IMA NHB Suggested Package amount for negotiation with Insurance

Companies

IMA MHB Proposed

minimum quotable
S.No Name of the Procedure -Treatment System
rate for single room
non A/c

1 CABG CARDIOLOGY

2 Angiography(Day Care) CARDIOLOGY

3 Angiography With Angioplasty CARDIOLOGY

4 Valve Replacement* CARDIOLOGY

5 Temporary Pacemaker Implantation CARDIOLOGY

6 Permanent Pacemaker Implantation CARDIOLOGY

7 DVR - Double Valve Replacement (Cardiac Surgery) CARDIOLOGY

8 EPS and RFA CARDIOLOGY

9 Tonsillectomy E.N.T 26500

10 Adenotonsillectomy E.N.T 31750

11 Tympanoplasty E.N.T 39000

12 Mastoidectomy E.N.T 45000

13 Septoplasty E.N.T 27500

14 Nasal Polyps/ Sinusitis (Fess)- Unilateral E.N.T 35000

15 Nasal Polyps/ Sinusitis (Fess)- Bilateral E.N.T 45000

16 Cortical Mastoidectomy With Myringoplasty E.N.T 45000

18 Peritonsilar Abscess Drainage E.N.T 15000

19 Septoplasty + Turbinoplasty / Conchaplasty E.N.T

20 Myringotomy with Grommet insertion E.N.T 25000

17 Meatotomy Urology 25000

GENERAL
21 Haemorrhoidectomy 25000
SURGERY
GENERAL
22 Haemorrhoidectomy + Fissurectomy 30000
SURGERY
GENERAL
23 Fissure Dialatation 25000
SURGERY
GENERAL
24 Fissureectomy 25000
SURGERY
GENERAL
25 Fistula High End 45000
SURGERY
GENERAL
26 Fistula Low End 35000
SURGERY
GENERAL
27 Appendectomy (Lap) 40000
SURGERY
GENERAL
28 Cholesystectomy (Lap) 50000
SURGERY
 GENERAL
29 Excision Of Pilonoidal Sinus With Flap Cover 45000
SURGERY
GENERAL
30 Excision Of Pilonoidal Sinus With Primary Closure 35000
SURGERY
GENERAL
31 Mastectomy (Simple) 40000
SURGERY
GENERAL
32 Mastectomy (Radical) 55000
SURGERY
GENERAL
33 Thyroidectomy (Total/Subtotal) 45000
SURGERY
GENERAL
34 Inguinal Herniorraphy- Unilateral - Exclucive of Mesh & Tackers
SURGERY
GENERAL
35 Inguinal Hernioplasty- Unilateral - Open (Case to case varies) 42500
SURGERY
GENERAL
36 Inguinal Herniorraphy- Bilateral - Open (Case to case varies)
SURGERY
GENERAL
37 Inguinal Hernioplasty- Bilateral - Open (Case to case varies) 60000
SURGERY
GENERAL
38 Umblical Herniorraphy
SURGERY
GENERAL
39 Umblical Herniorraplasty - Exclusive of Mesh & Tackers 60000
SURGERY
GENERAL
40 Incisional Herniorraphy 60000
SURGERY
GENERAL
41 Incisional Hernioplasty - Open (Exclusive of Mesh & Tackers) 75000
SURGERY
GENERAL
42 Circumcision 15000
SURGERY
GENERAL
43 Perianal Abcess 20000
SURGERY
GENERAL
44 Breast Lumpectomy 30000
SURGERY
GENERAL
45 AV Fistula 25000
SURGERY
GENERAL
46 Hydrocele 25000
SURGERY
GENERAL
47 URS(therapeutic) - Unilateral 45000
SURGERY
GENERAL
48 Right or left Hemi Coloctomy - Exclusive of Stappler 70000
SURGERY
Resection and Anastomosis of Small Intestine - Exclusive of Stappler (Case to GENERAL
49 60000
case varies) SURGERY
GENERAL
50 ESWL(Extracorporeal shock wave lithotripsy) - Sitting (Case to case varies) 35000
SURGERY
GENERAL
51 Exploratory Laparotomy - Case to case varies CTC
SURGERY
GENERAL
52 ERCP – EPT/Stenting/Stone removal
SURGERY
53 Renal Transplant Surgery ( Recipient) NEPHROLOGY

54 VP Shunting NEUROLOGY
OBSTETRICS &
55 Normal Delivery 30000
GYNE.
OBSTETRICS &
56 Lscs (With Well Baby Care) 45000
GYNE.
OBSTETRICS &
57 Lap Hystractomy (Abdominal/Vaginal)- Level 2 50000
GYNE.
OBSTETRICS &
58 Instrumental Delivery (Including Well Baby Care) 35000
GYNE.
OBSTETRICS &
59 Ovarian Cystectomy 40000
GYNE.
OBSTETRICS &
60 Dilatation & Curettage (D&C) 15000
GYNE.
OBSTETRICS &
61 Vaginal-Vault Prolapse Repair 40000
GYNE.
 OBSTETRICS &
62 Laproscopic Ovarian Drilling 35000
GYNE.
IMRT (Cancer Radiation Therapy) INTENSITY MODULATED RADIATION
63 ONCOLOGY
THERAPY
64 VMAT(Cancer Radiation Therapy) Volumetric modulated Arc therapy ONCOLOGY

65 SBRT (Cancer Radiation Therapy) Steriotactic Body Radiation therapy ONCOLOGY

66 SRS Brain (Cancer Radiation Therapy) Stereotactic Radio Surgery ONCOLOGY

67 SRT Brain (Cancer Radiation Therapy) Steriotactic Fractionated Radiation ONCOLOGY

68 3 D CRT (Cancer Radiation Therapy) 3D Conformal radiation therapy ONCOLOGY

69 IGRT (Cancer Radiation Therapy) Image Guided radiation Therapy ONCOLOGY

70 Cataract + Cost Of Lens 7000/- OPHTHALMOLOGY

71 Retinal Detatchment OPHTHALMOLOGY

72 Vitrectomy OPHTHALMOLOGY

73 Vitrectomy With Gas Temponade OPHTHALMOLOGY

74 Vitrectomy With Silicon Temponade OPHTHALMOLOGY

75 Vitrectomy - Membrane Peeling- Endolaser OPHTHALMOLOGY

76 Vitrectomy Sutureless + Membranectomy + Endolaser OPHTHALMOLOGY

77 Vitrectomy - Membrane Peeling - Endolaser - Silicon Oil Or Gas - With Or Without Belt
OPHTHALMOLOGY
Buckling

78 Total Knee Replacement (Unilateral) - Exclusive of Implant ORTHOPAEDICS 100000+imp

79 Total Knee Replacement (Bilateral) - Exclusive of Implant ORTHOPAEDICS 175000+imp

80 Hip Replacement (Unilateral) - Exclusive of Implant ORTHOPAEDICS 100000+imp

81 Hip Replacement (Bilateral) - Exclusive of Implant ORTHOPAEDICS 175000+imp

82 Fracture Neck Femur (Bipolar Arthroplasty/Multiple Screw Fixation ORTHOPAEDICS 75000

83 Therapeutic Arthroscopy ORTHOPAEDICS 40000

84 Arthroscopic Surgery ( Other Than Acl) / Menisectomy ORTHOPAEDICS 60000

85 Acl Reconstruction - Exclusive of Implant ORTHOPAEDICS 100000

86 Laminectomy/Discectomy - Single Level ORTHOPAEDICS 75000

87 Stabilization Of Spinal Column ORTHOPAEDICS 100000+imp

88 Carpel Tunnel Release ORTHOPAEDICS 35000

89 Close Reduction of Fracture of Limbs and POP ORTHOPAEDICS 25000

90 Reduction of Compound Fractures - (Case to case varies) ORTHOPAEDICS 35000

91 Close Reduction of Dislocations ORTHOPAEDICS 30000

92 Implant Removal ORTHOPAEDICS 40000

93 MCL Reconstriction/Repair - Exclusive of Implant ORTHOPAEDICS 75000

94 Reduction of Dislocation in GA ORTHOPAEDICS 30000

 UROLOGY &
95 DJ Stent Removal 13000
NEPHROLOGY
UROLOGY &
96 Pcnl- Unilateral 75000
NEPHROLOGY
UROLOGY &
97 Pcnl- Bi Lateral - Case to case varies 150000
NEPHROLOGY
UROLOGY &
98 Turp/Laser Holmium
NEPHROLOGY
UROLOGY &
99 Dialysis - Case to case varies CTC
NEPHROLOGY
UROLOGY &
100 Cystoscopy(Therapeutic) 30000
NEPHROLOGY
UROLOGY &
101 Cystoscopy Urs With Dj Stending (Unilateral) 45000
NEPHROLOGY
UROLOGY &
102 Nephrectomy/Nephrolithomy/Pyelolithotomy 70000
NEPHROLOGY
UROLOGY &
103 Orchidectomy 35000
NEPHROLOGY
VASCULAR
104 Varicose Veins(surgical as well as laser) - Open (Case to case varies) 50000
SURGERY
VASCULAR
105 Varicose Veins(surgical as well as laser) - RF Unilateral 75000
SURGERY

OPHTHOLMOLOGY
Final Proposed
package rates
S.No Procedure Tamilnadu Eye
Hospitals

1 ECCE/SICS

2 ECCE / SICS+IOL 8000

Phaco with

3. Indian Non-aspheric foldable IOL 12000

4. Indian aspheric foldable IOL 15000
5. Imported Non-aspheric Foldable IOL 20000
6. Imported Aspheric Foldable IOL 26000

7.
Indian ToriciOL

8.
Imported Toric IOL 35000

9.
MICS+Indian MIL

10. MICS+Imported IOL 34000

11. Indian Multifocal IOL 34000

12. Imported Multifocal IOL 50000

Please Note :
Make use of this rate for all insurance companies irrespective of PPN
Rates proposed are for single non A/C room for basic hospitals
Please add up A/C room charges for A/C room
Hospital with better facility can force more having this rate as base rate.

Please do not quote less than this rate

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