Date of Opening :

Name of Firms

M/s Shalamar Hospital

Rate1.   EXECUTIVE ROOM /Night 10000

2.   Medical Officer Visit / DAY 1050

3.   Nursing CARE/ DAY 150

4.   ADMISSION FEE 200

5.   VIP ROOM /Night 7500

6.   Post Op Charges(Without Medicine) 6000

7.   PRIVATE ROOM 4000

8.   ICU/CCU/Nursery ICU/Paeds ICU CHARGES 11000-2500

ICU 11000

CCU 2500

9.   SEMI PRIVATE ROOM 7500

10.   GENERAL WARD 1300

11.   LABOUR ROOM Overnight Stay CHARGES 2000

1.   CIRCUMCISION UNDER L/A 5000

2.   DRESSING CHARGES 150-600

1.   Entonox Gas Charges 4500

2.   Epidural Anesthesia Charges 4000

3.   Amniocenteses 4500

4.   Colposcopy 600

5.   Intrauterine Insertion 2000

6.   Insertion of Folly Cath 2000

7.   Re stitching Abdomen wound 9500

8.   Re stitching Episiotomy 8767

9.   E U A 3200

10.   Cervical Cautery 3000

11.   Insertion of IUD 2000

Ophthalmology Procedures

1.   CATRACT OPERATION 23940

2.   Ectropion / Entropion 2200

3.   Chalazion I/C / Probing / Syranging 1000

4.   Trichiasis Drainage 1200

5.   Foreign Body Removal 11500

6.   Suturing 14000

7.   EUA 3200

8.   Dressing 150-600

9.   Bio Metery 1500

ENT Procedures

1.   Removal of foreign body nose 11500

2.   Removal of foreign body ear 11500

3.   Removal of foreign body throat 11500

4.   Antral Washout 6900

WATER AND SANITATION AGENCY (LDA)COMPARATIVE STATEMENT OF

Provision of Medical Facilities to WASA (Shalamar Town)

Sr.No Description

Surgical Procedures

GYNE & OBS Procedures

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

5.   Nasal Cautery 2500

6.   EUM 7000

7.   Hearing Assessment 7000

8.   Tympanometery 1000

9.   Hearing Assessment Tympanometry 1000

Dermatology Procedures

1.   Electrocauter/Electrofulguration / Diathermy (Per session) 1000-5000

2.   Curettage & Cautry (Per session) 1000-5000

3.   Cryotherapy / Cryosurgery (Per session) 1000-5000

4.   Electrolysis (Per session)+(plus needle) 1000-5000

5.   Intralesional (Intradermal)Therapy by injection (Per session) + (plusinjection) 1000

6.   Skin Biopsy-Punch (Per biopsy )+(plus d/punch) 3000

7.   Skin biopsy - Elliptical (incisional / excisional) (Per biopsy) 3000

8.   KOH Smear for fungus - Skin Scraping (per session) 3400

9.   KOH Smear for fungus - Nail drilling (per session) 3500

DIALYSIS WITH Disposable Kit

1.   ACETATE DIALYSIS 3000

2.   BICARBONATE DIALYSIS 3000

3.   EMERGENCY DIALYSIS 4500

4.   HEMODIALYSIS 3000

5.   DIALYSIS IN ICU 4500

6.   DOUBLE LEUMMEN CATHETERIZATION PROCEDURE 5000

7.   A/V FISTULA MAJOR PROCEDURE 36400

GASTROENROLOGY Procedures

1.   GASTROSCOPY (EDG) 7500

2.   PLOYPECTOMY 11000

3.   SIGMOIDOSCOPY 4500

4.   CLONOSCOPY 9000

5.   LIVER BIOPSY 60000

6.   ERCP 0

Sr.No. Annexure D (Diagnostic Services (Radiology & Pathology)

1 A/G Ratio 5002 Albumin 380

3 Albumin (Urine) 3804 Alkaline Phosphatase 3205 Alpha Feto Protein 1700

6 Ammonia 7507 Amylase 6508 Amylase (Urine) 6509 Anti HBc (Total) 1750

10 Anti HBs 150011 Anti HCV (By ELISA) 150012 Anti HEV IgM 160013 Ascitic Fluid For Amylase 65014 Ascitic Fluid For L.D.H 430

Test Name (Pathology)

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

15 ASOT 75016 Bence Jones Proteins (Urine) 32017 Beta HCG 1150

18 Bicarbonate 32019 Bilirubin Direct 32020 Bilirubin Indirect 32021 Bilirubin Total 32022 BUN 430

23 CPK 48024 CA-125 280025 Calcium (Total) 430

26 Calcium (Urine) 43027 Calcium (Ionized) 62028 Cardiac Enzymes 1500

29 Chloride 350

30 Cholesterol 430

31 CK-MB 93032 Cocaine 1450

33 Copper Urine) 140034 Cortisol (24 Hours Urine) 125035 Cortisol (Random Urine) 1250

36 Creatinine 43037 Urinary Creatinine 43038 Creatinine Clearence 1070

39 CRP (Quantitative) 650

40 CRP (Qualitative) 65041 CSF For IgG 1700042 CSF For IgM 1700

43 CSF For L.D.H 43044 CSF For Mumps Abs. 550

45 Cyclosporin Level (Whole Blood) 550046 Dengue Viral Fever (IgM) 150047 E.B.V Abs (Monospot) 90048 Ferritin 112049 Free T3 1400

50 Free T4 1400

51 FSH 1120

52 Gamma GT 38053 Gastrin Level 460054 GCT 38055 Globulin 35056 GTT 93057 H.D.L (Cholestrol) 430

58 HAV IgM 150059 HbA1c 1120

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

60 HBsAg (ELISA) 100061 Helicobacter Pylori Abs. (IgG) 140062 Intact Parathormone 1500

63 Iron (Serum) 48064 Joint Fluid For L.D.H 43065 L.D.H 43066 L.D.L (Cholesterol) 43067 LH 1120

68 Lipase 70069 Lipid Profile 150070 Magnsium 600

71 Osmolality (Serum) 107072 Osmolality (Urine) 107073 PSA 1900

74 Peritoneal Fluid for LDH 430

75 Phosphorus 430

76 Pleural Fluid for LDH 43077 Potassium 350

78 Potassium (Urine) 35079 Prolactin 115080 R.A Factor 750

81 SGOT 38082 SGPT 38083 Electrolytes (Na, K+, Ca++, Cl, Hco3) 1640

84 Glucose (Fasting) 160

85 Glucose (Post Diner) 16086 Glucose (Post Lunch) 16087 Glucose (Pre Dinner) 160

88 Glucose (Pre Lunch) 16089 Glucose (Random) 160

90 Total Protein 38091 Sodium 35092 Sodium (Urine) 35093 TIBC 75094 T3 1400

95 Thyroid Profile (T3,T4,TSH) 3770

96 T4 1400

97 Testosterone 250098 Triglycerides 43099 Troponin - I 1200

100 TSH 970101 Urea 430102 Urea (Urine) 430

103 Uric Acid 430104 Uric Acid (Urine) 430

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

105 Urinary Phosphate 430106 Urinary Potassium 350107 Protein (24 Hrs Urine) 430

108 Urinary Protein 430109 Urinary Sodium 350110 VLDL 430111 Vitamin B 12 1250112 Widal Test 1200

113 TSH (for Paeds) 970114 LFT's (AP, SGOT, SGPT, TB) 1120115 RFT's (Urea, Uric Acid, Creatinine) 1500

116 HbsAg & Anti HCV (ELISA) 1500117 APT Test 600118 Chloride (Urine) 350

119 Urinary Electrolytes 700

120 Creatinine (Fluid) 430

121 Urea (Fluid) 430122 Bone Metabolism Profile (Ca, Ca++, Mag, Phos, Alk Phos) 1780

123 Kidney Profile (Urea, Cr., Na, K, Cl, HCO3) 1880124 Anti CCP (CPA ELISA) 2800125 Typhidot IgG 1250

126 Typhidot IgM 1250127 Vitamin D 2800128 Creatinine (24 Hrs. Urine) 430

129 C3 1300

130 C4 1300131 D.Dimer 1500132 ProBNP (N-t) II 2700

133 ABGs 1000134 Blood Group & Cross Match 3300

135 Blood Group & Rh Factor 320136 Direct Coombs Test 500137 Screened FFP's 800138 Indirect Coombs Test 500139 Screened Pack Cell with Cross Match 3300

140 Platelet Concentrate Prepration 18750

141 Rh. Antibody Titer 620

142 VDRL 750143 Cross Match with Screening (Donor + PT Blood Group) 3300144 HIV 1 + 2 (ELISA) 1500145 Washed RBC 3300146 Bone Marrow Aspirate 3500147 Bone Marrow Aspirate and Trephine biopsy with immunostain 7000

148 Bone Marrow Aspirate Review 3500149 Bone Marrow Trephine block review with one immunostain 7000150 FNAC 3200

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

151 FNAC Slides For Review 2100152 Pap Smear 1100153 FNAC (From INMOL Hospital) 2500

154 Tzanck Smear 1600155 Cytology (Other Specimen); (Fluids, Brushing, Sputum, Pus etc.)

1100

156 Cytology Slides for Review / 2nd Opinion 1100157 Cytospin Slides Preparation (Double Funnel) 1100158 APTT 600

159 Absolute Eosinophil Count 600160 Bleeding Time 220161 Buccal Smear For Bar Bodies 600

162 Clotting Time 220163 Cold Agglutiation Test 700

164 CBC 650165 ESR 220

166 FDP 1230167 Fibrinogen 1050168 Hb 270

169 Hb.Electrophoresis 1870170 ICT Malaria 860171 Malarial Parasite 430

172 Peripheral Smear 430173 Platelet Count (Manual) 270

174 Prothrombin Time (PT) + INR 430

175 RBC Morphology 430176 Reticulocyte Count 380177 Total RBC 270

178 Urine for Hemoglobin 300179 WBC Count / TLC 270180 WBCs Morphology 430

181 CBC for Dengue Patients 90182 PT+APTT / Coagulation Studies 1030183 CBC + Peripheral Smear 1080184 CBC and Iron Profile 1880185 Hb Electrophoresis / Thalassemia Screening (CBC+RBC Morphology)

1870186 Frozen Section (each specimen) 3000187 Histo Large Specimen 5500

188 Histo. Medium Specimen 5500189 Histo. Large Specimen (Multiple Containers) 0190 Histo. Small Specimen 2300191 Breast Cancer Receptors (ER,PR,HER2Neu) 9000192 Kidney Biopsy (including Special Stains) 8000

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

193 Skin Biopsy with immunoflorance 15000194 Immunohistochemistry 4 or more stains 10000195 Histo. Blocks / Slides For Review / 2nd Opinion incl 1 immuno 4500

196 Immunohistochemistry 1 stain 4000197 Immunohistochemistry 2 stains 4000198 Immunohistochemistry 3 stains 4000199 Immuno only (No report) 4000200 Blocks / Slides for patient (No report) 250

201 Histo Complex Tumor 5000202 Lymph Node Biopsy 5500203 Histo Review / 2nd Opinion with Immunes 4500

204 Special Stains (Histochemical) 4000205 Histo Blocks / Slides Preparation 800206 Ascitic Fluid For AFB Smear/ ZN 380

207 Ascitic Fluid For C/S 1100

208 Ascitic Fluid For Gram Stain 380

209 Blood Culture For Aerobic 1100210 Blood Culture For Anaerobic 1250

211 Blood For C/S (Aerobic & Anaerobic) 2350212 Bronchial Washing for C/S 1100213 Bronchial Washing For AFB Smear/ ZN Stain 380

214 Bronchial Washing For Gram Stain 380215 CSF For AFB Smear/ ZN Stain 380216 CSF For Culture 1100

217 CSF For Gram Stain 380

218 CVP Tip For Culture 1100219 EAR Swab For AFB Smear / ZN 380220 Ear Swab For C/S 1100

221 Ear Swab For Gram Stain 380222 HVS For AFB Smear / ZN Stain 380

223 HVS For C/S 1100224 HVS For Gram Stain 380225 Joint Fluid For AFB Smear / Z.N Stain 380226 Joint Fluid For C/S 1100227 Joint Fluid For Gram Stain 380

228 Milk for AFB Smear / ZN Stain 450

229 Milk for Gram Stain 450

230 Peritoneal Fluid for AFB Smear / ZN Stain 380231 Peritoneal Fluid for C/S 1100232 Peritoneal Fluid for Gram Stain 380233 Pleural Fluid for AFB Smear / ZN Stain 380234 Pleural Fluid for C/S 1100235 Pregnancy Test 300

236 Pus For AFB Smear / ZN Stain 380

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

237 Pus For C/S 1100238 Pus For Gram Stain 380239 Reducing Substances (Urine) 250

240 Semen Analysis (Routine) 900241 Semen For C/S 1100242 Sputum For AFB Smear / ZN Stain 380243 Sputum For C/S 1100244 Sputum For Gram Stain 380

245 Stool For C/S 1100246 Stool Analysis 300247 Stool For Occult Blood 350

248 Stool For Ph & Reducing Substances 550249 Throat Swab For AFB Smear / ZN Stain 380250 Throat Swab For C/S 1100

251 Throat Swab For Gram Stain 380

252 Urine Exam (Urine C/E) 300

253 Urine For Bile Pigment 300254 Urine For Bile Salt 300

255 Urine For C/S 1100256 Urine For Ketones 250257 Urine Sugar 120

258 Vomitus For Occult Blood 300259 Wound Swab For AFB Smear /Z.N Stain 380260 Wound Swab For C/S 1100

261 Wound Swab For Gram Stain 380

262 Fluid for C/S 1100263 Gram Stain 380264 Z N Stain 380

265 Culture 1400266 Fungal C/S 1250

267 Occult Blood 350268 Fungal Stains 500269 Bartholin Cyst Fluid C/S 1100270 Tracheal Aspirate C/S 1100271 Synovial Fluid C/S 1100

272 Gastric Lvage C/S 1100

273 Continuous ambulatory peritoneal dialysis fluid (CAPS) C/S 1100274 Endotracheal Tube (ETT TIP) C/S 1100275 Foley's Catheter tip C/S 1100276 Double Lumen Catheter Tip C/S 1100277 Pancreatic Fluid C/S 1100278 Tissue C/S 1100

279 Pericardial Fluid C/S 1100280 IUCD C/S 1100281 Ascitic Fluid For Analysis 1250

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

282 Bronchil Washing For Analysis 1250283 CSF For Analysis 1250284 Joint Fluid For Analysis 1250

285 Peritoneal Fluid for Analysis 1250286 Pleural Fluid for Analysis 1250287 Synovial Fluid For Analysis 1250288 Fluid for Analysis 1250289 Sampling Chargen (New Born-Paeds ER) 2500

290 17-Ketosteroids (24 Hrs. Urine) 2400291 17-OH Progesterone 3300292 ACE 3300

293 Acid Phosphatase 3000294 ACTH Adreno Cartico Trophic Hormone) 2750295 Aldolase 1500

296 Alpha 1-Anti Trypsin Level 1850

297 Androgen Level 2500

298 Anti Endomysial IgA 2500299 Anti Gliadin IgA 2200

300 Anti Gliadin IgG 2200301 Anti Glomerular Basement (G.B.M) 3300302 Anti HBc IgM 1950

303 Anti Hbe 1870304 Anti HDV 2200305 Anti HEV IgG 2450

306 Anti Microsomal Abs. 1650

307 Anti SCL-70 2400308 Anti Sperm Antibodies 3000309 B-2 Microglobulin 3000

310 Brucella IgM 900311 Carcinoembryonic Antigen (C.E.A) 2700

312 CA - 19 - 9 3300313 Carbamazepine (Tegretol) 1300314 Ceruloplasmin 1600315 CMV IgG 1600316 CMV IgM 1600

317 Copper 1650

318 Cortisol (A.M) 1250

319 Cortisol (P.M) 1250320 DHEA So4 1950321 Digoxin 1450322 Estradiol 1450323 Folic Acid (Folate) 1250324 Free Testosterone 2500

325 Gall Bladder Stone For Analysis 2400326 Growth Hormones 1750

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

327 Haptoglobin 1000328 HAV IgG 1900329 HBeAg 1500

330 HBV by PCR (Qualitative) 6500331 HCV by PCR (Qualititative) 6500332 HCV by PCR (Quantitative) 9000333 Hepatitis B Profile 2000334 Herpes IgG 1350

335 Homocysteine Level 1600336 IgA 800337 IgE 1500

338 IgG 800339 IgM 800340 Insulin 2500

341 Kidney Stone For Analysis 2400

342 Lactate Level 1100

343 Lithium 1100344 Measles IgG Antibodies 1950

345 Measles IgM Antibodies 1950346 Metabolic Studies for Stone 2400347 Microalbumin (Urea) Urine 830

348 Mumps IgM 2200349 Mycodot IgM 1250350 Phenytoin (Dilantin) 1300

351 Progesterone 1450

352 Protein Electrophoresis 1300353 Protein-C 4200354 Red Cell Folic Acid 1500

355 Rubella IgG 1300356 Rubella IgM 1300

357 SHBG 1650358 Torch Profile 6500359 Toxoplasma IgG 1350360 Toxoplasma IgM 1350361 TPHA 1500

362 Transferrin Saturation 1250

363 Troponin- T 1750

364 Valproic Acid (Epival) 1300365 Vancomycin 1300366 VMA (24 hor Urine) 2200367 Zinc Level 2250368 Mycodot IGG 1250369 HBV by PCR (Quantitive) 9000

370 HLA B27 Allel by PCR 12300371 Swine Flue by PCR (H1N1) 9500

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

372 Urinary Bladder Stone for Analysis 2400373 Ureteric Stone for Analysis 2400374 Anti Thrombin -III 4850

375 Factor IX Level 1950376 Factor VIII Level 1950377 G6 PD Test 1450378 L.E. Cells 650379 Lupus Anticoagulant Abs. 4900

380 Ascitic Fluid For AFB Culture 3600381 CSF For AFB Culture 3600382 Joint Fluid For AFB Culture 3600

383 Peritoneal Fluid for AFB Culture 3600384 Pleural Fluid for AFB Culture 3600385 Pus For AFB Culture 3600

386 Sputum AFB Culture 3600

387 Bronchial Washing AFB Culture 3600

388 ANCA-C 3300389 ANCA-P 3300

390 Anti Cardiolipin IgG 3300391 Anti Cardiolipin IgM 3300392 Anti ds DNA 1500

393 Anti Liver Profile 5500394 Anti Phospholipid IgG 2400395 Anti Phospholipid IgM 2400

396 Anti Tissue Transglutaminase IgG 1750

397 Anti Tissue Transglutaminase IgA 1750398 ENA Profile 5500399 Platelet Apheresis by Cell Separator 18750

400 Plasma Apheresis by Cell Separator 22000401 ANA by IF 2500

402 CHOLECYSTOGRAPHY (ORAL) 900403 CHOLECYSTOGRAPHY (IV) 900404 PRE OP CHOLANGOGRAM 900405 P.T.C 900

406 STERNUM LAT VIEW 900

407 RIBS AP 900

408 RIBS LAO 900409 RIBS RAO 900410 CHEST PA VIEW (ROUTINE) 900411 CHEST PA VIEW (PORTABLE) 900412 CHEST (L) LATERAL 900413 CHEST (R) LATERAL 900

414 CHEST (L) OBLIQUE 900415 CHEST (R) OBLIQUE 900

Test Name (X-Ray)

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

416 APICAL LORDOTIC VIEW 900417 CHEST DECUBITUS 900418 BARIUM MEAL (SINGLE CONTRAST) 2300

419 BARIUM MEAL(DOUBLE CONTRAST) 2300420 BARIUM FOLLOW THROUGH(SMALL BOWEL) 2300421 GASTROGRAFIN MEAL FOLLOW THROUGH 2300422 GASTROGRAFIN ENEMA 2300423 BARIUM ENEMA FOR AN INTUSSUSEPTION 2300

424 FISTULOGRAM 3000425 LOOPOGRAM (PROXIMAL) 3500426 PLAIN ABDOMEN AP VIEW (SUPINE) 900

427 PLAIN ABDOMEN (ERECT/STANDING) 900428 PLAIN ABDOMEN LATERAL DECUBITUS 900429 FACIAL BONES PA VIEW 900

430 FACIAL BONES LAT VIEW 900

431 NASAL BONE LAT VIEW 900

432 ZYGOMETIC ARCHES/AXIL- SMW 900433 ZYGOMETIC ARCHES PA VIEW 900

434 MAXILLAE HARD PALATE & DENTAL ARCHE (INTRA ORAL) 0435 BIG TOE (R) AP/LAT 900

436 BIG TOE (L) AP/LAT 900437 FOOT (L) AP/OBLIQUE 900438 FOOT (R) AP/OBLIQUE 900

439 FOOT (BOTH) AP/OBLIQUE 900440 HEAL/CALCANEUS (L) AXIAL/LAT 900

441 HEAL/CALCANEUS (R) AXIAL/LAT 900442 ANKLE (L) JOINT AP/LAT 900

443 ANKLE (R) JOINT AP/LAT 900444 ANKLE (BOTH) JOINT AP/LAT 900

445 LEG (L) TIBIA/FIBULA AP/LAT 900446 LEG (R) TIBIA/FIBULA AP/LAT 900447 KNEE JOINTS BOTH (WEIGHT BEARING/STANDING) 900

448 KNEE (R) LAT 900449 KNEE (L) LAT 900

450 KNEE (R) AP/LAT 900451 KNEE (L) AP/LAT 900

452 PATELLA (R) LAT/SKYLINE 900453 PATELLA (L) LAT/SKYLINE 900454 FEMUR (R) AP VIEW 900455 FEMUR (L) AP VIEW 900456 FEMUR (R) AP/LAT 900457 FEMUR (L) AP/LAT 900

458 HIP (R) JOINT AP VIEW 900459 HIP (L) JOINT AP VIEW 900460 HIP (R) JOINT AP/LAT 900461 HIP (L) JOINT AP/LAT 900

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

462 PELVIS AP VIEW 900463 HIP JOINT BOTH AP VIEW 900464 HIP JOINT BOTH FROG LEG POSITION 900

465 MANDIABLE PA VIEW 900466 MANDIABLE LETERO OBLIQUE (L) 900467 MANDIABLE LETERO OBLIQUE (R) 900468 JAW LATERO OBLIQUE (L) 900469 JAW LATERO OBLIQUE (R) 900

470 MANDILE (SUB MENTO VERTEX) 900471 TM (R) JOINT (CLOSED MOUTH) 900472 TM (L) JOINT (CLOSED MOUTH) 900

473 TM (L) JOINT (OPEN MOUTH) 900474 TM (R) JOINT (OPEN MOUTH) 900475 PARA NASAL SINUSES (PNS) WATER VIEW 45' 900

476 PARA NASAL SINUSES (PNS) LAT VIEW 45' 900

477 SHOULDER (R) AP VIEW 900

478 SHOULDER (L) AP VIEW 900479 SHOULDER (R) AP/LAT 900

480 SHOULDER (L) AP/LAT 900481 SHOULDER (L) Y PROJECTION 900482 SHOULDER (R) Y PROJECTION 900

483 SHOULDER (L) APICAL OBLIQUE 900484 SHOULDER (R) APICAL OBLIQUE 900485 SHOULDER (R) AXIL VIEW 900

486 SHOULDER (L) AXIL VIEW 900

487 ACROMICLAVCULAR (R) JOINT AP WEIGHT BEARING 900488 ACROMICLAVCULAR (L) JOINT AP WEIGHT BEARING 900489 ACROMICLAVCULAR BOTH JOINT AP WEIGHT BEARING 900

490 CLAVICAL (R) AP VIEW 900491 CLAVICAL (L) AP VIEW 900

492 SCAPULA (R) 900493 SCAPULA (L) 900494 SKULL AP VIEW 900495 SKULL LAT VIEW 900496 SKULL AP/LAT 900

497 SKULL CRANIUM/TOWNE/AXIL VIEW 900

498 SKULL SMV BASE OF SKULL 900

499 PIT FOSSA/SELLA TURCICA LAT VIEW 900500 ORBITS BOTH PA 900501 ORBITS LATERO/OBLIQUR 900502 ORBITS LAT 900503 ORBIT (R) PA 900504 ORBIT (R) LATERO/OBLIQUE 900

505 ORBIT (R) LAT 900506 ORBIT (L) PA 900507 ORBIT (L) LATERO/OBLIQUE 900

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

508 ORBIT (L) LAT 900509 SOFT TISSUE NECK(STN) LAT 900510 NASO PHARYNX LAT 900

511 MASTIOD PROCESS 900512 MASTOID LAT BOTH 900513 MASTOID (R) LAT 900514 MASTOID (L) LAT 900515 PETROUS PORTION (SMV) 900

516 FINGER (R) AP/LAT 900517 FINGER (L) AP/LAT 900518 THUMB (R) AP/LAT 900

519 THUMB (L) AP/LAT 900520 HAND (R) AP/LAT 900521 HAND (L) AP/LAT 900

522 WRIST (R) AP/LAT 900

523 WRIST (L) AP/LAT 900

524 WRIST+ELBOW FOR BONE AGE 900525 WRIST (R) SCAPHOID 900

526 WRIST (L) SCAPHOID 900527 FOREARM (R) AP/LAT 900528 FOREARM (L) AP/LAT 900

529 ELBOW (R) AP/LAT 900530 ELBOW (L) AP/LAT 900531 HUMRUS/ARM (R) AP/LAT 900

532 HUMRUS/ARM (L) AP/LAT 900

533 PLAIN KUB WITHOUT PREPARATION 3500534 PLAIN KUB WITH PREPARATION 900535 PCN 900

536 NEPHROSTOGRAM (R) 900537 NEPHROSTOGRAM (L) 900

538 MCUG/VCUG (MICTURATING CYCTOURETHROGRAM) 900539 PETROGRADE URETHROGREM 2400540 CYCTOGRAM 2500541 CERVICAL SPINE AP/LAT 900542 ODANTOID CERVICAL ATLAS (C1-C2) 900

543 CERVICAL SPINE FLEXION/EXTENTION 900

544 CERVICAL SPINE OBLIQUE 900

545 CERVICOTHORACIC VERTEBRAE AP/LAT 900546 THORACIC/DORSAL SPINE AP/LAT 900547 LUMBOSACRAL SPINE AP/LAT 900548 LUMBOSACRAL SPINE FLEXION/EXTENTION 900549 SACROILIAC JOINTS AP 900550 SACRUM/COCCYX SPINE AP 900

551 SACRUM/COCCYX SPINE LAT 900552 Use of Fluroscope 900553 T .Tube Cholangiogram 1900

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

554 LOOPOGRAM (DISTAL) 2500555 Invertogram 2500556 I . U. C. D WITH UTRINE SOUND 3000

557 Sinogram 2400558 Voiding Cysto Ureth Gram (M.U.C.G) 2500559 BARIUM ENEMA DOUBLE CONTRAST 3500560 GASTRATOMY 2500561 CYSTOGRAM 2500

562 URETHROGRAM 2500563 ERCP BY VISITING CONSULTANT 4000564 ERCP FAILED PROCEDURE 3500

565 ERCP BY HOSPITAL CONSULTANT 3500566 BALLOON DILATATION 2500567 X-Ray Routine 900

568 X-Ray Portable 1200

569 Hystrosalpingogram 3500

570 Intra Venous Urogram (IVC) 3500571 Barium Meal Follow Through (per film) 2300

572 Barium Swallow (oesophagogram) 2500573 Barium Enema (single contrast) 2500574 Ductogram Unilatral 2500

575 Ductogram Bilteral 2500576 X-Ray Abdomen 900577 Portable X-Ray 1200

578 Skull 900

579 Skull (AP / Later) 900580 Mastoid 900581 Mastoid Both Lateral view 900

582 PNS 900583 Submentovertex 900

584 Nasopharynx / Soft Tissue Neck 7400585 Mandible PA View 900586 Mandible Both Oblique View 900587 Nasal Bone 900588 T.M Joint 900

589 T.M. Joint Both 900

590 Cervical Spine 900

591 Cervical Spine AP / Lateral View 900592 Dorsal Spine 900593 Dorsal Spine AP / Lateral 900594 L/S Spine 900595 L/S Spine AP / Lat 900596 Coccyx Spine 900

597 Coccyx Spine AP / Lat 900598 Both Hip Lat View 900599 Hip Joint AP / Lat 900

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

600 Both Knees (Weight Bearing) 900601 Both Knees AP / Lat 900602 Foot AP / Lat 900

603 Ankle AP / Lat 900604 Ankle Mortiz View 900605 Calcaneous / Heel 900606 Hand 900607 Wrist 900

608 Wrist Scaphoid View 900609 Shoulder AP View 900610 Shoulder AP / Lat View 900

611 Humrus 900612 Humrus AP / Lat 900613 Elbow Joint AP / Lat 900

614 Clevicle 900

615 Sternum 900

616 Shoulder Axillary view 900617 Knee Skyline View 900

618 Knee Tunnel View 900619 Chest PA / Lat 900620 Abdomen (Supine 900

621 Abdomen (Erect) 900622 Abdomen Erect / Supine 900623 cervical Spine AP / Lateral View / B/L Oblique 900

624 Abdomen with Pelvics Utrasound 1500625 Renal Biopsy 3500626 Carotid Doppler 3500

627 Foetal Doppler 3500628 Lower Limbs Doppler for DVT (Unilateral) 3500

629 Renal Doppler 3500630 Portal vain Doppler 3500631 Testicular Dopler 3500632 UltraSound 1500633 UltraSound Portable 1500

634 UltraSound Biophysical Profile 2500

635 TRU Cut Biopsy 3500

636 Fine Needle Aspriation 2000637 Abscess Drainage 2000638 Pleural Tap 2000639 Ascitic Tap 2000640 Abcess Drainage Catheterization 2000641 4 D ultrasound 5000

642 Doppler USG (L) LEG (VENOUS) 3500643 Doppler USg (R) LEG (VENOUS) 2300644 Lower LIMB Doppler Bilateral 3500

Test Name (Ultrasound)

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

645 Foetal Doppler + Bio Physical Profile 3500646 Breast Ultrasound 1500647 Endovaginal Ultrasound 1500

648 Hip Ultrasound 2500649 Obstetrical Ultrasound 2500650 Small Pregnancy Obstetrical Ultrasound 2500651 Twin Pregnancy Obstetrical Ultrasound 2500652 Quadruplet Pregnancy Obstretical Ultrasound 2500

653 Thyroid Ultrasound 1500654 Triple Pregnancy Foetal Doppler Ultrasound 1500655 Triple pregnancy obs Ultrasound 1500

656 Twin pregnancy Obs & Doppler Ultrasound 1500657 Abdoman 1500658 Pelvis 1500

659 Cranial 1500

660 Foetal Doppler + BPP 1500

661 Kub Ultrasound 1500662 X-Ray OPG 1500

663 Abdomen+Pelvis(portable ) 1500664 Ultrasound Chest 1500665 Ultrasound Guided Astiration Portable 3500

666 Ultrasound Guided Aspiration 3500667 Doppler Venous & Arterial Doppler both legs 3500668 Foetal Doppler Only 2500

669 Abdomen+Obstetrical+Doppler 2500

670 Repeated test (Endovaginal Ultrasound etc.) 2500671 Upper Limb Doppler Unilet 3500672 Upper Limb Doppler Bilateral 3500

673 ABD + Pelvic Portable Scan 3500674 Ultrasound Portable Fee 3500

675 ULTRASOUND Additional Pelvic Charges (Same Day) 1500676 Ultrasound (Fetal Medicine) 3500677 Single Limb Arterial Doppler 3500678 Single Limb Venous Doppler 2300679 Single Limb Doppler (Arterial + Venous) 3500

680 Both Lower or Both Upper Limbs Arterial Doppler 3500

681 Both Lower or Both Upper Limbs Venousl Doppler 3500

682 Both Lower or Both Upper Limbs (Arterial + Venous) 3500

683 Abdomen Biphasic Study 14000684 C.T. Abdomen & Pelvis With Contrast 13400685 C.T. Abdomen with Contrast 10000686 C.T. Abdomen, Pelvis & Chest With Contrast 14000

687 C.T. Brain With Contrast 6900688 C.T. Brain Without Contrast 5500

Test Name (CT)

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

689 C.T. Cerebral,Carotid, Circle of Wills, Peripheral, Mesenteric

Angiograph, Hepatic and Renal Angiogr 15300

690 C.T. Cervical Spine without Contrast 6000

691 C.T. Chest High Resolution (HR Chest) 7000692 C.T. Chest with Contrast 9900693 C.T. Colonography 15000

694 C.T. Dorsal Spine without Contrast 6000695 C.T. Extremity with Contrast 8400696 C.T. Extremity without Contrast 6000

697 C.T. Extremity with 3D Reconstruction 7000698 C.T. Enteroclysis 6000699 C.T. KUB without Contrast 13400

700 C.T. Lumboscaral Spine without Contrast 6000701 C.T. Neck with Contrast 8400

702 C.T. Neck, Chest & Abdomen with Contrast 14000703 C.T. Orbit with Contrast 7400

704 C.T. Pelvis with Contrast 9000705 C.T. Pulmonary Angiograph 10000706 C.T. Sinus without Contrast 600

707 C.T. Sinus with Contrast 13400708 C.T. Temporal Bone without Contrast 6000709 CT Scan Biopsy 16000

710 CT Scan OnCall Visit Fee 2000711 C.T. Abdomen & Pelvis (Plain) 8000

712 C.T. Neck Plain 6000

713 C.T. Neck & Chest Plain 8000714 C.T. Neck & Chest Contrast 8400715 C.T. Head & Neck plain 12000

716 C.T. Head & Neck Contrast 18400717 C.T. Temporal With Contrast 6900718 C.T. Chest & Abdomen Contrast 18400

719 C.T. Chest & Abdomen &Pelvis 12000720 C.T. Angiogram Cerebral 12300721 C.T. Angiogram Carotid 11500722 C.T. Angiogram Circle of Wills 12300723 C.T. Angiogram Mesenteric 19000

724 C.T. Angiogram Peripheral 17000725 C.T. Angiogram Hepatic & Renal 19000

726 C.T. Angiogram Aorta 19000727 C.T. Angiogram Peripheral & Lower Limb 19000728 C.T. Angiogram Upper Limb 19000729 C.T. Liver Doner ( Mevis) 2000730 C.T. Head, Neck, Chest, Abdomen & Pelvis (Plain) 17500731 C.T. Head, Neck, Chest, Abdomen & Pelvis (Contrast) 25500

732 CT Scan Reprint Three Films 3000733 CT Scan Reprint One Film 1000

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

734 CT Scan Reprint Two Films 2000735 CT Scan Reprint Four Films 4000

736 Mammography Unilateral 4000737 Mammography Bilateral 8000738 Mammography with Ultrasound Unilateral 4000

739 Mammography with Ultrasound Bilateral 8000

740 Test Name741 ECHO (Private) 3000742 ECG (Private) 400743 ETT Private 3000

744 Holter Private 3000

745 ECHO Portable (Private) 5000

Test Name746 CTG (Private) 500

Name of Firms

M/s Shalamar Hospital

Rate

Surgery Type1 SVD/NVD 27000

2 Category A+ 76285

3 Category A 61278

4 Category B 53774

5 Category C 38767

6 Category D 32940

7 Category E 21082

8 Category F N/A

9 Major Laparoscopic Surgery 76285

10 Minor/Diagnostic Laparoscopic Surgery 61285

Name of Firms

M/s Shalamar Hospital

Discount

Medicines1 Discount offered on medicines

(Local + Multinational) 0%

Sr.No Description

Sr.No Description

Mammography

Test Name

Cardiology

C.T.G.

Radiology

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

Name of Firms

M/s Fatima Memorial

Hospital

Rate

1.   EXECUTIVE ROOM /Night 8400

2.   Medical Officer Visit / DAY 400

3.   Nursing CARE/ DAY 560

4.   ADMISSION FEE 480

5.   VIP ROOM /Night 10500

6.   Post Op Charges(Without Medicine) 2000

7.   PRIVATE ROOM 6300

8.   ICU/CCU/Nursery ICU/Paeds ICU CHARGES 9600

9.   SEMI PRIVATE ROOM 3500

10.   GENERAL WARD 1000

11.   LABOUR ROOM Overnight Stay CHARGES 3200

Surgical Procedures

1.   CIRCUMCISION UNDER L/A 7500

2.   DRESSING CHARGES 500

GYNE & OBS Procedures

1.   Entonox Gas Charges 1600

2.   Epidural Anesthesia Charges 8200

3.   Amniocenteses 2800

4.   Colposcopy 2400

5.   Intrauterine Insertion 2400

6.   Insertion of Folly Cath 1600

7.   Re stitching Abdomen wound 1600

8.   Re stitching Episiotomy 1600

9.   E U A 1600

10.   Cervical Cautery 1600

11.   Insertion of IUD 1600

Ophthalmology Procedures

1.   CATRACT OPERATION 14832

2.   Ectropion / Entropion 4400

3.   Chalazion I/C / Probing / Syranging 4000

4.   Trichiasis Drainage 1650

5.   Foreign Body Removal 1650

6.   Suturing 1650

7.   EUA 2450

8.   Dressing 935

9.   Bio Metery 900

ENT Procedures

1.   Removal of foreign body nose 1650

2.   Removal of foreign body ear 1650

3.   Removal of foreign body throat 1650

4.   Antral Washout 2050

5.   Nasal Cautery 2050

6.   EUM 3050

7.   Hearing Assessment 1300

8.   Tympanometery 1300

9.   Hearing Assessment Tympanometry 1300

Dermatology Procedures

1.   Electrocauter/Electrofulguration / Diathermy (Per session) 3200

2.   Curettage & Cautry (Per session) 4000

3.   Cryotherapy / Cryosurgery (Per session) 4000

Sr.No Description

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

4.   Electrolysis (Per session)+(plus needle) 3200

5.   Intralesional (Intradermal)Therapy by injection (Per session) + (plusinjection) 2400

6.   Skin Biopsy-Punch (Per biopsy )+(plus d/punch) 4800

7.   Skin biopsy - Elliptical (incisional / excisional) (Per biopsy) 5600

8.   KOH Smear for fungus - Skin Scraping (per session) 800

9.   KOH Smear for fungus - Nail drilling (per session) 1600

DIALYSIS WITH Disposable Kit

1.   ACETATE DIALYSIS N/A

2.   BICARBONATE DIALYSIS 3360

3.   EMERGENCY DIALYSIS 3360

4.   HEMODIALYSIS 2480

5.   DIALYSIS IN ICU 4000

6.   DOUBLE LEUMMEN CATHETERIZATION PROCEDURE 12000

7.   A/V FISTULA MAJOR PROCEDURE 123

GASTROENROLOGY Procedures

1.   GASTROSCOPY (EDG) 12160

2.   PLOYPECTOMY 16160

3.   SIGMOIDOSCOPY 15200

4.   CLONOSCOPY 15200

5.   LIVER BIOPSY 3360

6.   ERCP 27600

Sr.No. Annexure D (Diagnostic Services (Radiology & Pathology)

1 A/G Ratio 4402 Albumin 320

3 Albumin (Urine) 3204 Alkaline Phosphatase 320

5 Alpha Feto Protein 16006 Ammonia 9607 Amylase 760

8 Amylase (Urine) 7209 Anti HBc (Total) 1360

10 Anti HBs 1200

11 Anti HCV (By ELISA) 152012 Anti HEV IgM 1840

13 Ascitic Fluid For Amylase 520

14 Ascitic Fluid For L.D.H 440

15 ASOT 64016 Bence Jones Proteins (Urine) 36017 Beta HCG 112018 Bicarbonate 40019 Bilirubin Direct 28020 Bilirubin Indirect 280

21 Bilirubin Total 28022 BUN 40023 CPK 44024 CA-125 2520

25 Calcium (Total) 40026 Calcium (Urine) 40027 Calcium (Ionized) 640

Test Name (Pathology)

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

28 Cardiac Enzymes 112029 Chloride 28030 Cholesterol 400

31 CK-MB 98032 Cocaine 112033 Copper Urine) 104034 Cortisol (24 Hours Urine) 96035 Cortisol (Random Urine) 960

36 Creatinine 40037 Urinary Creatinine 36038 Creatinine Clearence 800

39 CRP (Quantitative) 88040 CRP (Qualitative) 88041 CSF For IgG 1080

42 CSF For IgM 1080

43 CSF For L.D.H 280

44 CSF For Mumps Abs. 160045 Cyclosporin Level (Whole Blood) 4000

46 Dengue Viral Fever (IgM) 112047 E.B.V Abs (Monospot) 48048 Ferritin 1120

49 Free T3 136050 Free T4 136051 FSH 1200

52 Gamma GT 424

53 Gastrin Level 288054 GCT 36055 Globulin 360

56 GTT 26057 H.D.L (Cholestrol) 400

58 HAV IgM 148059 HbA1c 112060 HBsAg (ELISA) 100061 Helicobacter Pylori Abs. (IgG) 136062 Intact Parathormone 1440

63 Iron (Serum) 440

64 Joint Fluid For L.D.H 280

65 L.D.H 44066 L.D.L (Cholesterol) 40067 LH 116068 Lipase 72069 Lipid Profile 152070 Magnsium 440

71 Osmolality (Serum) 72072 Osmolality (Urine) 72073 PSA 144074 Peritoneal Fluid for LDH 440

75 Phosphorus 40076 Pleural Fluid for LDH 440

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

77 Potassium 28078 Potassium (Urine) 28079 Prolactin 1120

80 R.A Factor 72081 SGOT 28082 SGPT 28083 Electrolytes (Na, K+, Ca++, Cl, Hco3) 96084 Glucose (Fasting) 184

85 Glucose (Post Diner) 18486 Glucose (Post Lunch) 18487 Glucose (Pre Dinner) 184

88 Glucose (Pre Lunch) 18489 Glucose (Random) 18490 Total Protein 400

91 Sodium 280

92 Sodium (Urine) 280

93 TIBC 28094 T3 840

95 Thyroid Profile (T3,T4,TSH) 252096 T4 84097 Testosterone 1160

98 Triglycerides 40099 Troponin - I 1280

100 TSH 840

101 Urea 400

102 Urea (Urine) 400103 Uric Acid 440104 Uric Acid (Urine) 440

105 Urinary Phosphate 400106 Urinary Potassium 280

107 Protein (24 Hrs Urine) 360108 Urinary Protein 360109 Urinary Sodium 280110 VLDL 360111 Vitamin B 12 1280

112 Widal Test 960

113 TSH (for Paeds) 400

114 LFT's (AP, SGOT, SGPT, TB) 1120115 RFT's (Urea, Uric Acid, Creatinine) 800116 HbsAg & Anti HCV (ELISA) 1000117 APT Test 216118 Chloride (Urine) 280119 Urinary Electrolytes 640

120 Creatinine (Fluid) 360121 Urea (Fluid) 400122 Bone Metabolism Profile (Ca, Ca++, Mag, Phos, Alk Phos) 1600123 Kidney Profile (Urea, Cr., Na, K, Cl, HCO3) 2040

124 Anti CCP (CPA ELISA) 2240125 Typhidot IgG 1080

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

126 Typhidot IgM 1080127 Vitamin D 2160128 Creatinine (24 Hrs. Urine) 400

129 C3 1040130 C4 1040131 D.Dimer 1520132 ProBNP (N-t) II 2080133 ABGs 880

134 Blood Group & Cross Match 1200135 Blood Group & Rh Factor 320136 Direct Coombs Test 440

137 Screened FFP's 1200138 Indirect Coombs Test 440139 Screened Pack Cell with Cross Match 1200

140 Platelet Concentrate Prepration 1440

141 Rh. Antibody Titer 680

142 VDRL 960143 Cross Match with Screening (Donor + PT Blood Group) 4000

144 HIV 1 + 2 (ELISA) 1600145 Washed RBC 800146 Bone Marrow Aspirate 1200

147 Bone Marrow Aspirate and Trephine biopsy with immunostain 3200148 Bone Marrow Aspirate Review 1200149 Bone Marrow Trephine block review with one immunostain 1600

150 FNAC 2400

151 FNAC Slides For Review 1600152 Pap Smear 1040153 FNAC (From INMOL Hospital) 2400

154 Tzanck Smear 960155 Cytology (Other Specimen); (Fluids, Brushing, Sputum, Pus etc.)

1120

156 Cytology Slides for Review / 2nd Opinion 960157 Cytospin Slides Preparation (Double Funnel) 520158 APTT 520159 Absolute Eosinophil Count 280160 Bleeding Time 280

161 Buccal Smear For Bar Bodies 680162 Clotting Time 280

163 Cold Agglutiation Test 560164 CBC 520165 ESR 240166 FDP 1280167 Fibrinogen 1040168 Hb 280

169 Hb.Electrophoresis 1280170 ICT Malaria 840171 Malarial Parasite 400

172 Peripheral Smear 360173 Platelet Count (Manual) 280174 Prothrombin Time (PT) + INR 440

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

175 RBC Morphology 320176 Reticulocyte Count 360177 Total RBC 240

178 Urine for Hemoglobin 280179 WBC Count / TLC 240180 WBCs Morphology 320181 CBC for Dengue Patients 80182 PT+APTT / Coagulation Studies 960

183 CBC + Peripheral Smear 640184 CBC and Iron Profile 2400185 Hb Electrophoresis / Thalassemia Screening (CBC+RBC Morphology)

1200

186 Frozen Section (each specimen) 4000187 Histo Large Specimen 3200

188 Histo. Medium Specimen 2240189 Histo. Large Specimen (Multiple Containers) 4000

190 Histo. Small Specimen 1840191 Breast Cancer Receptors (ER,PR,HER2Neu) 5600192 Kidney Biopsy (including Special Stains) 4800

193 Skin Biopsy with immunoflorance 4800194 Immunohistochemistry 4 or more stains 4800195 Histo. Blocks / Slides For Review / 2nd Opinion incl 1 immuno 2000

196 Immunohistochemistry 1 stain 4800197 Immunohistochemistry 2 stains 4800

198 Immunohistochemistry 3 stains 4800

199 Immuno only (No report) 960200 Blocks / Slides for patient (No report) 400201 Histo Complex Tumor 4400

202 Lymph Node Biopsy 4400203 Histo Review / 2nd Opinion with Immunes 5600204 Special Stains (Histochemical) 480

205 Histo Blocks / Slides Preparation 1000206 Ascitic Fluid For AFB Smear/ ZN 360207 Ascitic Fluid For C/S 1400208 Ascitic Fluid For Gram Stain 360209 Blood Culture For Aerobic 1600

210 Blood Culture For Anaerobic 1600211 Blood For C/S (Aerobic & Anaerobic) 3200

212 Bronchial Washing for C/S 1400213 Bronchial Washing For AFB Smear/ ZN Stain 360214 Bronchial Washing For Gram Stain 360215 CSF For AFB Smear/ ZN Stain 360216 CSF For Culture 1400217 CSF For Gram Stain 360

218 CVP Tip For Culture 1400219 EAR Swab For AFB Smear / ZN 360220 Ear Swab For C/S 1400

221 Ear Swab For Gram Stain 360222 HVS For AFB Smear / ZN Stain 360223 HVS For C/S 360

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

224 HVS For Gram Stain 360225 Joint Fluid For AFB Smear / Z.N Stain 360226 Joint Fluid For C/S 1400

227 Joint Fluid For Gram Stain 360228 Milk for AFB Smear / ZN Stain 360229 Milk for Gram Stain 360230 Peritoneal Fluid for AFB Smear / ZN Stain 360231 Peritoneal Fluid for C/S 1400

232 Peritoneal Fluid for Gram Stain 360233 Pleural Fluid for AFB Smear / ZN Stain 360234 Pleural Fluid for C/S 1400

235 Pregnancy Test 280236 Pus For AFB Smear / ZN Stain 360237 Pus For C/S 1400

238 Pus For Gram Stain 360

239 Reducing Substances (Urine) 200

240 Semen Analysis (Routine) 1520241 Semen For C/S 1400

242 Sputum For AFB Smear / ZN Stain 360243 Sputum For C/S 1400244 Sputum For Gram Stain 360

245 Stool For C/S 1400246 Stool Analysis 320247 Stool For Occult Blood 440

248 Stool For Ph & Reducing Substances 200

249 Throat Swab For AFB Smear / ZN Stain 360250 Throat Swab For C/S 1400251 Throat Swab For Gram Stain 360

252 Urine Exam (Urine C/E) 280253 Urine For Bile Pigment 240

254 Urine For Bile Salt 240255 Urine For C/S 1400256 Urine For Ketones 200257 Urine Sugar 200258 Vomitus For Occult Blood 440

259 Wound Swab For AFB Smear /Z.N Stain 360

260 Wound Swab For C/S 1400

261 Wound Swab For Gram Stain 360262 Fluid for C/S 1400263 Gram Stain 360264 Z N Stain 360265 Culture 1400266 Fungal C/S 1600

267 Occult Blood 400268 Fungal Stains 560269 Bartholin Cyst Fluid C/S 1400270 Tracheal Aspirate C/S 1400

271 Synovial Fluid C/S 1240272 Gastric Lvage C/S 2880

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

273 Continuous ambulatory peritoneal dialysis fluid (CAPS) C/S 1400274 Endotracheal Tube (ETT TIP) C/S 1400275 Foley's Catheter tip C/S 1400

276 Double Lumen Catheter Tip C/S 1400277 Pancreatic Fluid C/S 1400278 Tissue C/S 1400279 Pericardial Fluid C/S 1400280 IUCD C/S 1400

281 Ascitic Fluid For Analysis 3600282 Bronchil Washing For Analysis 3600283 CSF For Analysis 1240

284 Joint Fluid For Analysis 1240285 Peritoneal Fluid for Analysis 1240286 Pleural Fluid for Analysis 1240

287 Synovial Fluid For Analysis 1240

288 Fluid for Analysis 1240

289 Sampling Chargen (New Born-Paeds ER) 120290 17-Ketosteroids (24 Hrs. Urine) 2700

291 17-OH Progesterone 3300292 ACE 3300293 Acid Phosphatase 1800

294 ACTH Adreno Cartico Trophic Hormone) 2700295 Aldolase 1500296 Alpha 1-Anti Trypsin Level 1850

297 Androgen Level 3800

298 Anti Endomysial IgA 3200299 Anti Gliadin IgA 2200300 Anti Gliadin IgG 2200

301 Anti Glomerular Basement (G.B.M) 3300302 Anti HBc IgM 1950

303 Anti Hbe 1950304 Anti HDV 2200305 Anti HEV IgG 2450306 Anti Microsomal Abs. 1600307 Anti SCL-70 2400

308 Anti Sperm Antibodies 3000

309 B-2 Microglobulin 3000

310 Brucella IgM 900311 Carcinoembryonic Antigen (C.E.A) 2350312 CA - 19 - 9 3300313 Carbamazepine (Tegretol) 1300314 Ceruloplasmin 1600315 CMV IgG 1600

316 CMV IgM 1600317 Copper 1650318 Cortisol (A.M) 1300319 Cortisol (P.M) 1300

320 DHEA So4 1950321 Digoxin 1450

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

322 Estradiol 1450323 Folic Acid (Folate) 1650324 Free Testosterone 2500

325 Gall Bladder Stone For Analysis 2400326 Growth Hormones 1750327 Haptoglobin 1000328 HAV IgG 1900329 HBeAg 1550

330 HBV by PCR (Qualitative) 6500331 HCV by PCR (Qualititative) 12500332 HCV by PCR (Quantitative) 6500

333 Hepatitis B Profile 8400334 Herpes IgG 1300335 Homocysteine Level 1600

336 IgA 800

337 IgE 1600

338 IgG 800339 IgM 800

340 Insulin 2400341 Kidney Stone For Analysis 2400342 Lactate Level 1100

343 Lithium 1100344 Measles IgG Antibodies 1800345 Measles IgM Antibodies 1800

346 Metabolic Studies for Stone 1700

347 Microalbumin (Urea) Urine 900348 Mumps IgM 2000349 Mycodot IgM 1450

350 Phenytoin (Dilantin) 1300351 Progesterone 1450

352 Protein Electrophoresis 1300353 Protein-C 4200354 Red Cell Folic Acid 1550355 Rubella IgG 1300356 Rubella IgM 1300

357 SHBG 1500

358 Torch Profile 6500

359 Toxoplasma IgG 1350360 Toxoplasma IgM 1350361 TPHA 1300362 Transferrin Saturation 1200363 Troponin- T 1750364 Valproic Acid (Epival) 1300

365 Vancomycin 1300366 VMA (24 hor Urine) 2200367 Zinc Level 2450368 Mycodot IGG 1450

369 HBV by PCR (Quantitive) 12500370 HLA B27 Allel by PCR 11200

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

371 Swine Flue by PCR (H1N1) 8700372 Urinary Bladder Stone for Analysis 2400373 Ureteric Stone for Analysis 2400

374 Anti Thrombin -III 4850375 Factor IX Level 1950376 Factor VIII Level 1950377 G6 PD Test 1450378 L.E. Cells 650

379 Lupus Anticoagulant Abs. 4900380 Ascitic Fluid For AFB Culture 3600381 CSF For AFB Culture 3600

382 Joint Fluid For AFB Culture 3600383 Peritoneal Fluid for AFB Culture 3600384 Pleural Fluid for AFB Culture 3600

385 Pus For AFB Culture 3600

386 Sputum AFB Culture 3600

387 Bronchial Washing AFB Culture 3600388 ANCA-C 3250

389 ANCA-P 3250390 Anti Cardiolipin IgG 3250391 Anti Cardiolipin IgM 3250

392 Anti ds DNA 1750393 Anti Liver Profile 5000394 Anti Phospholipid IgG 2300

395 Anti Phospholipid IgM 2300

396 Anti Tissue Transglutaminase IgG 1700397 Anti Tissue Transglutaminase IgA 1700398 ENA Profile 5300

399 Platelet Apheresis by Cell Separator 22500400 Plasma Apheresis by Cell Separator 18000

401 ANA by IF 2200

402 CHOLECYSTOGRAPHY (ORAL) 2144403 CHOLECYSTOGRAPHY (IV) 1760404 PRE OP CHOLANGOGRAM 1768

405 P.T.C 2232

406 STERNUM LAT VIEW 720

407 RIBS AP 720408 RIBS LAO 720409 RIBS RAO 720410 CHEST PA VIEW (ROUTINE) 720411 CHEST PA VIEW (PORTABLE) 720412 CHEST (L) LATERAL 720

413 CHEST (R) LATERAL 720414 CHEST (L) OBLIQUE 720415 CHEST (R) OBLIQUE 720416 APICAL LORDOTIC VIEW 720

417 CHEST DECUBITUS 720418 BARIUM MEAL (SINGLE CONTRAST) 2640

Test Name (X-Ray)

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

419 BARIUM MEAL(DOUBLE CONTRAST) 3360420 BARIUM FOLLOW THROUGH(SMALL BOWEL) 2640421 GASTROGRAFIN MEAL FOLLOW THROUGH 3112

422 GASTROGRAFIN ENEMA 2856423 BARIUM ENEMA FOR AN INTUSSUSEPTION 3112424 FISTULOGRAM 2064425 LOOPOGRAM (PROXIMAL) 1432426 PLAIN ABDOMEN AP VIEW (SUPINE) 720

427 PLAIN ABDOMEN (ERECT/STANDING) 720428 PLAIN ABDOMEN LATERAL DECUBITUS 720429 FACIAL BONES PA VIEW 720

430 FACIAL BONES LAT VIEW 720431 NASAL BONE LAT VIEW 720432 ZYGOMETIC ARCHES/AXIL- SMW 720

433 ZYGOMETIC ARCHES PA VIEW 720

434 MAXILLAE HARD PALATE & DENTAL ARCHE (INTRA ORAL) 720

435 BIG TOE (R) AP/LAT 720436 BIG TOE (L) AP/LAT 720

437 FOOT (L) AP/OBLIQUE 720438 FOOT (R) AP/OBLIQUE 720439 FOOT (BOTH) AP/OBLIQUE 1264

440 HEAL/CALCANEUS (L) AXIAL/LAT 720441 HEAL/CALCANEUS (R) AXIAL/LAT 720442 ANKLE (L) JOINT AP/LAT 720

443 ANKLE (R) JOINT AP/LAT 720

444 ANKLE (BOTH) JOINT AP/LAT 1344445 LEG (L) TIBIA/FIBULA AP/LAT 720446 LEG (R) TIBIA/FIBULA AP/LAT 720

447 KNEE JOINTS BOTH (WEIGHT BEARING/STANDING) 720448 KNEE (R) LAT 720

449 KNEE (L) LAT 720450 KNEE (R) AP/LAT 720451 KNEE (L) AP/LAT 720452 PATELLA (R) LAT/SKYLINE 720453 PATELLA (L) LAT/SKYLINE 720

454 FEMUR (R) AP VIEW 720

455 FEMUR (L) AP VIEW 720

456 FEMUR (R) AP/LAT 1264457 FEMUR (L) AP/LAT 720458 HIP (R) JOINT AP VIEW 1264459 HIP (L) JOINT AP VIEW 720460 HIP (R) JOINT AP/LAT 1264461 HIP (L) JOINT AP/LAT 720

462 PELVIS AP VIEW 720463 HIP JOINT BOTH AP VIEW 720464 HIP JOINT BOTH FROG LEG POSITION 720465 MANDIABLE PA VIEW 720

466 MANDIABLE LETERO OBLIQUE (L) 720467 MANDIABLE LETERO OBLIQUE (R) 720

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

468 JAW LATERO OBLIQUE (L) 720469 JAW LATERO OBLIQUE (R) 720470 MANDILE (SUB MENTO VERTEX) 720

471 TM (R) JOINT (CLOSED MOUTH) 720472 TM (L) JOINT (CLOSED MOUTH) 720473 TM (L) JOINT (OPEN MOUTH) 720474 TM (R) JOINT (OPEN MOUTH) 720475 PARA NASAL SINUSES (PNS) WATER VIEW 45' 720

476 PARA NASAL SINUSES (PNS) LAT VIEW 45' 720477 SHOULDER (R) AP VIEW 720478 SHOULDER (L) AP VIEW 720

479 SHOULDER (R) AP/LAT 1264480 SHOULDER (L) AP/LAT 1264481 SHOULDER (L) Y PROJECTION 720

482 SHOULDER (R) Y PROJECTION 720

483 SHOULDER (L) APICAL OBLIQUE 720

484 SHOULDER (R) APICAL OBLIQUE 720485 SHOULDER (R) AXIL VIEW 720

486 SHOULDER (L) AXIL VIEW 720487 ACROMICLAVCULAR (R) JOINT AP WEIGHT BEARING 720488 ACROMICLAVCULAR (L) JOINT AP WEIGHT BEARING 720

489 ACROMICLAVCULAR BOTH JOINT AP WEIGHT BEARING 720490 CLAVICAL (R) AP VIEW 720491 CLAVICAL (L) AP VIEW 720

492 SCAPULA (R) 720

493 SCAPULA (L) 720494 SKULL AP VIEW 720495 SKULL LAT VIEW 1264

496 SKULL AP/LAT 1264497 SKULL CRANIUM/TOWNE/AXIL VIEW 720

498 SKULL SMV BASE OF SKULL 720499 PIT FOSSA/SELLA TURCICA LAT VIEW 720500 ORBITS BOTH PA 720501 ORBITS LATERO/OBLIQUR 720502 ORBITS LAT 720

503 ORBIT (R) PA 720

504 ORBIT (R) LATERO/OBLIQUE 720

505 ORBIT (R) LAT 720506 ORBIT (L) PA 720507 ORBIT (L) LATERO/OBLIQUE 720508 ORBIT (L) LAT 720509 SOFT TISSUE NECK(STN) LAT 720510 NASO PHARYNX LAT 720

511 MASTIOD PROCESS 720512 MASTOID LAT BOTH 1264513 MASTOID (R) LAT 720514 MASTOID (L) LAT 720

515 PETROUS PORTION (SMV) 720516 FINGER (R) AP/LAT 720

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

517 FINGER (L) AP/LAT 720518 THUMB (R) AP/LAT 720519 THUMB (L) AP/LAT 720

520 HAND (R) AP/LAT 720521 HAND (L) AP/LAT 720522 WRIST (R) AP/LAT 720523 WRIST (L) AP/LAT 720524 WRIST+ELBOW FOR BONE AGE 720

525 WRIST (R) SCAPHOID 720526 WRIST (L) SCAPHOID 720527 FOREARM (R) AP/LAT 720

528 FOREARM (L) AP/LAT 720529 ELBOW (R) AP/LAT 720530 ELBOW (L) AP/LAT 720

531 HUMRUS/ARM (R) AP/LAT 720

532 HUMRUS/ARM (L) AP/LAT 720

533 PLAIN KUB WITHOUT PREPARATION 720534 PLAIN KUB WITH PREPARATION 720

535 PCN 3192536 NEPHROSTOGRAM (R) 1760537 NEPHROSTOGRAM (L) 1760

538 MCUG/VCUG (MICTURATING CYCTOURETHROGRAM) 2144539 PETROGRADE URETHROGREM 1760540 CYCTOGRAM 1760

541 CERVICAL SPINE AP/LAT 1264

542 ODANTOID CERVICAL ATLAS (C1-C2) 720543 CERVICAL SPINE FLEXION/EXTENTION 720544 CERVICAL SPINE OBLIQUE 720

545 CERVICOTHORACIC VERTEBRAE AP/LAT 1264546 THORACIC/DORSAL SPINE AP/LAT 1264

547 LUMBOSACRAL SPINE AP/LAT 1264548 LUMBOSACRAL SPINE FLEXION/EXTENTION 1264549 SACROILIAC JOINTS AP 720550 SACRUM/COCCYX SPINE AP 720551 SACRUM/COCCYX SPINE LAT 720

552 Use of Fluroscope 720

553 T .Tube Cholangiogram 1760

554 LOOPOGRAM (DISTAL) 1432555 Invertogram 1344556 I . U. C. D WITH UTRINE SOUND 1264557 Sinogram 2064558 Voiding Cysto Ureth Gram (M.U.C.G) 2144559 BARIUM ENEMA DOUBLE CONTRAST 2850

560 GASTRATOMY 1344561 CYSTOGRAM 1760562 URETHROGRAM 1760563 ERCP BY VISITING CONSULTANT 2400

564 ERCP FAILED PROCEDURE 2400565 ERCP BY HOSPITAL CONSULTANT 1264

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

566 BALLOON DILATATION 1760567 X-Ray Routine 720568 X-Ray Portable 720

569 Hystrosalpingogram 3112570 Intra Venous Urogram (IVC) 3112571 Barium Meal Follow Through (per film) 3112572 Barium Swallow (oesophagogram) 2640573 Barium Enema (single contrast) 2856

574 Ductogram Unilatral 1176575 Ductogram Bilteral 2144576 X-Ray Abdomen 1264

577 Portable X-Ray 168578 Skull 720579 Skull (AP / Later) 1264

580 Mastoid 720

581 Mastoid Both Lateral view 1264

582 PNS 720583 Submentovertex 720

584 Nasopharynx / Soft Tissue Neck 720585 Mandible PA View 720586 Mandible Both Oblique View 1264

587 Nasal Bone 720588 T.M Joint 720589 T.M. Joint Both 1264

590 Cervical Spine 720

591 Cervical Spine AP / Lateral View 1264592 Dorsal Spine 720593 Dorsal Spine AP / Lateral 1264

594 L/S Spine 280595 L/S Spine AP / Lat 1264

596 Coccyx Spine 720597 Coccyx Spine AP / Lat 1264598 Both Hip Lat View 1264599 Hip Joint AP / Lat 1264600 Both Knees (Weight Bearing) 720

601 Both Knees AP / Lat 1760

602 Foot AP / Lat 720

603 Ankle AP / Lat 720604 Ankle Mortiz View 720605 Calcaneous / Heel 720606 Hand 720607 Wrist 720608 Wrist Scaphoid View 720

609 Shoulder AP View 720610 Shoulder AP / Lat View 1264611 Humrus 720612 Humrus AP / Lat 1264

613 Elbow Joint AP / Lat 720614 Clevicle 720

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

615 Sternum 720616 Shoulder Axillary view 720617 Knee Skyline View 720

618 Knee Tunnel View 720619 Chest PA / Lat 1264620 Abdomen (Supine 720621 Abdomen (Erect) 720622 Abdomen Erect / Supine 1264

623 cervical Spine AP / Lateral View / B/L Oblique 1264

624 Abdomen with Pelvics Utrasound 1432

625 Renal Biopsy 2400626 Carotid Doppler 3192627 Foetal Doppler 1472

628 Lower Limbs Doppler for DVT (Unilateral) 1976

629 Renal Doppler 3192

630 Portal vain Doppler 1896631 Testicular Dopler 2144

632 UltraSound 880633 UltraSound Portable 1056634 UltraSound Biophysical Profile 1760

635 TRU Cut Biopsy 3112636 Fine Needle Aspriation 2640637 Abscess Drainage 2640

638 Pleural Tap 2640

639 Ascitic Tap 2640640 Abcess Drainage Catheterization 3112641 4 D ultrasound 1056

642 Doppler USG (L) LEG (VENOUS) 0643 Doppler USg (R) LEG (VENOUS) 1976

644 Lower LIMB Doppler Bilateral 3192645 Foetal Doppler + Bio Physical Profile 1472646 Breast Ultrasound 960647 Endovaginal Ultrasound 1264648 Hip Ultrasound 960

649 Obstetrical Ultrasound 1056

650 Small Pregnancy Obstetrical Ultrasound 880

651 Twin Pregnancy Obstetrical Ultrasound 880652 Quadruplet Pregnancy Obstretical Ultrasound 880653 Thyroid Ultrasound 960654 Triple Pregnancy Foetal Doppler Ultrasound 1472655 Triple pregnancy obs Ultrasound 880656 Twin pregnancy Obs & Doppler Ultrasound 1472

657 Abdoman 1040658 Pelvis 1040659 Cranial 960660 Foetal Doppler + BPP 720

661 Kub Ultrasound 1056662 X-Ray OPG 336

Test Name (Ultrasound)

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

663 Abdomen+Pelvis(portable ) 1432664 Ultrasound Chest 960665 Ultrasound Guided Astiration Portable 2144

666 Ultrasound Guided Aspiration 2144667 Doppler Venous & Arterial Doppler both legs 3192668 Foetal Doppler Only 720669 Abdomen+Obstetrical+Doppler 1976670 Repeated test (Endovaginal Ultrasound etc.) 632

671 Upper Limb Doppler Unilet 1976672 Upper Limb Doppler Bilateral 3440673 ABD + Pelvic Portable Scan 1344

674 Ultrasound Portable Fee 256675 ULTRASOUND Additional Pelvic Charges (Same Day) 464676 Ultrasound (Fetal Medicine) 1344

677 Single Limb Arterial Doppler 2104

678 Single Limb Venous Doppler 1600

679 Single Limb Doppler (Arterial + Venous) 2520680 Both Lower or Both Upper Limbs Arterial Doppler 3784

681 Both Lower or Both Upper Limbs Venousl Doppler 3192682 Both Lower or Both Upper Limbs (Arterial + Venous) 5040

683 Abdomen Biphasic Study 11000684 C.T. Abdomen & Pelvis With Contrast 12700685 C.T. Abdomen with Contrast 9300

686 C.T. Abdomen, Pelvis & Chest With Contrast 18750

687 C.T. Brain With Contrast 8190688 C.T. Brain Without Contrast 6600689 C.T. Cerebral,Carotid, Circle of Wills, Peripheral, Mesenteric

Angiograph, Hepatic and Renal Angiogr 16100690 C.T. Cervical Spine without Contrast 7300691 C.T. Chest High Resolution (HR Chest) 8720

692 C.T. Chest with Contrast 9300693 C.T. Colonography 12000694 C.T. Dorsal Spine without Contrast 7300695 C.T. Extremity with Contrast 8190696 C.T. Extremity without Contrast 7300

697 C.T. Extremity with 3D Reconstruction 12000698 C.T. Enteroclysis 12000

699 C.T. KUB without Contrast 8720700 C.T. Lumboscaral Spine without Contrast 7300701 C.T. Neck with Contrast 8200702 C.T. Neck, Chest & Abdomen with Contrast 20100703 C.T. Orbit with Contrast 8200704 C.T. Pelvis with Contrast 8700

705 C.T. Pulmonary Angiograph 16100706 C.T. Sinus without Contrast 8200707 C.T. Sinus with Contrast 7300

708 C.T. Temporal Bone without Contrast 8200709 CT Scan Biopsy 12000710 CT Scan OnCall Visit Fee 1100

Test Name (CT)

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

711 C.T. Abdomen & Pelvis (Plain) 8700712 C.T. Neck Plain 6600713 C.T. Neck & Chest Plain 14700

714 C.T. Neck & Chest Contrast 16100715 C.T. Head & Neck plain 10700716 C.T. Head & Neck Contrast 13500717 C.T. Temporal With Contrast 9300718 C.T. Chest & Abdomen Contrast 17500

719 C.T. Chest & Abdomen &Pelvis 18750720 C.T. Angiogram Cerebral 16100721 C.T. Angiogram Carotid 16100

722 C.T. Angiogram Circle of Wills 16100723 C.T. Angiogram Mesenteric 16100724 C.T. Angiogram Peripheral 16100

725 C.T. Angiogram Hepatic & Renal 16100

726 C.T. Angiogram Aorta 16100

727 C.T. Angiogram Peripheral & Lower Limb 16100728 C.T. Angiogram Upper Limb 16100

729 C.T. Liver Doner ( Mevis) 29250730 C.T. Head, Neck, Chest, Abdomen & Pelvis (Plain) 26800731 C.T. Head, Neck, Chest, Abdomen & Pelvis (Contrast) 29250

732 CT Scan Reprint Three Films 1900733 CT Scan Reprint One Film 700734 CT Scan Reprint Two Films 1200

735 CT Scan Reprint Four Films 2500

736 Mammography Unilateral 760737 Mammography Bilateral 1515

738 Mammography with Ultrasound Unilateral 960739 Mammography with Ultrasound Bilateral 1760

740 Test Name741 ECHO (Private) 3200

742 ECG (Private) 400

743 ETT Private 2400

744 Holter Private 2400745 ECHO Portable (Private) 4000

Test Name746 CTG (Private) 800

Name of Firms

M/s Fatima Memorial

Hospital

Rate

Surgery Type1 SVD/NVD 39144

Sr.No Description

Radiology

Mammography

Test Name

Cardiology

C.T.G.

Name of Firms

M/s Shalamar Hospital

Rate

Sr.No Description

2 Category A+ 104353

3 Category A 82300

4 Category B 62314

5 Category C 51235

6 Category D 41472

7 Category E 26503

8 Category F 9841

9 Major Laparoscopic Surgery 86354

10 Minor/Diagnostic Laparoscopic Surgery 47319

Name of Firms

M/s Fatima Memorial

Hospital

Discount

Medicines1 Discount offered on medicines

(Local + Multinational) 5%

Sr.No Description