Uttar Pradesh University of Medical Sciences

Saifai Etawah UP-206130

Hospital Charges

SR.NO. SERVICE NAME SERVICE CODE AMOUNT (Rs.)
RADIOLOGY
1 3 D RECEONSTRUCTION EACH PART X-004 2000.00
2 BA SWALLOW-145 X-005 145.00
3 BARIUM ENEMA-145 X-011 145.00
4 BARIUM ENEMIA-125 X-006 125.00
5 BARIUM MEALS-125 X-007 125.00
6 BARIUM SWALLOW 175 X-108 175.00
7 BARIUM SWALLOW-105 X-009 105.00
8 BARIUM SWALLOW-125 X-008 125.00
9 BMFT-125 X-012 125.00
10 CHEMOTHERAPY ADMINISTRATION CHARGES RA001 1000.00
11 CHOLENGEOGRAM-260 X-013 260.00
12 COLOUR DOPPLER X-014 200.00
13 COLOUR PRINT AND CD OF THE 3D IMAGES/WITH SURF X-015 500.00
14 CONSTRACT CT ABDOMEN-1185 X-016 1185.00
15 CONSTRACT CT ABDOMEN-2185 X-017 2185.00
16 CONSTRACT CT NECK-600 X-018 600.00
17 CONSTRACT FOR CT-300 X-020 300.00
18 CONSTRACT FOR CT-725 X-019 725.00
19 CONSTRACT FOR CT-885 X-021 885.00
20 CONSTRACT FOR MRI(ABOVE 12 YEARS) X-022 2600.00
21 CONSTRACT FOR MRI(BELOW 12 YEARS) X-023 1500.00
22 CONSTRACT FOR MRI-2500 X-024 2500.00
23 CONSTRACT-200 X-025 200.00
24 CONTRAST 100 CT076 100.00
25 CONTRAST 725 CT069 725.00
26 CR/DR X-RAY X-026 150.00
27 CR/DR X-RAY ABDOMEN DECUBITUS X-027 150.00
28 CR/DR X-RAY ABDOMEN KUB X-028 150.00
29 CR/DR X-RAY ABDOMEN KUB LATERAL X-029 250.00
30 CR/DR X-RAY ABDOMEN LATERAL X-030 100.00
31 CR/DR X-RAY ABDOMEN STANDING EREET X-031 150.00
32 CR/DR X-RAY CERVICAL SPIN X-032 150.00
33 CR/DR X-RAY CERVICAL SPIN LATERAL FLEXION X-033 250.00
34 CR/DR X-RAY CERVICAL SPIN TRANSLATERAL X-034 150.00
35 CR/DR X-RAY CHEST AP X-035 150.00
36 CR/DR X-RAY CHEST AP BED SIDE X-036 150.00
37 CR/DR X-RAY CHEST AP LATERAL X-037 150.00
38 CR/DR X-RAY CHEST AP PA & LATERAL X-038 250.00
39 CR/DR X-RAY CHEST AP PENETRATED X-039 150.00
40 CR/DR X-RAY DORSAL SPINE X-040 150.00
41 CR/DR X-RAY DORSAL SPINE AP& LATERAL X-041 250.00
42 CR/DR X-RAY DORSAL SPINE LATERAL X-042 150.00
43 CR/DR X-RAY HANDS AP BOTH WITH WRIST X-043 150.00
44 CR/DR X-RAY LUMBER LATERAL X-044 150.00
45 CR/DR X-RAY LUMBER SPINE X-045 150.00
46 CR/DR X-RAY LUMBER SPINE AP & LATERAL X-046 250.00
47 CR/DR X-RAY LUMBER SPINE BOTH OBLIQUE X-047 250.00
48 CR/DR X-RAY PELVIS AP X-048 150.00
49 CR/DR X-RAY PELVIS PA X-049 150.00
50 CR/DR X-RAY PLAIN AP & LATERAL X-050 250.00
51 CR/DR X-RAY PLAIN AP & OBLIQUE X-051 250.00
52 CR/DR X-RAY SKELETAL SURVERY WITH LONG BONES X-052 1000.00
53 CR/DR X-RAY SKULL AP X-053 150.00
54 CR/DR X-RAY SKULL AP & LATERAL X-054 250.00
55 CR/DR X-RAY SKULL BOTH MASTOIDS LATERAL OBLIQUE X-056 250.00
56 CR/DR X-RAY SKULL BOTH OPTIC FORMINA X-057 250.00
57 CR/DR X-RAY SKULL LATERAL X-058 250.00
58 CR/DR X-RAY SL JOINT X-059 250.00
59 CR/DR X-RAY STANDING ABDOMEN X-060 250.00
60 CT 1000 CT071 1000.00
61 CT ABDOMEN 3185 CT070 3185.00
62 CT HEAD. CT077 1000.00
63 CT PELVIS 3D CT074 2000.00
64 CT SCAN FACE CT073 1200.00
65 CT THORAX CT072 1000.00
66 CT-2185 CT075 2185.00
67 DIGITAL X-RAY -150 X-104 150.00
68 ECHO WITHOUT PRINT UL002 500.00
69 EXTRA CT FILM CT067 100.00
70 HSG 100 X-109 100.00
71 HSG 260 X-110 260.00
72 HSG 320 X-111 320.00
73 I.V.P.480 X-107 480.00
74 IVP 100 X-116 100.00
75 IVP 160 X-117 160.00
76 IVP 320 X-118 320.00
77 IVP 400 X-112 400.00
78 IVP 420 X-115 420.00
79 IVP 440 X-119 440.00
80 IVP 480 X-114 480.00
81 IVP 520 X-120 520.00
82 IVP 640 X-113 640.00
83 IVP 800 X-121 800.00
84 IVP 820 X-122 820.00
85 LOOPOGRAM-275 X-140 275.00
86 MAMMOGRAPHY X-099 200.00
87 MCU 160 X-123 160.00
88 MCU 260 X-124 260.00
89 MRCP MR005 3500.00
90 MRI ADDITIONAL CHARGE MR002 500.00
91 MRI EXTRA 800 MR007 800.00
92 MRI EXTRA AMOUNT MR003 2700.00
93 MRI WITH FILM MR004 3500.00
94 MRI WITHOUT FILM MR001 3500.00
95 OPG X-135 150.00
96 PER FUTION STUDY X-097 2000.00
97 PER SPOT VIEW X-096 25.00
98 RADIOLOGY EXTRA X-141 100.00
99 RF ABLATION X-098 5000.00
100 RGU 200 X-125 200.00
101 RGU 260 X-126 260.00
102 RGU 400 X-127 400.00
103 RGU 420 X-128 420.00
104 SINGLE SIDE STUDY X-100 400.00
105 SINOGRAM 125 X-130 125.00
106 SINOGRAM 220 X-131 220.00
107 SINOGRAM 280 X-129 280.00
108 SINOGRAM E X-132 260.00
109 SINOGRAM M X-133 240.00
110 ULTRASOUND UL001 100.00
111 UPPER GINDOSCOPY UL003 200.00
112 VIRTUAL ENDOSCOPY UL004 2500.00
113 X-RAY X-101 100.00
114 X-RAY 2 FILM X-103 200.00
115 X-RAY 250 X-106 250.00
116 X-RAY 3 FILM X-105 300.00
117 X-RAY 4 FILM X-010 400.00
118 X-RAY ABDOMEN DECUBITUS X-001 100.00
119 X-RAY ABDOMEN KUB X-002 100.00
120 X-RAY ABDOMEN STANDING X-003 100.00
121 X-RAY AP LATERAL X-071 100.00
122 X-RAY AP PENETRATED X-072 100.00
123 X-RAY CERVICAL SPINE AP X-061 200.00
124 X-RAY CERVICAL SPINE AP & LATERAL X-062 200.00
125 X-RAY CERVICAL SPINE BOTH OBLIQUE X-063 200.00
126 X-RAY CERVICAL SPINE LATERAL NEUTRAL X-065 100.00
127 X-RAY CERVICAL SPINE LATERFLEXION EXTENTION X-064 200.00
128 X-RAY CERVICAL SPINE TRANSLATERAL X-066 100.00
129 X-RAY CHEST X-067 100.00
130 X-RAY CHEST AP X-068 100.00
131 X-RAY CHEST AP & LATERAL X-069 200.00
132 X-RAY CHEST AP BED SIDE X-070 100.00
133 X-RAY CHEST DEEUBITUS X-073 100.00
134 X-RAY DORSAL SPINE AP X-074 100.00
135 X-RAY DORSAL SPINE AP & LETERAL X-075 200.00
136 X-RAY DORSAL SPINE LETERAL X-076 100.00
137 X-RAY EXTRA CHARGE X-102 50.00
138 X-RAY EXTRA CHARGE-15 X-136 15.00
139 X-RAY EXTRA CHARGE-20 X-137 20.00
140 X-RAY EXTRA CHARGE-25 X-138 25.00
141 X-RAY HANDS AP BOTH WITH WRISTS X-077 100.00
142 X-RAY LUMBER AP & LATERAL X-078 200.00
143 X-RAY LUMBER SPINE X-079 100.00
144 X-RAY LUMBER SPINE BOTH & OBLIQUE X-080 200.00
145 X-RAY LUMBER SPINE LATERAL X-081 100.00
146 X-RAY PELVIS AP X-082 100.00
147 X-RAY PELVIS PA X-083 100.00
148 X-RAY PLAIN X-084 100.00
149 X-RAY PLAIN AP & LATERAL X-085 200.00
150 X-RAY PLAIN AP & OBLIQUE X-086 200.00
151 X-RAY SKELETAL SURVERY WITH LONG BONES X-087 1000.00
152 X-RAY SKELETAL SURVERY WITHOUT LONG BONES X-088 600.00
153 X-RAY SKULL X-089 100.00
154 X-RAY SKULL AP X-090 100.00
155 X-RAY SKULL AP & LETERAL X-091 200.00
156 X-RAY SKULL BOTH MASTOIDS LETERAL OBLIQUE X-092 200.00
157 X-RAY SKULL BOTH OPTIC FORAMINA X-093 200.00
158 X-RAY SKULL LETERAL X-094 100.00
159 X-RAY SL JOINT X-095 200.00
BLOOD BANK
1 BLOOD UNIT-I SER0009 400.00
2 BLOOD UNIT-II SER0010 800.00
3 BLOOD UNIT-III SER0011 1200.00
4 CRYOPRECIPITATE SER0008 100.00
5 FRESH FROZEN PLASMA SER0006 200.00
6 PACKED RED BLOOD CELL. SER1399 500.00
7 PLATELET BAG CHARGES SER0007 200.00
8 SDP BAG(JUMBO PLATLET BAG) SER0934 5000.00
CVTS
1 ANGIOGRAPHY SER0380 2500.00
2 ANGIOPLASTY (PER STENT) SER0381 50000.00
3 CABG(OFF PUMP) SER1099 39000.00
4 CLOSED MITRAL COMMISUROTOMY SER1128 5400.00
5 DOUBLE LUMEN ET TUBE SER1096 3350.00
6 EACH EXTRA STENT. SER1191 23625.00
7 ENDOSTAPLER 45 MM SER1097 5000.00
8 ENDOSTAPLER 60 MM SER1098 7500.00
9 EVLA SER1129 2000.00
10 EXTRA PERIPHERAL BALLOON -SEMI COMPLAINT SER1123 11250.00
11 EXTRA PERIPHERAL STENT -SELF EXPANDING SER1124 46000.00
12 FEMORAL ANGIOGRAPHY SER0385 3500.00
13 IABP SER0276 25000.00
14 LASER ABLATION OF VENOUS MALFORMATIONS SER1130 1000.00
15 PERIPHAL PTA(SINGLE BALLOON SC+SINGLE STENT-SELF EXTENDING) SER1122 66000.00
16 PERIPHERAL ANGIOGRAPHY SER1119 1500.00
17 PERIPHERAL PTA(SINGLE STENT-SELF EXPANDING) SER1121 51000.00
18 PERPHERAL PTA(SINGLE BALLOON-SEMI COMPLIANT) SER1120 20500.00
19 PTCA (SINGLE STN & SINGLE BALL) SER1190 43375.00
20 RADIAL ANGIOGRAPHY SER0384 5500.00
21 SINGLE BALLOON COST SER0387 9000.00
DELIVERY
1 D&C CHARGES DELI0004 267.00
2 STILL BIRTH DELI0005 0.00