Tariff Format

I-Care Health Management & TPA Services Pvt. Ltd. #56, Syndicate Bank Officers Colony, West Marredpally, Hyderabad – 500 026. Andhra Pradesh

Provider Tariff Provider Name: Section 1: PACKAGE RATES S.No. Surgery / Procedure Obstetrics & Gynaecology 1 Normal Delivery 2 Forceps Delivery 3 L.S.C.S. 4 Hysterectomy 5 Lap - Hysterectomy 6 D&C D & C with Fibroidectomy General Surgery 1 Thyroidectomy- Hemi 2 Thyroidectomy- Total 3 Hydrocoelectomy 4 Mastectomy - Simple 5 Mastectomy - Radicle 6 Fissurectomy 7 Fissure Dilatation 8 Fistulectomy - (Low) 9 Fistulectomy - (High) 10 Herniorraphy 11 Hernioplasty 12 Hernioplasty with Mesh 13 Orchidectomy 14 Epididymectomy 15 Circumcision - Under GA 16 Circumcision - Under LA 17 L.N.Biopsy- Under GA 18 L.N.Biopsy- Under LA 19 Lipoma Excision- Under GA 20 Lipoma Excision- Under LA 21 Abscess Drainage under GA 22 Abscess Drainage under LA

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General Ward Sharing Room Single Room

Deluxe Room

Surgical Gastroenterology Hemorrhoidectomy Stapler Hemorrhoidectomy Appendectomy Lap Appendectomy Cholecystectomy Lap. Cholecystectomy ERCP Variceal Banding Gastro-Jejanostomy Bypass Coloectomy Hemi - Choloectomy Hiatus Hernia Repair Resection and Anastomosis of S.I. Laprotomy

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S.No. Surgery / Procedure

General Ward Sharing Room Single Room

Deluxe Room

Cardiology Coronary Angiography Peripheral Angiography Ceredral Angiography Renal Angiography Angioplasty Angioplasty with Stenting CABG Open Heart surgery ASD Closure VSD Closure Aortic valvuloplasty Mitral Valvuloplasty Aortic Valve Replacement Mitral Valve replacement Pericardiocentesis Pacemaker Implantation- External Pacemaker Implantation- Internal Electro-Abalation IABP Orthopedics 1 Closed reduction of fracture under LA- Long Bones 2 Closed reduction of fracture under GA- Long Bones 3 Open reduction of fracture under LA- Long Bones 4 Open reduction of fracture under GA- Long Bones 5 ORIF 6 Total Knee Replacement 7 Total Hip Replacement 8 Reduction of Nasal Bone Fractures 9 Arthoscopy 10 Arthoplasty with Repair 11 Removal of Nails,Plates,Wires and Screws Ophthalmology 1 Pterizium Excision 2 Keratoplasty 3 Scleral Buckling 4 Retinal Flourosent Angiography 5 Chalazion removal 6 Cataract Surgery - without Phaco 7 Cataract Surgery - with Phaco 8 Cataract Surgery - with Phaco + Unifocal Lens 9 Cataract Surgery - with Phaco + Acrylic Lens 10 Cataract Surgery - with Phaco + Foldable Lens 11 Cataract Surgery - With Phaco + Multifocal Lens

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ENT Tonsillectomy Mastoidectomy - Simple Mastoidectomy - Radicle Tympanoplasty Ossilectomy Septoplasty F.E.S.S. Tracheostomy Gromet Insertion

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1 2 3 4 5

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Nephrology Renal Biopsy Hemo-Dialysis Nephrectomy - Hemi Nephrectomy - Total Renal Transplant

Urology Lithotripsy PCNL- Unilateral PCNL- Bilateral Prostatectomy TURP Stricturectomy Removal of Calculus Urethroplasty Meatoplasty Urethral Dilatation Cystoscopic Basketing of Urethra Cystolithotripsy

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Section 2: General Tariff

Room / ICU type

Daily Rent

Nursing Charges

SuperSpecialist Specialist Consultation Consultation

Surgeon Charges Minor

Medium

Major

OT Rent (Per Hour)

Anesthetist Charges

Supra Major

Minor

Medium

Major

Supra Major

General Ward Sharing / Semi-Pvt. Room Single Room (Non-A/c) Single Room (A/c) Delux Room ICCU / MICU / NICU / SICU Pediactric / Neonatal ICU Burns Ward

Section 3:Equipment & Procedure charges Room / ICU Equipment Ventilator C-PAP Syringe Pump Infusion Pump Pulse Oxymeter

Charges

OT Equipment C-Arm Laproscope Microscope Anesthesia N2O2 Per/Hr.

Charges

Cardiology ECG 2-D Echo TMT

Charges

Radiology Charges X-Ray USG C.T. M.R.I. Mammogram

Others Endoscopy Bronchoscopy Colonoscopy PFT EEG EMG

Charges

Note: Please attach a complete tariff list of your laboratory investigations.

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