Dentistium > Tariff List – CGHS Charges​
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SR No.Treatment TypeTreatmentCharges
1CheckupOld Case Checkup 290 Rs.(INR)
2CheckupNew Checkup 400 Rs.(INR)
3Diagnostic ServiceIOPA X-ray 125 Rs.(INR)
4ProphylacticFull Mouth Dental Scaling (Acc to the intensity of stains in teeth) 800/ - 1400/- 1600/ - 2100/ - Rs.(INR)
5ProphylacticDental Polishing of Teeth (Full Mouth) 290 Rs.(INR)
6?Dental Insurance PlanMmsdc dental health awareness plan - Single Person 1450 Rs.(INR)
7?Dental Insurance PlanMmsdc dental health awareness plan - Family (2 Adult + 1 Child) 2750 Rs.(INR)
8CheckupHome Dental Visit for Checkup / Follow-up Charges (Within 3 KM) 650 Rs.(INR)
9?CheckupFollow-up Visit 200 Rs.(INR)
10CheckupHome Dental Visit for Checkup / Follow-up Charges (3 - 5 KM) 850 Rs.(INR)
11CheckupHome Dental Visit for Checkup / Follow-up Charges (5 - 8 KM) 1050 Rs.(INR)
12?PaymentBajaj EMI Finserve Processing Fees for Treatment Charges Payment ** 767 Rs.(INR)
13Diagnostic Test (Radiology)Occlusal X-ray (Out-sourced) 700 Rs.(INR)
14Diagnostic Test(Radiology)OPG X-ray 690 Rs.(INR)
15Diagnostic Test(Radiology)PNS view X-ray (Para- Nasal Sinus) 767 Rs.(INR)
16Diagnostic Test(Radiology)TMJ X-ray Open/Close view (Temporomandibular joint) 690 Rs.(INR)
17Diagnostic Test(Radiology)Oral digital Scanning for Clear Aligners 8600 Rs.(INR)
18Diagnostic Test(Radiology)Paranasal Sinus - 3D Image Modalities (Outsourced) 2200 Rs.(INR)
19Diagnostic Test(Radiology)3D TMJ Open-Close bothside (Outsourced) 4500 Rs.(INR)
20Diagnostic Test(Radiology)Both Jaw CBCT - 3D Imaging Modalities (Maxilla and Mandible) (outsourced) 4000 Rs.(INR)
21Diagnostic Test(Radiology)Single Jaw CBCT - 3D Imaging Modalities (Maxilla or Mandible) (outsourced) 2200 Rs.(INR)
22Diagnostic Test(Radiology)Sectional CBCT - 3D Imaging modalities (outsourced) 1800 Rs.(INR)
23Diagnostic Test(Radiology)Extraoral Radiographs - Skullview (outsourced) 700 Rs.(INR)
24Diagnostic Test(Radiology)lateral cephalogram X-ray (Outsourced) 700 Rs.(INR)
SR No.Treatment TypeTreatmentCharges
1CheckupOld Case Checkup290 Rs.(INR)
2CheckupNew Checkup400 Rs.(INR)
3Diagnostic ServiceIOPA X-ray125 Rs.(INR)
4ProphylacticFull Mouth Dental Scaling (Acc to the intensity of stains in teeth)800/- 1400/- 1600/- 2100/- Rs.(INR)
5ProphylacticDental Polishing of Teeth (Full Mouth)290 Rs.(INR)
6Dental Insurance PlanMmsdc dental health awareness plan - Single Person1450 Rs.(INR)
7Dental Insurance PlanMmsdc dental health awareness plan - Family (2 Adult + 1 Child)2750 Rs.(INR)
8CheckupHome Dental Visit for Checkup / Follow-up Charges (Within 3 KM)650 Rs.(INR)
9CheckupFollow-up Visit200 Rs.(INR)
10CheckupHome Dental Visit for Checkup / Follow-up Charges (3 - 5 KM)850 Rs.(INR)
11CheckupHome Dental Visit for Checkup / Follow-up Charges (5 - 8 KM)1050 Rs.(INR)
12PaymentBajaj EMI Finserve Processing Fees for Treatment Charges Payment **767 Rs.(INR)
13Diagnostic Test (Radiology)Occlusal X-ray (Out-sourced)700 Rs.(INR)
14Diagnostic Test (Radiology)OPG X-ray690 Rs.(INR)
15Diagnostic Test (Radiology)PNS view X-ray (Para-Nasal Sinus)767 Rs.(INR)
16Diagnostic Test (Radiology)TMJ X-ray Open/Close view (Temporomandibular joint)690 Rs.(INR)
17Diagnostic Test (Radiology)Oral digital Scanning for Clear Aligners8600 Rs.(INR)
18Diagnostic Test (Radiology)Paranasal Sinus - 3D Image Modalities (Outsourced)2200 Rs.(INR)
19Diagnostic Test (Radiology)3D TMJ Open-Close bothside (Outsourced)4500 Rs.(INR)
20Diagnostic Test (Radiology)Both Jaw CBCT - 3D Imaging Modalities (Maxilla and Mandible) (outsourced)4000 Rs.(INR)
21Diagnostic Test (Radiology)Single Jaw CBCT - 3D Imaging Modalities (Maxilla or Mandible) (outsourced)2200 Rs.(INR)
22Diagnostic Test (Radiology)Sectional CBCT - 3D Imaging modalities (outsourced)1800 Rs.(INR)
23Diagnostic Test (Radiology)Extraoral Radiographs - Skullview (outsourced)700 Rs.(INR)
24Diagnostic Test (Radiology)Lateral cephalogram X-ray (Outsourced)700 Rs.(INR)
CGHS-AHMEDABAD RATE updated as on 29 JULY 2024
Sr. No.CGHS TREATMENT PROCEDURE/INVESTIGATION LIST (AHMEDABAD)Non- NABH/ Non- NABL Rates (₹)NABH/NABL Rates (₹)
1Consultation OPD350350
2Consultation- for Inpatients350350
3Dressings of wounds255300
4Suturing of wounds with local anesthesia108124
5Aspiration Plural Effusion - Diagnostic555700
6Aspiration Plural Effusion - Therapeutic555700
7Abdominal Aspiration - Diagnostic555700
8Abdominal Aspiration - Therapeutic640750
9Pericardial Aspiration380437
10Joints Aspiration317365
11Biopsy Skin230265
12Removal of Stitches170200
13Venesection595700
14Phimosis Under LA51006000
15Sternal puncture173199
16Injection for Haemorrhoids595700
17Injection for Varicose Veins595700
18Catheterization595700
19Dilatation of Urethra19552300
20Incision & Drainage19552300
21Intercostal Drainage125144
22Peritoneal Dialysis13191517
TREATMENT PROCEDURE SKIN
23Excision of Moles345397
24Excision of Warts310357
25Excision of Molluscum contagiosum130150
26Excision of Venereal Warts160184
27Excision of Corns140161
28I/D Injection Keloid(Intralesional Injection)97112
29Chemical Cautery (s)110127
TREATMENT PROCEDURE DENTAL PROCEDURES
174Flap Operation per quadrant360414
175Gingivectomy per quadrant211243
176Reduction & immobilization of fracture- Maxilla Under LA810932
177Reduction & immobilization of fracture-Mandible Under LA31503623
178Splints/Circummandibular wiring under LA459528
179splints/Circummandibular wiring under GA8911025
180Internal wire fixation/plate fixation of Maxilla under LA27003105
181Internal wire fixation/plate fixation of Maxilla under GA36004140
182Internal wire fixation/plate fixation of Mandible under LA31503623
183Internal wire fixation/plate fixation of Mandible under GA38254399
184Extraction per tooth under LA8092
185Complicated Extraction per Tooth under LA100115
186Extraction of impacted tooth under LA160184
187Extraction in mentally retarded/patients with systemic diseases/patient with special needs under short term GA9391080
188Cyst & tumour of Maxilla /mandible by enucleation/ excision/ marsupialisation upto 4 cms under LA244281
189Cyst & tumour of Maxilla / mandible by enucleation / excision / marsupialisation size more than 4 cms406467
190Cyst & tumour of Maxilla/mandible by enucleation/excision/marsupialisation size more than 4 cms under GA10001150
191TM joint ankylosis- under GA67507763
192Biopsy Intraoral-Soft tissue337388
193Biopsy Intraoral-Bone374430
194Hemi-mandibulectomy with graft2100024150
195Hemi-mandibulectomy without graft1890021735
196Segmental-mandibulectomy with graft34003910
197Segmental-mandibulectomy without graft9901139
198Maxillectomy- Total with graft25002875
199Maxillectomy- Total without graft19502243
200Maxillectomy- partial with graft30003450
201Maxillectomy- partial without graft25002875
202Release of fibrous bands & grafting -in (OSMF) treatment under GA13501553
203Pre-prosthetic surgery- Alveoloplasty450518
204Pre-prosthetic surgery - ridge augmentation10801242
205Root canal Treatment(RCT) Anterior teeth(per tooth)500575
206Root canal Treatment(RCT) Posterior teeth (per tooth)700805
207Apicoectomy- Single root500575
208Apicoectomy-Multiple roots650748
209Metal Crown-per unit500575
210Metal Crown with Acrylic facing per unit700805
211Complete single denture-metal based15001725
212Complete denture- acrylic based per arch855983
213Removable partial denture-Metal based-upto 3 teeth700805
214Removable partial denture-Metal based-more than 3 teeth9001035
215Removable partial denture-Acrylic based-upto 3 teeth450518
216Removable partial denture-Acrylic based-more than 3 teeth / Per tooth238274
217Amalgam restoration-per tooth180207
218Composite Restoration-per tooth-anterior tooth250288
219Glass Ionomer filling-per tooth200230
220Scaling & polishing300345
221Removable Orthodontics appliance- per Arch630725
222Fixed Orthodontics-per Arch11501323
223Space maintainers-Fixed450518
224Habit breaking appliances-removable720828
225Habit breaking appliances-Fixed13501553
226Expansion plate10001150
227Feeding appliance for cleft palate13501553
228Maxillo-facial prosthesis (sal/auricular/orbital/facial lost part)35004025
229Functional orthodontic appliances27003105
230Obturator (Maxillo-facial)13501553
231Occlusal night guard(splint)720828
TREATMENT PROCEDURE ENT
232Pure Tone Audiogram172198
233Impedence with stepedeal reflex230265
234Short Increment Sensitivity Index (SISI) Tone Decay132152
235Multiple hearing assessment test to Adults115132
236Speech Discrimination Score90104
237Speech Assessment120138
238Speech therapy per session of 30-40 minutes131151
239Cold Calorie Test for Vestibular function172198
240Removal of foreign body From Nose345397
352Excisional Biopsies51755951
353Benign Tumour Excisions85509833
354Temporal Bone subtotal resection2070023805
355Modified Radical Neck Dissection2277026186
356Carotid Body Excision2340026910
357Total Laryngectomy3527340564
358Flap Reconstructive Surgery3726042849
359Parapharyngeal Tumour Excision3539740707
360Other Major Surgery1912521994
361Other Minor Surgery45005175
TREATMENT PROCEDURE BREAST
362Drainage of abscess54006210
363Excision of lumps62727213
364Local mastectomy-simple1138513093
365Radical mastectomy-formal or modified.2587529756
366Excision of mammary fistula1552517854
367Segmental resection of breast1449016664
368Other Major Surgery2250025875
369Other Minor Surgery45005175
TREATMENT PROCEDURE GENERAL SURGERY
370Injury Of Superficial Soft Tissues425489
371Suturing of small wounds10601250
372Secondary suture of wounds34004000
373Debridement of wounds12751500
374Removal Of Foreign Bodies12751500
Biopsies
375Excision of Cervical Lymph Node26353100
376Excision of Axillary Lymph Node67157900
377Excision of Inguinal Lymph Node25503000
378Excision Biopsy of Ulcers13231521
379Excision Biopsy of Superficial Lumps28983333
380Incision Biopsy of Growths/Ulcers13231521
381Trucut Needle Biopsy29753500
1047Nephrectomy for - Hydronephrosis1500017250
1048Nephrectomy for -Wilms Tumour1350015525
1049Paraortic Lymphadenoctomy with Nephrectomy for Wilms Tumour1320015180
1050Sacro-Coccygeal Teratoma Excision1260014490
1051Neuroblastoma Debulking1440016560
1052Neuroblastoma Total Excision1863021425
1053Rhabdomyosarcoma wide Excision1350015525
1054Congenital Atresia & Stenosis of Small Intestine1900021850
1055Muconium ileus1600018400
1056Malrotation & Volvulus of the Midgut1500017250
1057Excision of Meckel’s Deverticulum1200013800
1058Other Major Surgery2700031050
1059Other Minor Surgery1105012708
TREATMENT PROCEDURE BURNS AND PLASTIC SURGERY
1060Primary Suturing of Wound300345
1061Injection of Keloids - Ganglion10991264
1062Injection of Keloids - Haemangioma11501323
1063Free Grafts - Wolfe Grafts17251984
1064Free Grafts - Thiersch- Small Area 5%67287737
1065Free Grafts - Large Area 10%72008280
1066Free Grafts - Very Large Area 20% and above.931510712
1067Skin Flaps - Rotation Flaps80739284
1068Skin Flaps - Advancement Flaps1125012938
1069Skin Flaps - Direct- cross Leg Flaps- Cross Arm Flap1200013800
1070Skin Flaps - Cross Finger1125012938
1071Skin Flaps - Abdominal935010753
1072Skin Flaps - Thoracic935010753
1073Skin Flaps - Arm Etc.990011385
1074Subcutaneous Pedicle Flaps Raising66007590
1075Subcutaneous Pedicle Flaps Delay59506843
1076Subcutaneous Pedicle Flaps Transfer59506843
1077Cartilage Grafting86259919
1078Reduction of Facial Fractures of Nose13801587
1079Reduction of Facial Fractures of Maxilla80009200
1080Reduction of Fractures of Mandible & Maxilla - Eyelet Splinting74758596
1081Reduction of Fractures of Mandible & Maxilla - Cast Metal Splints69007935
1082Reduction of Fractures of Mandible & Maxilla - Gunning Splints75008625
1083Internal Wire Fixation of Mandible & Maxilla1150013225
1084Cleft Lip - repair.1150013225
1085Cleft Palate Repair1265014548
1086Primary Bone Grafting for alveolar cleft in Cleft Lip1150013225
1087Secondary Surgery for Cleft Lip Deformity1000011500
1088Secondary Surgery for Cleft Palate1265014548
1089Reconstruction of Eyelid Defects - Minor63257274
1090Reconstruction of Eyelid Defects - Major85009775
1091Plastic Surgery of Different Regions of the Ear - Minor72458332
1092Plastic Surgery of Different Regions of the Ear - Major1035011903
1093Plastic Surgery of the Nose - Minor72458332
1094Plastic Surgery of the Nose - Major950010925
1095Plastic Surgery for Facial Paralysis (Support with Reanimation)1610018515
1096Pendulous Breast - Mammoplasty1300014950
1097Underdeveloped Breast Mammoplasty1200013800
1098After Mastectomy (Reconstruction)Mammoplasty1200013800
1099Syndactyly Repair1275014663
1100Dermabrasion Face1322515209
1101upto 30% Burns 1st Dressing152175
1102upto 30% Burns Subsequent Dressing124143
110330% to 50% Burns 1st Dressing193222
110430% to 50% Burns Subsequent Dressing152175
1105Extensive Burn -above 50% Frist Dressing276317
1106Extensive Burn -above 50% Subsequent dressing193222
TREATMENT PROCEDURE ORTHOPEDICS
1107Plaster Work255293
1108Fingers (post slab)259298
1109Fingers full plaster259298
1110Colles Fracture - Below elbow8801012
1111Colles Fracture - Full plaster8951029
1112Colles fracture Ant. Or post. slab400460
1113Above elbow full plaster173199
1114Above Knee post-slab575661
1115Below Knee full plaster173199
1116Below Knee post-slab718826
1117Tube Plaster (or plaster cylinder)800920
1118Above knee full plaster12001380
1119Above knee full slab10421198
1120Minerva Jacket24152777
1121Plaster Jacket19672262
1122Shoulder spica18002070
1123Single Hip spica20192322
1124Double Hip spica24842857
1125Strapping of Finger179206
1126Strapping of Toes180207
1127Strapping of Wrist230265
1128Strapping of Elbow250288
1129Strapping of Knee311358
1130Strapping of Ankle311358
1131Strapping of Chest414476
1132Strapping of Shoulder466536
TREATMENT PROCEDURE PHYSIOTHERAPY
1240Ultrasonic therapy7081
1241Shortwave Diathermy (SWD)7081
1242Electrical stimulation (therapeutic)7081
1243Muscle testing and diagnostic7182
1244Infrared7586
1245Ultraviolet Therapeutic (UV Therapeutic) dose5867
1246Intermittent Lumbar Traction7890
1247Intermittent Cervical traction7586
1248Wax bath7586
1249Hot pack7890
1250Breathing Exercises & Postural Drainage5058
1251Cerebral Palsy – exercise5058
1252Post – polio exercise5058
NUCLEAR MEDICINE / RADIOTHERAPY AND CHEMOTHERAPY
1253Cobalt 60 therapy
1254Cobalt 60 therapy- Radical therapy6158370820
1255Cobalt 60 therapy- Palliative therapy2199425293
1256Linear accelerator
1257Linear accelerator- Radical therapy5278560703
1258Linear accelerator- Palliative therapy3079235411
12593D Planning48885621
12602D Planning48885621
1261IMRT(Intensity Modulated radiotherapy)90790104409
1262SRT (Stereotactic radiotherapy)5489663130
1263SRS(Stereotactic radio surgery)7249183365
1264IGRT(Image guided radiotherapy)147016169068
1265Respiratory Gating-alongwith Linear accelerator planning99000113850
1266Electron beam with Linear accelerator6072669835
1267Tomotherapy7146082179
1325Portal haemodymic studies19132200
1326Manometry and PH metry16121854
1327Oesophageal PH metry45005175
1328Oesophageal manometry45005175
1329Small bowel manometry61207038
1330Anorectal manometry61207038
1331Colonic manometry68857918
1332Biliary manometry68857918
1333Sengstaken blackenesse tube tempode25882976
1334Lintas machles tube tempode28753306
1335Faecal / Fecal fat test/ fecal chymotrypsin/ fecal elastase350403
1336Breath tests300345
1337Extracorporeal Shortwave Lithotripsy (ESWL) (Select CGHS rate code 888 for approved rate)Select CGHS Code 888Select CGHS Code 888
1338Liver biopsy12421428
NAME OF INVESTIGATION / DENTAL
1339Dental IOPA X-ray5058
1340Occlusal X-ray7890
1341OPG X-ray196225
NAME OF INVESTIGATION / PULMONARY
1342Lung Ventilation & Perfusion Scan (V/Q Scan)32403726
1343Lung Perfusion Scan18002070
NAME OF INVESTIGATION / OSTEOLOGY
1344Whole Body Bone Scan with SPECT.30793541
1345Three phase whole body Bone Scan30793541
NAME OF INVESTIGATION / NEUROSCIENCES
1346Brain Perfusion SPECT Scan with Technetium 99m radiopharmaceuticals.879810118
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SR No.Treatment TypeTreatmentCharges
1CheckupOld Case Checkup 290 Rs.(INR)
2CheckupNew Checkup 400 Rs.(INR)
3Diagnostic ServiceIOPA X-ray 125 Rs.(INR)
4ProphylacticFull Mouth Dental Scaling (Acc to the intensity of stains in teeth) 800/ - 1400/- 1600/ - 2100/ - Rs.(INR)
5ProphylacticDental Polishing of Teeth (Full Mouth) 290 Rs.(INR)
6?Dental Insurance PlanMmsdc dental health awareness plan - Single Person 1450 Rs.(INR)
7?Dental Insurance PlanMmsdc dental health awareness plan - Family (2 Adult + 1 Child) 2750 Rs.(INR)
8CheckupHome Dental Visit for Checkup / Follow-up Charges (Within 3 KM) 650 Rs.(INR)
9?CheckupFollow-up Visit 200 Rs.(INR)
10CheckupHome Dental Visit for Checkup / Follow-up Charges (3 - 5 KM) 850 Rs.(INR)
11CheckupHome Dental Visit for Checkup / Follow-up Charges (5 - 8 KM) 1050 Rs.(INR)
12?PaymentBajaj EMI Finserve Processing Fees for Treatment Charges Payment ** 767 Rs.(INR)
13Diagnostic Test (Radiology)Occlusal X-ray (Out-sourced) 700 Rs.(INR)
14Diagnostic Test(Radiology)OPG X-ray 690 Rs.(INR)
15Diagnostic Test(Radiology)PNS view X-ray (Para- Nasal Sinus) 767 Rs.(INR)
16Diagnostic Test(Radiology)TMJ X-ray Open/Close view (Temporomandibular joint) 690 Rs.(INR)
17Diagnostic Test(Radiology)Oral digital Scanning for Clear Aligners 8600 Rs.(INR)
18Diagnostic Test(Radiology)Paranasal Sinus - 3D Image Modalities (Outsourced) 2200 Rs.(INR)
19Diagnostic Test(Radiology)3D TMJ Open-Close bothside (Outsourced) 4500 Rs.(INR)
20Diagnostic Test(Radiology)Both Jaw CBCT - 3D Imaging Modalities (Maxilla and Mandible) (outsourced) 4000 Rs.(INR)
21Diagnostic Test(Radiology)Single Jaw CBCT - 3D Imaging Modalities (Maxilla or Mandible) (outsourced) 2200 Rs.(INR)
22Diagnostic Test(Radiology)Sectional CBCT - 3D Imaging modalities (outsourced) 1800 Rs.(INR)
23Diagnostic Test(Radiology)Extraoral Radiographs - Skullview (outsourced) 700 Rs.(INR)
24Diagnostic Test(Radiology)lateral cephalogram X-ray (Outsourced) 700 Rs.(INR)
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