea *Creatinine 679 543

DIABETES PANEL 2 *Glucose F + PP *HbA1c *Uric Acid *Creatinine*Cholesterol *HDL* LDL -


1319 1267 1,014
Calculated *Triglyceride *Microalbumin *Urine R/E

1320 DIABETES SCREEN *Glucose F + PP *Urine Glucose 147 118

1321 DIAZEPAM Includes metabolite Nordiazepam 6937 5,550

1322 DIGITOXIN 4921 3,937

1323 DIGOXIN 525 420

1324 5-alpha - DIHYDROTESTOSTERONE; 5a - DHT 1575 1,260

1325 DIHYDROTESTOSTERONE (DHT), FREE 11725 9,380

1326 DISOPYRAMIDE 4620 3,696

1327 DLC ( DIFFERENTIAL LEUCOCYTE COUNT), AUTOMATED 91 73

1328 DLC ( DIFFERENTIAL LEUCOCYTE COUNT), FLUID 91 73

BHEL Schedule E Page 69 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1329 DNPH, URINE 70 56

1330 DOXEPIN Includes metabolite Nordoxepin 3423 2,738

1331 DPYD (DEOXYPYRIDINOLINE) , URINE Does not include Pyridinoline (Pyd) 1421 1,137

1332 ECHINOCOCCUS (HYDATID SEROLOGY) IgG, SERUM 714 571

1333 ECHINOCOCCUS DETECTION FOR SCOLICES IN HYDATID CYST FLUID 287 230

1334 ECHINOCOCCUS GRANULOSUS ANTIBODY, IgG, WESTERN BLOT 3766 3,013

1335 ECHOVIRUS ANTIBODY, IgG 1421 1,137

1336 ECHOVIRUS ANTIBODY, IgM 1421 1,137

1337 ECHOVIRUS ANTIBODIES PANEL, IgG & IgM 2730 2,184

1338 ELECTROLYTES, SERUM *Sodium * Potassium * Chloride 245 196

1339 ELECTROLYTES, 24 HOUR URINE *Sodium *Potassium *Chloride 245 196

1340 ELECTROLYTES, RANDOM URINE *Sodium *Potassium *Chloride 245 196

1341 ENDOMYSIAL ANTIBODY, IgA, IFA 1022 818

1342 ENDOMYSIAL ANTIBODY, IgA in DILUTIONS 2037 1,630

1343 ENTEROVIRUS ANTIBODIES PANEL *Coxsackie IgG & IgM *Echovirus IgG & IgM 4270 3,416

1344 EPIDERMAL (PEMPHIGUS) ANTIBODY, IFA 1176 941

1345 EPIDERMAL (PEMPHIGUS) ANTIBODY, IFA in DILUTIONS 2345 1,876

1346 EPSTEIN-BARR VIRUS ANTIBODY TO VIRAL CAPSID ANTIGEN (VCA), IgG 945 756

1347 EPSTEIN-BARR VIRUS ANTIBODY TO VIRAL CAPSID ANTIGEN (VCA) , IgM 945 756

1348 EPSTEIN BARR VIRUS ANTIBODIES TO VIRAL CAPSID ANTIGEN (VCA), IgG & IgM 1806 1,445

BHEL Schedule E Page 70 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1349 EPSTEIN-BARR VIRUS, ANTIBODY TO EARLY ANTIGEN (D), IgG 3423 2,738

1350 EPSTEIN-BARR VIRUS, ANTIBODY TO NUCLEAR ANTIGEN (EBNA), IgG 2982 2,386

1351 ERYTHROPOIETIN; EPO 77 62

1352 ESTRADIOL (E2), SERUM 343 274

1353 ESTRIOL UNCONJUGATED / FREE (uE3) 714 571

1354 ESTROGEN RECEPTOR; ER 770 616

1355 ESTROGEN, TOTAL, SERUM 4655 3,724

1356 ETHOSUXIMIDE 3563 2,850

1357 EVEROLIMUS, LC-MS/MS 2800 2,240

EXECUTIVE OFFICERS PANEL *Glucose (F & PP) *Creatinine *Uric Acid *Cholesterol*
1358 Triglycerides * SGOT * GGTP *Bilirubin, Total, Direct & Indirect* Protein, Total *Albumin*A:G 945 756
Ratio *Alkaline Phosphatase *Amylase *CBC *Blood Group & Rh factor * Urine R/E* Stool
EXTRACTABLE NUCLEAR ANTIGENS (ENA), QUALITATIVE PROFILE. Combined
1359 2695 2,156
groupscreening test for 15 antigens

EXTRACTABLE NUCLEAR ANTIGENS (ENA), QUANTITATIVE PROFILE. Individual


1360 4270 3,416
antibodies to* Sm *RNP-Sm Complex * SS-A/Ro * SS-B/La *Jo-1 * Scl-70 * Centromere

1361 FABRY DISEASE, QUANTITATIVE, BLOOD 1176 941

1362 FACTOR II, FUNCTIONAL 4361 3,489

1363 FACTOR V, FUNCTIONAL 1904 1,523

FACTOR V LEIDEN MUTATION ANALYSIS *Factor V Leiden Mutation * ProthrombinGene


1364 3339 2,671
Mutation * MTHFR Gene Mutation

1365 FACTOR VII FUNCTIONAL 1729 1,383

1366 FACTOR VIII STUDIES *Factor VIII Assay *APTT 833 666

1367 FACTOR IX, FUNCTIONAL 1036 829

1368 FACTOR X, FUNCTIONAL 2751 2,201

BHEL Schedule E Page 71 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1369 FACTOR XI, FUNCTIONAL 1904 1,523

1370 FACTOR XII, FUNCTIONAL 1904 1,523

1371 FACTOR XIII ( CLOT SOLUBILITY),FUNCTIONAL, QUALITATIVE 210 168

FEBRILE AGGLUTININS PANEL *Brucella abortus *Brucella melitensis *Salmonella


1372 paratyphiType AH and Type BH *Salmonella typhi H & O *OX2 *OXK *OX19. Combined 714 571
Brucella,Widal and Weil Felix tests panel

1373 FELBAMATE 2912 2,330

1374 FERRIC CHLORIDE TEST, URINE 70 56

1375 FERRITIN 399 319

1376 FEVER PANEL 1 *Hemogram *MP *Widal *Urine R/E 364 291

1377 FEVER PANEL 2 *Fever Panel 1 *SGPT *Aerobic Blood Culture 1022 818

1378 FIBRINOGEN, CLOTTING ACTIVITY 399 319

1379 FIBRINOGEN DEGRADATION PRODUCTS ( FDP), BLOOD 525 420

1380 FIL ARIA ANTIGEN 483 386

1381 ESR (ERYTHROCYTE SEDIMENTATION RATE), AUTOMATED 2653 2,122

1382 BCR / ABL or Philadelphia translocation 2653 2,122

1383 t (15;17) or LSI PML/RARA 2653 2,122

1384 t (8;21) or LSI ETO/AMLI 2653 2,122

1385 inv (16) or LSI CBFB 2653 2,122

1386 del 13q or LSI D 13S319 2653 2,122

1387 t (11;14) or LSI IGH/CCNDI 2653 2,122

1388 11q 23 or LSI MLL gene breakapart 2653 2,122

BHEL Schedule E Page 72 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1389 t (12;21) or LSI TEL/AMLI 2653 2,122

1390 14q 32.3 or LSI IGH gene breakapart 2653 2,122

1391 BMT sex mismatch, XY probe 3423 2,738

1392 22q deletion or LSI Di George/VCFS 3885 3,108

1393 Prader-Vili Syndrome SNRPN 3885 3,108

1394 MDS Panel - Chromosomes 5q, 7q, 8q & 20q 4963 3,970

1395 CLL Panel - DLEU (13q 14), p53(17p13), ATM (11q22), GLI (12q13), 6q21 and C-myc(8q24) 5425 4,340

1396 Fanconi's Anemia 4655 3,724

1397 Multiple Myeloma 5040 4,032

1398 Breast Cancer Her-2/neu oncogene amplification 6811 5,449

1399 Oncology EGFR gene amplification 5425 4,340

1400 Oncology 1p and 19q codeletion 5425 4,340

1401 Amnio one probe (Trisomy 21) 1883 1,506

1402 Amnio two probes (Trisomy 13; 21) 3269 2,615

1403 Amnio three probes (Trisomy 18, X, Y) 4501 3,601

1404 Bladder cancer recurrence : Chromosomes 3,7, 17 and p16 gene on chromosomes 9 5425 4,340

1405 FLECAINIDE 2233 1,786

1406 CD MPO (Myeloid cell marker) 1190 952

1407 CD 2 (Pan T cell marker) 1190 952

1408 CD 3( Pan T cell marker) 1190 952

BHEL Schedule E Page 73 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1409 CD 4 (Helper T cell marker) 959 767

1410 CD 5 ( T cell / B cell subset) 1190 952

1411 CD 7 (Pan T cell/early myeloid cell marker) 1190 952

1412 CD 8 (Suppressor T cell marker) 1421 1,137

1413 CD 10 / CALL A (Prognostic ALL marker) 1190 952

1414 CD 11c (Hairy cell / NHL marker) 1190 952

1415 CD 13 (Myeloid cell marker) 1190 952

1416 CD 14 (Monocytic cell marker) 1190 952

1417 CD 15 (Myeloid cell marker) 1190 952

1418 CD 16 + 56 (Natural killer cells) 2345 1,876

1419 CD 19 (Pan B cell marker) 1190 952

1420 CD 20 ( Pan B cell marker) 1190 952

1421 CD 22 (Pan B cell marker) 1190 952

1422 CD 23 (CLL segregation marker) 1190 952

1423 CD 25 (Hairy cell / NHL marker) 1190 952

1424 CD 33 ( Myeloid cell marker) 1190 952

1425 CD 34 (Precursor cell marker) 1190 952

1426 CD 36 ( Monocytic, Erythroid, Megakaryocytic marker) 1190 952

1427 CD 38 (Plasma cell /prognostic CLL marker) 1190 952

1428 CD 42a (Megakaryocytic cell marker) 1190 952

BHEL Schedule E Page 74 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1429 CD 45/ LCA (Leukocyte common antigen ) 1190 952

1430 CD 55 & 59 (PNH markers) 1190 952

1431 CD 61 (Megakaryocytic cell marker) 1190 952

1432 CD 64 ( Monocytic, Intermediate Neutrophil Precursor marker ) 112 90

1433 CD 79a (B Lymphoid cell marker) 1190 952

1434 CD103 (Hairy cell marker) 1190 952

1435 CD 117 (Myeloid marker) 1190 952

1436 CD123 ( Erythroid, Monocytic & Megakaryocytic marker) 1190 952

1437 CD 138 ( Plasma cell marker) 1190 952

1438 FMC-7 (Prognostic CLL / NHL marker) 1190 952

1439 Glycophorin (Erythroid marker) 1190 952

1440 HL A DR ( Activation marker) 1190 952

1441 IgA Heavy Chain Cytoplasmic (Clonal restriction/B cell maturity marker) 1190 952

1442 IgA Heavy Chain Surface (Clonal restriction/B cell maturity marker) 1190 952

1443 IgD Heavy Chain Cytoplasmic (Clonal restriction / B cell maturity marker) 1190 952

1444 IgD Heavy Chain Surface (Clonal restriction / B cell maturity marker) 1190 952

1445 IgG Heavy Chain Cytoplasmic (Clonal restriction / B cell maturity marker) 1190 952

1446 IgG Heavy Chain Surface (Clonal restriction/B cell maturity marker) 1190 952

1447 IgM Heavy Chain Cytoplasmic (Pre B cell ALL prognostic / Clonal restriction marker) 1190 952

1448 IgM Heavy Chain Surface (Clonal restriction / B cell maturity marker) 1190 952

BHEL Schedule E Page 75 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1449 Kappa & Lambda Light chains (Clonal restriction / B cell maturity marker) 2345 1,876

1450 TdT (Precursor cell marker) 1190 952

1451 ZAP - 70 (Marker for CLL) 1190 952

FLUID EXAMINATION, ROUTINE, CSF/NASAL FLUID Does not include Papanicoloau stain or
1452 245 196
KOH preparation

Includes Ascitic / Peritoneal / Pericardial / Pleural/ Bronchial washings / Prostatic / Synovial


1453 245 196
/ CAPD fluids. Does not include Papanicoloau stain

1454 FLUORESCENT TREPONEMAL ANTIBODIES (FTA-ABS) 1050 840

1455 FLUOXETINE Includes metabolite Norfluoxetine 3080 2,464

1456 FOL ATE & VITAMIN B12, SERUM 1190 952

1457 FOL ATE (FOLIC ACID), RBC Includes Serum Folate 1267 1,014

1458 FOL ATE (FOLIC ACID), SERUM 637 510

1459 FRUCTOSAMINE 259 207

1460 FSH; FOLLICLE STIMUL ATING HORMONE 322 258

1461 FSH & LH 560 448

1462 FSH AND LH STIMUL ATION BY GONADOTROPHIN RELEASING HORMONE (GnRH) 560 448

FUNGUS PANEL, CSF *Aspergillus Antibodies IgG & IgM *Blastomyces Antibody (Code:
1463 RW023) 1960 1,568
*Coccidioides Antibodies (Code: RW048) *Cryptococcus Antigen *Histoplasma Antibody

1464 G-6-PD, NEWBORN SCREEN 147 118

1465 G-6-PD, QUANTITATIVE 483 386

1466 GABAPENTIN 3423 2,738

1467 GAD-65 (GLUTAMIC ACID DECARBOXYL ASE- 65), IgG 3850 3,080

1468 GAL ACTOSE -1-PHOSPHATE, QUANTITATIVE, BLOOD 945 756

BHEL Schedule E Page 76 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1469 GAL ACTOSE, QUANTITATIVE, PL ASMA 945 756

1470 GAL ACTOSEMIA CL ASSICAL (TRANSFERASE), QUANTITATIVE, BLOOD 1099 879

1471 GAL ACTOSEMIA (EPIMERASE), QUANTITATIVE, BLOOD 1421 1,137

1472 GAL ACTOSEMIA, NEWBORN SCREEN 147 118

1473 GAL ACTOSEMIA PANEL 1 *Galactosemia Screening *Galactosemia Classical (Transferase) 1421 1,137

1474 GAL ACTOSEMIA PANEL 2 *Galactosemia Panel 1* Galactose Plasma 2345 1,876

GAL ACTOSEMIA PANEL 3 *Galactosemia Classical (Transferase) *Galactosemia


1475 385 308
(Epimerase)

1476 GAL ACTOSEMIA SCREENING, BLOOD 637 510

1477 GALL STONE ANALYSIS, WITH PICTURE 3850 3,080

1478 GANGLIOSIDE GD1a ANTIBODY, IgG 3990 3,192

1479 GANGLIOSIDE GD1a ANTIBODY, IgM 3850 3,080

1480 GANGLIOSIDE GD1b ANTIBODY, IgG 2940 2,352

1481 GANGLIOSIDE GM1 ANTIBODIES, IgG & IgM 6741 5,393

1482 GANGLIOSIDE GQ1B ANTIBODY, IgG 714 571

1483 GASTRIN 714 571

1484 GASTRIN STIMUL ATION BY SECRETIN ( 1 specimen) 1099 879

1485 GAUCHER DISEASE, QUANTITATIVE, BLOOD 112 90

GFR;GLOMERUL AR FILTRATION RATE


1486 147 118
Calculated by Cockroft & Gault formula

1487 GGTP; GGT; GAMMA GT; GAMMA GLUTAMYL TRANSPEPTIDASE 203 162

1488 GIEMSA STAIN 1771 1,417

BHEL Schedule E Page 77 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1489 GLIADIN ANTIBODIES PANEL, IgA & IgG 1022 818

1490 GLIADIN ANTIBODY, IgA 1022 818

1491 GLIADIN ANTIBODY, IgG 868 694

1492 GLOMERUL AR BASEMENT MEMBRANE (GBM) ANTIBODY, IFA 3990 3,192

1493 GLUCAGON 56 45

GLUCOSE CHALLENGE TEST (GCT); GLUCOSE 1 HOUR OBSTETRICAL; Glucose for


1494 371 297
Gestational Diabetes, 1 hour screen

1495 GLUCOSE TOLERANCE TEST ( GTT), OBSTETRICAL 371 297

1496 GLUCOSE TOLERANCE TEST (GTT), 2.5 HOURS, 75 g GLUCOSE 560 448

1497 GLUCOSE TOLERANCE TEST (GTT), EXTENDED, 5 HOURS 616 493

GLUCOSE TOLERANCE TEST ( GTT) WITH C-PEPTIDE, EXTENDED, 5 HOURS


1498 525 420
( 1 specimen)

1499 GLUCOSE TOLERANCE TEST, EXTENDED WITH INSULIN ( 1 specimen) 98 78

1500 GLUCOSE, FASTING ( F) & POST 75 g GLUCOSE, 2 HOURS 56 45

1501 GLUCOSE, FASTING (F) 98 78

1502 GLUCOSE, FASTING (F) AND POST PRANDIAL (PP- MEAL), 2 HOURS 56 45

1503 GLUCOSE, FLUID 56 45

1504 GLUCOSE, POST PRANDIAL (PP), 2 HOURS 56 45

1505 GLUCOSE, RANDOM (R) 945 756

1506 GM1 GANGLIOSIDOSIS, QUANTITATIVE, BLOOD 1421 1,137

1507 GM2 GANGLIOSIDOSIS, QUANTITATIVE, BLOOD; TAY SACHS AND SANDHOFF DISEASE 1806 1,445

GOODPASTURE'S SYNDROME PANEL *Glomerular Basement Membrane Antibody


1508 147 118
*ANCA-PR3

BHEL Schedule E Page 78 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1509 GRAM STAIN 4655 3,724

1510 H1N1( SWINE FLU) QUALITATIVE, REAL TIME PCR 4207 3,366

1511 HALOPERIDOL 637 510

1512 HAM TEST; PAROXYSMAL NOCTURNAL HEMOGLOBINURIA (PNH), SCREENING TEST 1099 879

1513 HAPTOGLOBIN 259 207

1514 HbA1c 147 118

1515 HBDH; ALPHA - HYDROXYBUTYRATE DEHYDROGENASE 5775 4,620

1516 HBV drug resistance and genotyping 399 319

1517 HCG, BETA, FREE, QUANTITATIVE 399 319

1518 HCG, BETA, TOTAL, QUANTITATIVE, PREGNANCY 399 319

1519 HCG, BETA, TOTAL, QUANTITATIVE, TUMOR MARKER 399 319

1520 HCG, BETA, TOTAL, QUANTITATIVE, 24 HOUR URINE 399 319

1521 HCG, BETA, TOTAL, QUANTITATIVE, RANDOM URINE 147 118

1522 HDL CHOLESTEROL SUBCL ASSES *HDL-2 *HDL-3 77 62

1523 HEINZ BODIES, PERIPHERAL BLOOD 945 756

1524 HELICOBACTER PYLORI, IgA 945 756

1525 HELICOBACTER PYLORI, IgG 1806 1,445

1526 HELICOBACTER PYLORI ANTIBODIES PANEL IgA & IgG 574 459

1527 HEMOGLOBIN HPLC/ELECTROPHORESISIncludes Hematological indices 112 90

1528 HEMOGLOBIN, FREE, URINE 63 50

BHEL Schedule E Page 79 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1529 HEMOGLOBIN; Hb 252 202

HEMOGRAM *Hemoglobin *PCV *TLC *RBC Count *MCV *MCH *MCHC *Platelet Count
1530 *Automated DLC * Absolute Differential counts * RDW *Automated ESR 1575 1,260
Does not include peripheral blood film

1531 HEMOPHILIA PANEL *APTT *Factor VIII *Factor IX 203 162

1532 HEMOSIDERIN, URINE 4963 3,970

1533 HEPARIN, UNFRACTIONATED 714 571

1534 HEPATITIS A ANTIBODY ( Anti - HAV), IgG 1344 1,075

1535 HEPATITIS A DIAGNOSTIC PANEL * Anti - HAV, IgG * Anti - HAV, IgM 714 571

1536 HEPATITIS A ANTIBODY ( Anti - HAV), IgM 1421 1,137

1537 HEPATITIS ACUTE DIAGNOSTIC PANEL * Anti - HAV IgM * HBsAg * Anti - HB Core IgM 3115 2,492

HEPATITIS ACUTE VIRUS SCREEN * Anti-HAV IgM * HBsAg * Anti-HBc IgM * Anti-HCV IgM
1538 3885 3,108
* Anti-HEV IgM

HEPATITIS ACUTE VIRUS CONFIRMATION *Anti-HAV IgM *HBsAg *HBe Ag * Anti-HBe


1539 2191 1,753
*Anti-HBc IgM * Anti-HCV IgM *Anti-HEV IgM

HEPATITIS ATYPICAL VIRUS CONFIRMATION *CMV IgM *HSV IgM *Varicella Zoster IgM
1540 3885 3,108
*EBV (VCA), IgM

HEPATITIS A & B VIRUS EVALUATION *Anti-HAV IgG *Anti-HAV IgM *Anti-HBc Total
1541 1099 879
*Anti-HBc IgM *Anti-HBs *HBsAg *Anti-HBe *HBeAg

1542 HEPATITIS B CHRONIC PANEL *HBsAg * HBeAg * Anti-HBe 637 510

1543 HEPATITIS B CORE ANTIBODY ( ANTI - HBc), IgM 637 510

1544 HEPATITIS B CORE ANTIBODY ( ANTI -HBc), TOTAL 1176 941

1545 HEPATITIS B IMMUNITY SCREEN *Anti-HBc TOTAL *Anti-HBs *HBsAg 560 448

1546 HEPATITIS B INFANT FOLLOW-UP PANEL *HBsAg *Anti-HBs 2345 1,876

1547 HEPATITIS B PROFILE *HBsAg *Anti-HBs *HBeAg *Anti-HBe *Anti-HBc IgM *Anti-HBc Total 399 319

1548 HEPATITIS B SURFACE ANTIBODY; ANTI HBs 245 196

BHEL Schedule E Page 80 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1549 HEPATITIS B SURFACE ANTIGEN; HBsAg; AUSTRALIA ANTIGEN Screening only 385 308

1550 HEPATITIS B SURFACE ANTIGEN (HBsAg) CONFIRMATION Neutralization procedure 4774 3,819

1551 HEPATITIS B VIRAL DNA (HBV DNA) QUANTITATIVE, REAL TIME PCR 2576 2,061

1552 HEPATITIS B VIRUS, PCR, QUALITATIVE; HBV DNA PCR, QUALITATIVE 483 386

1553 HEPATITIS Be ANTIBODY; Anti-HBe 525 420

1554 HEPATITIS Be ANTIGEN; HBeAg 910 728

1555 HEPATITIS Be PANEL * Anti-HBe * HBeAg 910 728

1556 HEPATITIS C ANTIBODY ( Anti-HCV) 959 767

1557 HEPATITIS C ANTIBODY ( Anti-HCV), IgM 8547 6,838

1558 HEPATITIS C ANTIBODY SUPPLEMENTAL TESTING 287 230

1559 * HCV GENOTYPE Detects HCV Genotypes 1,2, 3 & 4 9583 7,666

1560 HEPATITIS C VIRAL, PCR, QUALITATIVE; HCV RNA, PCR, QUALITATIVE 2576 2,061

1561 HEPATITIS C VIRAL RNA (HCV RNA) QUANTITATIVE, REAL TIME PCR 5425 4,340

1562 HEPATITIS C VIRAL RNA, GENOTYPE Detects HCV Genotypes 1,2, 3 & 4 4193 3,354

1563 HEPATITIS DELTA ANTIBODY; (Anti- HDV) 1498 1,198

1564 HEPATITIS E ANTIBODY ( Anti-HEV), IgG 945 756

1565 HEPATITIS E ANTIBODY ( Anti-HEV), IgM 945 756

HEPATITIS, VIRAL, COMPREHENSIVE PANEL *Anti-HAV IgG * Anti-HAV IgM *Anti-HBcTotal


1566 7350 5,880
*Anti-HBc IgM *Anti-HBs *HBsAg *Anti-HBe *HBe Ag * Anti-HCV *Anti-HCV IgM

1567 HERPES SIMPLEX 1+2 VIRUS (HSV), IgG, SERUM 364 291

1568 HERPES SIMPLEX 1+2 VIRUS (HSV), IgM, SERUM 364 291

BHEL Schedule E Page 81 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1569 HERPES SIMPLEX 1+2 VIRUS ( HSV), ANTIBODIES PANEL, IgG & IgM, SERUM 637 510

1570 HERPES SIMPLEX VIRUS (HSV) TYPE 1, PCR, QUALITATIVE 2345 1,876

1571 HERPES SIMPLEX VIRUS (HSV) TYPE 2, PCR, QUALITATIVE 2345 1,876

1572 HERPES SIMPLEX VIRUS (HSV) TYPE 1 & 2, PCR, QUALITATIVE 3885 3,108

1573 HERPES VIRUS 6 (HHV-6) ANTIBODY PANEL, IgG & IgM 3703 2,962

1574 5-HIAA (5-HYDROXYINDOLEACETIC ACID), 24-HOUR URINE 1575 1,260

1575 5-HIAA (5-HYDROXYINDOLEACETIC ACID), RANDOM URINE 1575 1,260

1576 HIRSUTISM PANEL 1 *Androstenedione *DHEA Sulphate *Free Testosterone 2730 2,184

1577 HISTAMINE, 24-HOUR URINE 5985 4,788

1578 HISTAMINE, PL ASMA 5033 4,026

1579 HISTAMINE, SERUM 5390 4,312

1580 HISTONE ANTIBODIES 791 633

1581 HISTO/CYTOPATHOLOGY, MICROPHOTOGRAPHY 182 146

1582 HISTO/CYTOPATHOLOGY, SLIDE(S) / BLOCK(S), ISSUE 42 34

1583 HISTOPATHOLOGY, BIOPSY, BONE 693 554

HISTOPATHOLOGY, BIOPSY, L ARGE, COMPLEX / CANCER SPECIMEN


1584 *Esophagectomy*Gastrectomy *Mastectomy *Hemi / Total colectomy *Large Bone 1750 1,400
Resection *OvarianTumor Resection *Radical Nephrectomy for Cancer *Radical Neck
HISTOPATHOLOGY, BIOPSY, L ARGE SPECIMEN * Uterus with cer vix *Uterus with cer vix&
1585 adnexae / Fibroids * Ovarian tumors / Large cysts * Eyeball ( tumorous) * Non tumorous 700 560
conditions of Thyroid gland / Testes / Kidney - Nephrectomy / Intestinal resection* Lymph
HISTOPATHOLOGY, BIOPSY, MEDIUM SPECIMEN *Breast lump * Pilonidal sinus * Fistula /
1586 Sinus * Lymph Node * Ovarian Cyst * Eyeball ( Non tumorous) * Gall bladder * Prostate( 420 336
TURP) / Enucleation * Superficial lumps * Brain & Spinal cord tumors * Small excision
HISTOPATHOLOGY, BIOPSY, SMALL SPECIMEN *Endometrium *Cer vical
1587 biopsy*Endoscopic biopsies *Trucut biopsies *Appendix *Fallopian Tubes 315 252
*ConjunctivalBiopsy *Small diagnostic / incision biopsies

1588 HISTOPATHOLOGY, BIOPSY, SKIN 420 336

BHEL Schedule E Page 82 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1589 HISTOPATHOLOGY, BIOPSY - SECOND OPINION 385 308

1590 HISTOPATHOLOGY, DIF, CONJUNCTIVAL BIOPSY PANEL *C3 *C1q *IgA * IgG *IgM 1176 941

1591 HISTOPATHOLOGY, DIF, CONJUNCTIVAL BIOPSY, C1q 287 230

1592 HISTOPATHOLOGY, DIF, CONJUNCTIVAL BIOPSY, C3 287 230

1593 HISTOPATHOLOGY, DIF, CONJUNCTIVAL BIOPSY, IgA 287 230

1594 HISTOPATHOLOGY, DIF, CONJUNCTIVAL BIOPSY, IgG 287 230

1595 HISTOPATHOLOGY, DIF, CONJUNCTIVAL BIOPSY, IgM 287 230

1596 HISTOPATHOLOGY, DIF, KIDNEY BIOPSY, C3 287 230

1597 HISTOPATHOLOGY, DIF, KIDNEY BIOPSY, C1q 287 230

1598 HISTOPATHOLOGY, DIF, KIDNEY BIOPSY, IgA 287 230

1599 HISTOPATHOLOGY, DIF, KIDNEY BIOPSY, IgG 287 230

1600 HISTOPATHOLOGY, DIF, KIDNEY BIOPSY, IgM 1176 941

1601 HISTOPATHOLOGY, DIF, SKIN BIOPSY PANEL, * C3 *C1q *IgA *IgG * IgM 287 230

1602 HISTOPATHOLOGY, DIF, SKIN BIOPSY, C1q 287 230

1603 HISTOPATHOLOGY, DIF, SKIN BIOPSY, C3 287 230

1604 HISTOPATHOLOGY, DIF, SKIN BIOPSY, IgA 287 230

1605 HISTOPATHOLOGY, DIF, SKIN BIOPSY, IgG 287 230

1606 HISTOPATHOLOGY, DIF, SKIN BIOPSY, IgM 2170 1,736

HISTOPATHOLOGY, KIDNEY BIOPSY PANEL 1 *Histopathology *Special Stains


1607 980 784
*DIF FOR IgG , IgA, IgM, C3 & C1q *Microphotography

HISTOPATHOLOGY, KIDNEY BIOPSY PANEL 2 Histopathology *Special Stains


1608 980 784
*Microphotography

BHEL Schedule E Page 83 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

HISTOPATHOLOGY, LIVER BIOPSY PANEL *Histopathology *Special Stains


1609 203 162
*Microphotography

1610 HISTOPATHOLOGY, POL ARISING MICROSCOPY 1120 896

1611 ACID FAST (Z.N STAIN) 287 230

1612 ALCIAN BLUE 287 230

1613 CONGO RED (AMYLOID) 287 230

1614 COPPER 287 230

1615 FONTANA MASSON 287 230

1616 GOMORI'S METHENAMINE (SILVER STAIN) 287 230

1617 IRON (PERL'S) 287 230

1618 MASSON TRICHROME 287 230

1619 MUCICARMINE 287 230

1620 MYELOPEROXIDASE (MPO) 287 230

1621 PERIODIC ACID SCHIFF (PAS) 287 230

1622 PHOSPHOTUNGSTIC ACID (PTAH) 287 230

1623 RETICULIN 287 230

1624 VAN GIESONS 287 230

1625 HISTOPL ASMA ANTIBODY, COMPLEMENT FIXATION 3661 2,929

1626 HISTOPL ASMA ANTIBODY, IMMUNODIFFUSION 2520 2,016

1627 HIV 1 & 2 ANTIBODIES SCREENING TEST Includes p 24 Antigen 294 235

1628 HIV 1 & 2 ANTIBODIES, WESTERN BLOT 1960 1,568

BHEL Schedule E Page 84 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1629 HIV 1 GENOTYPE 30408 24,326

1630 HIV 1 RNA QUANTITATIVE, REAL TIME PCR 3038 2,430

HIV 1 RNA QUANTITATIVE, REAL TIME PCR WITH CD3, CD4/ CD8 (IMMUNE DEFICIENCY
1631 4270 3,416
PANEL 2) MARKERS

HIV 1 RNA QUANTITATIVE, REAL TIME PCR WITH CD3 / CD4 (IMMUNE DEFICIENCY PANEL
1632 3731 2,985
4) MARKERS

1633 HL A - ABC (CL ASS 1) TYPING 3500 2,800

1634 HL A - DR (CL ASS II) TYPING 3500 2,800

1635 HL A - T & B CELL LYMPHOCYTE, CROSS MATCH (1 Donor & 1 Recipent ) 2100 1,680

1636 HL A - B5 2730 2,184

1637 HL A - B8 2730 2,184

1638 HL A - B15 2730 2,184

1639 HL A - B27, FLOW CYTOMETRY 1400 1,120

1640 HL A - B27, PCR 1750 1,400

1641 HL A - B38 2730 2,184

1642 HL A - DR2 ( DRB1*02) 2730 2,184

1643 HL A - DR3( DRB1*03) 2730 2,184

1644 HL A - DR4( DRB1*04) 2730 2,184

1645 HL A - DR5( DRB1*05) 2730 2,184

1646 HL A - DR7( DRB1*07) 2730 2,184

1647 HL A CELIAC DISEASE ( DQB1*02, 1*03, DQA1*05;01) 2730 2,184

1648 HL A DNA TYPING FOR BONE MARROW TRANSPL ANT, PCR *A, B, C, DR & DQ Typing 13300 10,640

BHEL Schedule E Page 85 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1649 HL A DNA TYPING FOR KIDNEY TRANSPL ANT, PCR *A, B & DR Typing 9100 7,280

1650 HL A - PANEL REACTIVE ANTIBODIES (PRA) 3500 2,800

1651 HOMOCYSTEINE, QUANTITATIVE, SERUM 525 420

1652 HOMOVANILLIC ACID (HVA), 24-HOUR URINE 4655 3,724

1653 HOMOVANILLIC ACID (HVA), RANDOM URINE 4655 3,724

1654 HPV (HUMAN PAPILLOMA VIRUS) GENOTYPING, PCR 8792 7,034

1655 HPV (HUMAN PAPILLOMA VIRUS) HIGH RISK DETECTION, REAL TIME PCR 1050 840

1656 HTLV - I / II ANTIBODY, EIA 7791 6,233

1657 HTLV - I / II, WESTERN BLOT 3780 3,024

1658 17 - HYDROXYCORTICOSTEROIDS & 17 - KETOSTEROIDS, 24-HOUR URINE 6965 5,572

1659 17 - HYDROXYCORTICOSTEROIDS (17-OHCS), 24-HOUR URINE 3885 3,108

1660 17 - HYDROXYPREGNENOLONE 4963 3,970

1661 18 - HYDROXYCORTICOSTERONE 6328 5,062

1662 18 - HYDROXYDEOXYCORTICOSTERONE (18 - OH - DOC) 6328 5,062

1663 17-HYDROXYPROGESTERONE (17-OHP) STIMUL ATION BY ACTH 1specimen 791 633

1664 HYDROXYPROLINE, FREE, QUANTITATIVE, PL ASMA 10192 8,154

1665 HYPERCALCEMIA PANEL 2 *PTH (Intact) *Calcium, Serum *1, 25 Dihydroxy Vitamin D 3115 2,492

HYPERSENSITIVITY PNEUMONITIS SCREEN *Aspergillus fumigatus *Micropolysporafaeni *


1666 11900 9,520
*Pigeon Serum *S.viridis *T. candidus *T.vulgaris

1667 HYPERCALCEMIA PANEL 1 *PTH (Intact) *Calcium, Serum * Calcium 24-hour Urine 1099 879

HYPERTENSION PANEL *Urea *Creatinine *Glucose, Fasting *Electrolytes, serum*Lipid


1668 868 694
Profile Basic

BHEL Schedule E Page 86 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1669 IA-2 ANTIBODY 4970 3,976

1670 IgA SUBCL ASSES 4109 3,287

1671 IGF BINDING PROTEIN-1; IGFBP-1 3493 2,794

1672 IGF BINDING PROTEIN - 2; IGFBP - 2 3150 2,520

1673 IGF BINDING PROTEIN - 3; IGFBP - 3 2345 1,876

1674 IGF - I & GROWTH HORMONE PANEL 2653 2,122

1675 IGF - I; SOMATOMEDIN - C 2345 1,876

1676 IGF - II 4620 3,696

1677 IMD PANEL, QUANTITATIVE, BLOOD *Amino Acids *Organic Acids *Fatty Acids 2345 1,876

1678 IMIPRAMINE Includes metabolite Desipramine 4039 3,231

IMMUNE DEFICIENCY PANEL 1 * CD3 * CD4 * CD8 * CD19 * CD16+/CD56. Includes% and
1679 3696 2,957
Absolute Counts

IMMUNE DEFICIENCY PANEL 2; CD4/CD8 COUNTS * CD3 * CD4 * CD8. Includes %and
1680 1421 1,137
Absolute Counts

1681 IMMUNE DEFICIENCY PANEL 3; ABSOLUTE CD 3 COUNT. Includes % and Absolute Counts 1176 941

1682 IMMUNE DEFICIENCY PANEL 4; CD 4 COUNTS *CD3 * CD4. Includes % and AbsoluteCounts 959 767

1683 17 - HYDROXYPROGESTERONE (17-OHP) 791 633

1684 17 - HYDROXYPROGESTERONE, NEWBORN SCREEN; CAH SCREEN 147 118

1685 IMMUNE DEFICIENCY PANEL 5 *CD3 * CD19. Includes % and Absolute Counts 1575 1,260

1686 IMMUNE COMPLEX DETECTION BY C1q BINDING 3969 3,175

1687 IMMUNOFIXATION ELECTROPHORESIS (IFE), SERUM 3885 3,108

1688 IMMUNOFIXATION ELECTROPHORESIS, 24-HOUR URINE 4655 3,724

BHEL Schedule E Page 87 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1689 IMMUNOGLOBULIN IgA, SERUM 203 162

1690 IMMUNOGLOBULIN IgD & IgE TYPING, SERUM 4270 3,416

1691 IMMUNOGLOBULIN IgD & IgE TYPING,URINE 5040 4,032

1692 IMMUNOGLOBULIN IgE, SERUM 483 386

1693 IMMUNOGLOBULIN IgG SUBCL ASSES 8050 6,440

1694 IMMUNOGLOBULIN IgG SYNTHESIS INDEX & RATE 1421 1,137

1695 IMMUNOGLOBULIN IgG, CSF 791 633

1696 IMMUNOGLOBULIN IgG, SERUM 203 162

1697 IMMUNOGLOBULIN IgM, CSF 2401 1,921

1698 IMMUNOGLOBULIN IgM, SERUM 245 196

1699 IMMUNOGLOBULIN PROFILE, CSF *IgG *IgA *IgM 4445 3,556

1700 IMMUNOGLOBULIN PROFILE, SERUM *IgG *IgA *IgM 602 482

1701 C4d 1120 896

1702 34-Beta E12 910 728

1703 ACTH 910 728

1704 ACTIN (Smooth Muscle Actin ) 910 728

1705 AFP ( Alpha Feto Protein) 910 728

1706 bcl-2 910 728

1707 CALRETININ 910 728

1708 CATHEPSIN-D 910 728

BHEL Schedule E Page 88 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1709 CD3 910 728

1710 CD5 1120 896

1711 CD10 910 728

1712 CD15 910 728

1713 CD20 1120 896

1714 CD23 910 728

1715 CD30 910 728

1716 CD31 910 728

1717 CD34 910 728

1718 CD 45 (LCA) 910 728

1719 CD 45 Ro (Pan T) 910 728

1720 CD 68 1120 896

1721 CD 79a 910 728

1722 CD 99 (MIC-2) 910 728

1723 CD117 770 616

1724 c-erb B2/Her-2-neu 910 728

1725 CHROMOGRANIN- A 1120 896

1726 CYCLIN D1 910 728

1727 CYTOKERATIN (Pancytokeratin) 1120 896

1728 CYTOKERATIN-20 910 728

BHEL Schedule E Page 89 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1729 CYTOKERATIN-7 910 728

1730 DESMIN 1120 896

1731 EGFR (Epidermal Growth Factor Receptor) 910 728

1732 ER (Estrogen Receptor) 770 616

1733 FSH 910 728

1734 GFAP (Glial Fibrilliary Acidic Protein) 910 728

1735 GROWTH HORMONE 1120 896

1736 HMB 45 910 728

1737 INHIBIN 910 728

1738 KAPPA LIGHT CHAINS 1120 896

1739 Ki 67 1120 896

1740 L AMBDA LIGHT CHAINS 1120 896

1741 MYELOPEROXIDASE 910 728

1742 NEUROFIL AMENT POLYPEPTIDE 910 728

1743 NSE (Neuron Specific Enolase) 910 728

1744 p53 910 728

1745 PR ('Progesterone Receptor) 770 616

1746 PROL ACTIN 910 728

1747 pS2 910 728

1748 PSA (Prostate Specific Antigen) 910 728

BHEL Schedule E Page 90 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1749 S100 910 728

1750 SYNAPTOPHYSIN 910 728

1751 TdT 910 728

1752 THYROGLOBULIN 910 728

1753 TTF-1 1120 896

1754 VIMENTIN 910 728

1755 WT-1 1120 896

1756 IMMUNOHISTOCHEMISTRY - ANY 3 MARKERS 2660 2,128

1757 IMMUNOHISTOCHEMISTRY - ANY 5 MARKERS 3150 2,520

1758 IMMUNOHISTOCHEMISTRY, CARCINOMA VS LYMPHOMA PANEL *LCA*CK 1680 1,344

IMMUNOHISTOCHEMISTRY, DIFFUSE L ARGE CELL LYMPHOMA PANEL *CD3 *CD10*CD20


1759 4900 3,920
* CD30 * CD79a

IMMUNOHISTOCHEMISTRY, DIFFUSE SMALL CELL LYMPHOMA PANEL *CD3 *CD5*CD10


1760 4900 3,920
*CD20 *CD23

IMMUNOHISTOCHEMISTRY, FOLLICUL AR LYMPHOMA VS REACTIVE HYPERPL ASIA


1761 2800 2,240
PANEL *CD3 * CD20 * bcl-2

IMMUNOHISTOCHEMISTRY, HODGKINS VS NON HODGKINS LYMPHOMA PANEL*CD3 *


1762 4550 3,640
CD15 * CD20 * CD30 * EMA

IMMUNOHISTOCHEMISTRY, SARCOMA TYPING PANEL *Desmin * Vimentin *S100*Smooth


1763 5250 4,200
Muscle Actin * CD 31 * CD 34

1764 INDIA INK PREPARATION, CSF 98 78

1765 INDIA INK PREPARATION, FLUID 98 78

1766 INFLUENZA A & B ANTIGEN, QUALITATIVE 924 739

1767 INHIBIN A, PREGNANCY 448 358

1768 INHIBIN A, REPRODUCTIVE MARKER 448 358

BHEL Schedule E Page 91 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1769 INSULIN ANTIBODIES 1176 941

1770 INSULIN ANTIBODIES, HIGHLY SENSITIVE 5467 4,374

1771 INSULIN, FASTING 483 386

1772 INSULIN, FASTING (F) & POST PRANDIAL (PP) PANEL 910 728

1773 INSULIN, FREE 3598 2,878

1774 INTERLEUKIN - 2 RECEPTOR; IL-2R 12271 9,817

1775 INTERLEUKIN - 6; IL-6 8036 6,429

1776 INTERLEUKIN 28B ( IL28B rs12979860) GENOTYPING 2450 1,960

1777 INTRINSIC FACTOR BLOCKING ANTIBODY 3353 2,682

1778 INV 16 ( p13q22) / t( 16;16)(p13;q22) GENE REARRANGEMENT, PCR QUALITATIVE 2450 1,960

IRON STUDIES ( SERUM IRON, TOTAL IRON BINDING CAPACITY & TRANSFERRIN
1779 245 196
SATURATION)

1780 ISLET CELL ANTIBODY 1036 829

1781 ISLET CELL ANTIBODY, IN DILUTIONS 2072 1,658

1782 JAK -2 Qualitative PCR 3080 2,464

1783 Jo-1 ANTIBODY 791 633

1784 KAPPA / L AMBDA LIGHT CHAINS, FREE, SERUM 3885 3,108

1785 KAPPA / L AMBDA LIGHT CHAINS, FREE, URINE 3885 3,108

1786 17 - KETOSTEROIDS, 24-HOUR URINE 3500 2,800

KIDNEY DIALYSIS PANEL *Glucose R *Creatinine *Uric Acid *Cholesterol *Protein


1787 Total*Albumin *A:G Ratio *Alk. Phosphatase *Calcium *Phosphorus *Electrolytes, 945 756
serum*BUN *CBC *Urine R/E
KIDNEY PANEL; KFT *Urea *Creatinine *Uric Acid *Protein Total *Albumin *A:G Ratio*Alk.
1788 455 364
Phosphatase *Calcium *Phosphorus *Electrolytes, serum

BHEL Schedule E Page 92 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1789 KIDNEY STONE ANALYSIS WITH PICTURE 637 510

KIDNEY STONE FORMATION, DIAGNOSTIC PANEL *pH *Creatinine *Calcium


1790 3269 2,615
*Magnesium*Citrate *Oxalate *Osmolality *Electrolytes *Uric Acid *Phosphorus

KIDNEY STONE FORMATION, THERAPEUTIC MONITORING PANEL *pH *Creatinine*Calcium


1791 2695 2,156
*Magnesium *Citrate *Oxalate *Osmolality *Sodium *Uric Acid *Phosphorus

1792 L ACTATE, CSF 560 448

1793 L ACTATE, PL ASMA 560 448

1794 L AMOTRIGINE 2639 2,111

1795 LDH, FLUID 203 162

1796 LDH; L ACTIC DEHYDROGENASE 203 162

1797 LDL CHOLESTEROL, DIRECT 147 118

1798 LDL SUBFRACTIONS 2730 2,184

1799 LE CELL PHENOMENON 203 162

LEAD POISONING/PORPHYRIA PROFILE,URINE *Porphyrins, Total *Porphobilinogen(PBG)


1800 6965 5,572
*5-Amino Levulinic Acid (5-AL A)

1801 LEAD, BLOOD 945 756

1802 LEAD, 24-HOUR URINE 945 756

1803 LEAD, RANDOM URINE 945 756

1804 LEGIONELL A PNEUMOPHIL A IgG, IFA 2912 2,330

1805 LEGIONELL A PNEUMOPHIL A IgM, IFA 2912 2,330

1806 LEGIONELL A URINARY ANTIGEN, EIA 3633 2,906

1807 LEISHMANIA ( KAL A AZAR) ANTIBODY, IgG 945 756

1808 LEPTIN 2310 1,848

BHEL Schedule E Page 93 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1809 LEPTOSPIRA ANTIBODIES PANEL, IgG & IgM 1498 1,198

1810 LEPTOSPIRA ANTIBODY, IgG 791 633

1811 LEPTOSPIRA ANTIBODY, IgM 791 633

1812 LEUCOCYTE ALKALINE PHOSPHATASE SCORE; L AP SCORE 483 386

LEUKEMIA - AML CATEGORIZATION BY PCR*PML-RARA gene rearrangement, PCR


1813 Qualitative * AML ETO ( 8;21) gene rearrangemenPCR Qualitative * Inv 16 (p13q22) / 4900 3,920
t(16;16)(p13;q22) gene rearrangement, PCR Qualitative
LEUKEMIA / LYMPHOMA DIAGNOSTIC PANEL: CHRONIC LYMPHOPROLIFERATIVE
1814 DISORDERS: CD2* CD3* CD4* CD5* CD8* CD10* CD11c* CD19* CD20* CD23** CD 25 * 8890 7,112
CD38* CD 45 * CD 103 * Kappa/Lambda* FMC-7* ZAP70* Surface IgM
LEUKEMIA DIAGNOSTIC COMPREHENSIVE PROFILE 1*Bone marrow Aspirate
1815 Examination, Panel 2 * Leukemia Diagnostic Panel, AcuteLeukemia - T, B or Myeloid 10500 8,400
*Chromosome analysis for hematologic malignancy *AMLCategorization by PCR / BCR ABL
LEUKEMIA DIAGNOSTIC COMPREHENSIVE PROFILE 2*Bone marrow Aspirate
1816 Examination, Panel 1 * Leukemia Diagnostic Panel, Acute Leukemia - T,B or Myeloid 9800 7,840
*Chromosome analysis for hematologic malignancy *AML Categorization byPCR / BCR ABL
LEUKEMIA DIAGNOSTIC COMPREHENSIVE PROFILE 3* Leukemia Diagnostic Panel,
1817 Acute Leukemia - T, B or Myeloid *Chromosome analysis for hematologic malignancy *AML 8050 6,440
Categorization by PCR / BCR ABL gene rearrangement, PCR Qualitative * Comprehensive

1818 LEUKEMIA DIAGNOSTIC PANEL, CUSTOMIZED (ANY 10 MARKERS) 4235 3,388

LEUKEMIA DIAGNOSTIC PANEL: ACUTE LEUKEMIA - T, B or MYELOIDFirst Step:


1819 *CD19*CD22* CD10* CD3* CD5* CD7* CD34* CD13* CD14* CD33* CD45* HL A-DR2nd Step: 5425 4,340
Cyto CD79a* Cyto IgM*Cyto CD 3 *CD 2 * CD 7 * CD 8 * CD 14 * CD 15* CD 123 * CD 36 * CD
LEUKEMIA DIAGNOSTIC PANEL: ACUTE LEUKEMIAS *CD19*CD22*CD79a
1820 cyto*CD10*CD2*CD3 cyto* CD5* CD7* CD13* CD14* CD 15 *CD33* CD117* CD42a* CD61* 8890 7,112
Glyco-A* CD45* CD34* HL A-DR* MPO * IgM Cyto
LEUKEMIA DIAGNOSTIC PANEL: AML CHARACTERIZATION CD 3 *CD7* CD13* CD14*
1821 CD15* CD19* CD33* CD34* CD 42 a* CD45* CD 61 * CD 117*HL A DR* MPO* Glycophorin A. 6195 4,956
If required: CD4, CD36, CD64, CD123
LEUKEMIA DIAGNOSTIC PANEL:ALL CHARACTERIZATION *CD3 *CD7 *CD10 *CD19*CD22
1822 6195 4,956
*CD33 *CD34 *CD45 *Cyto IgM* CD79a cyto

LEUKEMIA DIAGNOSTIC PANEL;CLL/HCL/SLL (BASIC) *CD5 * CD7 * CD 10 *CD11c*CD19


1823 5425 4,340
*CD20 *CD23 *CD25 *CD 38 *CD45 *FMC 7* CD103* Kappa/Lambda * ZAP 70* Surface IgM

LEUKEMIA MONITORING PANEL: HAIRY CELL *CD5 *CD11c* CD19 *CD20 *CD25* CD 45 *
1824 5425 4,340
CD 103 *Kappa/ Lambda* FMC-7 *Heavy chains if required

1825 LH & TESTOSTERONE,TOTAL 714 571

1826 LH; LUTEINISING HORMONE 322 258

1827 LIPASE RW122 LIPID - ASSOCIATED SIALIC ACID; L ASA 364 291

1828 LIPID PROFILE WITH LDL SUBFRACTIONS *Lipid Profile, Extended *LDL Subfractions 3731 2,985

BHEL Schedule E Page 94 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

LIPID PROFILE, BASIC *Cholesterol *Triglycerides *HDL, Direct *LDL, Direct *VLDL,
1829 574 459
Calculated

LIPID PROFILE, COMPLETE *Cholesterol *Triglycerides *HDL/VLDL/LDL -


1830 637 510
Electrophoretic*Cholesterol / HDL Ratio *Chylomicrons

1831 LIPOPROTEIN (a); Lp(a) 560 448

1832 LIPOPROTEIN FRACTIONATION, ULTRACENTRIFUGATION 8071 6,457

1833 LIVER & KIDNEY PANEL *LFT * KFT 868 694

1834 LIVER KIDNEY MICROSOMAL (LKM) ANTIBODY, IFA 945 756

1835 LIVER KIDNEY MICROSOMAL (LKM) ANTIBODY IN DILUTIONS, IFA 1806 1,445

1836 LIVER PANEL 1; LFT *SGOT *SGPT *GGTP *Bilirubin *Protein, Total *Alkaline Phosphatase 455 364

1837 LIVER PANEL 2 *Liver Panel 1 *Prothrombin Time Studies *HBsAg 791 633

1838 LSD, URINE, QUANTITATIVE 3696 2,957

1839 LUPUS ANTICOAGUL ANT PANEL; L AC PANEL *APTT *PTT - L A *dRVVT 1575 1,260

LUPUS ERYTHEMATOSUS PANEL; SLE PANEL *ANA *ds DNA *ss DNA *Sm *RNP-
1840 4809 3,847
SmComplex *CRP *Histone Antibody

1841 LYME DISEASE (BORRELIA BURGDORFERI) ANTIBODIES, IgG & IgM 2037 1,630

1842 LYME DISEASE (BORRELIA BURGDORFERI), IgG & IgM, WESTERN BLOT 7182 5,746

1843 LYME DISEASE (BORRELIA BURGDORFERI), IgG, WESTERN BLOT 3766 3,013

LYMPHOMA DIAGNOSTIC PANEL *CD2 *CD 3 *CD4 *CD5 *CD8 *CD10* CD11* CD19*CD20 *
1844 10045 8,036
CD22 *CD23 *CD33 * CD45* CD79a* Surface IgM* Kappa and Lambda LightChains * FMC 7

1845 LYSOZYME (MURAMIDASE), SERUM 3458 2,766

1846 LYSOZYME (MURAMIDASE), URINE 3458 2,766

1847 MAGNESIUM, 24-HOUR URINE 322 258

1848 MAGNESIUM, RANDOM URINE 322 258

BHEL Schedule E Page 95 of 115 Rates effective from 15.08.2014


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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1849 MAGNESIUM, SERUM 287 230

1850 MAL ARIA ANTIBODY 637 510

1851 MAL ARIA PARASITE/BLOOD PARASITE IDENTIFICATION 70 56

1852 MAL ARIA VIVAX AND FALCIPARUM ANTIGEN 399 319

1853 MANGANESE, BLOOD 1099 879

1854 MANGANESE, 24-HOUR URINE 1099 879

1855 MANGANESE, RANDOM URINE 1099 879

1856 MANTOUX TEST; TUBERCULIN SKIN TEST 84 67

1857 MAPROTILINE 3871 3,097

1858 MATERNAL SERUM SCREEN 2; DUAL TEST *PAPP-A * Free BETA HCG *Risk Evaluation 1267 1,014

MATERNAL SERUM SCREEN 3; TRIPLE TEST *AFP *BETA HCG *Free Estriol *Risk
1859 1680 1,344
Evaluation

MATERNAL SERUM SCREEN 4; QUADRUPLE TEST *AFP *BETA HCG *Free Estriol * Inhibin
1860 2002 1,602
A*Risk Evaluation

1861 MEAN CORPUSCUL AR HEMOGLOBIN CONCENTRATION; MCHC 70 56

1862 MEAN CORPUSCUL AR HEMOGLOBIN; MCH 70 56

1863 MEAN CORPUSCUL AR VOLUME; MCV 70 56

1864 MEAN PL ATELET VOLUME; MPV 98 78

1865 MEASLES (RUBEOL A) ANTIBODIES PANEL, IgG & IgM 1806 1,445

1866 MEASLES (RUBEOL A) ANTIBODY, IgG 945 756

1867 MEASLES (RUBEOL A) ANTIBODY, IgM 945 756

MENINGITIS (ASEPTIC) PANEL, COMPREHENSIVE *Coxsackie IgG & IgM *Echovirus IgG&
1868 6195 4,956
IgM *Herpes Simplex 1 + 2 IgG & IgM *Mumps IgG & IgM

BHEL Schedule E Page 96 of 115 Rates effective from 15.08.2014


For Limited Internal Circulation only Company Confidential

Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

MENINGITIS (ASEPTIC) PANEL, IgM *Coxsackie IgM *Echovirus IgM *Herpes Simplex1 + 2
1869 3115 2,492
IgM *Mumps IgM

MENINGITIS (ASEPTIC) PANEL,IgG *Coxsackie IgG *Echovirus IgG *Herpes Simplex1 + 2


1870 3115 2,492
IgG *Mumps IgG

1871 MERCURY, 24-HOUR URINE 1883 1,506

1872 MERCURY, RANDOM URINE 1883 1,506

1873 MESORIDAZINE 2912 2,330

METABOLIC SCREEN, BASIC, URINE *Reducing Substances *Ferric Chloride Test*DNPH


1874 364 291
Test *Nitrosonaphthol Test *Nitroprusside Test * Silver nitroprusside Test

METABOLIC SCREEN, COMPREHENSIVE, URINE *Metabolic Screen, Basic *Amino Acids,


1875 945 756
Qualitative

1876 METACHROMATIC LEUCODYSTROPHY, QUANTITATIVE, BLOOD 1099 879

1877 METANEPHRINES, 24-HOUR URINE *Metanephrine * Normetanephrine 6391 5,113

1878 METANEPHRINES, RANDOM URINE *Metanephrine * Normetanephrine 6391 5,113

1879 METHOTREXATE 7924 6,339

1880 METHYLMALONIC ACID, QUALITATIVE, URINE 147 118

1881 METHYLMALONIC ACID, QUANTITATIVE, SERUM 5201 4,161

1882 MICROALBUMIN CREATININE RATIO 322 258

1883 MICROALBUMIN, 24-HOUR URINE 322 258

1884 MICROALBUMIN, 2nd MORNING URINE 322 258

1885 MICROFIL ARIA DETECTION 98 78

1886 MITOCHONDRIAL ANTIBODY (AMA), IFA 1022 818

1887 MITOCHONDRIAL ANTIBODY (AMA), IFA IN DILUTIONS 1729 1,383

1888 MONO TEST (INFECTIOUS MONONUCLEOSIS) 637 510

BHEL Schedule E Page 97 of 115 Rates effective from 15.08.2014


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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1889 MTHFR ( METHYLTETRAHYDROFOL ATE REDUCTASE) GENE MUTATION 1925 1,540

1890 MUCOPOLYSACCHARIDOSIS (MPS) SCREEN, URINE 203 162

1891 MUCOPOLYSACCHARIDOSIS (MPS) TYPE 1 (HURLER), QUANTITATIVE, BLOOD 2730 2,184

MUCOPOLYSACCHARIDOSIS (MPS) TYPE VI (MAROTEAUX L AMY), QUANTITATIVE,


1892 945 756
BLOOD

1893 MUCOPOLYSACCHARIDOSIS (MPS) TYPING, 24 HOUR URINE 2191 1,753

1894 MULTIPLE SCLEROSIS PANEL 1 *IgG Synthesis Index & Rate *Oligoclonal Bands, CSF 3500 2,800

1895 MUMPS VIRUS ANTIBODIES PANEL, IgG & IgM 1806 1,445

1896 MUMPS VIRUS ANTIBODY, IgG 945 756

1897 MUMPS VIRUS ANTIBODY, IgM 945 756

MYASTHENIA GRAVIS PANEL *Acetylcholine Receptor Binding Antibody (Code


1898 7700 6,160
RW001)*Striated / Skeletal Muscle Antibody in Dilutions

*Striated / Skeletal Muscle Antibody in Dilutions +


1899 1610 1,288
MYCOBACTERIUM COMBINED PANEL; TB. COM *Mycobacterium Tuberculosis, PCR

1900 *Culture, AFB Rapid *Ziehl Neelson Stain 1575 1,260

1901 MYCOBACTERIUM COMBO TEST PANEL, IgG, IgA & IgM, SERUM 574 459

1902 MYCOBACTERIUM COMBO TEST, IgA , SERUM 574 459

1903 MYCOBACTERIUM COMBO TEST, IgG , SERUM 574 459

1904 MYCOBACTERIUM COMBO TEST, IgM, SERUM 1260 1,008

1905 MYCOBACTERIUM TUBERCULOSIS, PCR; MYCOSURE; TB PCR 4277 3,422

1906 MYELIN ASSOCIATED GLYCOPROTEIN (MAG), IgM 4039 3,231

MYELIN ASSOCIATED GLYCOPROTEIN-SULFATED GLUCURONIC PARAGLOBOSIDE


1907 2898 2,318
AUTOANTIBODY (MAG-SGPG), IgM

1908 MYELIN BASIC PROTEIN; MBP 287 230

BHEL Schedule E Page 98 of 115 Rates effective from 15.08.2014


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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1909 MYELOPEROXIDASE (MPO) STAIN, BLOOD / BONE MARROW 2345 1,876

1910 MYOCARDITIS VIRAL PANEL, IgG *Coxsackie IgG *Echovirus IgG 2345 1,876

1911 MYOCARDITIS VIRAL PANEL, IgM *Coxsackie IgM *Echovirus IgM 2345 1,876

1912 MYOGLOBIN, SERUM 2912 2,330

1913 MYOGLOBIN, URINE 2345 1,876

1914 NATURAL KILLER CELLS *CD3 *CD16 / CD56 4823 3,858

1915 NEOPTERIN 6391 5,113

NEUROBL ASTOMA PROFILE, 24-HOUR URINE *Vanil Mandelic Acid (VMA) *Homovanilic
1916 1883 1,506
Acid (HVA)

1917 NEURON SPECIFIC ENOL ASE (NSE), SERUM 1099 879

NEWBORN SCREENING *G-6-PD *TSH *Phenylalanine *Cystic Fibrosis *17-OHP


1918 3115 2,492
*Galactosemia *Biotinidase

NEWBORN SCREENING, EXTENDED * Biotinidase * Cystic Fibrosis *G-6-PD * Galactosemia


1919 1883 1,506
* 17-Hydroxy Progesterone * TSH * Tandem Mass Spectrometry - 30 Disorders

1920 NICKEL, 24-HOUR URINE 1883 1,506

1921 NICKEL, RANDOM URINE 3703 2,962

1922 NICOTINE METABOLITE, QUALITATIVE, URINE 1267 1,014

1923 NIEMANN PICK DISEASE, QUANTITATIVE, BLOOD 70 56

1924 NITROPRUSSIDE TEST, URINE 70 56

1925 NITROSONAPHTHOL, URINE 5740 4,592

1926 NONESTERIFIED FATTY ACIDS (NEFA); FREE FATTY ACIDS 3941 3,153

1927 NORTRIPTYLINE 3423 2,738

1928 NUCLEAR MATRIX PROTEINS; NMP 4620 3,696

BHEL Schedule E Page 99 of 115 Rates effective from 15.08.2014


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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1929 OBESITY PANEL *Leptin *Sugar F *TSH *Lipid Profile, Basic 2849 2,279

1930 OBSTETRIC FLOW PANEL * Natural Killer (NK) cells * CD 19 3115 2,492

1931 OPIATES SCREEN, RANDOM URINE 385 308

1932 ORGANIC ACIDS, QUANTITATIVE, RANDOM URINE, FULL PANEL 2100 1,680

1933 OROTIC ACID 1960 1,568

1934 OSMOL ALITY, RANDOM URINE 399 319

1935 OSMOL ALITY, SERUM 399 319

1936 OSMOTIC FRAGILITY TEST; RBC FRAGILITY TEST 287 230

1937 OSTEOCALCIN; BONE Gla PROTEIN (BGP) 1652 1,322

OSTEOPOROSIS PANEL *Calcium *Deoxypyridinoline *Estradiol *Osteocalcin *PTH-


1938 6580 5,264
Intact*Vitamin D, 25-Hydroxy

1939 OXAL ATE, 24-HOUR URINE 1022 818

1940 OXAZEPAM 6944 5,555

1941 P1NP (PROCOLL AGEN TYPE -1 AMINO TERMINAL PROPEPTIDE), TOTAL 924 739

1942 PACKED CELL VOLUME (PCV), BODY FLUIDS 70 56

1943 PACKED CELL VOLUME (PCV); HEMATOCRIT 70 56

1944 PANCREATIC POLYPEPTIDE 6363 5,090

1945 PARIETAL CELL ANTIBODY, IFA 868 694

1946 PARIETAL CELL ANTIBODY, IFA IN DILUTIONS 1729 1,383

1947 PAROXETINE, URINE 3493 2,794

PARTIAL THROMBOPL ASTIN TIME - ACTIVATED, MIXING STUDIES; APTT MIXING


1948 1652 1,322
STUDIES*Fibrinogen *TT *APTT *Mixing studies

BHEL Schedule E Page 100 of 115 Rates effective from 15.08.2014


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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

PAROXYSMAL NOCTURNAL HEMOGLOBINURIA (PNH), CONFIRMATORY TEST; CD55 &


1949 3885 3,108
CD59

1950 PARTIAL THROMBOPL ASTIN TIME - LUPUS ANTICOAGUL ANT SPECIFIC; PTT - L A 399 319

1951 PARTIAL THROMBOPL ASTIN TIME, ACTIVATED; PTT; APTT 287 230

1952 PARVOVIRUS B - 19 ANTIBODIES PANEL, IgG & IgM 2730 2,184

1953 PARVOVIRUS B - 19 ANTIBODY, IgG 1421 1,137

1954 PARVOVIRUS B - 19 ANTIBODY, IgM 1421 1,137

1955 PAS ( PERIODIC ACID SCHIFF) STAIN, BLOOD / BONE MARROW 287 230

1956 PCNA (PROLIFERATING CELL NUCLEAR ANTIGEN), ANTIBODY 8558 6,846

PCOD (POLYCYSTIC OVARIAN DISEASE) PANEL*FSH * LH * Testosterone, Total & Free


1957 2310 1,848
*Prolactin * Insulin, fasting * Glucose, fasting

1958 PERITONEAL DIALYSIS ADEQUACY TEST 511 409

1959 PERITONEAL EQUILIBRIUM & ADEQUACY TEST 1190 952

1960 PERITONEAL EQUILIBRIUM TEST (PET) 861 689

1961 PHENCYCLIDINE (PCP), SCREEN, URINE 364 291

1962 PHENOBARBITONE 560 448

1963 PHENYL AL ANINE, NEWBORN SCREEN 147 118

1964 PHENYTOIN 560 448

1965 PHEOCHROMOCYTOMA PROFILE, 24-HOUR URINE *VMA *Metanephrines*Catecholamines 11473 9,178

1966 PHOSPHATIDYLSERINE ANTIBODIES PANEL, IgG & IgM 2422 1,938

1967 PHOSPHATIDYLSERINE ANTIBODY, IgG 1267 1,014

1968 PHOSPHATIDYLSERINE ANTIBODY, IgM 1267 1,014

BHEL Schedule E Page 101 of 115 Rates effective from 15.08.2014


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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

1969 PHOSPHOLIPID ANTIBODIES PANEL,IgG & IgM 791 633

1970 PHOSPHOLIPID ANTIBODY, IgG 448 358

1971 PHOSPHOLIPID ANTIBODY, IgM 448 358

PHOSPHOLIPID SYNDROME PANEL *Cardiolipin Antibodies IgG & IgM


1972 2695 2,156
*PhospholipidAntibodies Panel * Lupus Anticoagulant by dRVVT

1973 PHOSPHORUS, 24-HOUR URINE 147 118

1974 PHOSPHORUS, RANDOM URINE 147 118

1975 PHOSPHORUS, SERUM 98 78

1976 PL ASMA RENIN, DIRECT 3115 2,492

1977 PL ASMINOGEN ACTIVATOR INHIBITOR-1 (PAI-1) ACTIVITY 6510 5,208

1978 PL ATELET ANTIBODY, INDIRECT, IgG 6230 4,984

1979 PL ATELET COUNT 77 62

1980 PL ATELET DISTRIBUTION WIDTH; PDW 98 78

1981 PM-1 (POLYMYOSITIS ASSOCIATED) ANTIBODY 3150 2,520

1982 PML-RARA QUALITATIVE 3080 2,464

1983 PNEUMOCOCCAL ANTIBODY, IgG, 12 SEROTYPE PANEL 7525 6,020

1984 PNEUMOCYSTIS SPECIES, IMMUNOFLUORESCENCE 1022 818

PNEUMOSLIDE IgM *Mycoplasma pneumoniae *Coxiella burnetti *Chlamydia


1985 pneumoniae*RSV *Legionella pneumophila *Influenza virus *Adenovirus *Parainfluenza 1729 1,383
virus

1986 POL ARIZING MICROSCOPY, BODY FLUIDS 182 146

1987 POMPE DISEASE, QUANTITATIVE, BLOOD 1421 1,137

1988 PORPHOBILINOGEN (PBG), QUALITATIVE, URINE 2114 1,691

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PORPHYRINS TOTAL, QUALITATIVE, 24-HOUR URINE Recommended screening test


1989 2653 2,122
forPorphyrias and Lead Poisoning

1990 PORPHYRINS TOTAL, QUALITATIVE, RANDOM URINE 2653 2,122

1991 POTASSIUM, FLUID 126 101

1992 POTASSIUM, 24-HOUR URINE 126 101

1993 POTASSIUM, RANDOM URINE 126 101

1994 POTASSIUM, SERUM 98 78

PRENATAL DIAGNOSIS PANEL 1, CHORIONIC VILLUS BIOPSY This Panel tests the
1995 followingdiseases: *Metachromatic Leucodystrophy *GM 1 Gangliosidosis *GM 2 3500 2,800
Gangliosidosis*Gaucher Disease *Niemann Pick Disease *Fabry Disease *Pompe Disease

1996 PREALBUMIN 3395 2,716

1997 PREGNANCY TEST, URINE 98 78

1998 PREGNENOLONE 4410 3,528

1999 PROCALCITONIN 1680 1,344

2000 PROPRANOLOL 2870 2,296

2001 PRENATAL DIAGNOSIS PANEL 2,AMNIOTIC FLUID *Mucopolysaccharidoses (MPS) 3500 2,800

2002 PROCAINAMIDE Includes metabolite N-acetyl Procainamide 6601 5,281

PROGESTERONE, RECEPTOR; PRIncludes Pathologist review for the presence of


2003 770 616
malignant cells

2004 PROL ACTIN, SERUM 1680 1,344

2005 PROGESTERONE, SERUM 322 258

2006 PROINSULIN 7791 6,233

2007 PROPERDIN FACTOR B; C3 PROACTIVATOR 2604 2,083

PROTEIN & IMMUNOGLOBULIN PANEL* Protein Electrophoresis, Serum


2008 945 756
*ImmunoglobulinProfile, Serum

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Rates in ₹.

2009 PROTEIN C, FUNCTIONAL 329 263

2010 PROTEIN C, ANTIGEN 5509 4,407

PROTEIN ELECTROPHORESIS & IFE, SERUM Includes total protein, electrophoretic


2011 fractions, densitometric tracing and immunofixation electrophoresis. Recommended only 4039 3,231
for patientswith known M - Protein in serum

2012 PROTEIN - CREATININE RATIO, URINE 266 213

2013 PROTEIN ELECTROPHORESIS, 24-HOUR URINE. Does not include IFE 2345 1,876

PROTEIN ELECTROPHORESIS, SERUM Includes total protein, electrophoretic fractions


2014 2345 1,876
withdensitometric tracing. Does not include IFE

2015 PROTEIN S, FUNCTIONAL PROTEIN S, TOTAL ANTIGEN PROTEIN, TOTAL, 24-HOUR URINE 1960 1,568

2016 PROTEINS,TOTAL ANTIGEN 6433 5,146

2017 PROTEIN, TOTAL, BODY FLUIDS 98 78

2018 PROTEIN, TOTAL, CSF 98 78

2019 PROTEIN, TOTAL, RANDOM URINE 147 118

2020 PROTEIN, TOTAL, SERUM *Total Protein *Albumin *A : G Ratio 98 78

2021 PROTHROMBIN GENE MUTATION 1925 1,540

PROTHROMBIN TIME STUDIES *Prothrombin Time (PT) *Prothrombin Ratio


2022 210 168
(PR)*International Normalised Ratio (INR)

2023 PSA ( PROSTATE - SPECIFIC ANTIGEN), FREE Prostatic Cancer Marker. 483 386

2024 PSA ( PROSTATE - SPECIFIC ANTIGEN), TOTAL Prostatic Cancer Marker. 455 364

2025 PSA PROFILE *PSA, Total *PSA, Free *Free/Total PercentProstatic Cancer Markers 868 694

2026 PTH (PARATHYROID HORMONE), INTACT 987 790

2027 PTH ANTIBODY 10626 8,501

2028 PTH PANEL* Intact PTH * Calcium, Serum * PTH-related Protein (PTH-rP) (Code RW160) 7000 5,600

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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
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Sl. No Item Description Places
B'lore
Rates in ₹.

2029 PTH-rP; PTH - REL ATED PROTEIN 7000 5,600

2030 PURKINJE CELL (Yo) ANTIBODY, WITH REFLEX TO TITER, CSF 5110 4,088

2031 PURKINJE CELL (Yo) ANTIBODY, WITH REFLEX TO TITER, SERUM 4900 3,920

2032 PYRIDINIUM COLL AGEN CROSS-LINKS (PYD), 2-HOUR URINE 5579 4,463

2033 PYRIDINIUM COLL AGEN CROSS- LINKS (PYD), 24-HOUR URINE 5579 4,463

2034 PYRUVATE; PYRUVIC ACID 1960 1,568

2035 Q FEVER (COXIELL A BURNETTI) ANTIBODIES, IgG & IgM 3570 2,856

2036 QUANTIFERON-TB GOLD; GAMMA INTERFERON 1960 1,568

2037 RAPID TB ANTIGEN MPT64 364 291

2038 RED BLOOD CELLS; RBC COUNT 70 56

2039 RED CELL DISTRIBUTION WIDTH; RDW 84 67

2040 RETICULIN ANTIBODY, IgA 2625 2,100

2041 RETICULOCYTE COUNT, AUTOMATED 203 162

2042 RHEUMATOID ARTHRITIS PANEL *ANA *Rheumatoid Factor *CRP 791 633

2043 *Rheumatoid Factor *C3 *C4 3500 2,800

RHEUMATOID AUTOIMMUNE COMPREHENSIVE PANEL*ANA *Anti-ds DNA *Sm *RNP-


2044 5810 4,648
SmComplex *Rheumatoid Factor *C3 *C4 * SS-A (Ro) *SS-B (La) *Centromere Antibody

2045 RHEUMATOID FACTOR (RA), SERUM 245 196

2046 RHEUMATOID FACTOR (RA), SYNOVIAL FLUID 245 196

2047 RHEUMATOID FACTOR, IgA 483 386

2048 RIBOSOMAL P ANTIBODY 3969 3,175

BHEL Schedule E Page 105 of 115 Rates effective from 15.08.2014


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Metros,
Other
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Rates in ₹.

RICKETTSIAL DISEASE PANEL *Q Fever IgG & IgM *Rocky Mountain Spotted Fever IgG&
2049 10360 8,288
IgM *Typhus Fever, IgG & IgM

2050 RISTOCETIN COFACTOR 10122 8,098

ROCKY MOUNTAIN SPOTTED FEVER ANTIBODIES *Rickettsia rickettsii IgG & IgM
2051 3773 3,018
(BothScreen and Titer)

2052 RUBELL A (GERMAN MEASLES) ANTIBODIES PANEL, IgG & IgM 560 448

2053 RUBELL A (GERMAN MEASLES) ANTIBODY, IgG 322 258

2054 RUBELL A (GERMAN MEASLES) ANTIBODY, IgM 322 258

2055 RUBELL A (GERMAN MEASLES) AVIDITY, IgG 322 258

2056 SACCHAROMYCES CEREVISIAE ANTIBODY, IgA (CROHN'S DISEASE ); ASCA IgA 4445 3,556

2057 SACCHAROMYCES CEREVISIAE ANTI BODY, IgG (CROHN'S DISEASE ); ASCA IgG 4445 3,556

2058 Scl-70 (SCLERODERMA ) ANTIBODY 637 510

2059 SCLERODERMA PANEL *Scl - 70 *Centromere Antibody 1344 1,075

2060 SELENIUM, 24-HOUR URINE 1883 1,506

2061 SELENIUM, RANDOM URINE 1883 1,506

2062 SELENIUM, SERUM 1883 1,506

2063 SEMEN ANALYSIS; SEMINOGRAM 245 196

2064 SEMEN FRUCTOSE, QUALITATIVE 147 118

2065 SEROTONIN ( 5 - HT), SERUM 6860 5,488

2066 SERUM ASCITES ALBUMIN GRADIENT (SAAG) 175 140

2067 SEX HORMONE BINDING GLOBULIN; SHBG 1421 1,137

2068 SGOT 98 78

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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

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Other
Hyd. &
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Rates in ₹.

2069 SGPT 98 78

2070 SICKLING, SCREENING TEST 98 78

2071 SILVER NITROPRUSSIDE TEST, URINE 70 56

2072 SIROLIMUS ( RAPAMYCIN), LC-MS/MS 2800 2,240

2073 SJOGREN'S SYNDROME ANTIBODIES *SS-A/Ro *SS-B/La 1498 1,198

2074 Sm (SMITH), ANTIBODY, IgG 560 448

2075 SMEAR EXAMINATION, GONOCOCCUS 77 62

2076 SMEAR EXAMINATION, ROUTINE 77 62

2077 SMOOTH MUSCLE ANTIBODY (ASMA), IFA 1022 818

2078 SMOOTH MUSCLE ANTIBODY (ASMA), IFA IN DILUTIONS 1960 1,568

2079 SODIUM, FLUID 98 78

2080 SODIUM, 24-HOUR URINE 147 118

2081 SODIUM, RANDOM URINE 147 118

2082 SODIUM, SERUM 98 78

2083 SOMATOSTATIN, PL ASMA 5950 4,760

2084 SPECIFIC GRAVITY, URINE 63 50

SPHINGOLIPIDOSIS PANEL 1 *Metachromatic Leucodystrophy * GM 1 Gangliosidosis* GM


2085 5040 4,032
2 Gangliosidosis * Gaucher Disease * Niemann Pick Disease

2086 SPHINGOLIPIDOSIS PANEL 2 *Gaucher Disease *Niemann Pick Disease 2345 1,876

SPHINGOLIPIDOSIS PANEL 3 *GM 1 Gangliosidosis *Gaucher Disease *Niemann Pick


2087 3115 2,492
Disease

2088 SPUTUM EXAMINATION, AFB Includes Auramine and Ziehl Neelsen stain 168 134

BHEL Schedule E Page 107 of 115 Rates effective from 15.08.2014


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Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
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Rates in ₹.

2089 SPUTUM EXAMINATION, OVA & PARASITES 77 62

2090 SPUTUM EXAMINATION, ROUTINE 77 62

2091 SPUTUM, EOSINOPHIL COUNT 77 62

2092 SS-A/Ro ANTIBODY 791 633

2093 SS-B/La ANTIBODY 791 633

STD PANEL *VDRL *HIV 1 & 2, Antibodies Screening Test *HSV 1 & 2, IgG & IgM*Chlamydia
2094 3150 2,520
Bivalent Antibody *TPHA *FTA-ABS

2095 STOOL EXAMINATION, HANGING DROP PREPARATION 70 56

2096 STOOL EXAMINATION, OCCULT BLOOD 77 62

2097 STOOL EXAMINATION, pH & REDUCING SUBSTANCES 77 62

2098 STOOL EXAMINATION, ROUTINE; STOOL, R/E 63 50

2099 STREPTOCOCCUS GROUP B ANTIGEN DETECTION 483 386

2100 STREPTOZYME 2660 2,128

2101 STRIATED / SKELETAL MUSCLE ANTIBODY, IFA 945 756

2102 STRIATED / SKELETAL MUSCLE ANTIBODY, IFA IN DILUTIONS 1883 1,506

2103 SUCCINYL ACETONE 2100 1,680

2104 SUDAN BL ACK B STAIN, BLOOD / BONE MARROW 287 230

2105 SUDAN IV STAIN 287 230

2106 T3 ANTIBODY 7602 6,082

2107 T3, FREE; FT3 224 179

2108 T3, TOTAL 112 90

BHEL Schedule E Page 108 of 115 Rates effective from 15.08.2014


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Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

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Other
Hyd. &
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Rates in ₹.

2109 T3, REVERSE 6293 5,034

2110 T4 ANTIBODY 7602 6,082

2111 T4, FREE & T3, FREE; FT4 & FT3 448 358

2112 T4, FREE & TSH; FT4 & TSH 448 358

2113 T4, FREE; FT4 224 179

2114 T4, TOTAL 112 90

2115 TACROLIMUS; FK506, CMIA 2450 1,960

2116 TACROLIMUS; FK506, LC-MS / MS 2800 2,240

2117 TBG; THYROXINE BINDING GLOBULIN 3493 2,794

2118 TBII; THYROTROPIN - BINDING INHIBITORY IMMUNOGLOBULIN 7490 5,992

2119 TEICHOIC ACID ANTIBODY 2590 2,072

2120 TESTOSTERONE FREE, BIOAVAIL ABLE & TOTAL 9744 7,795

2121 TESTOSTERONE, FREE 1099 879

2122 TESTOSTERONE, FREE & SEX HORMONE BINDING GLOBULIN 2345 1,876

2123 TESTOSTERONE, TOTAL 364 291

2124 TESTOSTERONE PANEL, TOTAL & FREE 1344 1,075

2125 TESTOSTERONE STIMUL ATION BY HCG 1 specimen 364 291

2126 TETANUS ANTITOXOID ANTIBODY, IgG 3395 2,716

THAL ASSEMIA PROFILE *Iron Studies *Complete Blood Count


2127 910 728
*HemoglobinHPLC/Electrophoresis

2128 THALLIUM, BLOOD 1883 1,506

BHEL Schedule E Page 109 of 115 Rates effective from 15.08.2014


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Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

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Other
Hyd. &
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2129 THALLIUM, 24-HOUR URINE 1883 1,506

2130 THALLIUM, RANDOM URINE 1883 1,506

2131 THIORIDAZINE 2849 2,279

2132 THROMBIN TIME; TT 385 308

THROMBOPHILIA PROFILE *Protein C, Functional *Protein S, Functional *Antithrombin


2133 III,Functional *Factor V Leiden Mutation *Prothrombin Gene Mutation *MTHFR gene 8505 6,804
mutation
THROMBOPHILIA COMPREHENSIVE PROFILE *Thrombophilia profile *Lupus
2134 9506 7,605
anticoagulant

2135 THYROGLOBULIN; Tg Cancer Marker 1022 818

2136 THYROID PROFILE, FREE *Free T3 *Free T4 *TSH, Ultrasensitive 574 459

2137 THYROID PROFILE,TOTAL *Total T3 *Total T4 *TSH 343 274

2138 THYROID, COMPREHENSIVE PANEL *Throid profile, Free *Antithyroid antibodies 1883 1,506

2139 THYROTROPIN RELEASING HORMONE; TRH 13013 10,410

2140 TISSUE TRANSGLUTAMINASE (tTG) ANTIBODY, IgA 560 448

2141 TLC ( TOTAL LEUCOCYTE COUNT), AUTOMATED 63 50

2142 TLC ( TOTAL LEUCOCYTE COUNT), FLUID 63 50

2143 TORCH PANEL AVIDITY, IgG 791 633

2144 TORCH PANEL, IgG & IgM *Toxoplasma *Rubella *Cytomegalovirus *Herpes Simplex 1+2 1540 1,232

2145 TORCH PANEL, IgG *Toxoplasma *Rubella *Cytomegalovirus *Herpes Simplex 1+2 791 633

2146 TORCH PANEL, IgM *Toxoplasma * Rubella * Cytomegalovirus *Herpes Simplex 1+2 791 633

2147 TOXICOLOGY SCREEN, BLOOD 4081 3,265

2148 TOXOPL ASMA AVIDITY, IgG 322 258

BHEL Schedule E Page 110 of 115 Rates effective from 15.08.2014


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Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

2149 TOXOPL ASMA ANTIBODIES PANEL, IgG & IgM 560 448

2150 TOXOPL ASMA ANTIBODY, IgG 322 258

2151 TOXOPL ASMA ANTIBODY, IgM 322 258

2152 TPHA; TREPONEMA PALLIDUM HEMAGGLUTINATION 322 258

2153 TRANSFERRIN 637 510

2154 TRAZODONE 3920 3,136

TRICYCLIC ANTIDEPRESSANTS SCREEN, SERUM Group therapeutic drug monitoring for


2155 168 134
Amitriptyline, Nortriptyline, Imipramine & Desipramine. Does not give individual drug levels

2156 TRIGLYCERIDES, FLUID 168 134

2157 TRIGLYCERIDES, SERUM 168 134

2158 TRYPTASE 4277 3,422

2159 TRYPTOPHAN, QUANTITATIVE, PL ASMA 5460 4,368

2160 TRIMIPRAMINE 3395 2,716

2161 TROPONIN - I 945 756

2162 TROPONIN - T 945 756

2163 TRYPSIN 3731 2,985

2164 TSH (THYROID STIMUL ATING HORMONE), ULTRASENSITIVE 231 185

2165 TSH ANTIBODY 7602 6,082

2166 TSI & TBII; THYROID STIMUL ATING IMMUNOGLOBULIN & THYROTROPIN - BINDING 16219 12,975

2167 TSI; THYROID STIMUL ATING IMMUNOGLOBULIN 9366 7,493

2168 TYPHI DOT 266 213

BHEL Schedule E Page 111 of 115 Rates effective from 15.08.2014


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Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
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2169 TYPHUS FEVER ANTIBODIES, IgG & IgM 3766 3,013

2170 UREA 70 56

2171 UREA, 24-HOUR URINE 147 118

2172 UREA NITROGEN, 24-HOUR URINE 147 118

2173 URIC ACID 84 67

2174 URIC ACID, 24-HOUR URINE 147 118

2175 URINE, DYSMORPHIC RBC 182 146

2176 URINE EXAMINATION, ROUTINE; URINE, R/E 56 45

2177 URINE, EOSINOPHIL COUNT 77 62

2178 URINE, GLUCOSE 42 34

2179 URINE, REDUCING SUBSTANCES 70 56

2180 UROBILINOGEN, QUALITATIVE, 24-HOUR URINE 63 50

2181 VALPROIC ACID; VALPROATE 483 386

VARICELL A ZOSTER VIRUS (VZV) ANTIBODIES PANEL, IgG & IgM (Chicken Pox; Herpes
2182 1344 1,075
zoster; Shingles)

2183 VARICELL A ZOSTER VIRUS (VZV) ANTIBODY, IgG (Chicken Pox; Herpes zoster; Shingles) 714 571

2184 VARICELL A ZOSTER VIRUS (VZV) ANTIBODY, IgM (Chicken Pox; Herpes zoster; Shingles) 714 571

2185 VDRL (RPR), SERUM 77 62

VENOUS THROMBOSIS RISK ANALYSIS, PROFILE *Factor V Leiden Mutation *


2186 3339 2,671
Prothrombin GeneMutation * MTHFR Gene Mutation

2187 VITAMIN A (RETINOL) 77 62

2188 VISCOSITY, SERUM 2709 2,167

BHEL Schedule E Page 112 of 115 Rates effective from 15.08.2014


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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
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Rates in ₹.

2189 VITAMIN B1 (THIAMINE), PL ASMA 4480 3,584

2190 VITAMIN B12 BINDING CAPACITY, UNSATURATED; TRANSCOBAL AMIN 5593 4,474

2191 VITAMIN B1 (THIAMINE), WHOLE BLOOD 4109 3,287

2192 VITAMIN B12; CYANOCOBAL AMIN 637 510

2193 VITAMIN B2; RIBOFL AVIN 5061 4,049

2194 VITAMIN B6; PYRIDOXINE 5712 4,570

2195 VITAMIN C; ASCORBIC ACID 4200 3,360

2196 VITAMIN D 25 - HYDROXY 1099 879

2197 VITAMIN D, 1, 25-DIHYDROXY 2345 1,876

2198 VITAMIN E; TOCOPHEROL 3500 2,800

2199 VITAMIN K 7658 6,126

2200 VMA (VANILMANDELIC ACID) , RANDOM URINE 2156 1,725

2201 VMA (VANILMANDELIC ACID), 24-HOUR URINE 2156 1,725

2202 von WILLEBRAND FACTOR ANTIGEN; vWF Ag 5964 4,771

2203 WEIL FELIX TEST *Proteus Antigen OX19, OX 2 & OX K 364 291

2204 WIDAL SLIDE AGGLUTINATION TEST 112 90

2205 WIDAL TUBE AGGLUTINATION TEST 147 118

2206 YEAST (CANDIDA SPECIES) IDENTIFICATION AND SUSCEPTIBILITY TESTING 714 571

2207 YEAST (CANDIDA SPECIES) SUSCEPTIBILITY TESTING 483 386

2208 ZINC, 24-HOUR URINE 1022 818

BHEL Schedule E Page 113 of 115 Rates effective from 15.08.2014


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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

2209 ZINC, RANDOM URINE 1022 818

2210 ZINC, SERUM / PL ASMA 1022 818

BLOOD TRANSFUSION SERVICES /BLOOD BANK CROSS MATCH CHARGES

Rh Subgroups + k antigen test [RHK]


2211 400 320

BLOOD DONOR SCREENING TESTS

Anti HBc - IgM ( hepatitis B virus serology )


2,212 1,150 920

HBsAg ( Australia antigen )


2,213 900 720

Hepatitis C virus serology antibody test


2,214 1,150 920

HIV antibody test


2,215 750 600

RPR
2,216 210 168

CROSSMATCH OF BLOOD / RED CELLS

ABO & Rh D and Antibody screening of patient's


2,217 350 280

BLOOD GROUP - 1 FOR BLOOD / PACKED CELL


2,218 380 304

CROSSMATCH OF FFP / PLATELETS / CRYOPRECIPITATE / GRANULOCYTES

ABO & Rh D and Antibody screening of patient's


2,219 350 280

BLOOD BANK ISSUE CHARGES

Issue Fresh Frozen Plasma (FFP)


2,220 leukocyte reduced (NAT Tested) [FFPNAT] 1,600 1,280

Issue packed red cells ( Dialysis ) [IPRCCSD]


2,221 1,300 1,040

Issue packed red cells (Only for


2,222 Cardiac Surgery 2,600 2,080
Packages)
Issue packed red cells (Only for
2,223 Thalassaemia patients) [IPRTH] 1,600 1,280

BHEL Schedule E Page 114 of 115 Rates effective from 15.08.2014


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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places

Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.

Issue platelets (prestorage leukocyte reduced) for transfusion [IPLRBC]


2,224 1,700 1,360

Issue Platelets concentrate leukocyte reduced ( NAT tested) [PCNAT]


2,225 1,700 1,360

Issue red cells (Paed Cardiac Surgery) [IRCPCS]


2,226 3,500 2,800

BLOOD BANK TEST CHARGES

Direct Antihuman Globulin Test ( DAT )


2,227 400 320

Indirect Antihuman Globulin Test ( IAT )


2,228 450 360

Screening of cold antibodies


2,229 300 240

Titre of antibodies for A and B blood group antigens


2,230 400 320

Titre of cold antibodies at room temp and 4 degree C


2,231 500 400

Titre of incomplete antibody by ICT


2,232 1,500 1,200

BHEL Schedule E Page 115 of 115 Rates effective from 15.08.2014

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