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HOSPITAL TARIFF(w.e.f 1st April 2017)
MALLYA HOSPITALHospital with a Difference
. .
#2, Vittal Mallya Road, Bangalore 560 001Emergency Line: 080 22242325
Fax: 080 22242326Email: info@mallyahospital.
Website: www.mallyahospital.net
Mallya Hospital Tariff 2017
INDEX
SL.NO PARTICULARS
PAGE
NO.
1 CARDIOLOGY 1
2 CARDIOTHORACIC SURGERY 3
3 DENTAL 4
4 DERMATOLOGY 10
5 DIALYSIS & RENAL SURGERY 11
6 EMERGENCY PROCEEDURE 12
7 ENDOSCOPY 14
8 ENT 17
9 GENERAL SURGERY 20
10 GENITO URINARY SURGERY 24
11 GYNAECOLOGY / OBSTERICS 28
12 HYSTEROSCOPIC SURGERY 30
13 LAPROSCOPIC SURGERY 31
14 LABORATORY INVESTIGATIONS 32
15 BIO CHEMISTRY 33
16 BLOOD BANK 39
17 CLINICAL PATHOLOGY 40
18 HAEMATOLOGY 41
19 HISTOPATHOLOGY / CYTOLOGY 43
20
MICROBIOLOGY / IMMUNO-
SEROLOGY 44
21 OTHER TESTS 48
22 MAXILLOFACIAL SURGERY 49
23 MEDICAL RECORDS 51
24 MISCELLANEOUS 52
25 NEONATOLOGY 53
26 NEURO SURGERY 54
27 ONCOLOGY- SURGICAL 55
28 OPHTHALMOLOGY 58
29 ORTHOPAEDICS 59
30 OT CHARGES 64
31 PAEDIATRIC (NEW BORN) 65
32 PHYSIOTHERAPY 66
33 PLASTIC SURGERY 67
34 PSYCHIATRY 71
35 RADIOLOGY 72
36 ROOM TARIFF 76
37 TREATMENT PROCEDURES 77
38 VASCULAR SURGERY 79
• The price list is effective from 01.04.2017 and subject to change without
prior notice.
• In case of emergency surgery- 10% consultation and 25% OT charges
will be charged extra.
1 Mallya Hospital Tariff 2017
CARDIOLOGY
SL.No PARTICULARS GENERAL SEMI PRIVATE PRIVATE
PRIVATE
PLUS DLX SUITE
HOSP PROFF HOSP PROFF HOSP PROFF HOSP PROFF HOSP PROFF
1 CORONARY ANGIOGRAM 7475 2200 11500 2750 13800 3850 17250 5500 20700 6600
2
CARDIAC CATH (RHC,
AORTOGRAM, RENAL) 11500 2200 13800 2200 16100 3300 20700 4400 23000 7700
3 PERIPHERAL / CERIBRAL ANGIO 9200 2200 11500 2200 16100 3300 20700 5500 28750 8800
4 TEMP PACING 5750 2200 6900 2200 11500 3300 17250 4400 20700 5500
5 I.A.B.P 46000 3300 46000 3300 51750 4400 52900 5500 63250 8800
6 GRAFT ANGIO 6900 2200 11500 3300 13800 4400 17250 6600 20700 8800
7 CLOT ASPIRATION 23000 16500 25300 16500 28750 22000 36800 27500 43700 33000
8 PTCA (CORONARY ANGIOPLASTY) 57500 16500 63250 16500 74750 27500 86250 33000 97750 38500
9 PPI (SINGLE CHAMBER) 11500
7700
6600 11500
7700
6600 23000
13200
11000 25300
17600
13200 34500
19800
16500
10 PPI (DUAL CHAMBER) 12650
8470
7260 17250
11000
7700 23000
14300
11000 27600
19800
13200 37950
22000
15400
11
PTA (PHERIPHERAL
ANGIOPLASTY) 28750 7700 28750 7700 34500 16500 40250 19800 46000 22000
12 BMV/PUL/PDA CLOSURE 23000 5500 25300 6600 34500 11000 40250 13200 42550 16500
13 DOBUTAMINE STRESS ECHO 980 605 1035 660 1150 770 1265 880 1495 990
14 ECG 230 345 345 520 575
15 ECHO CARDIOGRAM 1150 330 1440 390 1730 440 2300 550 3000 600
16 HOLTER MONETORING 1150 330 1440 385 1725 440 2300 550 3450 660
17 PAEDIATRIC ECHOCARDIOGRAM 920 440 1380 550 1725 660 2300 770 2875 1100
2 Mallya Hospital Tariff 2017
(10 YEARS)
18
PERICARDIO CENTESIS (CATH
LAB) 4600 1100 5175 1100 5750 1650 8050 1980 9200 2200
19
PULMONARY & AORTIC
VALVULOPLASTY 28750 11000 32200 13200 34500 16500 36800 19800 51750 22000
20 PULMONARY FUNCTION TEST 345 220 575 275 660 330 690 440 920 550
21 SIGNAL AVERAGE ECG 345 520 0 575 0 630 805
22
TRANS OESOPHAGAL
ECHOCARDIOGRAM 1150 605 1380 660 2300 770 2875 880 3450 990
23 TREADMILL / STRESS TEST 1150 330 1380 385 1725 440 2300 550 3450 660
24 COIL EMBOLISATION 17250 8800 18400 11000 20700 13200 23000 15400 25300 17600
3 Mallya Hospital Tariff 2017
CARDIOTHORASIC SURGERY
SL.NO PARTICULARS
GENERAL
& SEMI
PVT
PRIVATE PRIVATE
PLUS
DLX
SUITE
1 LOBECTOMY 21610 35500 39360 44440
2 SEGEMENTAL RESECTION 21610 35500 39360 44440
3 PNEUMONECTOMY 39360 55790 63400 69790
4 DECORTICATION 17760 27900 34290 39360
5 CYST IN LUNG EXCISSION 34290 48180 55790 63400
6 SIMPLE MEDIASTINAL TUMOUR 34290 48180 55790 63400
7 COMPLEX MEDIASTAL TUMOUR 39360 55790 63400 69790
8 OPEN LUNG BIOPSY 8940 14010 20290 27900
9 EXPLORATORY THORACOTOMY 17760 27900 34290 39360
10 TRACHEAL RECONSTRUCTION 39360 55790 63400 69790
11
RIGID BRONCHOSCOPY &FORIGN BODY
REMOVAL 7610 10140 14010 20290
12
RIGID OESPINGOSOPY & FORIGN BODY
REMOVAL 6390 8940 14010 19080
13 TOTAL PERICARDECTOMY 39360 55790 63400 69790
14 HELLERS OPERATION 34290 48180 55790 63400
15 DIAPHARALMATIC HERNIA 34290 48180 55790 63400
16 COLONIC REPLACEMENT FOR OESOPHAGOS 27900 41900 55790 63400
17 ICD 3860 5070 8940 11470
18 PLURAL BIOPSY 3200 4410 7610 10140
19 PLURAL ASPIRATION 3200 4410 7610 10140
20 PARTIAL PERICARDECTOMY 14010 22170 25360 31750
Note:
WHEN TWO PROCEDURES ARE COMBINED, 50% OF THE SECOND PROCEDURE WILL BE
ADDED TO THE FIRST SURGERY.
4 Mallya Hospital Tariff 2017
DENTAL
Sl.
No. INVESTIGATIONS TYPE GENERAL
SEMI PVT
PRIVATE PRIVATE
PLUS DLX
SUITE
1 ACRLIC CROWN
2 APSECTOMY ANTERIOR
1370
1050
1680
1840
2000
1580
2310
1840
2630
2100
3 APISECTOMY POSTERIOR
1680
1310
2000
1580
2310
1840
2630
2100
3050
2390
4
ADJUSTMENT OF HARD
APPLIANCE
320
260
420
320
420
370
530
420
630
530
5
CAST PARTIAL DENTURE
(PERARCH) 8400 8400 10500 12600 15750
6 ORAL PROPHYLASIS
530
420
630
530
740
580
840
630
840
680
7 COMPLETE DENTURE
7880
6300
9240
7350
10500
8400
11870
9450
13130
10500
8
COMPLETE DENTURE WITH
IMPORTED DENTURE MATERIAL
AND TOOTH SET
9870
7880
10500
8400
11130
8930
11870
9450
13130
10500
9
CROWN & BRIDGE WORK EACH
UNIT (CERAMIC)
2940
2360
3260
2630
3990
3150
5250
4200
6620
5250
10
PIT & FISSURE APPLICATION (PER
TEETH)
320
260
420
320
420
370
530
420
630
530
11
CROWN & BRIDGE WORK EACH
UNIT (METAL FREE) (E-MAX)
4620
3680
4620
3680
5040
3990
5250
2400
5570
4410
12
CROWN & BRIDGE WORK EACH
UNIT (METAL)
2000
1580
2100
1680
2210
1790
2420
1890
2630
2100
13
CROWN & BRIDGE WORK PER
UNIT (PROCERA-ZIRCON)
6620
5250
7250
5780
7880
6300
8510
6830
9240
7350
14 CRYO SURGERY
1370
1050
1680
1310
2000
1580
2310
1840
2630
2100
15 DENTAL X-RAY / RVG 110 210 210 320 320
16 EXTRACTION - SIMPLE
530
420
630
530
740
580
840
630
840
680
17 CLASS I AMALGAM
320
260
420
320
420
370
530
420
630
470
5 Mallya Hospital Tariff 2017
18
CLASS I AMALGAM WITH
EXTENSION
420
320
420
370
530
420
630
470
630
530
19 CLASS II AMALGAM
530
420
630
470
630
530
740
580
840
630
20 FLALP SURGERY
630
530
630
530
630
530
630
530
630
530
21 FLUORIDE TREATMENT
420
320
530
420
630
530
840
630
950
790
22 GINCEVECTOMY -WHOLE MOUTH
2000
1580
2000
1580
2000
1580
2000
1580
2000
1580
23 GLASS LONOMER
320
260
420
320
420
370
530
420
630
470
24 IMPACTED TEETH
1680
1310
2000
1580
2310
1840
2630
2100
2940
2360
25 LIGHT CURE ANTERIOR CLASS III
530
420
630
470
630
530
740
580
840
630
26 LIGHT CURE ANTERIOR CLASS IV
840
630
840
680
950
740
950
790
1050
840
27 COMPOSITE VENEER
1370
1050
1680
1310
2000
1580
2310
1840
2630
2100
28 LIGHT CURE POSTERIOR
630
530
740
580
840
630
840
680
950
740
29 ORTHODENTURE - PER UNIT
630
530
740
580
840
630
840
680
950
740
30 ORTHODENTURE - PER ZONE
2420
1890
2520
2000
2630
2100
2730
2210
2940
2310
31 REMOVABLE PARTIAL DENTURE
630
530
740
580
840
630
840
680
950
740
32
PARTIAL DENTURE (EACH
ADDITIONAL UNIT)
320
260
420
320
420
370
530
420
630
470
33
ROOT CANAL TREATMENT
(ANTERIOR)
1470
1160
1580
1260
1680
1370
1890
1470
2000
1580
34
ROOT CANAL TREATMENT
(POSTERIOR)
2310
1840
2630
2100
2940
2360
3260
2630
3570
2890
35 SURGICAL EXTRACTION
840
630
840
680
950
740
950
790
1050
840
36 TEMPORARY ACRYLIC CROWNS
420
320
420
370
530
420
630
470
630
530
37 UPPER OCCLUSAL FILM
210
130
210
140
210
150
210
160
210
170
6 Mallya Hospital Tariff 2017
38 STAINLESS STEEL CROWN (3M)
1680
1310
2000
1580
2310
1840
2630
2100
2940
2360
39
CROWN AND LOOP FIXED SPACE
MAINTAINER
2000
1580
2100
1680
2210
1790
2420
1890
2520
2000
40
BAND AND LOOP FIXED SPACE
MAINTAINER
2000
1580
2100
1680
2210
1790
2420
1890
2520
2000
41
REMOVAL ORTHODONTIC
APPLICANCE
2000
1580
2100
1680
2210
1790
2420
1890
2520
2000
42
FLUORIDE APPLICATON (PER
ARCH)
420
320 420
530
420
630
470
630
530
43
P&F SEALENT APPLICATION PER
TEETH
320
260
420
320
420
370
530
420
630
470
44 PULP THERAPY
1680
1310
2000
1580
2310
1840
2630
2100
2940
2360
45 MUCOCELE EXCISION
1370
1050
1680
1310
2000
1580
2310
1840
2630
2100
46 REMOVAL APPLICANCE
3990
1580
3990
1580
3990
1580
3990
1580
3990
1580
47 STRAIGHT WIRE APPLIANCE
4620
12080
4620
12080
4620
12080
4620
12080
4620
12080
48 BEGGS APPLICANCE THERAPY
8510
1580
8510
1580
8510
1580
8510
1580
8510
1580
49 RETENTION PLATES
320
260
320
260
320
260
320
260
320
260
50 PULPECTOMY
950
790
950
790
950
790
950
790
950
790
51 POST CORE
1370
1050
1370
1050
1370
1050
1370
1050
1370
1050
52 FINAL SPACE MAINTAINER
1370
1050
1370
1050
1370
1050
1370
1050
1370
1050
53 SOFT TISSUE REPAIR - MINOR
2000
1580
2310
1840
2630
2100
2940
2360
3260
2630
54 SOFT TISSUE REPAIR - MAJOR
3990
3150
4620
3680
5250
4200
5570
4460
5780
4620
55 ABSCESS - I&D
2000
1580
2100
1680
2210
1790
2420
1890
2630
2100
56 ALVEOLOPLASTY
2000
1580
2100
1680
2210
1790
2420
1890
2630
2100
57 APISECTOMY
2630
2100
2730
2210
2940
2310
3050
2420
3150
2520
7 Mallya Hospital Tariff 2017
58 BIOPSY
2000
1580
2000
1630 2100 2210 2210
1580 1630 1680 1730 1790
59 COMPOSITE SPLINT (PER ARCH) 1370 1580 1890 2000 2100
1050 1260 1470 1580 1680
60
DENTO ALVELOLAR FRACTURE
WIRING
3990
3150
4100
3260
4200
3360
4310
3470
4620
3680
61
VALPLAST FLEXIBLE DENTURES
UPTO 2 TEETH
3990
3150
4620
3680
5250
4200
5880
4730
6620
5250
62
VALPLAST FLEXIBLE DENTURES
3-4 TEETH
5250
4200
5880
4730
6620
5250
7250
5780
7880
6300
63
VALPLAST FLEXIBLE DENTURES
5-6 TEETH
6620
5250
7350
5880
8190
6510
8820
7040
9870
7880
64
VALPLAST FLEXIBLE DENTURES
7-8 TEETH
7250
5780
7880
6300
8510
6830
9240
7350
9240
7350
65
VALPLAST FLEXIBLE DENTURES
MORE THAN & TEETH
7880
6300
8300
6620
8720
6930
9030
7250
9450
7560
66 ORAL SCREEN
1680
1310
2000
1580
2310
1840
2630
2100
2940
2360
67 BPS DENTURES
14490
11550
15120
12080
15750
12600
16380
13130
17120
13650
68 TOOTH JEWELLERY
2000
1580
2100
1680
2210
1790
2420
1890
2630
2100
69
PRE ADJESTED EDGEWISE
TECHNIQUE WITH METAL
BRACKETS
17120
13650
17750
14180
18380
14700
19010
15230
19740
15750
70
PRE ADJESTED EDGEWISE
TECHNIQUE WITH CERAMIC
BRACKETS
23630
18900
24990
19950
26250
21000
28880
23100
30240
24150
71
PRE ADJESTED EDGEWISE
TECHNIQUE WITH METAL
BRACKETS & HEADGEAR
17120
13650
17750
14180
18380
14700
19010
15230
19740
15750
72
PRE ADJESTED EDGEWISE
TECHNIQUE WITH CERAMIC
BRACKETS & HEADGEAR
23630
18900
24990
19950
26250
21000
28880
23100
30240
24150
73 BEGGS TECHNIQUE
5880
4730
6200
4990
6620
5250
6830
5460
7250
5780
74 SPLINT HEADGEAR
9240
7350
9870
7880
10500
8400
11130
8930
11870
9450
8 Mallya Hospital Tariff 2017
75 ACTIVATOR HEADGEAR
9240
7350
9870
7880
10500
8400
11130
8930
11870
9450
76 ACTIVATOR
5880
4730
6620
5250
7250
5780
7880
6300
8510
6830
77 FRANKLE
5880
4730
6620
5250
7250
5780
7880
6300
8510
6830
78 ORAL SCREEN
5250
4200
5570
4410
5880
4730
6620
5250
7250
5780
79 QUADHELIX EXPANSION
5880
4730
6620
5250
7250
5780
7880
6300
8510
6830
80 HYMAX EXPANSION
5880
4730
6620
5250
7250
5780
7880
6300
8510
6830
81 REMOVABLE RETAINER
3990
3150
4200
3360
4620
3680
4830
3890
5250
4200
82 FIXED RETAINER
4620
3680
5040
3990
5250
4200
5570
4410
5880
4730
83 TMJ Splints
A) SOFT 2000 2100 2210 2420 2630
1580 1680 1790 1890 2100
B) DUAL 2000 2100 2210 2420 2630
1580 1680 1790 1890 2100
C) HARD STABILIZATION 2630 2940 3150 3260 3470
2100 2310 2520 2630 2730
D) NTI 2630 2730 2940 3050 3260
2100 2210 2310 2420 2630
E) HARD REPOSITONING 2630 2940 3050 3150 3260
2100 2310 2420 2520 2630
F) BRUVISM 2630 2730 2940 3050 3150
2100 2210 2310 2420 2520
84 SLEEP APENA APPLIANCE
A) REPOSITIONING 2630 2730 2940 3050 3150
2100 2210 2310 2420 2520
85 BITE GUIDE PROSTHESIS 2630 2730 2940 3050 3150
2100 2210 2310 2420 2520
86 TRIGGER POINT INJECTION
A) ONE 630 740 840 840 950
530 580 630 680 740
B) TOW 950 1050 1160 1370 1580
9 Mallya Hospital Tariff 2017
790 840 950 1050 1260
87
NEUROMA-INTRALESIONAL
STERIOID INJECTION 420 530 630 630 840
370 420 470 530 630
88 TMJ REDUCTION 630 740 840 840 950
530 580 630 680 740
89
SPRAY AND STRETCH
VAPOCOOLANT SPRAY 630 740 840 840 950
530 580 630 680 740
90 DRUG DELIVERY APPLIANCE 1370 1470 1580 1680 1890
1050 1160 1260 1370 1470
91
MUCOSITES MOUTHWASH FOR
CANCER PATIENTS 1370 1470 1580 1680 1890
1050 1160 1260 1370 1470
Note
The first row of each procedure indicates charges and second row indicates Professional Charge.
10 Mallya Hospital Tariff 2017
DERMATOLOGY
SL.NO PARTICULARS Rates
HOSP. PROF.
1 CRYOTHERAPY 500 300
3 CURRETTAGEOFMOLLUSCUMMULTIPLE
500 200
4 CURRETTAGEOFMOLLUSCUMSINGLE 300 150
6 ELECTROCAUTERY SINGLE WARDS 400 150
7 ELECTROCAUTERY MULTIPLE WARDS 600 250
9 FUNGALSCRAPPING 300 ******
10 PATCHTESTEACHPATCH 100 ******
12 PODOPHYLLIN FOR WARTS (DR CHARGES) 300 ******
13 SKINBIOPSY 500 ******
15
SKININTRALESIONALINJECTIONMULTIPLESITE
300 ******
16 SKININTRALESIONALINJECTIONONESITE
300 ******
18 SMEARFORLEPRABACILLI 300 ******
11 Mallya Hospital Tariff 2017
DIALYSIS / RENAL TRANSPLANT SURGERY
SL.NO
INVESTIGATION
TYPE GENERAL
SEMI
PVT PRIVATE PRIVATE
PLUS
DLX
SUITE
1 PERITONIAL DIALYSIS
2520 2940 3260 3780 4410
1580 2100 2210 2630 3150
2 CONTINUOUSARTERIO
VENOUS
HAEMODIALYSIS
4620 5780 6930 6930 8090
1580 1790 2000 2360 2780
3 ACCESS FOR DIALYSIS
(FEMORAL / JAGULAR
/ SUBCLAVIAN)
2100 2310 3150 3680 4200
2630 3150 3680 3680 4200
4 HEMODIALYSIS-
BICARBONATE
1260 1580 2000 2730 2940
320 580 840 890 1160
5 A V FISTULA
(SURGEON CHARGES) 9560 9560 12710 15650 19110
6 CAPD CATH
INSERTION 19110 19110 25410 31820 38120
7 RENAL TRANSPLANT
SURGEON CHARGES 157500 215250 267750
ANAESTHESIST
CHARGES 13130 13130 13130
12 Mallya Hospital Tariff 2017
EMERGENCY PROCEDURE
Sl.No. INVESTIGATION TYPE
GENERAL SEMI PVT
PRIVATE PRIVATE
PLUS DLX
SUITE
1
APPLING POP (EXCL
PLASTER & BANDAGE) 500 600 1000 1200 1500
2 BLOOD TRANSFUSSION 500 600 1000 1200 1500
3
BOWL WASH / BLADDER
WASH 500 600 700 800 1000
4
CARDIAC MONITORING
(PER DAY) 175 175 175 175 175
5 CROSS CONSULTATION 100 100 100 100 100
6 CVP MONITORING 300 300 300 300 300
7 CVP CHARGES 1200 1200 1200 1200 1200
8 DRESSING MAJOR 200 250 300 350 400
9 DRESSSING MINOR 150 150 150 150 150
10 DRESSING MINI 75 100 100 100 100
11 DRESSING SUPER 300 300 300 300 300
12
EAR SYRINGING (PER
EAR)
150
100
150
100
150
100
150
100
150
100
13
ENEMA (INCLUDING
PROCTOCLYSIS) 200 300 350 350 400
14 EXCISION MINI
150
100
200
100
250
100
300
100
350
100
15 EXCISION MINOR
200
150
250
150
250
150
300
150
350
150
16 EXCISION MAJOR
300
300
350
350
400
400
450
450
500
500
17
EYE CARE / EYE DROPS
INSTILLATION 25 30 30 50 50
18
FRACTURES ABOVE
ELBOW (POP)
600
300
700
300
800
300
900
300
1000
300
19
FRACTURES ABOVE
KNEE (POP)
600
450
700
450
800
450
900
450
1000
450
20
FRACTURES BELOW
ELBOW (POP)
600
200
700
200
800
200
900
200
1000
200
13 Mallya Hospital Tariff 2017
21
FRACTURES BELOW
KNEE (POP)
600
300
700
300
800
300
900
300
1000
300
22 LUMBAR PUNCTURE 500 600 650 700 1000
23 LUMBAR DOCTOR 250 300 700 350 500
24 MAJOR SUTURING
500
250
600
250
700
400
800
400
1000
500
25 MINOR SUTURING
200
150
250
200
300
250
350
300
500
400
26 NEBULISATION 100 100 150 200 250
27 OXYGEN (PER HOUR) 100 100 150 200 250
28 POLIO DROPS 300 300 300 400 550
29 PRICKING CHARGES 50 50 75 100 150
30
REMOVAL OF PLASTER
OF PARIS 300 300 350 350 350
31
SICK / MEDICAL
CERTIFICATE 200 200 200 200 200
32 STEAM INHALATION 100 100 100 100 100
33 STOMACH WASH 400 400 450 500 550
34 STURE REMOVAL 150 150 250 300 350
35
URINARY
CATHEIERIZATION
(EXCEL CATHETER) 250 300 350 450 450
36
IVENESECTION (CUT
DOWN) 500 500 500 600 700
Note :
The first row of each procedure indicates charges and second row indicates Professional
Charge.
14 Mallya Hospital Tariff 2017
ENDOSCOPY
Sl.No. INVESTIGATION NAME GENERAL
SEMI PVT
PRIVATE PRIVATE
PLUS DLX
SUITE
1 BANDING CHARGES 2,500
3,100
3,700 4,400
5,100
2,200
2,750
3,300 3,960
4,620
2
COLONOSCPIC
POLYPECTOMY 2,500
3,100
3,700 4,400
5,100
2,200
2,750
3,300 3,960
4,620
3 COLONOSCOPY TOTAL 1,700
2,100
1,500 2,700
3,100
1,540
1,870
1,320 2,420
2,750
4 E.R.C.P DIAGNOSTIC 4,300
5,000
5,700 7,000
8,300
3,850
4,510
5,170 6,380
7,590
5 E.R.C.P THERAPEUTIC 5,700
7,000
7,600 8,900
10,900
3,960
5,115
5,720 6,930
7,535
6 ERCP LITHOTRIPSY 24,000
26,400
27,600 28,800
30,000
8,800
9,900
11,000 12,100
13,200
7
FLEXIBLE BROCHOSCOPY -
DIAGNOSTIC 1,200
1,600
1,900 2,200
2,600
1,045
1,375
1,650 1,980
2,310
8
FLEXIBLE BROCHOSCOPY +
BIOPSY 1,700
2,000
2,300 2,600
3,000
1,485
1,760
2,090 2,365
2,695
9 EOSOPHAGEAL DILATATION 2,300
2,600
3,000 3,700
4,300
2,090
2,365
2,695 3,300
3,905
10
FOREIGN BODY REMOVAL
(ENDOSCOPY) 2,300
2,600
3,000 3,700
4,300
2,090 3,300
15 Mallya Hospital Tariff 2017
2,365 2,695 3,905
11
GASTROSCOPIC
POLYPECTOMY 2,300
3,100
3,700 4,300
5,000
2,090
2,750
3,300 3,905
4,510
12 GASTROSCOPY DIAGNOSTIC 1,100
1,700
2,000 2,200
2,300
825
1,320
1,540 1,650
1,925
13 PNEUMATIC DIAGNOSTIC 3,700
4,300
4,900 5,800
7,000
3,300
3,850
4,400 5,280
6,380
14
SCLEROTHERAPHY /
GASTROSCOPY 1,900
3,300
4,000 4,400
5,700
1,705
2,970
3,630 3,960
5,170
15
SIGMOIDOSCOPIC
POLYPECTOM 2,300
2,600
3,300 4,300
5,000
2,090
2,365
2,970 3,905
4,510
16 SIGMOIDOSCOPY 1,000
1,100
1,400 2,000
2,200
880 990
1,210 1,760
1,980
17 LITHOTRIPSYS 8,300
9,700
11,000 12,300
13,600
5,115
6,380
7,590 10,010
11,000
18 STENT REMOVAL 1,700
2,300
3,000 3,700
4,300
1,485
2,090
2,695 3,300
3,905
19 GLUE-INJECTION 3,700
4,300
5,000 5,700
6,300
3,300
3,905
4,510 5,170
5,720
20 ATTEMPTED E.R.C.P 1,700
2,000
2,300 2,600
3,100
1,485
1,760
2,090 2,365
2,750
21 PEG 3,700
4,400
5,000 5,700
6,300
3,300
3,960
4,510 5,170
5,720
22 PEG J 3,700
4,400
5,000 5,700
6,300
16 Mallya Hospital Tariff 2017
3,300
3,960
4,510 5,170
5,720
23 ENDOSCOPIC-CLIPPING 3,700
4,000
4,600 5,200
5,500
3,300
3,630
4,180 4,675
4,950
24 TIS-DIALATION 5,000
5,300
5,600 5,900
6,300
4,510
4,785
5,115 5,390
5,720
25 METAL STENT PLACEMENT 5,000
5,300
5,600 5,900
6,300
4,510
4,785
5,115 5,390
5,720
Note:
First row in each procedure indicates procedure charges and second row indicates
professional charges
17 Mallya Hospital Tariff 2017
ENT
SL.No PARTICULARS
GEN &
SEMI
PVT
PRIVATE PRIVATE
PLUS DLX
SUITE
1 ADENOIDECTOMY 3680 5460 6620 8190
2 ANTERIORNASALPACKINGS 1260 2100 2420 3050
3 ANTRALWASH(BOTHSIDE) 740 1260 1470 1680
4 ANTRALWASH(ONESIDE) 530 630 740 950
5 ANTROCHOANALPOLYPECTOMY 4830 7880 10290 12710
6 ARTERIAL LIGATION IN EPISTAXIS 6090 9030 12080 15120
7 ATTICOTTOMYWITHTYMPANOPLASTY 9030 14490 18170 21110
8 AURALPOLYPECTOMY 2420 3890 5460 7250
9 BILATERALFESS
10 BIOPSYNASOPHARYNX(ENDOSCOPIC) 3260 3890 5460 6620
11 BRANCHIALCYSTEXCISION 7250 9030 12080 15120
12 BRANCHIALFISTULAEXCISION 7250 9030 12080 15120
13 BRONCHOSCOPICREMOVALOFFB 4830 7250 9030 12710
14 CALDWELLLUCOPERATION(1.SIDE) 6090 7880 10290 13340
15 CLOSUREOFORO-ANTRALFISTULA 7250 10920 13340 16910
16 CLOSUREOFPHARYNGEALFISTULA 7250 10920 13340 16910
17 COCHLEARIMPLANT 2210 3360 4200 5460
18 CRANIOFACIAL RESECTION 12080 16280 19320 24150
19 a)CANALPLASTY 4830 6090 7250 8510
20 b)CANALPLASTYWITHTYMPANOPLASTY 7250 8510 9660 10920
21 CORTICALMASTOIDECTOMY 7880 12710 15120 18170
22 CSFOTORHOEA 9030 10920 12710 13860
23 CSFRHINDRHOEA-ENDOSCOPICREPAIR 9030 10920 12710 13860
24 DILATATIONOFOESOPHAGEALSTRICTU
RE 4830 7250 9030 12710
25 DIRECT LARYNGOSCOPY 5460 7560 11450 15120
26 ENDOLYMPHATICSACDECOMPRESSION 9660 12080 14490 16910
27 ENDOSCOPICDCR 6090 7250 8510 9660
28 ENDOSCOPICETHMOIDECTOMY/ FESS 7250 9030 14490 15750
29 EPISTAXIS-(ENDOSCOPICCAUTERY) 3680 4200 4830 5460
30 EXCISIONOFGLOMULUSJUGULARTUMO
UR 12080 14490 18170 21740
18 Mallya Hospital Tariff 2017
31 EXCISIONOFGROWTHTONGUE 7880 11450 13860 18170
32 EXCISIONOFLARYNGOCELE 7880 11450 13860 18170
33 EXCISION ANGIO-FIBROMA
TRANSNASAL 7880 12080 15120 18170
34 EXTERNALFRONTOETHMOIDECTOMY(O
NESIDE) 7250 9030 14490 15750
35 FESSUNILATERAL 7250 9030 14490 15750
36 INTRANASALANTROSTOMY(ONESIDE) 2100 3360 3890 4830
37 INTRANASALANTROSTOMY(BOTHSIDE) 3680 5460 6620 8510
38 INTRA TEMPORAL 11450 15120 18170 23000
39 LARYNGECTOMY 24150 26570 30240 36230
40 MASTOIDECTOMY 12080 18170 21740 26570
41 MICROLARYNGOSCOPY 7250 9660 12080 16910
42 MODIFIEDNECKDISSECTION 18170 21740 24150 27200
43 MYRINGTOMYGROMETBOTHEARS 4830 7880 9030 12710
44 MYRINGTOMYGROMETONEEAR 2420 3680 4830 6620
45 NASALBONEFRACTUREREDUCTION 4830 6620 7880 9030
46 NASALENDOSCOPY-DIAGNOSTIC 2420 3680 4830 6620
47 NASALENDOSCOPYWITHBIOPSY 3680 4200 4830 5460
48 POSTNASALPASKING 2420 3050 3680 4200
49 OPTIC NERVE DECOMPRESSION 9030 13860 16280 21110
50 OESOPHAGOSCOPY 5460 7560 11450 15120
51 PREAURICULARSINUSEXCISION(1SIDE) 4830 7250 9660 12080
52 RADICALNECKDISSECTION 21740 26570 30240 36230
53 RADICALPAROTIDECTOMY 21740 26570 30240 36230
54 RADICALMAXILLECTOMY 21740 26570 30240 36230
55 REVISION MEATOPLASTY 3360 4830 6620 7880
56 RHINOPLASTYTIPSURGERY 10290 15120 18170 21740
57 RHINOPLASTYAUGMENTATION/HUMPR
EDUCTION 10290 15120 18170 21740
58 SEPTALABSCESS/HAEMATOMADRAINA
GE 4830 6090 7250 9660
59 SEPTOPLASTY 7250 9660 12080 15120
60 SEPTORHINOPLASTY 10920 15120 18170 21740
61 SMR(SUBMUCOUSRESECTION) 6090 9030 12080 15120
62 STAPEDECTOMY/STAPEDOTOMY 10290 12710 18170 21740
63 SUBMANDIBULARSALIVARYGLANDEXC
ISION 10290 15120 18170 21740
19 Mallya Hospital Tariff 2017
64 SURGERYFORCHOANALATRESIAUNILAT
ERAL 4830 8510 9660 12710
65 THYROPLASTY 7880 9030 10290 12080
66 TONGUETIERELEASE 2420 3050 3680 4200
67 TONISILLECTOMY 7250 9660 12710 16280
68 TRACHEOSTOMY 6090 7880 9660 10920
69 TRANSCANALLABYRINTHECTOMY 7250 8510 10290 11450
70 TRANSCANALTYMPANICNEURECTOMY 7250 8510 10290 11450
71 TRANSLABYRINHINEVESTIBULARNERV
ESECTION 14490 16280 18170 21740
72 TRANSEXCISIONLABYRINTHINEACOUST
ICNEUROMA 18170 21110 23520 27200
73 TRANSMASTOIDLABYRINTHECTOMY 9660 12080 13860 15750
74 TRANSENASALETHMOIDECTOMY 9030 10920 14490 18170
75 TURBINECTOMYONESIDE 2420 4200 4830 6620
76 TURBINECTOMYTWOSIDE 4830 8510 9660 13340
77 TYMPANOPLASTY 12080 18170 21110 26570
78 TYMPANOTOMY(EXPLORATORY) 7250 8510 9660 10920
79 YOUNG'SOPERATION-BILATERAL 6090 8510 9660 12080
20 Mallya Hospital Tariff 2017
GENERAL SURGERY
SL.No PARTICULARS
GEN &
SEMI
PVT
PRIVATE PRIVATE
PLUS DLX
SUITE
1 ABDOMINAL EXPLORATION /
LAPAROTOMY
8510 10920 14490 18170
2 ABDOMINAL PERINEAL RESECTION 16910 21740 26570 33810
3 ADHESIONS RELEASE MAJOR 10920 14490 19320 21740
4 ADHESIONS RELEASE MINOR 8610 9770 11450 12710
5 AMPUTATION ABOVE KNEE 9030 12080 15750 18170
6 AMPUTATION FOOT /HAND 6200 7880 9660 12080
7 AMPUTATION TOE /FINGER 2420 4200 5460 7250
8 ANTERIOR RESECTION 16910 24150 26570 33810
9 APPENDICECTOMY 7250 9030 10290 12080
10 BANDING OF HAEMORRHOIDS 2420 3680 4830 7250
11 BIOPSY LYMPH NODE
SUPRACLAVICULAR 6090 7250 9660 12080
12 BIOPSY-LYMPH NODE SUPERFICIAL 3680 5570 7250 9030
13 BLEEDING DUODENAL ULCER
(VAGOTOMY - DRANIANGE ) 9030 12080 15120 21740
14 BRANCHIAL CYST 8510 12080 15750 21740
15 BREAST LUMP EXCISION 6090 7880 9660 12080
16 CERVICAL SYMPATHECTOMY 9030 12080 14490 18170
17 CHOLECYSTECTOMY LAPAROSCOPIC 14490 19320 24150 30240
18 CHOLECYSTECTOMY OPEN 12080 15750 18170 23000
19 CHOLECYSTOENTEROSTOMY 9660 12080 14490 18170
20 CHOLECYSTOSTOMY 6620 9030 12080 15120
21 CIRCUMCISION 3680 4830 6090 7880
22 COLECTOMY / HEMICOLECTOMY
LEFT/RIGHT 12710 16280 19320 23520
23 COLECTOMY CLOSURE 6620 9030 12710 16280
24 COLECTOMY PARTIAL 14700 18480 20370 21740
25 COLLECTOMT TOTAL 24470 30770 33390 36230
26 COLOSTOMY SIMPLE 9140 11660 12290 13550
27 COLOSTOMY TOTAL ILEO RECTAL
ANASTOMOSIS 18170 24150 28980 36230
28 COMMON BILE DUCT EXPLORATION 9030 12080 14490 18170
29 DEBRIDEMENT MAJOR 6090 7250 9030 102690
21 Mallya Hospital Tariff 2017
30 DEBRIDEMENT MINOR 3050 3890 4830 6620
31 DISTAL PANCREATECTOMY 14490 16910 20580 24150
32 DUODENAL ULSER PERFORMATION 10290 12710 15750 18170
33 EUA (EXAMINATION UNDER
ANAESTHESIA) 3780 5360 6720 7880
34 FEMORAL HERNIA 7250 9660 12080 15120
35 FISSURECTOMY / SPHINCTEROTOMY 4200 5460 6720 9030
36 FISTULECTOMY HIGH 9030 12080 14490 18170
37 FISTULECTOMY LOW 4940 6200 7250 8720
38 GANGLION EXCISION 3680 4830 6300 7880
39 GASTRECTOMY PARTIAL 12710 15750 18170 23520
40 GASTRECTOMY TOTAL 15120 18170 24780 30240
41 GASTROJEJUNOSTOMY 9030 12080 14490 16910
42 HEMI THYROIDECTOMY 9660 14490 18170 23000
43 HEMORRAOIDECTOMY 6090 7880 10290 12710
44 HEMORRAOIDECTOMY STAPLER 12290 15120 16700 18170
45 HEPATICO JEJUNOSTOMY 16280 21110 26570 33180
46 HERNIA INCISIONAL -LARGE 12710 16910 20580 24150
47 HERNIA INCISIONAL -SMALL 7250 9030 10920 14490
48 HERNIA PARAUMBILICAL-LARGE 8510 12080 14490 18170
49 HERNIA PARAUMBILICAL-SMALL 7250 9030 10920 14490
50 HERNIA WITH ABDOMINOPLASTY 18380 21110 25410 27200
51 HIATUS HERNIA REPAIR 10290 12710 16280 18690
52 HYDROCELE B/L 12080 14490 18170 20580
53 HYDROCELE U/L 6090 7250 9030 10290
54 ILEOSTOMY 9770 12290 13340 14490
55 INCISION & DRAINAGE (I&D )-MAJOR 3890 4830 6090 7250
56 INCISION & DRAINAGE (I&D )-MINOR 2100 3680 5150 6930
57 INCISIONAL HERNIOPLASTY WITH MESH 12290 15440 16700 18170
58 INCISIONAL HERNIOPLASTY WITHOUT
MESH 9870 12290 13860 15750
59 INGUINAL HERNIORAPHY 8720 10290 12080 14490
60 INGUINAL HERNIOPLASTY 6620 9030 12080 15120
61 INGUINAL HERNIOPLASTY/ MESH REPAIR 9660 12710 15120 18170
62 INTESTINAL RESUCTION 10290 12710 15750 18690
63 JEJUNOSTOMY 5780 7880 10290 13860
64 LAPAROSCOPIC ADHESIOLYSIS 9660 12710 16280 22370
65 LAPAROSCOPIC APPENDICECTOMY 9660 12710 16280 22370
66 INTRA ABDOMINAL ABCESS 6620 9030 12080 14490
67 LAPAROSCOPIC FUNDOPLICATION 12290 15440 16910 18690
22 Mallya Hospital Tariff 2017
68 LAP. LIVER ABCESS DRAINAGE & OTHER
LAP PROC. 12290 15440 16910 18690
69 LAPAROTOMY 9030 10290 12080 15750
70 LAPROSCOPIC UNSPECIFIED -
INTERMEDIATE 12290 15440 16910 18690
71 LAPROSCOPIC UNSPECIFIED - MAJOR 18170 21740 24150 27830
72 LAPROSCOPIC UNSPECIFIED - MINOR 8510 10920 12710 15750
73 LPP COURTED TO PARN 12710 16910 19950 24150
74 LIVER ABSCESS DRAINAGE 10290 12710 15120 16910
75 LIVER HYDATID CYST REMOVAL 12710 16910 21110 24150
76 LIVER RESECTION -SEGMENTAL / LOBAR 17540 21740 27200 33810
77 LUMBAR SYMPATHECTOMY 9030 12080 14490 18170
78 MASTECTOMY -SIMPLE 12710 15750 19320 23520
79 MASTECTOMY WITH AXILLARY
CLEARANCE 18170 23520 29610 33810
80 M V TUBE INSERTION 3680 4830 6620 8510
81 ORCHIDECTOMY -UNI LATERAL 4830 6620 8510 10290
82 ORCHIDOPEXY 8510 10920 13340 16910
83 PANCREATICO DUODENECTOMY 16280 22370 27200 33180
84 PANCREATICO JEJUNOSTOMY 14490 18170 24150 30240
85 PARATHYROID GLANDS EXPLORATION 12080 15120 16280 23520
86 PAROTIDECTOMY SUPERFICIAL 11450 15120 19950 24780
87 PAROTIDECTOMY TOTAL 15120 18170 23520 30240
88 PERFORATED HOLLOW VISCUS -
LAPAROTOMY & PROCEDURE 11450 15120 16910 19950
89 PERINIAL ABSCESS 3680 4830 6090 7880
90 PERITONIAL LEAVAGE 3680 4830 6090 7880
91 PILONIDAL SINUS 5780 7880 9660 12710
92 PORTASYSTEMIC SHUNT 16280 21110 27200 33810
93 RAMSTEDT-S PROCEDURE 9030 12710 16280 18170
94 RANULATONGUE 4200 6620 7560 9030
95 RETROPERITONEAL TUMOUR EXCISION-
LARGE 16280 21110 25410 30240
96 RETROPERITONEAL TUMOUR EXCISION-
SMALL 12710 18170 21740 26570
97 SMALL BOWEL RESECTION 12290 15440 16280 18690
98 SPLENECTOMY 12080 14490 16910 21110
99 SUBMANDIBULAR GLAND EXCISION 7250 9030 12710 16280
100 SUPERFICIAL TUMOURS LARGE 5040 6620 7880 9030
101 SUPERFICIAL TUMOURS SMALL 2730 3680 4830 6620
102 TESTICULAR BIOPSY 4830 6200 7560 9030
23 Mallya Hospital Tariff 2017
103 THIERSH WIRING 2420 3360 4200 5460
104 THYROGLOSSAL CYST 9770 12080 14490 16910
105 TOE NAIL AVULSION 2420 3360 4200 5460
106 TOTAL THYROIDECTOMY 15120 16910 19320 23520
107 TRANSABDOMINAL RECTOPEXY 12710 16280 19950 24780
108 TUMOURS-BENIGN EXCISION DEEP 7350 9240 9980 11870
109 VAGOTOMY + DRAINAGE 9660 12080 14490 18170
110 VARICOCOELE 7250 9350 11450 16280
111 VARICOUS VEINS -LONG SAPHENOUS 7250 9350 11450 16280
112 VARICOUS VEINS -LONG SAPHENOUS 7250 9350 11450 16280
113 VASECTOMY 3680 4830 6620 8510
114 VASECTOMY B/L 7250 9660 13340 16910
115 WHIPPLES SURGERY 24470 30770 33810 37490
24 Mallya Hospital Tariff 2017
GENITO URINARY
SL.No
PARTICULARS
GEN &
SEMI
PVT
PRIVATE PRIVATE
PLUS DLX
SUITE
1 ADRENALECTOMY BILATERAL 18170 24150 30240 36230
2 ADRENALECTOMY UNILATERAL 14,490 19,320 24,150 28,980
3 AMPUTATION OF PENIS- PARTIAL 14490 21740 24150 30240
4 AMPUTATION OF PENIS- TOTAL 18170 2420 30240 36230
5 AUTO TRANSPLANTATION OF KIDNEY 18,170 23,000 28,980 36,230
6 BLADDER DIVERTICULECTOMY 12080 14490 18170 24150
7 BLADDER NECK INCISION 12080 14490 18170 21740
8 BLADDER NECK PLASTY 12080 14490 18170 21740
9 BLANDYS 1 STAGE 7880 10920 13860 18170
10 BLANDYS 2 STAGE 7880 10920 13860 18170
11 BOARIFLAP REIMPLANTATION 18,170 23,000 28,980 36,230
12 CATHETERZATION URETHRAL 4,200 6,620 9,030 12,080
13 CHORDE CORRECTION 1 STAGE 7250 10920 13860 18170
14 CIRCUMCISION 6620 9030 12080 14490
15 CLOT EVACUATION 1,790 2,420 3,050 3,680
16 CYSTOLITHOTOMY 12080 14490 18170 24150
17 CYSTOLITHOTRYPSY 12080 14490 18170 24150
18 CYSTOMETROGRAM FIRST 1,790 2,420 3,050 3,680
19 CYSTOMETROGRAM REPEAT 6,090 7,880 9,660 12,080
20 CYSTOSCOPIC CLOT EVACUATION 3,680 4,830 6,090 7,250
21 CYSTOSCOPIC REMOVAL OF F.B 4,830 6,620 8,190 9,660
22 CYSTOSCOPY 4830 7250 9660 12080
23 CYSTOSCOPY FOR CA BLADDER 3,680 4,830 6,090 7,250
24 CYSTOSCOPY WITH STENT REMOVAL 4,830 6,620 8,190 9,660
25 CYSTOSCOPY REPEAT 1,790 2,420 3,050 3,680
26 DIAGNOSTIC CYSTOSCOPY 6,090 7,880 9,660 12,080
27 DIVERCULECTOMY-URETHRA 6620 9030 10920 13860
28 D J STENTING 7,250 9,660 12,080 14,490
29 DORMIA BASKETING 6620 9030 11450 14490
30 DORSAL SLIT 2420 3680 6090 7880
31 EPIDIDYMEMCTOMY 7250 8510 10920 14490
32 EPIDIDYMO-VASOSTOMY BILATERAL 19320 24150 28980 36230
25 Mallya Hospital Tariff 2017
33 EPIDIDYMO-VASOSTOMY
UNILATERAL 9660 12080 14490 18170
34 EPISPADIASIS REPAIR 9030 12080 14490 18170
35 EXCISION OF EPIDIMAL CYST 4830 7250 9660 12080
36 EXPLORATION OF FRACTURED PENIS 13,340 16,910 19,320 24,150
37 FERNULO PLASTY 1,790 2,420 3,050 3,680
38 FILIFORM DILATION REPEAT 2420 3680 6620 9030
39 FILIFORM DILATION URETHRAL 3,680 4,830 6,090 7,250
40 GREEN LASER PROSTECTOMY 18,170 24,150 30,770 36,230
41 HYDROCOLELECTOMY BILATERAL 9,030 10,920 15,440 18,170
42 HYDROCOLELECTOMY UNILATERAL 7250 9660 12080 14490
43 HYPSPADIAS SINGLE STAGE 11450 13860 16910 19320
44 HYPSPADIAS II STAGE REPAIR 10290 12080 15120 18170
45 ILEAL LOOP CONDUIT 10920 14490 16280 19320
46 ILEO / COLOCYSTOPLASTY 12080 14490 18170 24150
47 INGUINAL BLOCK DISSECTION
(UNILATERAL)
9,030 10,920 13,860 15,750
48 JOHANSONS I STAGE 4830 7460 9030 12080
49 JOHANSONS II STAGE 4830 7460 9030 12080
50 LASER PROSTECTOMY 14,490 18,170 20,580 25,410
51 MEATOPLASTY 4200 6090 8510 10920
52 MODIFIED V U SUSPENSION (T V T) 5,460 7,880 9,660 11,450
53 NEPHRECTOMY - SIMPLE 14490 18170 24150 30240
54 NEPHRECTOMY - PARTIAL 9,660 13,340 16,380 18,690
55 NEPHRECTOMY - RADICAL 18170 24150 30240 36230
56 NEPHROURETERECTOMY 14490 16910 19320 24150
57 NEPHROTOMY 2420 3680 4200 6090
58 ORCHIDECTOMY - BILATERAL 9660 12080 14490 18170
59 ORCHIDECTOMY - UNILATERAL 7250 9660 12080 14490
60 ORCHIDOPEXY BILATERAL 9,660 12,080 14,490 18,170
61 ORCHIDOPEXY UNILATERAL 7250 9660 12080 14490
62 PARTIAL CYSTECTOMY 9,030 12,080 15,440 16,910
63 PERCUTANEOUS NEPHROSTOMY W/O
TRACK 2420 4830 6090 7250
64 PERCUTANEOUS NEPHROSTOMY
WITH TRACK 4830 7880 9030 12710
65 PERCYTANEOUS
NEPHRLOLITHOTOMY 12080 14490 18170 24150
66 PERINEPHORIE ABCESS DRAINAGE 4,830 6,090 7,250 9,030
67 PHENELOPLASTY / FRENOLOPLASTY 9,660 12,080 14,490 18,170
68 PHILIPS CATHETRISATIONS 1260 1470 2420 3890
26 Mallya Hospital Tariff 2017
69 PROSTATE BIOPSY 4,830 6,090 7,250 9,030
70 PROSTATECTOMY RADICAL 18170 24150 30240 36230
71 PROSTATECTOMY OPEN 14490 18170 24150 30240
72 PYELOLITHOTOMY 14490 18170 24150 30240
73 PYELONEPHROLITHOTOMY 12,080 14,490 18,170 21,740
74 PYELOPLASTY 14490 18170 24150 30240
75 RADICAL CYSTECTOMY 14,490 19,320 24,680 28,980
76 RADICAL NEPHRECTOMY 14,490 19,320 24,680 28,980
77 RADICAL NEPHRO URETERECTOMY 14,490 19,320 24,680 28,980
78 RAIL ROADING 10920 12710 14490 16910
79 REPROPERITONIAL LYMPHNODE
DISSECTION 10920 12710 14490 16910
80 RETROGRADE PYELOGRAMPHY 3680 6620 9030 12080
81 ROVESINGES OPERATIONS 10920 12710 14490 16910
82 SAPHENO CAVERNOUS SHUNT 9660 12080 14490 18170
83 STRESS INCONTINENCE (TVT) 9660 12080 14490 18170
84 SUPRAUBIC CYSTOSTOMY 6090 9660 12080 14490
85 T U R P (REPEAT) 9660 12080 14490 21740
86 TESTICULAR BIOPSY 4830 7250 9660 12080
87 TRANS PUBLIC SINGLE STAGE
URETHROPLASTY 12080 14490 21740 24150
88 TRANSOBTURATOR SLING 9,030 12,080 14,490 18,170
89 TRANSURETHRAL RESECTION OF
BLADDER TUMOUR 12080 14490 18170 24150
90 TRANSURETHRAL RESECTION OF
PROSTATE (T U R P) 14490 21740 26570 36230
91 URETERIC STENTING BILATERAL 8,510 10,290 13,340 15,120
92 URETERIC STENTING UNILATERAL 7250 9660 12080 14490
93 URETHRAL FISTULA REPAIR 3890 6090 8510 10920
94 URETHRAL DILATATION 3680 4830 6090 7250
95 URETHRIC MEATOMY 7250 8510 9660 12080
96 URETHRIC REPLACEMANT BILATERAL 19,320 24,150 28,980 33,810
97 URETHRIC REPLACEMANT
UNILATERAL 14490 21740 24150 30240
98 URETHRO NEOCYSTOSTOMY 7880 13340 15120 21740
99 URETHRO REIMPLANTATION 10920 13340 18170 21740
100 URETHRO RENOSCOPY (BASKETING)
U R S 9660 12080 14490 18170
101 URETHRO RENOSCOPY (DIAGNOSTIC) 4830 7250 9660 12080
102 URETHRO RENOSCOPY LITHOTRIPSY 9660 12080 14490 18170
103 URETHRO SIGMOIDOSTOMY 7880 11450 15120 18170
27 Mallya Hospital Tariff 2017
104 URETHROLITHOTOMY 9660 12080 14490 18170
105 URETHROTOMY-EXTERNAL 2630 4200 5460 6620
106 URETHROTOMY-VIU-INTERNAL 7250 9660 12080 14490
107 V V F REPAIR (HIGH) 12080 14490 18170 24150
108 VARICOCELE LIGATION UNILATERAL 9660 12080 14490 18170
109 VARICOCELE LIGATION BILATERAL 12080 14490 18170 24150
28 Mallya Hospital Tariff 2017
OBSTETRICIAN & GYNAECOLOGY
SL.No PARTICULARS
GEN &
SEMI
PVT
PRIVATE PRIVATE
PLUS DLX
SUITE
1
ABDOMINAL HYSTERECTOMY(UTERUS
REMOVAL) 12080 18170 21740 30240
2 OOPHERECTOMY 0 0 0 0
3 ABDOMINAL MYOMECTOMY 10920 16910 19320 30240
4 ANT.VAGINAL WALL REPAIR 6090 9660 12080 18170
5 BARTHOLIN CYST 4830 6090 9030 12080
6 BREECH DELIVERY 6090 9660 12080 18170
7 CAESAREAN DELIVERY / LSCS 10290 14490 20580 30240
8 CAESAREAN HYSTERECTOMY 13860 19950 31400 43470
9 CERVICAL BIOPSY 4830 6090 9030 12080
10 CERVICAL CAUTERISATION 4830 6090 7250 9660
11
CERVICAL ENCIRCLAGE-CERVICAL
STICH 6090 7250 12080 14490
12 CERVICAL POLYPECTOMY 4830 6090 9030 9660
13 CONISATION / CONE BIOPSY 6090 7880 12080 15750
14 CRYO CAUTERISATION 2420 3050 3680 4200
15 D & C / DD & C / SUCTION EVACUATION 7250 9660 12080 15750
16 D & EVACUATION 6090 8510 12080 1580
ENDOMETRAL BIOPSY 3050 4200 54390 6620
17 EXPLORATION OF UTERUS 7250 9660 14490 18170
18 FORCEPS DELIVERY 9660 12710 18170 24150
19 HYSTEROSCOPY DIAGNOSTIC 6090 9030 14490 18170
20 HYSTEROSCOPY WITH D & C 7250 9030 10290 12080
21 HYSTEROSCOPY OPERATIVE 10920 13340 18170 26570
22 INDUCED LABOR 4830 7250 9660 12080
INTRA UTRINE DEATH 6090 9030 12080 15120
23 LAPROSCOPY – DIAGNOSTIC 7250 9030 12080 15750
24 LAPROSCOPY –OPERATIVE 14490 18170 27830 36230
25
LAPROSCOPIC STERILISATION /
TUBALIGATION 11450 15120 24150 30240
26
LAPROSCOPIC + HYSTEROSCOPY
(DIAGNOSTIC) 16910 21740 32660 42320
29 Mallya Hospital Tariff 2017
27
LAPROSCOPIC + HYSTEROSCOPY
(OPERATIVE) 24150 31400 45890 60380
28 LAPROSCOPIC PROCEDURES – MAJOR 24150 30240 36230 42320
29
LAPROSCOPIC PROCEDURES –
INTERMEDIATE 18170 21740 25410 30240
30 LAPROSCOPIC PROCEDURES – MINOR 12080 15120 16910 19320
31 MANCHESTER OPERATION 6090 9660 12080 15750
32 MANUAL REMOVAL OF PLACENTA 6090 7880 12080 15750
33 MTP 6620 7880 11450 15120
34 MTP+LAP STERILISATION 10920 15120 21740 28980
35 NORMAL DELIVERY 7250 9660 12710 15120
36 OVARIAN CYSTECTOMY – OPEN 9660 12080 15750 24150
37 OVARIAN CYSTECTOMY – LAPROSCOPIC 10920 15120 18170 26570
38 PAN HYSTERECTOMY 12080 18170 26570 36230
39 POST VAGINAL WALL REPAIR 6090 9660 12080 18170
40 RADICAL HYSTERECTOMY 18170 24150 30240 42320
41 REMOVAL OF TOBO-OVARIAN MASS 10920 14490 18170 27830
42 RECTOVAGINAL REPAIR (RVF) 12080 15750 19320 30240
43 REPAIR OF 3 PERINEAL TEAR 7250 9030 12080 15750
44 SECONDARY SUTURING 3050 4830 6620 8510
45 SECONDARY SUTURING LARGE 4200 5570 8510 11130
46 SEMI MAJOR TOMAN / CYST 11450 13340 15750 18170
47 TUBECTOMY 6090 7250 9660 12080
48 TUBOPLASTY 7250 9030 14490 18170
49 TWINS DELIVERY NORMAL 9030 14490 18170 10290
50 TWINS DELIVERY LSCS 15440 21740 30240 45260
51 V B A C DELIVERY 12710 18170 25940 38010
30 Mallya Hospital Tariff 2017
HYSTEROSCOPIC SURGERY
SL.NO SURGERY TYPE DURATION
GEN &
SEMI
PVT
PRIVATE PRIVATE
PLUS DLX
SUITE
1 DIAGNOSTIC HYSTEROSCOPY 1 4830 7880 12080 19320
2
DIAGNOSTIC HYSTEROSCOPY +
BIOPSY 1 4830 7880 12080 19320
3 HYSTEROSCOPIC POLYPECTOMY 1 4830 7880 12080 19320
4 HYSTEROSCOPIC FB REMOVAL 2 9660 12080 16280 24150
5 HYSTEROSCOPIC ADHESIOLYSYS 2 9660 12080 16280 24150
6
HYSTEROSCOPIC MYOMA
RESECTION 2 9660 12080 16280 24150
7
HYSTEROSCOPIC SEPTAL
RESECTION 2 9660 12080 16280 24150
8
HYSTEROSCOPIC TUBAL
CONNULATION 2 9660 12080 16280 24150
9
HYSTEROSCOPIC ENDOMETRAL
ABLATION 2 9660 12080 16280 24150
10
HYSTEROSCOPIC AND TERMINAL
BALLOON ABLATION 2 9660 12080 16280 24150
Note : Instrument Charges Extra
31 Mallya Hospital Tariff 2017
LAPROSCOPIC SURGERY
SL.NO SURGERY TYPE DURATION
GEN &
SEMI
PVT
PRIVATE PRIVATE
PLUS DLX
SUITE
1 DIAGNOSTIC LAPROSCOPY 1 6090 7880 11450 18170
2
DIAGNOSTIC HYSTEROSCOPY D
& C + BIOPSY 1 6090 7880 11450 18170
3
LAPROSCOPIC TUBAL
LIGATION 1 6090 7880 11450 18170
4 LAPROSCOPIC ADHESIOLYSYS 2 9140 12080 15120 23000
5
LAPROSCOPIC
SALPHINGECTOMY 2 9140 12080 15120 23000
6
LAPROSCOPIC LINEAR
SALPHINGECTOMY 2 9140 12080 15120 23000
7
LAPROSCOPIC SEGMENTAL
RESECTION 2 9140 12080 15120 23000
8
LAPROSCOPIC OVARIAN
CYSTECTOMY 2 10920 13860 18170 25940
9
LAPROSCOPIC OPHERA
CYSTECTOMY OR
OPERECTOMY 2 10920 13860 18170 25940
10 LAPROSCOPIC TUBOPLASTY 2 10920 13860 18170 25940
11
LAPROSCOPIC ASSISTED
VAGINAL HYSTERECTOMY
(LAVH) 2 18170 23000 31400 37490
12
LAPROSCOPIC ASSISTED
TUBAL ANASTOMOSIS (LATA) 2 18170 23000 31400 37490
13
LAPROSCOPIC URINE NERVE
ABLATION (LUNA) 2 18170 23000 31400 37490
32 Mallya Hospital Tariff 2017
LABORATORY INVESTIGATIONS
33 Mallya Hospital Tariff 2017
BIO CHEMISTRY
SL.NO INVESTIGATION GENERAL
SEMI
PVT PVT
PVT
PLUS
DLX
SUITE
1
12 HOURS URINARY
MICROALBUMIN 420
2
17 ALPHA-HYDROXY
PROGESTERONE 900 1000 1130 1370 1590
3 17-KETOSTEROIDS.URINARY 660 740 830 1000 1180
4 17KS KETOGENIC STEROIDS 150 290 320 350 390
5
24 HOURS/RANDOM URINARY
MICROALBUMIN 390 430 490 610 700
6 24 HOURS URINARY CALCIUM 210 230 250 320 370
7 24 HOURS URINARY CHLORIDE 210 230 250 320 370
8 24 HOURS URINARY CREATININE 210 230 250 320 370
9
24 HOURS URINARY
ELECTROLYTERS 400 450 500 620 700
10
24 HOURS URINARY
PHOSPHORUS 170 190 220 250 300
11 24 HOURS URINARY POTASSIUM 170 190 220 250 300
12 24 HOURS URINARY PROTEIN 260 300 350 420 480
13 24 HOURS URINARY SODIUM 170 190 220 250 300
14 24 HOURS URINARY SUGAR 170 190 220 250 300
15 24 HOURS URINARY UREA 170 190 220 250 300
16 24 HOURS URINARY URIC ACID 180 190 230 260 320
17
ACID PHOSPHATASE
(TOTAL&PROSTATIC) 400 450 500 620 710
18 ACID PHOSPHATASE (TOTAL) 340 380 430 510 610
19 ALBUMIN 140 160 170 210 240
20 ALKALINE PHOSPHATASE 240 260 300 370 410
21 ALPHA FETO PROTIEN 840 920 1080 1300 1480
22 AMMONIA 480 540 620 740 850
23 AMYLASE 400 450 500 620 700
24
ANGIOTENSIN CONVERTING
ENZYME 1330 1460 1690 2030 2330
34 Mallya Hospital Tariff 2017
25
ANTI CARDIOLIPIN
ANTIBODIES(IgG&IgM) 1330 1460 1690 2030 2330
26
ANTI NEUTEROPHYL
CYTOTLAMIC ANTIBODIES 1930 2120 2440 2920 3370
27 ANTI-DS-DNA 1000 1100 1270 1520 1750
28
ANTI-NUCLEAR
ANTIBODIES(QUANTITATIVE) 800 880 1020 1220 1400
29
ANTI-THYROGLOBULIN
ANTIBODY 640 700 820 990 1140
30 APOLIPOPROTEIN (A1 & B) 780 850 980 1180 1350
31
ARTERIAL BLOOD GAS
ANALYSIS 630 670 740 820 930
32 BENZODIAZEPIN IN URINE 540 590 660 800 930
33 BETA HCG 840 920 1080 1300 1480
34 BICARBONATE 210 230 250 320 370
35 BILIRUBIN (TOTAL&DIRECT) 190 220 240 300 340
36 BLOOD UREA NITROGEN 140 150 170 210 240
37 BLOOD UREA/NITROGEN 140 150 170 210 240
38
BODY FLUID FOR BIOCHEMICAL
ANALYSIS 810 890 1020 1220 1420
39 C-PEPTIDE 1200 1310 1520 1830 2100
40 CA 125 1200 1310 1520 1830 2100
41 CALCIUM, TOTAL 210 230 250 320 370
42 CAPD FLUID 70 80 90 110 130
43 CARBAMEZAPINE 800 880 1020 1220 1400
44 CARCINO EMBRYONIC ANTIGEN 930 1030 1190 1420 1630
45 CARDIOLIPIN AB (IgM) 610 660 760 900 1050
46 CARDIOLIPIN AB IgG 610 660 760 900 1050
47 CARTICOTROPIN(ACTH),PLASMA 2000 2190 2520 3030 3510
48 CATECHOLAMINES,URINE 1600 1720 1800 1930 2000
49 CERULOPLASIM 540 590 690 820 930
50 CHLORIDE 140 160 170 210 240
51 CHOLESTEROL 170 180 210 240 290
52 CHOLESTEROL HDL 260 300 350 420 480
53 CHOLESTEROL LDL 470 510 590 710 820
54
CHORIONIC
GONADOTROPIN,(BETA
HCG)PLASMA 660 740 830 1000 1180
35 Mallya Hospital Tariff 2017
55 CK-MB (ALONE) 400 450 500 620 710
56 COMPLEMENT C3 540 590 690 820 960
57 COPPER (SERUM) 540 590 690 820 930
58 CORTISOL EVENING SAMPLE 640 700 800 970 1110
59 CORTISOL MORNING SAMPLE 640 700 800 970 1110
60
CPK (CREATININE
PHOSPHOKINASE) 380 400 460 560 640
61 CPK WITH CK-MB 570 630 720 870 1000
62 CREATININE 130 140 160 190 220
63 CREATININE CLEARANCE TEST 260 300 340 400 460
64 D H E A -S 950 1080 1250 1490 1720
65 DIGOXIN 870 960 1100 1310 1520
66 ELECTROLYTES 380 420 480 580 660
67 ESTRADIOL (E2) 740 810 930 1110 1280
68 FASTING BLOOD SUGAR 80 90 110 130 150
69 FERTILITY PROFILE (MALE) 2120 2340 2690 3230 3720
70 FERTILITY PROFILE FEMALE 2120 2340 2690 3230 3720
71 FOLIC ACID LEVEL 1130 1240 1440 1710 1980
72
FOLLICLE STIMULATING
HORMONE 540 590 690 820 930
73 FREE PSA 1860 2060 2350 2820 3240
74 FREE T3 SERUM 610 660 760 910 1060
75 FREE T4 SERUM 640 700 800 970 1110
76 GALL STONE ANALYSIS 400 450 500 620 710
77
GAMMA GLUTAMYL
TRANSPEPTIDASE 210 230 250 320 370
78 GLOBULIN 210 230 250 320 370
79 GLUCOSE (24 HRS) URINE 80 80 90 130 140
80
GLUCOSE CHALLENGE TEST (50
GMS GLUCOSE) 170 190 220 250 300
81
GLUCOSE TOLERANCE TEST (2
1/2 HOURS) 390 430 490 610 700
82
GLUCOSE TOLERANCE
TEST,ORAL (4HRS) 540 590 690 820 930
83
GLYCOSYLATED HAEMOGLOBIN
(HBAIC) 660 740 860 1030 1190
84 HUMAN GROWTH HORMONE 740 810 930 1120 1290
36 Mallya Hospital Tariff 2017
85 IMMUNOGLOBULIN -G 470 510 590 710 820
86 IMMUNOGLOBULIN-A 470 510 590 710 820
87 IMMUNOGLOBULIN-G A & M 1400 1540 1770 2120 2450
88 IMMUNOGLOBULIN-M 470 510 590 710 820
89 INSULIN 800 880 1020 1220 1400
90 INSULIN (FASTING) 0 0 0 0 0
91 INSULIN (POST PRANDIAL) 740 810 930 1120 1290
92 IONISED CALCIUM 340 380 430 510 610
93 IRON 340 380 430 510 610
94 LACTATE 540 590 690 820 960
95 LACTATE DEHYDROGENASE 330 370 420 500 610
96 LEIUTINISING HORMONE 540 590 690 820 960
97 LIPASE 430 480 560 660 780
98 LIPID PROFILE 590 650 750 900 1050
99
LIPID PROFILE WITH
APOLIPOPROTEINS 870 960 1100 1310 1520
100 LIPO PROTEIN-A 660 740 860 1030 1190
101 LITHIUM 300 340 390 470 560
102 LIVER FUNCTION TEST 760 850 970 1160 1330
103 MAGNESIUM 260 300 350 420 480
104
PARATHORMONE (PTH
INTACT)SERUM 1720 1910 2190 2640 3030
105 PHENOBARBITONE 800 880 1020 1230 1420
106 PHENYTOIN / DILANTIN 800 880 1020 1220 1400
107 PHOSPHROUS 170 180 220 260 320
108 POST PRANDIAL BLOOD SUGAR 80 90 110 130 150
109 POTASSIUM 170 190 220 260 300
110 PROGESTERONE 740 810 930 1120 1290
111 PROLACTIN 540 590 690 820 950
112 PROSTATE SPECIFIC ANTIGEN 800 880 1020 1220 1400
113 PROTEIN 80 90 110 140 160
114 PROTEIN ELECTROPHORESIS 630 680 780 930 1080
115 PROTIEN AND CREATININE 160 170 190 230 260
116 PSEUDO CHOLINESTERASE 660 740 860 1030 1190
117 RANDOM BLOOD SUGAR 80 90 110 130 150
118 RAPID TEST TROPONIN-I 890 980 1130 1370 1580
37 Mallya Hospital Tariff 2017
119
RENAL CALCULI
ANALYSIS(RENAL STONE
ANALYSIS) 400 450 500 620 710
120 SERUM FERRITIN 800 880 1020 1220 1400
121 SERUM OSMOLALITY 400 450 500 620 710
122 SGOT 170 190 230 260 320
123 SGOT & SGPT 260 300 350 430 490
124
SGOT SGPT AND ALKALINE
PHOSPHATASE 390 430 490 620 710
125 SGPT 170 180 220 260 320
126 SODIUM 170 190 230 290 340
127 SPOT/RANDOM MICROALBUMIN 330 370 420 500 580
128 T3 (TRI-IODOTHYRONINE) 300 340 390 480 570
129 T4 (THYROXIN TOTAL) 300 340 390 480 570
130 TESTOSTERONE 640 700 820 1000 1140
131 THEOPHYLLINE 780 860 990 1200 1390
132 THYROGLOBULIN 1330 1460 1690 2030 2330
133 THYROID ANTIBODIEES (M&T) 1330 1460 1690 2030 2330
134
THYROID MICROSOMAL
ANTIBODY 700 780 890 1090 1260
135
THYROID PEROXIDASE
ANTIBODIES (TPO) 870 960 1100 1310 1520
136
THYROID STIMULATING
HORMONES 430 480 570 690 790
137 THYROIDE PROFILE (T3 T4 TSH) 780 860 990 1190 1380
138 TOTAL IGE 610 660 760 910 1060
139
TOTAL IRON BINDING CAPACITY
(IRON WITH TIBC) 400 450 500 620 710
140
TOTAL PROTEIN ALBUMIN
GLOBULIN 240 260 320 380 450
141 TOTAL PROTIEN 110 130 150 180 210
142 TOTAL PROTIEN ALBUMEN 170 190 230 260 320
143 TOTAL PROTIEN AND A\G RATIO 240 260 300 370 410
144 TRANSFERRIN SATURATION 380 410 470 570 650
145 TRIGLYCERIDES 230 250 300 370 430
146 TROPONIN - T 970 1060 1230 1480 1710
147 UREA 130 140 160 180 180
148 UREA AND CREATININE 190 220 250 330 380
38 Mallya Hospital Tariff 2017
149 URIC ACID 140 160 180 220 240
150 URINARY AMYLASE 240 260 320 380 450
151 URINARY METANEPHRINES 1670 1840 2110 2550 2920
152 URINARY PORPHOBILINOGEN 400 450 500 620 710
153 URINARY SPOT SODIUM 180 210 240 300 350
154 URINE FOR PORPHYRINE 220 240 290 340 390
155 URINE OSMOLALITY 430 480 560 660 780
156
URINE PROTEIN / CREATININE
RATIO 300 340 390 470 560
157 VALPORIC ACID 740 810 910 1100 1290
158
VANILYL MANDELIC ACID(24
HRS URINARY V.M.A) 1130 1260 1450 1720 2000
159 VITAMIN -B 12 1060 1180 1370 1630 1860
160 ZINC 640 700 810 980 1120
39 Mallya Hospital Tariff 2017
BLOOD BANK
SL.NO INVESTIGATION GENERAL
SEMI
PVT PVT PVT
PLUS
DLX
SUITE
1 BLOOD BAG CHARGES 110 130 160 190 220
2 BLOOD BANK HCV 330 370 410 490 580
3
BLOOD BANK SCREENING
TESTS(HIV,HBSAG,VDRL,HCV 1200 1330 1520 1830 2100
4 BLOOD CROSS MATCH 320 340 380 430 490
5
BLOOD DONER SCREENING
(HIV,HBS AG,VDRL) 490 550 630 760 870
6
BLOOD GROUPING & RH
TYPING 180 210 240 290 330
7
BLOOD GROUPING OF
DONAR 90 110 130 160 180
8 BLOOD PROCESSING 300 340 390 470 550
9
BLOOD PROCESSING
CHARGE 300 340 390 470 540
10
BLOOD UNIT SCREENING
CHARGES 1260 1400 1610 1890 2260
11 COOMBS TEST (INDIRECT) 340 380 430 510 610
12 COOMBS TEST DIRECT 320 350 400 480 560
13 DONOR PLATELET COUNT
14 FRESH FROZEN PLASMA 930 1030 1190 1430 1660
15
PACKED CELL UNITT (12
HRS) 540 590 660 800 930
16 PACKED RED CELLS 1040 1140 1310 1600 1840
17 PLASMAPHERESIS 11960 13820 14340 14950 14950
18 PLATELET CONCENTRATE 800 880 1020 1220 1400
19 PLATELET PHERESIS 12750 14030 16150 19390 22300
20
PLATELET PHERESIS WITH
LEUKOCYTIC FILTER 14620 16080 18490 22190 25500
21
RAPID HBSAG (ELISA)
BLOOD BANK 300 340 390 470 550
22
RAPID HBSAG BLOOD BANK
LATEX 170 230 250 240 370
23 RAPID HIV BLOOD BANK 430 480 560 660 780
24 THERAPEUTIC BLEEDING 140 160 180 220 250
40 Mallya Hospital Tariff 2017
CLINICAL PATHOLOGY
SL.NO INVESTIGATION
GENERAL
SEMI
PVT PVT PVT
PLUS
DLX
SUITE
1
STOOL FOR FAT
(QUALITATIVE) 70 80 90 110 140
2 STOOL OCCULT BLOOD 70 80 90 110 140
3 STOOL OVA CYST 80 90 110 130 150
4
STOOL REDUCING
SUBSTANCE 80 90 110 130 150
5 STOOL ROUTINE & MICRO 140 160 180 220 250
6 URINARY ALBUMEN 70 80 90 110 140
7
URINARY BILE SALTS AND
BILE PIGMENT 110 130 150 180 210
8 URINARY HAEMOGLOBIN 140.0 160 180 220 250
9 URINARY KETONEACETONE 80 90 110 140 160
10 URINARY UROBILINOGEN 110 130 150 180 210
11
URINE BENCE JONES
PROTEIN 190 220 250 320 370
12 URINE FAT GLOBULIN 70 80 90 110 140
13 URINE MICROSCOPY 90 110 140 160 180
14 URINE MYGLOBIN 210 230 250 320 370
15 URINE PH 70 80 90 130 140
16 URINE PROTIEN 50 60 70 80 80
17 URINE ROUTINE 210 240 270 300 340
18 URINE SPECIFIC GRAVITY 80 90 110 140 160
19 URINE SUGAR 70 80 90 130 150
41 Mallya Hospital Tariff 2017
HAEMATOLOGY
SL.NO INVESTIGATION
GENERAL
SEMI
PVT PVT
PVT
PLUS
DLX
SUITE
1 ABSOLUTE EOSINOPHIL COUNT 180 210 240 300 350
2 ABSOLUTE INDICES 190 220 250 320 370
3
ACTIVATED PARTIAL
THROMBOPLASTIN TIME 450 480 690 830 960
4 ANTITHROMBIN III 3650 4020 4620 5550 6370
5
ASPIRATED FLUID ANALYSIS
(ASCITIC/PLEURAL/SYNOVIAL/P
ERITONEAL/CAPD) 470 510 550 640 740
6 BLEEDING TIME 110 130 150 180 210
7
BLEEDING TIME CLOTTING
TIME 140 160 180 220 250
8 BLOOD PICTURE 210 230 250 320 370
9 BONE MARROW EXAMINATION 1000 1200 1440 1720 1720
10 BONE MARROW SMEAR 660 740 850 1030 1190
11 CLOT RETRACTION TIME 140 160 180 220 250
12 CLOTTING TIME 110 130 150 180 210
13 COMPLETE BLOOD COUNT 470 510 550 620 710
14 COMPLETE HAEMOGRAM 580 630 700 850 970
15 CONJUNCTIVAL SMEAR 130 140 160 190 220
16 CSF ANALYSIS 470 510 560 620 710
17 D-DIMER-SERUM 1210 1290 1500 1800 2080
18
DIFFERENTIAL COUNT -
MICROSCOPIC EXAMINATION 130 140 160 190 220
19 DOT AMOEBA(INVASIVE) 140 160 180 220 250
20
ERYTHROCYTE
SEDIMENTATION RATE 210 240 260 290 330
21 FIBRINOGEN 610 660 780 910 1060
22 FOETAL HAEMOGLOBIN 220 240 290 340 390
23 G6 PD DEFICIENY SCREEN 660 740 850 1030 1190
24 H-PYLORI 0 0 0 0 0
25 HAEMOGLOBIN 160 180 200 210 240
42 Mallya Hospital Tariff 2017
26
HAEMOGLOBIN
ELECTROPHORESIS 870 970 1110 1330 1530
27 HEAMOGRAM 540 610 700 850 970
28 HEINZ BODIES 130 140 160 190 220
29 IRON STAIN BONE MARROW 160 170 190 230 250
30 L E CELL TEST 330 370 420 500 590
31 LUPUS ANTICOAGULANTS 1330 1460 1690 2000 2330
32
MALARIAL PARASITE SMEAR
REPORT 260 300 350 420 480
33 MANTOUX TEST 170 190 230 260 320
34 MICROFILARIAE 190 220 250 320 370
35 NASAL SMEAR DC 140 160 180 220 250
36
NASAL SMEAR FOR
EOSINOPHILS 140 160 180 220 250
37 OSMATIC FRAGILITY OF RBC 580 640 750 900 1050
38 PACKED CELL VOLUME 140 160 180 220 250
39 PERIPHERAL SMEAR (PS) 260 300 350 420 480
40 PLATELET AGGREGATION 540 610 700 830 970
41 PLATELET COUNT 210 230 260 290 330
42 POST COITAL TEST 140 160 180 220 250
43 PROTHROMBIN TIME 350 390 450 540 620
44 RAPID MP TEST CARD METHOD 540 610 700 830 970
45 RED BLOOD CELLS 130 140 160 190 220
46 RED CELL OSMATIC FRAGILITY 300 340 390 470 550
47 RETICULOCYTE COUNT 190 220 250 320 370
48 SEMEN ANALYSIS REPORT 420 460 500 580 640
49 SICKLE CELL TEST 190 220 250 320 370
50 THROMBIN TIME 760 850 970 1160 1330
51 TOTAL COUNT (WBC) 130 140 160 190 220
52
TOTAL COUNT/DIFFERENCIAL
COUNT 160 170 190 230 260
43 Mallya Hospital Tariff 2017
HISTOPATHOLOGY/CYTOLOGY
SL.NO INVESTIGATION
GENERAL
SEMI
PVT PVT
PVT
PLUS
DLX
SUITE
1 ASPIRATED FLUID CYTOLOGY 470 510 610 720 830
2
BIOPSY EXAM EXTRA LARGE
SAMP 1890 2050 2210 2420 2790
3
BIOPSY EXAMINATION LARGE
SAMPLE 1260 1390 1470 1630 1880
4
BIOPSY EXAMINATION MEDIUM
SAMPLE 800 880 1020 1230 1420
5
BIOPSY EXAMINATION SMALL
SAMPLE 610 660 760 910 1060
6 BIOPSY FROZEN SECTION 1680 1810 1920 2040 2420
7 BONE BIOPSY (TRIPHINE) 540 590 690 830 960
8
CERVICAL / VAGINAL PAP SMEAR
(ADAPTED FROM 2001 BETHESDA
SYSTEM) 580 630 680 790 960
9 CERVICAL CONE BIOPSY 540 590 690 830 960
10
CYTOLOGY FOR HORMONAL
EVALUATION 340 380 430 510 610
11
CYTOLOGY FOR MALIGNANT
CELLS 680 740 790 910 1060
12
FINE NEEDLE ASPIRATION
CYTOLOGY REPORT 680 740 790 910 1060
13 HISTOPATHOLOGY 630 680 750 880 1000
14
MALIGNANT CELL FLUID
(PLEURAL & ASCTI) CYTO. 540 590 690 830 960
15 NEEDLE BIOPSY 500 570 650 800 910
16 PARAFFIN BLOCK 210 230 250 320 370
17 SPUTUM FOR EOSINOPHILS 210 230 250 320 370
18
VAGINAL SWAB FOR FERN
PATTERN ONLY 210 230 250 320 370
44 Mallya Hospital Tariff 2017
MICROBIOLOGY/IMMUNO-SERO
SL. NO INVESTIGATION GENERAL
SEMI
PVT PVT PVT
PLUS
DLX
SUITE
1 A S O/A S L O 230 250 300 370 410
2 AEROBIC C&S 240 260 320 380 430
3
AFB SMEAR OR SPUTUM/URINE/PUS
AFB 140 160 180 220 250
4 ALBERT S STIAN KLB 140 160 180 220 250
5 ANAEROBIC CULTURE 660 740 860 1030 1190
6 ANTI CYSTICERCAL ANTIBODY 800 880 1020 1220 1420
7 ANTI H I V 1 & 2 ANTIBODY ELISA 610 660 760 910 1060
8 ANTI-HAV (IGG) 870 960 1110 1330 1520
9 ANTI-HAV(IgM) 740 820 950 1120 1300
10 ANTI-HBC IgM 740 820 950 1120 1300
11 ANTI-HBE 930 1030 1190 1430 1640
12 ANTI-HBE AG 700 780 890 1090 1240
13 ANTI-HBS (QUALITATIVE) 660 740 860 1030 1190
14 ANTI-HBS (QUANTITATIVE) 970 1060 1230 1470 1700
15
ANTI-TUBERCULOUS ANTIBODY
{IGA} 830 910 1060 1280 1460
16
ANTI-TUBERCULOUS ANTIBODY
{IGA},{IGM} ,{IGG) 1460 1620 1860 2240 2580
17
ANTI-TUBERCULOUS ANTIBODY
{IGG} ELISA 780 860 990 1190 1370
18
ANTI-TUBERCULOUS ANTIBODY
{IGM} ELISA 540 590 690 830 970
19 BRUCELLA AGGLUTATION 430 480 560 660 780
20 C REACTIVE PROTEIN 260 300 350 420 480
21 CHIKUNGUNYA IGM RAPID 930 1030 1190 1430 1640
22
COLD AGGLUTININ TITRATION (5
DILS) 340 380 430 510 590
23 COUGH PLATE FOR PERTUSSIS 660 1000 1130 1200 1330
24 CRYPTOCOCCUS LATEX TEST 590 650 760 910 1060
25
CULTURE & SENSITIVITY VAGINAL
SWAB 470 500 540 620 710
45 Mallya Hospital Tariff 2017
26 CULTURE & SENISITIVITY OF BLOOD 610 660 780 910 1060
27
CULTURE & SENSITIVITY OF
ASPIRATED FLUIDS 370 410 470 580 680
28
CULTURE & SENSITIVITY OF BLOOD
(FOR ONE) 640 700 800 970 1110
29
CULTURE & SENSITIVITY OF
CATHETER TIP 470 500 540 630 740
30
CULTURE & SENSITIVITY OF
CONJUNCTIVAL SWAB 640 700 800 970 1110
31 CULTURE & SENSITIVITY OF CSF 640 700 800 970 1110
32
CULTURE & SENSITIVITY OF LIVER
ASPIRATION 380 420 480 580 660
33 CULTURE & SENSITIVITY OF PUS 640 700 800 970 1110
34 CULTURE & SENSITIVITY OF SPUTUM 470 500 540 630 740
35 CULTURE & SENSITIVITY OF STOOL 640 700 800 970 1110
36
CULTURE & SENSITIVITY OF
TRACHEAL ASPIRATE 530 580 640 700 770
37 CULTURE & SENSITIVITY OF URINE 640 700 800 970 1110
38 CULTURE FOR FUNGUS 470 510 610 720 830
39 CYTOMEGALOVIRUS IGG 660 740 860 1030 1190
40 CYTOMEGALOVIRUS IGM 660 740 860 1030 1190
41 CYTOMEGALOVIRUS IGM & IGG 1000 1110 1280 1540 1790
42 DENGUE IGG BLOT TEST 800 880 1020 1220 1420
43 DENGUE IGM BLOT TEST 800 880 1020 1220 1420
44 DENGUE IGM ELISA TEST 800 880 1020 1220 1420
45 FUNGUS SMEAR 210 230 260 330 370
46 GRAM STAIN 180 210 240 300 350
47 H1 N1 SWAB COLLECTION 2660 2660 2660 2660 2660
48 HAV - IgG 780 860 990 1190 1370
49 HAV - IgM 870 960 1110 1330 1520
50 HAV TOTAL 780 860 990 1190 1370
51 HBE AG 870 960 1110 1330 1520
52
HBS AG RAPID ASSAY FOR
DETECTION OF HEPATITIS B SURFACE
ANTIGEN 330 370 420 500 580
53
HBSAG ELISA ( HEPATITIS B SURFACE
ANTIGEN ) 340 380 430 510 610
46 Mallya Hospital Tariff 2017
54 HEPATITIS C ANTIBODY 640 700 810 980 1120
55 HEPATITIS E VIRUS IGM 1270 1390 1600 1920 2210
56 HEPATITIS MARKERS TOTAL 4890 5380 6180 7410 8540
57 HERPES 1 IgM 660 740 860 1030 1190
58 HERPES 2 IgM 660 740 860 1030 1190
59 HERPES SIMPLEX 1 & 2,IgG AND IgM 2000 2190 2520 3030 3510
60 HERPES SIMPLEX 1 IgG 660 740 860 1030 1190
61 HERPES SIMPLEX 2 IgG 660 740 860 1030 1190
62 HERPES SIMPLEX VIRUS 1&2 IgG 1060 1180 1370 1630 1880
63 HERPES SIMPLEX VIRUS 1&2 IGM 1060 1180 1370 1630 1880
64
HERPES SIMPLEX VIRUS 1&2 IgM &
IgG 870 1030 1190 2000 1640
65
HIV RAPID ASSAY FOR ANTIBODIES
TO HIV-1 AND HIV-2 500 570 650 790 900
66 INDIA INK FOR CRYPTOCOCCUS 130 140 160 190 220
67
INFECTIOUS MONONUCLEIOSIS TEST
(PAUL BENNEL) 340 380 430 510 610
68 INSULIN PLASMA
69 JAPANESE ENCEPHALITIS IGG ELISA 800 880 1020 1220 1420
70 JAPANESE ENCEPHALITIS IGM ELISA 800 880 1020 1220 1420
71 LEPTOSPIRA ELISA IGG
72 LEPTOSPIRA ELISA IGM 800 880 1020 1220 1420
73 LEPTOSPIRA RAPID TEST IGG 700 780 890 1070 1240
74 LEPTOSPIRA RAPID TEST IGM 700 780 890 1070 1240
75 MEASLES IgG 780 860 990 1190 1380
76 MEASLES IgM 1130 1260 1450 1720 2000
77 MUMPS IgG 1000 1100 1270 1520 1750
78 MUMPS IgM 1130 1260 1450 1720 2000
79 NASAL SWAB CULTURE 240 260 320 380 430
80
PREGNANCY TEST {IMMUNOASSAY}
SENSITIVITY 0.025 IU HCG/ML 220 240 290 340 390
81 R A FACTOR {LATEX} 400 450 500 620 710
82 RHEUMATOID FACTOR 260 300 350 410 470
83 ROTAVIRUS SEROLOGY 430 480 560 660 780
84 RUBELLA IgG 610 660 780 910 1060
85 RUBELLA IgM 610 660 780 910 1060
86 RUBELLA IgM & IgG 1060 1180 1350 1620 1860
47 Mallya Hospital Tariff 2017
87 SEMEN CULTURE & SENSITIVITY 380 420 480 580 660
88 SERUM PROCALCITONIN 1200 1310 1520 1830 2100
89 STERILITY TEST 0 0 0 0 0
90
STOOL CLOSTRIDIUM DIFFICILE
TOXIN 1400 1540 1770 2120 2450
91 STOOL FOR ROTAVIRUS 170 170 170 170 170
92 STOOL HANGING DROP 210 230 260 330 370
93 SWINE FLU SWAB COLLECTION 2660 2660 2660 2660 2660
94
TEST FOR LEPTOSPIRA IgM
ANTIBODY {ELISA} 700 780 890 1070 1240
95 THROAT SWAB CULTURE 380 420 480 590 690
96 TISSUE CULTURE & SENSITIVITY 240 260 300 370 420
97 TORCH PANEL IgG 1720 1910 2190 2640 3020
98 TORCH PANEL IgM 1720 1910 2190 2640 3020
99 TORCH PANEL IGM & IGG 3190 3520 4040 4850 5580
100 TOTAL ANTI-HBC 660 740 850 1030 1180
101 TOXOPLASMA IgG 610 660 760 910 1060
102 TOXOPLASMA IgM 610 660 760 910 1050
103 TOXOPLASMA IgM & IgG 1000 1100 1270 1520 1750
104
TUBERCULAR ELISA TEST IgM
ANTIBODY 610 660 760 910 1060
105 V D R L 160 170 190 230 260
106
VAGINAL SWAB FOR T V AND
MONILIA 140 160 180 220 240
107 VARICELLA VIRUS IgG
108 VARICELLA VIRUS IgM
109 WEIL-FELIX TEST 470 510 610 720 830
110 WIDAL TEST 210 230 260 330 370
48 Mallya Hospital Tariff 2017
OTHER TESTS
SL.NO INVESTIGATION
GENERAL
SEMI
PVT PVT
PVT
PLUS
DLX
SUITE
1
GLUCOSTIX RANDOM BLOOD
SUGAR 110 130 150 180 210
2 HIRSUITISM PROFILE 1 2190 2420 2780 3350 3840
3 HIRSUITISM PROFILE 2 3060 3370 3870 4650 5340
4 METABOLIC PROFILE 1 1670 1840 2110 2550 2920
5 METABOLIC PROFILE 2 2260 2490 2870 3430 3950
6 METABOLIC SCREENING 1 740 820 930 1120 1290
7 METABOLIC SCREENING 2 930 1030 1190 1430 1640
8 NEWBORN SCREENING 610 610 610 610 610
9 RENAL PANEL1 210 230 250 300 350
10 RENAL PANEL2 1460 1620 1840 2190 2560
11 RENAL PROFILE 1 1000 1100 1270 1520 1750
12 RENAL PROFILE2 2660 2920 3370 4040 4650
13 SPECIAL TEST - MH 50 50 50 50 50
14 SPECIAL TEST - TC 50 50 50 50 50
49 Mallya Hospital Tariff 2017
MAXILLO FACIAL
SL.NO INVESTIGATION
GEN &
SEMI
PVT
PVT PVT
PLUS
DLX
SUITE
FRACTURES OF FACIALBONES MANDIBULAR FRACTURES
2 EACH ADDITIONAL FRACTURE SITE 4200 6090 7250 9660
3 INTERMAXILLARY FIXATION 7250 10920 12710 16910
4 REQUIRING ADDITIONAL FIXATION I.E
PLATE OR LAG SCREW 4200 6090 7250 9660
5 SINGLE FRACTURE REQUIRING ONLY
ONE PLATE 10920 18170 21740 27830
MAXILLARY & MIDDLE 1/3 FACIAL FRACTUE (RIGHT FIXATION)
6 CLOSURE OF ORO ANTRAL FISTULA 9030 14490 18170 23000
7 CLOSURE OF ORO NASAL FISTULA 9030 14490 18170 23000
8
DENTO ALVEOLAR FRACTURE (PLATING) 9030 13860 18170 23000
9 EXCISION OF PRE MALIGNANT LESION
10
EXCISION OF TM ANKYLOES (ONE POINT) 13340 21740 26570 35070
11 ISOLATED BLOW OUT FRACTURE WITH
BONE GRAFT REPAIR 13340 21740 26570 35070
12 ISOLATED BLOW OUT FRACTURE WITH
AILOPLASTIC GRAFT 13340 21740 26570 35070
13 LE FORTE I FRACTURE
14 LE FORTE II & III FRACTURE 9030 12080 21740 26570
15 NASOETHMOIDAL FRACTURE
REQUIRING BONE GRAFTING 15120 19950 26570 33810
16 PHNECTOMY 0 10920 13860 16910
17 SEGNENTAL EXCISION OF MANDIBLE /
MASILLA+BONE GRAFTING 13340 21740 26570 35070
18 SECONDARY CLEFT DEFORMITIES
ALVEOLAR BONE GRAFTING 14490 18170 21740 27830
A) ARCH ELIVATION 7250 10920 14490 18170
50 Mallya Hospital Tariff 2017
B) OPEN REDUCTION WITH PLATE
FIXATION (SINGLE) 9030 12080 15120 18170
C) WITH ORBITAL MAGINS REPAIR 13340 21740 26570 35070
19
COSMETIC MAXILLO FACIAL
PROCEDURES GENIO (CHARGES VARIABLE DEPENDING
ON THE EXTEND OF DEFORMITY
AFTER
RADIOGRAPHICEVALUATION)
A) MICROGNATHIA
B)PROGMATHISMIS
C) MAXILLARY/MANDIBULAR
OSTEOMAS
51 Mallya Hospital Tariff 2017
MEDICAL RECORDS
SL.NO PARTICULARS RATES
1
REGISTRATION (one time registration
charge for both IP & OP) 100
2 CONSULTATION 500
3
REVISIT WITHIN A WEEK TO THE
SAME CONSULTANT 250
4 WOUND CERTIFICATE 500
5 BIRTH CERTIFICATE (ORIGINAL) 500
6
OUTPATIENT SICKNESS
CERTIFICATE 200
7
INPATIENT SICKNESS
CERTIFICATE 100
8 LIC FORMS (02 FORMS) 200
9 OUTPATIENT FILES (XEROX) 200
10
DIAGNOSTIC SUMMARY- NON
MLC (XEROX) 100
11 CORRECTION LETTER 100
12
APPROVED INSURANCE
PROCESSING CHARGES (only for the
insured patients for every admission) 500
13
REJECTED INSURANCE
PROCESSING CHARGES 200
14 MEDICOLEGAL CHARGES 500
15
MRD CHARGES FOR EVERY
ADMISSION 200
52 Mallya Hospital Tariff 2017
MISCELLANEOUS
SL.NO PARTICULARS GENERAL
SEMI
PVT PVT
PVT
PLUS
DLX
SUITE
1
AMBULANCE (UP TO 10
K.M) TO & FRO 1000 1000 1000 1000 1000
2
AMBULANCE WAITING
CHARGES / 20 MINUTES 100 100 100 100 100
3
AMBULANCE - EACH
ADDITIONAL K.M 20 20 20 20 20
4
HI-TECH AMBULANCE
(UP TO 10 K.M) TO &
FRO 1500 1500 1500 1500 1500
5
HI-TECH AMBULANCE
WAITING CHARGES 150 150 150 150 150
6
HI-TECH AMBULANCE -
EACH ADDITIONAL
K.M 30 30 30 30 30
7
VENTILATOR IF USED
IN AMBULANCE 1100 1100 1100 1100 1100
8
BED SHEET
(ADDITIONAL) 110 110 110 110 110
9 CENTRAL LINE 500+1700 500+1700 500+1700 500+1700 500+1700
10
CHEMOTHERAPY
CHARGES 850 1100 1700 2200 2750
11
DIET COUNSELLING
CHARGES 150 250 350 450 550
12
INFANT MUCOUS
EXTRACTION 20 20 20 20 20
13 KETOSTIX 25 25 25 25 25
14
LABOR ROOM
CHARGES 1500 1750 2100 2500 2800
15 LINEN SET 25 25 25 25 25
16
MORTUARY (IP) PER
DAY 500 500 500 500 500
17
MORTUARY (OP) PER
DAY 1000 1000 1000 1000 1000
18 OXYGEN/HOUR 50 75 100 125 150
19 TELEPHONE CHARGES 5 5 5 5 5
53 Mallya Hospital Tariff 2017
NEONATAL/NICU PROCEDURES
SL.NO NAME OF SURGERY
GEN &
SEMI
PVT
PVT PVT
PLUS
DLX
SUITE
1
NEONATAL RESUSCITATION
(DOCTOR CHARGES) 1000 2000 2500 3000
2
LUMBAR PUNCTURENENTRICULAR
TAP
300
350
350
450
400
550
550
650
3 INTER COASTAL DRAINAGE
500
1000
650
1100
1000
1350
1500
1700
4
VENTILATION & STABILISATION
(DOCTOR CHARGES) 1100 1650 2200 2750
5
EXCHANGE TRANSFUSION PARTIAL
(NE. ICU)
400
1500
500
2000
600
2750
700
3500
6
EXCHANGE TRANSFUSION DOUBLE
(NE. ICU)
600
3500
700
4000
800
5000
900
6000
7
SURFACTANT ADMINISTATION
(DOCTOR CHARGES) 600 850 1100 1400
8 PHOTOTHERAPY (SINGLE SURFACE) 200 300 400 500
9
PHOTOTHERAPY (DOUBLE
SURFACE) 400 450 550 700
54 Mallya Hospital Tariff 2017
NEURO SURGERY
SL.NO NAME OF SURGERY
GEN &
SEMI
PVT
PRIVATE PVT
PLUS
DLX
SUITE
1 BURRHOLE 30240 36230 42320 48300
2 SHUNT-LP/NP 30240 36230 42320 48300
3 a) MINOR CRANIAL SURGERY,
DEBRIDEMENT ETC., 30240 36230 42320 48300
4 b) NON MICROSCOPIC CRANIAL
SURGERY INCLUDING HEAD
INJURIES AND TUMORSS 36230 48300 54390 60380
5 c) CARNIAL TUMORS SURGERY
MAJOR AND (MIRCROSCOPIC) 42320 50720 60380 72450
6
d) CARNIAL (SPECIALIZED
PROCEDURE TRANSORAL,
TRANSPHENODIAL ETC.) SRURGERY
FOR ANEURYSM, AVM, SKULL
SURGERY 51980 62790 72450 84530
SPINAL SURGERIES:
7 A) LAMINECTOMY 24150 30240 36230 42320
8 B)MAJOR (INLUDING TUMORS,
MICRO DISCS, COREPECTOMY ETC) 36230 48300 60380 72450
9 C)SPINAL SURGERY SPECIAL
PROCEDURES INCLUDING FIXATION
AND COMNINED PROCEDURE 36230 48300 60380 72450
10 TWISTDRILL CRANIOSTOMY FOR
VENTRICULAR DRAINAGE 24150 30240 36230 48300
11 FOR HEMATOMA EVACUATION 24150 30240 36230 48300
12 TRACHEOSTOMY 4830 6090 7880 10290
Note :
a) If two surgeries are performed at the same time, patients will be charged full amount for the first surgery and 50% for the second surgery
b) This is broad based schedule of charges. A range of professional fee has been fixed to avoid the extremely large range of procedure with variation in operation technique and time consumed.
c) Instrumental charges are separate (Ex.Aneurysm, clips, plates and screws etc.)
55 Mallya Hospital Tariff 2017
ONCOLOGY - SURGICAL
SL.NO NAME OF SURGERY
GEN &
SEMI PVT PRIVATE
PVT
PLUS
DLX
SUITE
1 ORCHIDECTOMY 6090 9030 12710 15750
2 COLOSTOMY 8510 10290 15120 18170
3 COLOSTOMY CLOSURE 8510 10290 15120 18170
4 JEJUNOSTOMY 8510 10290 15120 18170
5 ILEOSTOMY 8510 10290 15120 18170
6 GASTROSTOMY 8510 10290 15120 18170
7 SKIN GRAFTING MAJOR (ABOVE 5 %) 8510 10290 15120 18170
8 SKIN GRAFTING MINOR (ABOVE 5 %) 3680 5460 6620 9030
9 OOPHERECTOMY 9030 13860 21110 26570
10 LAPROTOMY & CLOSURE 10290 18170 21110 26570
11 CA.TONGUE, WIDE EXCISION BUCCUL
MUCOSA FLOOR OF MOUTH 10290 18170 26570 35070
12 HEMIMANDIBULECTOMY 6620 12710 26570 35070
13 HEMIMANDIBULECTOMY SOUND 9030 13860 21110 26570
14 HEMITHYROIDECTOMY 10290 15750 21110 28980
15 TOTAL THYROIDECTOMY 16910 25410 33810 48300
16 TOTAL THYROIDECTOMY+ RND 21110 30240 37490 51980
17 HEMICOLECTOMY 13860 21110 30240 42320
18 APR 18170 26570 33810 42320
19 SIGMOID RESECTION 15120 21110 30240 42320
20 TOTAL MASTECTOMY WITH
AXILLARY CLEARENCE 16910 26570 30240 42320
21 PAN HYSTERECTOMY 12710 21110 30240 42320
22 PALLIATIVE GASTERECTOMY 16910 26570 30240 42320
23 COLONIC RESECTION 13860 21110 30240 42320
24 SMALL BOWEL RESECTION 13860 21110 30240 42320
25 COMPARMENTAL EXCISION FOR SOFT
TISSUE TUMOURS 11450 16910 26570 30240
56 Mallya Hospital Tariff 2017
26 TOTAL LARYNGECTOMY 21110 30240 42320 60380
27 RADICAL NECK DISSECTION 21110 30240 42320 60380
28 TOTAL GASTRECTOMY 21110 30240 42320 60380
29 INGUINAL NODE DISSECTION 13860 21110 26570 30240
30 MAXILLECTOMY PARTIAL 12710 21110 26570 30240
31 MAXILLECTOMY TOTAL 18170 26570 30240 42320
32 SCALP TUMOUR EXCISION WITH
RECONSTRUCTION 12080 16910 26570 30240
33 FUNCTIONAL NECK DISSECTION 21110 30240 42320 60380
34 PAROTIDECTOMY SUPERFICIAL 12710 16910 26570 42320
35 TOTAL PAROTIDECTOMY 21110 30240 42320 60380
36 PANHYSTERECTOMY+OMENTECTOMY 21110 30240 42320 60380
37 TOTAL AMPUTATION OF PENIS 13860 18170 22370 30240
38 RADICAL NEPHRECTOMY 13860 18170 22370 30240
39 WHIPPLES OPERATION 21110 26570 30240 42320
40 TRIPLE ANASTOMOSIS FOR
OBSTRUCTIVE JAUNDICE 21110 26570 30240 42320
41 WERTHEIMS HYSTERECTOMY 21110 26570 30240 42320
42 OESOPHAGECTOMY 21110 26570 30240 42320
43 IVOR-LEWIS 15750 26570 30240 42320
44 SCALENE NODE BIOPSY 4310 6620 9030 10290
45 RADICAL GASTRECTOMY 21110 26570 36230 60380
46 SUBTOTAL GASTRECTOMY 16910 26570 30240 42320
47 SIMPLE ROTATION FLAP 9660 15120 18170 24150
48 EXCISION WITH RECONSTRUCTION BY
FLAPS 12710 21740 26570 30240
49 COMPOSITE RESECTION 12080 19320 23000 30240
50 COMPOSITE RESECTION WITH SINGLE
FLAP 15750 26570 30240 42320
51 COMPOSITE RESECTION WITH
DOUBLE FLAP 16910 24150 28980 36230
52 LP. OESOPHAGECTOMY & GASTRIC
PULLUP 21110 30240 36230 42320
53 RA OESOPHAGUS 15750 26570 28980 36230
54 HEMIGLOSSECTOMY 9660 15120 18170 24150
55 TOTAL GLOSSECTOMY 9660 15750 18170 26570
57 Mallya Hospital Tariff 2017
56 EXCISION PARAPHARYNGEAL
TUMOURS 12080 15750 19320 27830
57 BREAST CONSERVATION 15750 21110 26570 30240
58 MICRODOCHECTOMY 9030 14490 16910 21740
58 Mallya Hospital Tariff 2017
OPTHALMOLOGY
SL.NO PARTICULARS GEN &
SEMI PVT PVT
PVT
PLUS
DLX
SUITE
1 CATRACT 7880 12080 16280 18170
2 CATRACT + IOL 7880 12080 16280 18170
3 DCR 7880 12080 16280 18170
4 DCT 3050 4200 5460 6620
5 LID SURGERY 3050 4200 5460 6620
6 SQUINT 7880 12080 16280 18170
7 GLAUCOMA SURGERY 7880 12080 16280 18170
8 CHALAZION & CHYSTS 1260 1790 2420 3050
9 CORNEAL TEAR REPAIR 7880 12080 16280 18170
10 PROBING AND SYRINGING 3050 4200 5460 6620
11 PETRYGIUM 3050 4200 5460 6620
INSTRUMENT CHARGES 950 1260 1470 1790
59 Mallya Hospital Tariff 2017
ORTHOPAEDICS
SL.NO PARTICULARS
GENERAL
& SEMI
PVT
PRIVATE PRIVATE
PLUS
DELUXE
SUITE
1 ABOVE KNEE AMPUTATION 9030 10920 14490 24150
2 ACROMION EXCISION 7250 10920 13340 15750
3 ACETABULAR FRACTURE 15120 24150 30240 37490
4 ADDUCTOR TENOTOMY &
OBTURATOR NEURECTOMY
7880 11450 15750 19320
5 ANTERIOR SPINAL FUSION WITH
COMPRESSION
15750 24150 27830 36230
6 ARTHRODESIS-ELBOW 9660 13860 18170 24150
7 ARTHRODESIS-HIP 12710 19320 24150 30240
8 ARTHRODESIS-KNEE 9660 13860 18170 24150
9 ARTHRODESIS-SHOULDER 12080 16910 21740 27830
10 ARTHRODESIS-WRIST 9660 13860 18170 24150
11 ARTHROSCOPIC CRUCIATE LIGMENT
REPAIR – ACL REPAIR
13340 15120 24150 30240
12 ARTHROSCOPIC SURGERY 13340 15120 24150 30240
13 ARTHROSCOPY DIAGNOSTIC 8510 9660 13340 15750
14 ARTHROTOMY/EXPLORATION OF
WRIST
7250 10920 13340 15750
15 ARTHROTOMY- ANKLE MINOR 7250 10920 13340 15750
16 ARTHROTOMY- ELBOW MINOR 7250 10920 13340 15750
17 ARTHROTOMY- HIP MAJOR 8510 12080 15750 19320
18 ARTHROTOMY - KNEE MAJOR 8510 10920 13340 16910
19 ARTHROTOMY- SHOULDER MAJOR 8510 10920 13340 16910
20 ASNIS FIXATION (CLOSED) 11450 16910 21740 26570
21 ASNIS FIXATION (OPEN) 11450 16910 21740 26570
22 AUSTIN MOORE PINNING (CLOSED)
FEMUR
12080 16910 21740 27830
23 BELOW KNEE AMPUTATION 9030 10920 14490 24150
24 BENNETS FRACTURE FIXATION 7880 11450 15750 19320
60 Mallya Hospital Tariff 2017
25 BIMAU EOLAR FRACTURE 12080 15120 21740 24150
26 BLOCK BONE SURGERY 6620 10290 12710 15120
27 BONE BIOPSY - MAJOR 9030 12080 14490 24150
28 BONE BIOPSY - MINOR 3680 5460 6620 7880
29 CARPEL TUNEL DECOMPRESSION 9030 10290 12710 15750
30 CERVICAL RIB EXCISION 12710 14490 16910 21740
31 CLOSED REDUCTION-MAJOR 6620 7880 10920 14490
32 CLOSED REDUCTION-MINOR 4830 6620 7880 9030
33 CLOSED REDUCTION OF HIP
DISLOCATION
7250 9660 12080 15120
34 CLUB FOOT MANIPULATION & POP 5460 6620 8510 12080
35 POP APPLICATION IN EMERGENCY
ROOM
0 0 0 0
36 ABOVE ELBOW 740 840 950 1050
37 BELOW ELBOW 630 740 840 950
38 ABOVE KNEE 840 950 1050 1260
39 BELOW KNEE 740 840 950 1050
40 CLOSED NAILING FUMOR 18170 24150 31400 37490
41 CLOSED NAILING TIBIA 14490 18170 24150 31400
42 COLD ABSCESS DRAINAGE-MAJOR 7250 9030 11450 14490
43 COLD ABSCESS DRAINAGE-MINOR 3050 4200 5460 7880
44 COMPRESSION PLATING OF HUMERUS 13340 15750 18170 24150
45 COMPRESSION PLATING OF TIBIA 13340 15750 18170 24150
46 CONGENITAL DISLOCATION HIP
STABILISATION
12080 15750 19320 25410
47 CONGENITAL PSEUDOARTHROSIS OF
TIBIA - MAJOR
12080 15120 17540 21740
48 CORRECTIVE HAMMER TOES (EACH
UNIT)
6090 7880 11450 15120
49 CORRECTIVE SPINAL OSTEOTOMY &
FUSION
18170 24150 30240 38640
50 COSTO-TRANSVERSECTOMY 11450 14490 19320 24780
51 CURETTAGE OF TUMOR & BONE
GRAFTING- LARGE
7250 10290 12080 15120
52 CURETTAGE OF TUMOR & BONE
GRAFTING- MEDIUM
4830 7250 9030 10290
53 CURETTAGE OF TUMOR - SMALL 3680 4830 6090 7250
61 Mallya Hospital Tariff 2017
54 DEBRIDMENT 7250 9660 12710 15120
55 DE-QUERVANS DISC DECOMPRESSION 6620 7880 9660 13340
56 DISCECTOMY 19320 24150 30240 37490
57 DYNAMIC HIP FIXATION 15120 24150 30240 38640
58 EXCISION HEAD OF RADIUS 7880 10290 12710 15120
59 EXCISION LOWER END OF ULNA 7880 10290 12710 15120
60 EXPLORATION I ARTHROTOMY 7880 10290 12710 15120
61 EXTERNAL FIXATION-FOREARM - 7880 10920 13860 18170
62 EXTERNAL FIXATION TIBIA - 7880 10920 13860 18170
63 FOREQUARTER AMPUTATION 12080 15120 18170 24150
64 FRACTURE OF BONES-ORIF(BOTH
BONES)
15120 24150 30240 37490
65 FRACTURE OF BONES-ORIF(SINGLE) 7880 12710 15120 18170
66 FRENCH OSTEOTOMY 9660 12080 15120 21740
67 HALLUX VALGUS CORRECTION 7880 10290 12080 15120
68 HAMSTRING RELEASE 8510 11450 13860 18170
69 HEMIATHROPLASTY WITH CEMENT 18170 24150 31400 38640
70 HEMIATHROPLASTY WITHOUT
CEMENT
18170 24150 31400 38640
71 HIGH TIBIAL OSTEOTOMY 11450 15750 19320 24150
72 HIND QUARTER AMPUTATION 12710 16910 21740 27200
73 ILIZAROV-LIMB LENGTHENING 12080 15120 24150 30240
74 IMPLANT MINOR 3050 4200 6620 9030
75 IMPLANT MAJOR 6620 8510 10290 12080
76 INGROWING TOE NAIL OPERATION 4830 6090 7250 9660
77 INSTRUMENTATION WITH SPINAL
FUSION
18170 21110 23520 28980
78 INTER CONDYLAR FRACTURE-ELBOW 13340 16910 24150 31400
79 INTERMEDULLARY NAILING KAV ALL
BONES (CLOSED)
16910 26570 31400 33810
80 INTERMEDULLARY NAILING OR V
ALL BONES (OPEN)
12710 15750 18690 25410
81 JESS FIXATOR 8510 10290 12710 15120
82 JEWEIT NAILING 8510 12080 14490 18170
83 K-WIRING OF DISLOCATION 6090 7250 9660 13340
84 K-WIRING OF FRACTURES 6090 7250 9660 13340
62 Mallya Hospital Tariff 2017
85 LAMINECTOMY 19320 24150 30240 37490
86 LAMINECTOMY/ DECOMPRESSION 15120 18170 21740 25940
87 LATERAL CONDYLE FIXATION 9660 13340 16910 24150
88 MAJOR TENDON REPAIR (SINGLE) 7250 9030 12080 15120
89 MAJOR TENDON TRANSFER 9660 11450 13860 15750
90 MENISECTOMY 8510 12080 14490 18170
91 OLECRANON FRACTURE 0 0 15120 18170
92 POSTERIOR SPINAL FUSION 15120 26570 30240 37490
93 ORIF-ANKLE 9660 11450 14490 19320
94 ORIF-TIBIAL CONDYLES 10920 14490 18170 24150
95 OSTEOMYELITIS CHRONIC-MEDIUM
CURTTAGE & SACUCERIZATION
8510 10290 12710 15120
96 OSTEOTOMIES AROUND HIP 12080 18170 24150 30770
97 PATELLECTOMY 6090 9030 12080 15120
98 PELVIS FRACTURE 14490 18170 24150 31400
99 PERTHES DISEASE OPERATION 12080 15120 19950 24150
100 PERCUTANEOUS LUMBAR DISC
OPERATION
12710 24150 31400 38640
101 PLASTIC REPAIR OF TENDO ACHILLES 7880 9030 12710 15120
102 POSTERO-MEDIAL SOFT TISSUE
RELEASE (SINGLE FEET)
7880 10920 13860 18170
103 POSTERO-MEDIAL SOFT TISSUE
RELEASE (BOTH FEET)
13340 15120 18170 21740
104 PROXIMAL HUMERUS FRACTURE 15750 24150 31400 38640
105 PUTTI-PIATT 12080 16910 24150 31400
106 QUADRICEPS PLASTY 10290 13860 18170 24150
107 RECURRENT DISLOCATION PATELLA 9660 13340 15750 21740
108 RECURRENT DISLOCATION
OPERATION
12080 15120 19320 24150
109 SACRO ILIAC FUSION 10290 13860 18170 24150
110 SKIN GRAFT-MAJOR 8510 11450 13860 18170
111 SKIN GRAFT-MINOR 4830 7880 10920 13860
112 SPINAL FRACTURE REDUCTION WITH
FIXTAION
13860 19320 24150 30240
113 SUBTALAR FUSION 7250 11450 13860 18170
114 SUPRA CONDDYLAR FRACTURE
FIXATION-CHILD
9660 12080 15120 18170
63 Mallya Hospital Tariff 2017
115 SYNOVECTOMY- WRIST 6090 7880 10920 14490
116 SYNOVECTOMY-JOINT 7250 9030 12080 15120
117 TENSION BAND WIRING 5460 7880 9660 12710
118 TOTAL JOINT REPLACEMENT- HIP 26570 31400 37490 45260
119 TOTAL JOINT REPLACEMENT KNEE -
UNILATERAL
26570 31400 37490 45260
120 TOTAL JOINT REPLACEMENT KNEE -
BILATERAL
53130 62790 74870 90620
121 TOTAL JOINT REPLACEMENT-WRIST 26570 31400 37490 45260
122 TOTAL SHOLDER 26570 37490 48300 60380
123 TRIPLE FUSION 7250 10290 12080 15120
124 GANGLION EXCISION / BURSA 9030 11450 13340 16910
125 INTRA ARTICULAR INJECTION 840 1260 1470 1790
126 MANUPLATION OF STIFF JOINT 6090 7880 9660 11450
127 OPEN ACL/PCL RECONSTRUCTION 12080 15120 17540 21740
128 CALCANEAL OSTEOTOMY - MAJOR 9030 12080 15120 18170
64 Mallya Hospital Tariff 2017
OPERATION THEATER CHARGES
MAJOR OT: Per Hour Rates
General Ward 5000
Semi Private Ward 5000
Private Ward 6300
Private Plus 7600
Deluxe Suite 8800
MINOR OT: Per Hour Rates
General Ward 3800
Semi Private Ward 3800
Private Ward 4500
Private Plus 5000
Deluxe Suite 6300
4th Floor OT (Hi-tech) Per Hour Rates
General Ward 5750
Semi Private Ward 5750
Private Ward 7600
Private Plus 8800
Deluxe Suite 9900
65 Mallya Hospital Tariff 2017
PAEDIATRIC (NEW BORN) CHARGES
SL.NO PARTICULARS
GENERAL SEMI
PRIVATE PRIVATE
PRIVATE
PLUS
DELUXE
SUITE
1 NORMAL DELIVERY 630 840 1260 1580 2100
2 FORCEPS DELIVERY 630 840 1260 1580 2100
3 TWIN DELIVERY (EACH
TWIN) 630 840
1260 1580 2100
4 CAESAREAN SECTION
(ELECTIVE) 950 1160 1890 2100 2940
5 CAESAREAN SECTION
(EMERGENCY) 1050 1260 2100 2630 3150
6 INCUBATOR- EACH VISIT 160 210 260 320 370
7 INCUBATOR- EACH VISIT
BABY ON 210 260 320 370 470
66 Mallya Hospital Tariff 2017
PHYSIOTHERAPY
SL.NO PARTICULARS GENERAL
SEMI
PRIVATE PRIVATE
PRIVATE
PLUS
DLX
SUITE
1 CHEST PHYSIOTHERAPY 370 400 420 470 530
2
EXERCISE FOR NEURO
CONDITION 420 470 530 580 630
3
EXERCISE FOR ORTHO
CONDITION 420 470 530 580 630
4 POST NATAL EXERCISE 420 470 530 580 630
5 GENERAL EXERCISE 320 350 370 420 530
6 REPRATORY EXERCISE 320 350 370 420 530
7
SHORT WAVE DIATHERMY
(SWD) 320 370 420 470 530
8 ULTRASOUND THERAPY 320 370 420 470 530
9
INTERFERENTIAL THERAPY
(IFT) 320 370 420 470 530
10
TRANSCUTANEOUS
ELECTRICAL STIMULATOR
(TENS) 320 370 420 470 530
11 LASER 350 400 470 530 580
12
INTERMITTEN PELVIC
TRACTION (IPT) 320 370 420 470 530
13
INTERMITTEN CERVICAL
TRACTION (ICT) 320 370 420 470 530
14
ELECTRICAL STIMULATION
(ES) 320 370 420 470 530
15 PARAFFIN WAX BATH 320 370 420 470 530
16 C.P.M 370 420 470 530 630
17 INTREX THERAPY 420 470 530 580 680
67 Mallya Hospital Tariff 2017
PLASTIC SURGERY
SL.No PARTICULARS
SEMI
PRIVATE PRIVATE
PRIVATE
PLUS
DLX
SUITE
EYELIDS
1 DEEPENING CONTRACTED
SOCKET 10610 13390 15230 17850
2 ECTROPION RELEASE & SKIN
GRAFTING (EACH EYE BROW) 10610 13390 15230 17850
3 EXCISION OF TUMOR &
CLOSURE 10610 13390 15230 17850
4 FRONTALIS SLING 10610 13390 15230 17850
5 LEVATOR SLING 8510 10710 15750 18900
RECONSTRUCTION OF EACH
EYELID-FOR MAJOR
6 DEFECTS 16280 19950 23630 31500
RECONSTRUCTION OF EACH
EYELID-FOR MINOR
7 DEFECTS 8510 10710 14180 18900
RECONSTRUCTION OF EACH
EYELID-FOR MODRATE
8 DEFECTS 12760 16070 18900 25200
9 TUMOUR EXCISION WITH
RECONSTRUCTION - MAJOR) 16280 20480 23630 31500
10 TUMOUR EXCISION WITH
RECONSTRUCTION - MINOR 11030 13390 15750 21000
EAR
11 EAR INJURY - MAJOR SUTURING 8510 10710 14180 18900
12 REPAIR OF TORN EARLOBULE -
EACH 2100 2630 3150 4200
MOUTH
13 BY LOCAL FALP – MAJOR 8510 10710 14180 18900
14 BY LOCAL FALP – MINOR 5250 6830 7880 10500
68 Mallya Hospital Tariff 2017
15 CLEFT LIP REPAIR BILATERAL -
COMPLETE & INCOMPLETE) 11030 13390 15750 21000
16 CLEFT PALATE COMPLETE
REPAIR 16280 20480 23630 31500
17 CLEFT PALATE INCOMPLETE
REPAIR 16280 20480 23630 31500
CLEFTLIP REPAIR UNIVERSAL -
COMPLETE &
18 INCOMPLETE 10610 13390 15230 18900
19 CLOSURE OF PALATAL - FISTULA 8510 10710 14180 18900
20 COLUMELLA LENGTHEING 5250 6830 7880 10500
21 PHARYNGOPLASTY WITH
REPAIR OF PLATE 10610 13390 15230 17850
22 RECONSTRUCTION OF LIP BY
ABBE FALP 12760 16070 18900 25200
23 REPAIR OF BILATERAL LIP AND
ANTERIOR PLATE 21260 26780 31500 42000
24 REPAIR OF MACROSTOMIA 11030 13390 15750 21000
REPAIR OF UNILATERAL CLEFT
LIP & ANTERIOR
25 PALATE 21530 26780 31500 42000
26 SECONDARY CORRECTION
CLEFT LIP VARIABLE 11030 13390 15750 21000
HAND
27 AMPUTATION (EACH FINGER) 5250 6830 7880 10500
28 a) FALPOVER (V-Y) 11030 13390 15750 21000
29 b) FALP COVER(CROSS FINGER) 8510 10710 12600 16800
30 c) FALP COVER (DISTANT) 11030 13390 15750 21000
31 CAPSULOTOMY (EACH) 4250 5360 6300 8400
CONTRACTURE RELEASE AND
SKIN GRAFTING
32 (EACH) 8510 10710 12600 16800
33 FACIAL NERVE REPAIR (MICRO) 11030 13390 15750 21000
34 FACIAL NERVE GRAFTING 16280 19950 23630 31500
35 NEURO SENSORY FLAP 11030 13390 15750 21000
36 SWAN NECK DEFORMITY 6830 8030 9450 12600
37 PALMER REPAIR OF TENDON
(EACH) DUMPYTRYN'S
CONSTRUCTURE
8510 10710 12600 16800
69 Mallya Hospital Tariff 2017
38 POLYDACTLY EXCISION –
MAJOR 11030 13390 15750 21000
39 POLYDACTLY EXCISION –
MINOR 5250 6830 7880 10500
40 FULLEY FORMATION (EACH) 2730 3360 4040 5250
41 MINOR DEFORMITIES OF HAND
EACH FINGER 4250 5360 6300 8400
42 MODERATE DEFORMITIES OF
HAND 7560 9660 11030 14700
43 MAJOR DEFORMATIES OF HAND 11030 13390 15750 21000
44 RELEASE OF SYNDACTYLY (FOR
EACH FINGER RELEASE) 11030 13390 15750 21000
45 REPAIR MULTIPLE TENDONS
EACH HAND 6380 8030 9450 12600
46 REPAIR OF INJURY - SKIN ONLY 3780 4730 5780 7350
47 REVISION AMPUTATION - EACH
FINGER 4250 5360 6300 8400
SKIN GRAFTING
48 SKIN GRAFTING MINOR 5% TO
10% 6830 8030 9450 12600
49 SKIN GRAFTING INTERMEDIATE
11% TO 20% 11030 13390 15750 21000
50 SKIN GRAFTING MAJOR 20% TO
40% 16280 19950 23630 31500
BURNS DRESSING
51 MINOR 2100 2630 3150 4200
52 INTERMEDIATE 3150 3680 4520 5780
53 MAJOR 4200 5250 6300 8400
54 RHINOPLASTY – MINOR 6830 8030 9450 12600
55 RHINOPLASTY – MAJOR 11030 13390 15750 21000
LIPOSUCTION
56 LIPOSUCTION – MAJOR 21260 26780 31500 42000
57 LIPOSUCTION – INTERMEDIATE 11030 13390 15750 21000
58 LIPOSUCTION – MINOR 11030 13390 15750 21000
59 ABDOMEN ONLY 8510 10710 12600 16800
60 ABDOMEN + ARM 11030 13390 15750 21000
61 ABDOMEN + ARM + BUTTACK 16280 19950 23630 31500
62 ABDOMINOPLASTY – MAJOR 16280 19950 23630 31500
70 Mallya Hospital Tariff 2017
63 ABDOMINOPLASTY – MINOR 11030 13390 15750 21000
64 BREAST AUGMENTATION
MAMOPLASTY 21260 26780 31500 42000
65 BREAST REDUCTION 16280 19950 23630 31500
66 SCAR REVISION 11030 13390 15750 21000
67 BLEPHAROPLASTY - EACH ONE 11030 13390 15750 21000
68 LIP REDUCTION 9980 12080 14180 18900
69 EAR RECONSTRUCTION WITH
FLAP 12760 16070 18900 25200
FLAPS
70 a) SKIN FLAPS 6300 7350 8660 11550
71 b)FASCIOUSTANEOUS 11030 13390 15750 21000
72 3)MUSCLE 7880 9660 11340 15120
73 4)FREE FLAPS 12760 16070 18900 25200
TRAUMA
74 FACIAL INJURIES MAJOR 16280 19950 23630 31500
75 FACIAL INJURIES
INTERMEDIATE 11030 13390 15750 21000
76 FACIAL INJURIES MINOR 5780 6830 7880 10500
77 DERMABRASSION 8510 10710 12600 16800
78 LOWER LEG TRAUMA 7350 8930 10500 14180
79 TONGUE / CHEEK FLAP (EACH
SIDE) 5250 6830 7880 10500
71 Mallya Hospital Tariff 2017
PSYCHIATRY
FEE STRUCTURE OF PSYCHAITRIC PATIENTS
OUT PATIENTS
A) FIRST CONSULTATION Rs. 400/-
B) REVISIT CONSULTATION WITH IN A WEEK Rs. 200/-
C) PSYCHOTHERAPHY Rs. 400/-
INPATIENT
A) FIRST DETAILED PSYCHIATRIC EVALUTION
GENERAL WARD Rs. 350/-
SEMI PRIVATE Rs. 400/-
PRIVATE Rs. 450/-
PRIVATE PLUS Rs.500/-
DELUXE SUITE Rs. 600/-
B) VISITS
GENERAL WARD Rs. 250/-
SEMI PRIVATE Rs. 300/-
PRIVATE Rs. 450/-
PRIVATE PLUS Rs.500/-
DELUXE SUITE Rs. 600/-
C) PSYCHOTHERAPY
GENERAL WARD Rs. 200/-
SEMI PRIVATE Rs. 250/-
PRIVATE Rs. 300/-
PRIVATE PLUS Rs.300/-
DELUXE SUITE Rs. 400/-
72 Mallya Hospital Tariff 2017
RADIOLOGY
SL.NO INVESTIGATION TYPE GENERAL
SEMI
PVT
PVT PVT
PLUS
DELUX
E SUITE
1 C ARM 2520 2730 3150 3570 3990
2 C ARM ADDITIONAL CHARGES 1260 1370 1470 1680 1790
C.T SCANNING
3
C.T LOMBOSACRAL OR LUMBAR
SPINE 5670 6300 7250 10190 12180
4 C.T ABDOMEN (SPECIAL STUDY) 8820 9660 11340 13650 16380
5
C.T BRAIN/HEAD WITH THIN
SECTION 5040 5570 6720 8190 9870
6 C.T SCAN ABDOMEN 6300 6930 7880 9350 11760
7 C.T SCAN ABDOMEN/PELVIS 8820 9660 10710 12600 13860
8 C.T SCAN BRAIN/HEAD 3780 4200 4830 5670 6830
9 C.T SCAN BRAIN/HEAD LIMITED 3150 3470 3990 4830 9660
10 C.T SCAN CERIVCAL SPINE 5670 6300 7250 10190 12180
11
C.T SCAN DORSAL
SPINE/THORASIC SPINE 5670 6300 7250 10190 12180
12
C.T SCAN EXTREMITIES
(CONTRAST) 4830 5460 6200 7350 8610
13 C.T SCAN LUMBAR SPILE LIMITED 4200 4620 5250 6300 7560
14
C.T SCAN
NECKITHYROID/PARATHYROIDS 4830 5460 6200 7350 8610
15 C.T SCAN PELVIS 5670 6300 7250 10190 12180
16 C.T SCAN SINUSES/PNS 3780 4200 4830 5670 6830
17 C.T SCAN TEMPORAL BONES (H.R) 5040 5570 6300 7250 8610
18
C.T SCAN
THORAX/CHEST/LUNGS/ABD/LTD 5040 5570 6300 7250 8610
19 C.T SCAN THORAX/CHEST/LUNGS 6300 6930 7770 8820 10290
20
C.T SCAN ABDOMEN AND PELVIS
SPECIAL STUDY 11760 13440 16070 18690 20790
21 C.T ANGIOGRAM 10080 11130 12290 14600 16910
22
C.T BRAIN/HEAD/PNS (SPECIAL
STUDY) 6930 7670 8820 10400 12290
73 Mallya Hospital Tariff 2017
23
C.T
CHEST/THORAX/LUNGS/ABDOMEN
(SPL STUDY) 8610 9660 10920 13440 15330
24
C.T
PELVIS/SPINE/NECK/EXTREMITIES
(SPL STUDY) 8190 9030 10290 12390 14070
25 C.T ORBITS 3780 4200 5040 6090 7140
DORSAL
26 DOPPLER - ABDOMEN
1370 1580 1890 2520 3150
420 530 630 740 840
27 DOPPLER - ANY SINGLE REGION
1370 1580 1890 2520 3150
420 530 630 740 840
28
DOPPLER - OTHERS (ANTERIOR
NENOUS/BOTH LIMBS) 2730 3050 3780 4520 5250
840 1050 1160 1260 1470
GENERAL PROCEDURES
29 AORTOGRAM 4200 4620 5250 6300 7560
2520 2630 3470 3780 4410
30 ASPIRATION ANY PART 1160 1260 1470 1790 2000
1160 1260 1470 1790 2000
31 BARIUM AENEMA 1370 1580 9450 2210 2520
840 950 1160 1370 1580
32 BARIUM MEAL FOLLOW THROUGH 1370 1580 9450 2210 2520
840 950 1160 1370 1580
33 BARIUM SWALLOW 740 840 1050 1160 1470
630 740 740 950 1160
34 BARIUM UGI EXAM 740 840 1050 1160 1470
630 740 740 950 1160
35 CHOLANGIOGRAM 740 840 1050 1160 1470
630 740 740 950 1160
36
FALLOPIANTUBE
RECANAUSATION 2100 2310 2520 3780 4410
2100 2310 2520 3780 4410
37 FLUROSCOPY
38 IVP (NON IONIC CONTRASR) 6300 6930 7880 9450 11340
39 IVP/IVU (ROUTINE) 2730 3150 3780 4410 5040
40 MICTURATINNG CYSTOGRAM 1050 1160 1260 1470 1890
74 Mallya Hospital Tariff 2017
840 1050 1160 1260 1470
41 MYELOGRAM LUMBAR 1050 1260 1370 1680 1890
1050 1260 1370 1680 1890
42 PER ADDL NIN OF FLURO 210 320 420 420 530
43 SIALOGRAPHY/ SIALOGRAMY 1050 1160 1260 1470 1890
840 1050 1160 1260 1470
44 URETHROGRAM 1050 1160 1260 1470 1890
840 1050 1160 1260 1470
45 VENOGRAM - UPPER, LOWER LIMB 1370 1580 1890 2210 3150
840 950 1160 1370 1580
MAMMOGRAPHY
46
MAMMOGRAPHY ADDITIONAL
FILM 530 630 740 840 1050
47 MAMMOGRAPHY ROUTINE 2520 2730 3260 3570 3990
48 MAMMOGRAPHY TWO VIEW 1160 1260 1470 1680 1890
ULTRASOUND
49
ULTRASOUND
ABDOMEN/PELVIS/CHEST/OTHERS 740 740 840 1050 1160
420 420 530 530 740
50 ULTRASOUND ABDOMEN TWINS 840 1050 1160 1260 1470
840 1050 1160 1260 1470
51 ULTRASOUND SPECIAL STUDIES 1160 1260 1370 1470 1680
530 530 630 740 840
52
ULTRASOUND BIOPSY ANY
REGION 1260 1370 1470 1790 2000
630 740 840 1050 1050
53 USG PORTABLE 1050 1160 1260 1370 1470
740 740 740 840 840
X-RAY
54 X-RAY 320 320 420 530 530
55 X-RAY PORTABLE 320 420 530 530 530
MRI SCAN
56 MRI SCAN- STANDARD STUDY 9030 10080 11240 13550 15750
57 MRI SCAN- LIMITED STUDY 6300 6930 8090 9450 10820
58 MRI SCAN- SPECIAL STUDY 12600 13860 15540 18900 21420
59
MRI SCAN ADVANCED SPECIAL
STUDY 15330 16590 19320 23100 26460
75 Mallya Hospital Tariff 2017
60 CONTRAST 3780 4410 5040 5670 6300
OTHERS
61 PROSTATE BIOPSY 1890 2000 2100 2310 2520
1890 2000 2100 2310 2520
62 RENAL BIOPSY U/S GUIDED 3150 3470 3780 5040 6300
3150 3470 3780 5040 6300
63 MARKING RADIOLOGIST CHARGES 950 1260 1580 1890 2520
64 PSEUDOANEURYSM 1890 2210 2520 3150 3780
1890 2210 2520 3150 3780
76 Mallya Hospital Tariff 2017
Room Tariff
Sl Category
Ward Charges
ICU / CCU / ICCU
ICU / CCU / ICCU with Ventilator
ICU / CCU / ICCU with non invasive Ventilator
Neonatal ICU
Neonatal ICU with Ventilator
1 General Ward 950 4000 7000 6000 1000 3000
3 Day Care 1275 4000 7000 6000 1000 3000
Semi Private 1600 4000 7000 6000 1000 3000
4 Semi Private Plus 1950 4000 7000 6000 1000 3000
5 Private 3450 4000 7000 6000 1000 3000
6 Private Plus 4025 4000 7000 6000 1000 4000
7 Deluxe Suite 8600 4000 7000 6000 1000 4000
8 Special Nursing Unit- (Neuro ICU)
3000
Note: 8% Luxury Tax will be charged on Bed Charges above Rs.1000/- per day as per the directive of the State Government of Karnataka NURSING SERVICES & DUTY DOCTOR FEE
Category Nursing Charges Duty Doctor fee per day
General Ward 230 ------ Semi Private 400 100 Semi Private Plus 400 100 Private 580 150 Private Plus 700 150 Deluxe Suite 800 150
INPATIENT DOCTORS VISIT CHARGES
General Ward Rs.350/- ICU Rs.400/-
Semi Private Rs.400/- ICU Rs.450/-
Private Rs.450/- ICU Rs.500/-
Private Plus Rs.600/- ICU Rs.650/-
Deluxe Suite Rs.850/- ICU Rs.950/-
77 Mallya Hospital Tariff 2017
TREATMENT PROCEDURES
Sl.No. INVESTIGATION TYPE
GENE
RAL
SEMI
PVT PVT
PVT
PLUS
DLX
SUITE
1 ARTERIAL LINE
300
300
350
350
400
400
450
450
500
500
2 AUDIOGRAM 400 400 400 400 400
3 ASPIRATION (TP) / ascitic tap
500
350
500
350
500
350
500
350
500
350
4 BIOPSY MUSCLE
500
350
500
350
500
350
500
350
500
350
5 BONE MARROW ASPIRATION
800
350
800
350
800
350
800
350
800
350
6 CYST REMOVAL
300
200
300
200
300
200
300
200
300
200
7 CYST SEBACEOUS
300
900
300
900
300
900
300
900
300
900
8 BONE MARROW BIOPSY
800
350
800
350
800
350
800
350
800
350
9 DILATATATION (T.P) 300 300 300 300 300
10 EAR LOBE PIERCING (BOTH)
500
150
500
150
500
150
500
150
500
150
11 EAR LOBE REPAIR (EACH EAR)
500
900
500
900
500
900
500
900
500
900
12 FOREIGN BODY REMOVAL 4000 4000 5500 7500 10000
13 INCISION & DRAINAGE
500
400
500
400
500
400
500
400
500
400
14 INTRA - ARTICULAR INJECTION
250
250
250
250
250
250
250
250
250
250
15 NAIL REMOVAL
300
250
300
250
300
250
300
250
300
250
16 IMPEDENCE AUDIOMETRY 500 500 500 500 500
78 Mallya Hospital Tariff 2017
17 INTRA COSTAL DRAINAGE
500
600
500
600
500
600
500
600
500
600
18 NOSE PIERCING 500 500 500 500 500
19
PARACENTESIS -
ABDOMINANASTIC TAPPING
500
350
500
350
500
350
500
350
500
350
20 PLEURAL TAPPING
500
150
500
150
500
150
500
150
500
150
21
PHOTHERAPHY - SINGLE
SURFACE 300 300 300 500 500
PHOTHERAPHY - DOUBLE
SURFACE 300 300 300 350 600
22
RYLES TUBE INTRODUCTION
(TUBE EXTRA) 150 150 150 150 150
23 SPIROMETER 300 300 300 300 300
Sl.No. INVESTIGATION TYPE
GENE
RAL
SEMI
PVT PVT
PVT
PLUS
DLX
SUITE
24 SPEECH COUNSELLING 300 300 300 300 300
25 SPEECH THERAPY - 1/2 HOUR 300 300 300 300 300
26 SPEECH THERAPY - 45 MINS 300 300 300 300 300
27
ENDOCRINOLOGYIDIABETOLOGY
COUNSELLING 250 250 250 250 250
28
ACCUPRESSURE STRESS
THERAPY 300 300 300 300 300
79 Mallya Hospital Tariff 2017
VASCULAR SURGERY
Sl.No. INVESTIGATIONS TYPE
GENERAL
& SEMI
PVT PRIVATE
PVT
PLUS
DLX
SUITE
1
AORTIC ANEURGYSM (
ABDOMINO - thoracic) 19320 30770 36860 54390
2
AMPUTATION- ABOVE KNEE /
BELOW KNEE 7880 10820 13860 23000
2
AORTIC ANEURGYSM (
ABDOMINAL) 19320 30770 36860 54390
3 AORTO-FEMORAL BYPASS 18380 27830 36230 45890
4
AORTO & ILAC & DISTIL
ENDARTERECTOMY 24150 30240 36230 43470
5 ARTERICL ENDARTERECTOMY 18170 24150 30240 38640
6 AV GRAFT FOR DIALYSIS 10920 14490 21740 30240
7
AV GRAFT / FISTULA
EXPLORATION 8510 10920 14490 19320
8 AV FISTULA FOR DIALYSIS 5460 8510 9870 12710
9 AAA ENDOVASCULAR 19740 45890 61640 76650
10 AXILLO FEM BYPASS 12290 19950 27200 34440
11 CAROTID ENDARTERECOMY 15230 24150 30240 36230
12 CAROTIAL SUBCLAVIAN BYPASS 18170 24150 30240 38640
13 CAROTIAL RIB PROCEDURE 18170 24150 30240 38640
14 CAROTIAL BODY TUMOUR 24150 30240 36230 43470
15 CROSS OVERFEM BYPASS 12080 21110 26570 31400
16
CENTRAL (AORTAIIVC)
ANGIOPLASTY + STENTING 18690 27200 34440 45890
17 CERVICAL RIBIIRB EXCISION 10920 13860 19320 31400
18 DEBRIDEMENTS MINOR 2420 3360 4200 4830
19 DEBRIDEMENTS MAJOR 3990 5460 8510 9660
20
DEEP VEIN VALUE
RECONSTRUCTIONS 12290 24150 27620 38640
21 PENPHERAL- OPEN REPAIR 18170 28980 36230 42320
22 PENPHERAL- ENDOVASCULAR 15230 24150 30240 36230
23 FEMORAL ANEURYSM 18170 28980 36230 42320
24
FEMORAL TIIBIAUPERONEAL
BYPASS 15230 27200 35600 48300
80 Mallya Hospital Tariff 2017
25 FEMORAL EMBOLECTOMY 8510 13340 17540 23520
26 BRACHIAL EMBOLECTOMY 1260 14490 19320 24150
27 FEMORO-POLITEAL BYPASS 12080 20580 28350 31400
28 FEMORO-DISTEL BYPASS 24150 30240 33180 36230
29 IVC FILTER 9350 14490 18690 24150
30 BYPASS TO UPPER LIMB 24150 30240 33180 36230
31 VASCULAR TRAUMA 24150 30240 33180 36230
32 SEPS 7880 10920 15750 24150
33
S-F LEGETION / STRIPPING
(UNILATERL) 12080 18170 24150 28980
34
S-F LEGETION / STRIPPING
(BILATERAL) 18170 24150 30240 36230
35
SUBCLA VAIN ARTERY OR VEIN
RECONSTRUCTION 10920 13860 19320 31400
36
AVULISION OF PERFURATOR
(UNILATERAL) 14490 19320 24150 28980
37
AVULISON OF PERFONTION (
BILATERAL) 18170 24150 30240 36230
38 VANOUR CUFF / VABRULOPLASTY 18170 24150 30240 36230
39
ENDOYENOUS LASER SURGERY
FOR VUNI 18170 24150 30240 36230
40 OPERATIVE PROCEDURE (MAJOR) 18170 24150 30240 36230
41
OPERATIVE PROCEDURE
(INTERMEDIATE) 14490 19320 24150 30240
42 OPERATIVE PROCEDURE (MINOR) 9660 14490 19320 24150
43
PERIPHERAL
ANGIOPLASTY+STENTING 15750 24150 36230 39900
44 PATCH GRAFT ANGIOPLASTY 9660 14490 19320 24150
45 PORTA CAVAL SHUNT 15750 24150 30770 45890
46 POTENTIAL ANEURISM 11450 19320 2310 30240
47 POTENTIAL ENBOLECTOMY 7040 10920 14490 18690
48 STRIPPING + PERF LIGATION 7880 12710 18380 27830
49 SCALENECTOMY 6300 8510 12290 15750
50 TRANSNETATARSALAMPUTATION 3680 6090 6620 9030
51 LAMBAR SYMPETACTOMY 7040 10920 14490 18690
52 ABOVE KNEE AMPUTATION 12080 21740 26570 31400
53 BELOW KNEE AMPUTATION 12080 21740 24150 28980
81 Mallya Hospital Tariff 2017
54
UPPER EXTREMITY
EMBOLECTOMY 7250 11450 13860 19320
55 UPPER LIMB AMPUTATION 12080 18170 24150 30240
56 AMPUTATION-FOOT/HAND 7250 9660 12080 16910
57 TOE AMPUTATION 2420 3360 4200 5460
58 THORACIC SYMPATHECTOMY 9030 15750 18170 26570
59 DEBRIDEMENT MAJOR 7250 9660 12080 15750
60 DEBRIDEMENT MINOR 6090 8510 10920 14490
61
VARICOSE VEINS STRIPING
ALONE 6090 9450 12080 19320
62
VARICOSE VEINS STRIPING
UNILATERAL 4830 7880 9350 12710
63 VARICOSE REEWRENT 9350 14490 24150 31400
64
VASCULAR INJURIES.
PERIPHERAL AREEIES 6720 1050 15750 24150
65
VASCULAR INJURIES. CENTRAL
AREEIES(Aortaiivc) 15750 19320 23000 30770
66
VENOUS BYPASS FOR VENOUS
OBSTRUCTION 12290 19950 26570 31400
67 VENOUS THROMBECTOMY 7880 12290 15750 25410
**********
Sl.No.Ward
Charges
ICU / CCU / ICCU
1 950 50002 1275 50003 1600 50004 1950 50005 3450 50006 4025 50007 8600 5000
Category
ICU / CCU/ ICCU
with Ventilator
Neonatal ICUNeonatal ICU with
Ventilator
General Ward 9000 3000 7000Day Care 9000 3000 7000Semi Private 9000 3000 7000Semi Private Plus 9000 3000 7000
Deluxe Suite 9000 3000 7000
Private 9000 3000 7000Private Plus 9000 3000 7000
