> Tariff List – CGHS Charges​
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SR No. Treatment Type Treatment Charges
1 CheckupOld Case Checkup 290 Rs.(INR)
2 CheckupNew Checkup 400 Rs.(INR)
3 Diagnostic ServiceIOPA X-ray 125 Rs.(INR)
4 ProphylacticFull Mouth Dental Scaling (Acc to the intensity of stains in teeth) 800/ - 1400/- 1600/ - 2100/ - Rs.(INR)
5 ProphylacticDental 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)
8 CheckupHome Dental Visit for Checkup / Follow-up Charges (Within 3 KM) 650 Rs.(INR)
9? CheckupFollow-up Visit 200 Rs.(INR)
10 CheckupHome Dental Visit for Checkup / Follow-up Charges (3 - 5 KM) 850 Rs.(INR)
11 CheckupHome 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)
13 Diagnostic Test (Radiology)Occlusal X-ray (Out-sourced) 700 Rs.(INR)
14 Diagnostic Test(Radiology)OPG X-ray 690 Rs.(INR)
15 Diagnostic Test(Radiology)PNS view X-ray (Para- Nasal Sinus) 767 Rs.(INR)
16 Diagnostic Test(Radiology)TMJ X-ray Open/Close view (Temporomandibular joint) 690 Rs.(INR)
17 Diagnostic Test(Radiology)Oral digital Scanning for Clear Aligners 8600 Rs.(INR)
18 Diagnostic Test(Radiology)Paranasal Sinus - 3D Image Modalities (Outsourced) 2200 Rs.(INR)
19 Diagnostic Test(Radiology)3D TMJ Open-Close bothside (Outsourced) 4500 Rs.(INR)
20 Diagnostic Test(Radiology)Both Jaw CBCT - 3D Imaging Modalities (Maxilla and Mandible) (outsourced) 4000 Rs.(INR)
21 Diagnostic Test(Radiology)Single Jaw CBCT - 3D Imaging Modalities (Maxilla or Mandible) (outsourced) 2200 Rs.(INR)
22 Diagnostic Test(Radiology)Sectional CBCT - 3D Imaging modalities (outsourced) 1800 Rs.(INR)
23 Diagnostic Test(Radiology)Extraoral Radiographs - Skullview (outsourced) 700 Rs.(INR)
24 Diagnostic Test(Radiology)lateral cephalogram X-ray (Outsourced) 700 Rs.(INR)
SR No. Treatment Type Treatment Charges
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 (₹)
1 Consultation OPD 350 350
2 Consultation- for Inpatients 350 350
3 Dressings of wounds 255 300
4 Suturing of wounds with local anesthesia 108 124
5 Aspiration Plural Effusion - Diagnostic 555 700
6 Aspiration Plural Effusion - Therapeutic 555 700
7 Abdominal Aspiration - Diagnostic 555 700
8 Abdominal Aspiration - Therapeutic 640 750
9 Pericardial Aspiration 380 437
10 Joints Aspiration 317 365
11 Biopsy Skin 230 265
12 Removal of Stitches 170 200
13 Venesection 595 700
14 Phimosis Under LA 5100 6000
15 Sternal puncture 173 199
16 Injection for Haemorrhoids 595 700
17 Injection for Varicose Veins 595 700
18 Catheterization 595 700
19 Dilatation of Urethra 1955 2300
20 Incision & Drainage 1955 2300
21 Intercostal Drainage 125 144
22 Peritoneal Dialysis 1319 1517
TREATMENT PROCEDURE SKIN
23 Excision of Moles 345 397
24 Excision of Warts 310 357
25 Excision of Molluscum contagiosum 130 150
26 Excision of Venereal Warts 160 184
27 Excision of Corns 140 161
28 I/D Injection Keloid(Intralesional Injection) 97 112
29 Chemical Cautery (s) 110 127
TREATMENT PROCEDURE DENTAL PROCEDURES
174 Flap Operation per quadrant 360 414
175 Gingivectomy per quadrant 211 243
176 Reduction & immobilization of fracture- Maxilla Under LA 810 932
177 Reduction & immobilization of fracture-Mandible Under LA 3150 3623
178 Splints/Circummandibular wiring under LA 459 528
179 splints/Circummandibular wiring under GA 891 1025
180 Internal wire fixation/plate fixation of Maxilla under LA 2700 3105
181 Internal wire fixation/plate fixation of Maxilla under GA 3600 4140
182 Internal wire fixation/plate fixation of Mandible under LA 3150 3623
183 Internal wire fixation/plate fixation of Mandible under GA 3825 4399
184 Extraction per tooth under LA 80 92
185 Complicated Extraction per Tooth under LA 100 115
186 Extraction of impacted tooth under LA 160 184
187 Extraction in mentally retarded/patients with systemic diseases/patient with special needs under short term GA 939 1080
188 Cyst & tumour of Maxilla /mandible by enucleation/ excision/ marsupialisation upto 4 cms under LA 244 281
189 Cyst & tumour of Maxilla / mandible by enucleation / excision / marsupialisation size more than 4 cms 406 467
190 Cyst & tumour of Maxilla/mandible by enucleation/excision/marsupialisation size more than 4 cms under GA 1000 1150
191 TM joint ankylosis- under GA 6750 7763
192 Biopsy Intraoral-Soft tissue 337 388
193 Biopsy Intraoral-Bone 374 430
194 Hemi-mandibulectomy with graft 21000 24150
195 Hemi-mandibulectomy without graft 18900 21735
196 Segmental-mandibulectomy with graft 3400 3910
197 Segmental-mandibulectomy without graft 990 1139
198 Maxillectomy- Total with graft 2500 2875
199 Maxillectomy- Total without graft 1950 2243
200 Maxillectomy- partial with graft 3000 3450
201 Maxillectomy- partial without graft 2500 2875
202 Release of fibrous bands & grafting -in (OSMF) treatment under GA 1350 1553
203 Pre-prosthetic surgery- Alveoloplasty 450 518
204 Pre-prosthetic surgery - ridge augmentation 1080 1242
205 Root canal Treatment(RCT) Anterior teeth(per tooth) 500 575
206 Root canal Treatment(RCT) Posterior teeth (per tooth) 700 805
207 Apicoectomy- Single root 500 575
208 Apicoectomy-Multiple roots 650 748
209 Metal Crown-per unit 500 575
210 Metal Crown with Acrylic facing per unit 700 805
211 Complete single denture-metal based 1500 1725
212 Complete denture- acrylic based per arch 855 983
213 Removable partial denture-Metal based-upto 3 teeth 700 805
214 Removable partial denture-Metal based-more than 3 teeth 900 1035
215 Removable partial denture-Acrylic based-upto 3 teeth 450 518
216 Removable partial denture-Acrylic based-more than 3 teeth / Per tooth 238 274
217 Amalgam restoration-per tooth 180 207
218 Composite Restoration-per tooth-anterior tooth 250 288
219 Glass Ionomer filling-per tooth 200 230
220 Scaling & polishing 300 345
221 Removable Orthodontics appliance- per Arch 630 725
222 Fixed Orthodontics-per Arch 1150 1323
223 Space maintainers-Fixed 450 518
224 Habit breaking appliances-removable 720 828
225 Habit breaking appliances-Fixed 1350 1553
226 Expansion plate 1000 1150
227 Feeding appliance for cleft palate 1350 1553
228 Maxillo-facial prosthesis (sal/auricular/orbital/facial lost part) 3500 4025
229 Functional orthodontic appliances 2700 3105
230 Obturator (Maxillo-facial) 1350 1553
231 Occlusal night guard(splint) 720 828
TREATMENT PROCEDURE ENT
232 Pure Tone Audiogram 172 198
233 Impedence with stepedeal reflex 230 265
234 Short Increment Sensitivity Index (SISI) Tone Decay 132 152
235 Multiple hearing assessment test to Adults 115 132
236 Speech Discrimination Score 90 104
237 Speech Assessment 120 138
238 Speech therapy per session of 30-40 minutes 131 151
239 Cold Calorie Test for Vestibular function 172 198
240 Removal of foreign body From Nose 345 397
352 Excisional Biopsies 5175 5951
353 Benign Tumour Excisions 8550 9833
354 Temporal Bone subtotal resection 20700 23805
355 Modified Radical Neck Dissection 22770 26186
356 Carotid Body Excision 23400 26910
357 Total Laryngectomy 35273 40564
358 Flap Reconstructive Surgery 37260 42849
359 Parapharyngeal Tumour Excision 35397 40707
360 Other Major Surgery 19125 21994
361 Other Minor Surgery 4500 5175
TREATMENT PROCEDURE BREAST
362 Drainage of abscess 5400 6210
363 Excision of lumps 6272 7213
364 Local mastectomy-simple 11385 13093
365 Radical mastectomy-formal or modified. 25875 29756
366 Excision of mammary fistula 15525 17854
367 Segmental resection of breast 14490 16664
368 Other Major Surgery 22500 25875
369 Other Minor Surgery 4500 5175
TREATMENT PROCEDURE GENERAL SURGERY
370 Injury Of Superficial Soft Tissues 425 489
371 Suturing of small wounds 1060 1250
372 Secondary suture of wounds 3400 4000
373 Debridement of wounds 1275 1500
374 Removal Of Foreign Bodies 1275 1500
Biopsies
375 Excision of Cervical Lymph Node 2635 3100
376 Excision of Axillary Lymph Node 6715 7900
377 Excision of Inguinal Lymph Node 2550 3000
378 Excision Biopsy of Ulcers 1323 1521
379 Excision Biopsy of Superficial Lumps 2898 3333
380 Incision Biopsy of Growths/Ulcers 1323 1521
381 Trucut Needle Biopsy 2975 3500
1047 Nephrectomy for - Hydronephrosis 15000 17250
1048 Nephrectomy for -Wilms Tumour 13500 15525
1049 Paraortic Lymphadenoctomy with Nephrectomy for Wilms Tumour 13200 15180
1050 Sacro-Coccygeal Teratoma Excision 12600 14490
1051 Neuroblastoma Debulking 14400 16560
1052 Neuroblastoma Total Excision 18630 21425
1053 Rhabdomyosarcoma wide Excision 13500 15525
1054 Congenital Atresia & Stenosis of Small Intestine 19000 21850
1055 Muconium ileus 16000 18400
1056 Malrotation & Volvulus of the Midgut 15000 17250
1057 Excision of Meckel’s Deverticulum 12000 13800
1058 Other Major Surgery 27000 31050
1059 Other Minor Surgery 11050 12708
TREATMENT PROCEDURE BURNS AND PLASTIC SURGERY
1060 Primary Suturing of Wound 300 345
1061 Injection of Keloids - Ganglion 1099 1264
1062 Injection of Keloids - Haemangioma 1150 1323
1063 Free Grafts - Wolfe Grafts 1725 1984
1064 Free Grafts - Thiersch- Small Area 5% 6728 7737
1065 Free Grafts - Large Area 10% 7200 8280
1066 Free Grafts - Very Large Area 20% and above. 9315 10712
1067 Skin Flaps - Rotation Flaps 8073 9284
1068 Skin Flaps - Advancement Flaps 11250 12938
1069 Skin Flaps - Direct- cross Leg Flaps- Cross Arm Flap 12000 13800
1070 Skin Flaps - Cross Finger 11250 12938
1071 Skin Flaps - Abdominal 9350 10753
1072 Skin Flaps - Thoracic 9350 10753
1073 Skin Flaps - Arm Etc. 9900 11385
1074 Subcutaneous Pedicle Flaps Raising 6600 7590
1075 Subcutaneous Pedicle Flaps Delay 5950 6843
1076 Subcutaneous Pedicle Flaps Transfer 5950 6843
1077 Cartilage Grafting 8625 9919
1078 Reduction of Facial Fractures of Nose 1380 1587
1079 Reduction of Facial Fractures of Maxilla 8000 9200
1080 Reduction of Fractures of Mandible & Maxilla - Eyelet Splinting 7475 8596
1081 Reduction of Fractures of Mandible & Maxilla - Cast Metal Splints 6900 7935
1082 Reduction of Fractures of Mandible & Maxilla - Gunning Splints 7500 8625
1083 Internal Wire Fixation of Mandible & Maxilla 11500 13225
1084 Cleft Lip - repair. 11500 13225
1085 Cleft Palate Repair 12650 14548
1086 Primary Bone Grafting for alveolar cleft in Cleft Lip 11500 13225
1087 Secondary Surgery for Cleft Lip Deformity 10000 11500
1088 Secondary Surgery for Cleft Palate 12650 14548
1089 Reconstruction of Eyelid Defects - Minor 6325 7274
1090 Reconstruction of Eyelid Defects - Major 8500 9775
1091 Plastic Surgery of Different Regions of the Ear - Minor 7245 8332
1092 Plastic Surgery of Different Regions of the Ear - Major 10350 11903
1093 Plastic Surgery of the Nose - Minor 7245 8332
1094 Plastic Surgery of the Nose - Major 9500 10925
1095 Plastic Surgery for Facial Paralysis (Support with Reanimation) 16100 18515
1096 Pendulous Breast - Mammoplasty 13000 14950
1097 Underdeveloped Breast Mammoplasty 12000 13800
1098 After Mastectomy (Reconstruction)Mammoplasty 12000 13800
1099 Syndactyly Repair 12750 14663
1100 Dermabrasion Face 13225 15209
1101 upto 30% Burns 1st Dressing 152 175
1102 upto 30% Burns Subsequent Dressing 124 143
1103 30% to 50% Burns 1st Dressing 193 222
1104 30% to 50% Burns Subsequent Dressing 152 175
1105 Extensive Burn -above 50% Frist Dressing 276 317
1106 Extensive Burn -above 50% Subsequent dressing 193 222
TREATMENT PROCEDURE ORTHOPEDICS
1107 Plaster Work 255 293
1108 Fingers (post slab) 259 298
1109 Fingers full plaster 259 298
1110 Colles Fracture - Below elbow 880 1012
1111 Colles Fracture - Full plaster 895 1029
1112 Colles fracture Ant. Or post. slab 400 460
1113 Above elbow full plaster 173 199
1114 Above Knee post-slab 575 661
1115 Below Knee full plaster 173 199
1116 Below Knee post-slab 718 826
1117 Tube Plaster (or plaster cylinder) 800 920
1118 Above knee full plaster 1200 1380
1119 Above knee full slab 1042 1198
1120 Minerva Jacket 2415 2777
1121 Plaster Jacket 1967 2262
1122 Shoulder spica 1800 2070
1123 Single Hip spica 2019 2322
1124 Double Hip spica 2484 2857
1125 Strapping of Finger 179 206
1126 Strapping of Toes 180 207
1127 Strapping of Wrist 230 265
1128 Strapping of Elbow 250 288
1129 Strapping of Knee 311 358
1130 Strapping of Ankle 311 358
1131 Strapping of Chest 414 476
1132 Strapping of Shoulder 466 536
TREATMENT PROCEDURE PHYSIOTHERAPY
1240 Ultrasonic therapy 70 81
1241 Shortwave Diathermy (SWD) 70 81
1242 Electrical stimulation (therapeutic) 70 81
1243 Muscle testing and diagnostic 71 82
1244 Infrared 75 86
1245 Ultraviolet Therapeutic (UV Therapeutic) dose 58 67
1246 Intermittent Lumbar Traction 78 90
1247 Intermittent Cervical traction 75 86
1248 Wax bath 75 86
1249 Hot pack 78 90
1250 Breathing Exercises & Postural Drainage 50 58
1251 Cerebral Palsy – exercise 50 58
1252 Post – polio exercise 50 58
NUCLEAR MEDICINE / RADIOTHERAPY AND CHEMOTHERAPY
1253 Cobalt 60 therapy
1254 Cobalt 60 therapy- Radical therapy 61583 70820
1255 Cobalt 60 therapy- Palliative therapy 21994 25293
1256 Linear accelerator
1257 Linear accelerator- Radical therapy 52785 60703
1258 Linear accelerator- Palliative therapy 30792 35411
1259 3D Planning 4888 5621
1260 2D Planning 4888 5621
1261 IMRT(Intensity Modulated radiotherapy) 90790 104409
1262 SRT (Stereotactic radiotherapy) 54896 63130
1263 SRS(Stereotactic radio surgery) 72491 83365
1264 IGRT(Image guided radiotherapy) 147016 169068
1265 Respiratory Gating-alongwith Linear accelerator planning 99000 113850
1266 Electron beam with Linear accelerator 60726 69835
1267 Tomotherapy 71460 82179
1325 Portal haemodymic studies 1913 2200
1326 Manometry and PH metry 1612 1854
1327 Oesophageal PH metry 4500 5175
1328 Oesophageal manometry 4500 5175
1329 Small bowel manometry 6120 7038
1330 Anorectal manometry 6120 7038
1331 Colonic manometry 6885 7918
1332 Biliary manometry 6885 7918
1333 Sengstaken blackenesse tube tempode 2588 2976
1334 Lintas machles tube tempode 2875 3306
1335 Faecal / Fecal fat test/ fecal chymotrypsin/ fecal elastase 350 403
1336 Breath tests 300 345
1337 Extracorporeal Shortwave Lithotripsy (ESWL) (Select CGHS rate code 888 for approved rate) Select CGHS Code 888 Select CGHS Code 888
1338 Liver biopsy 1242 1428
NAME OF INVESTIGATION / DENTAL
1339 Dental IOPA X-ray 50 58
1340 Occlusal X-ray 78 90
1341 OPG X-ray 196 225
NAME OF INVESTIGATION / PULMONARY
1342 Lung Ventilation & Perfusion Scan (V/Q Scan) 3240 3726
1343 Lung Perfusion Scan 1800 2070
NAME OF INVESTIGATION / OSTEOLOGY
1344 Whole Body Bone Scan with SPECT. 3079 3541
1345 Three phase whole body Bone Scan 3079 3541
NAME OF INVESTIGATION / NEUROSCIENCES
1346 Brain Perfusion SPECT Scan with Technetium 99m radiopharmaceuticals. 8798 10118
.doctor_table, td,th { border: 1px solid #cdcdcd; border-collapse: collapse; } .doctor_table thead{ background: #8c73bc; } .doctor_table thead th{ text-align: center ; padding: 10px; color: #fff; } .doctor_table tbody td{ text-align: left ; padding: 10px; text-align: center; }
SR No. Treatment Type Treatment Charges
1 CheckupOld Case Checkup 290 Rs.(INR)
2 CheckupNew Checkup 400 Rs.(INR)
3 Diagnostic ServiceIOPA X-ray 125 Rs.(INR)
4 ProphylacticFull Mouth Dental Scaling (Acc to the intensity of stains in teeth) 800/ - 1400/- 1600/ - 2100/ - Rs.(INR)
5 ProphylacticDental 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)
8 CheckupHome Dental Visit for Checkup / Follow-up Charges (Within 3 KM) 650 Rs.(INR)
9? CheckupFollow-up Visit 200 Rs.(INR)
10 CheckupHome Dental Visit for Checkup / Follow-up Charges (3 - 5 KM) 850 Rs.(INR)
11 CheckupHome 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)
13 Diagnostic Test (Radiology)Occlusal X-ray (Out-sourced) 700 Rs.(INR)
14 Diagnostic Test(Radiology)OPG X-ray 690 Rs.(INR)
15 Diagnostic Test(Radiology)PNS view X-ray (Para- Nasal Sinus) 767 Rs.(INR)
16 Diagnostic Test(Radiology)TMJ X-ray Open/Close view (Temporomandibular joint) 690 Rs.(INR)
17 Diagnostic Test(Radiology)Oral digital Scanning for Clear Aligners 8600 Rs.(INR)
18 Diagnostic Test(Radiology)Paranasal Sinus - 3D Image Modalities (Outsourced) 2200 Rs.(INR)
19 Diagnostic Test(Radiology)3D TMJ Open-Close bothside (Outsourced) 4500 Rs.(INR)
20 Diagnostic Test(Radiology)Both Jaw CBCT - 3D Imaging Modalities (Maxilla and Mandible) (outsourced) 4000 Rs.(INR)
21 Diagnostic Test(Radiology)Single Jaw CBCT - 3D Imaging Modalities (Maxilla or Mandible) (outsourced) 2200 Rs.(INR)
22 Diagnostic Test(Radiology)Sectional CBCT - 3D Imaging modalities (outsourced) 1800 Rs.(INR)
23 Diagnostic Test(Radiology)Extraoral Radiographs - Skullview (outsourced) 700 Rs.(INR)
24 Diagnostic Test(Radiology)lateral cephalogram X-ray (Outsourced) 700 Rs.(INR)
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