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DETAILED COST SHEET
COSTING OF AMOEBIASIS
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- System Rate (In Days Cost (In Rs.)
es Rs.) per case (In Rs.) Cost (In Rs.) Rs.)
Rs.)
Level 1 Medical Officer 10 3.74 37.42 Stool Microscopy 1 45 45.00 Tab Metronidazole 400 mg 42 0.59 24.95 OPD 78.50 1 78.50
PBS 1 30 30.00 Tab Diloxanide Furoate 500mg 30 3.43 102.84
ORS pack 3 1.67 5.01
Total 37.42 - 75.00 75 132.80 245.22 78.50 323.72
Level 2 Medical Officer 10 3.74 37.42 Stool Microscopy 1 45 45.00 Tab Metronidazole 400 mg 42 0.59 24.95 OPD 34.98 1 34.98
PBS 1 30 30.00 Tab Diloxanide Furoate 500mg 30 3.43 102.84
Typhi Dot 1 100 100.00 ORS pack 3 1.67 5.01
Total 37.42 - 175.00 75 132.80 345.22 34.98 380.20
Level 3 Medical Specialist 55 4.37 240.18 Stool Microscopy 3 45 135.00 Tab Diloxanide Furoate 500mg 30 3.43 102.84 OPD 33.18 2 66.35
PBS 3 30 90.00 Tab Chloroquine 150mg base 10 0.34 3.43 IPD 90.11 2 180.21
Typhi Dot 1 100 100.00 Tab Metronidazole 400 mg 42 0.59 24.95
Total 240.18 - 325.00 82 131.22 696.40 246.56 942.96
Level 4 Medical Specialist 100 4.37 436.69 Stool Microscopy 3 45 135.00 Tab Diloxanide Furoate 500mg 30 3.43 102.84 OPD 55.24 2 110.49
Surgeon 135 4.37 589.54 PBS 3 30 90.00 Tab Chloroquine 150mg base 10 0.34 3.43 IPD 131.09 5 655.47
Anaesthetist 90 4.37 393.02 Typhi Dot 1 100 100.00 Tab Metronidazole 400 mg 42 0.59 24.95 OT 289.08 1 289.08
USG Abdomen 2 350 700.00 IGS 6 10.15 60.90
X Ray Chest 1 100 100.00 Ringer Lactate 6 8.45 50.70
Blood Grouping & Cross Matching 1 55 55.00
Total 1,419.26 - 1,180.00 94 242.82 2,842.07 1,055.04 3,897.11
Assumption and Notes :-
1. One in five patients will be asymptomatic cyst passers.
2. One in five patients at level 3 and one in two patients at level 4 will need IPD treatment
3. One in ten patients at level 4 may need surgery
4. One in five patients at level 3 and 4 will need oral chloroquine and oral tetracycline
5. The cost of the following has not been taken in above costing
a) Tab Iodoquinol 650mg at Level 3,4
DETAILED COST SHEET
COSTING OF CHOLERA
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate Cost (In Rs.) Total Ex- Rate (In Days Cost (In Rs.)
es Rs.) per case (In (In Rs.) System Cost (In Rs.)
Rs.) Rs.)
Level 1 Medical Officer 60 3.74 224.51 Hanging drop 1 365 365.00 ORS 6 1.67 10.02 OPD 78.50 2 157.00
- - Ringer's Lactate 4 8.45 33.80
Total 224.51 - 365.00 43.82 633.33 157.00 790.33
Level 2 Medical Officer 90 3.74 336.76 Hanging drop 1 365 365.00 ORS 6 1.67 10.02 OPD 34.98 3 104.95
- Ringer's Lactate 12 8.45 101.40
Total 336.76 - 365.00 111.42 813.18 104.95 918.13
Level 3 Medical Specialist 170 4.37 742.38 Foley's catheter 100.00 Hanging drop 1 365 365.00 ORS 6 1.67 10.02 OPD 33.18 2 66.35
Stool Culture 1 50 50.00 Ringer's Lactate 12 8.45 101.40 IPD 90.11 5 450.53
Immobilization test with anti-sera 1 290 290.00 Norfloxacin: 400 mg 10 0.52 5.17
Blood Urea 3 20 60.00
Urine (RE) 2 25 50.00
Serum Creatinine 3 25 75.00
Hb 2 20 40.00
CBC 2 50 100.00
Total 742.38 100.00 1,030.00 116.59 1,988.97 516.88 2,505.85
Level 4 Medical Specialist 240 4.37 1,048.07 Foley's catheter 100.00 Hanging drop 1 365 365.00 ORS 6 1.67 10.02 OPD 55.24 2 110.49
Nephrologist 90 4.92 443.21 CVP Line 200.00 Stool Culture 1 50 50.00 Ringer's Lactate 6 8.45 50.70 IPD 131.09 7 917.65
Immobilization test with anti-sera 1 290 290.00 Norfloxacin: 400 mg 10 0.52 5.17
Blood Urea 7 20 140.00 Inj Pottasium Chloride 10ml ampule 5 3.20 16.00
Hb 3 20 60.00
Urine (RE) 2 25 50.00
Serum Creatinine 7 25 175.00
X ray Chest 2 100 200.00
Sr. electrolytes 5 64 320.00
CBC 3 50 150.00
Total 1,491.27 300.00 1,800.00 81.89 3,673.16 1,028.14 4,701.30
Assumption and Notes :-
1 Assuming patient reaching level IV would be suffering from complications of IV therapy or severe dehydration ( renal failure)
2 Any of the following medicene can be used depending upon the availability, for costing we, have considered Norfloxacin
Norfloxacin: 400 mg 10
Doxycycline: 100 mg 10
Tetracycline 250 mg 20
3 The cost of the following is not included in costing
Transport Media Cary Blair/Alkaline Peptone Water at Level 1,2
DETAILED COST SHEET
COSTING OF DENGUE FEVER (DF) / DENGUE HAEMORRAGIC FEVER (DHF) / DENGUE SHOCK SYNDROME (DSS)
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- System Rate (In Days Cost (In Rs.)
es Rs.) per case Tests (In Rs.) Cost (In Rs.) Rs.)
Rs.)
Level 1 Medical Officer 60 3.74 224.51 Blood for TLC, DLC 2 40 80.00 Tab Paracetamol 12 0.21 2.54 OPD 78.50 3 235.50
Blood for MP 1 20 20.00 ORS 2 1.67 3.34
Hematocrit 1 70 70.00
Platelet Count 1 30 30.00
Total 224.51 - 200.00 5.88 430.39 235.50 665.89
Level 2 1 Medical Officer 60 3.74 224.51 Blood for TLC, DLC 2 40 80.00 Tab Paracetamol 12 0.21 2.54 OPD 34.98 3 104.95
Blood for MP 1 20 20.00 ORS 6 1.67 10.02
Hematocrit 1 70 70.00 IV Fluids 5% Isotonic glucose saline 6 7.98 47.88
Platelet Count 1 30 30.00
Total 224.51 - 200.00 60.44 484.95 104.95 589.90
Level 3 Medical Specialist 135 4.37 589.54 Blood for TLC, DLC 2 40 80.00 Tab Paracetamol 12 0.21 2.54 OPD 33.18 3 99.53
Blood for MP 1 20 20.00 IV Fluids 5% Isotonic glucose saline 6 7.98 47.88 IPD 90.11 5 450.53
Hematocrit 5 70 350.00 IV Fluids Ringer lactate solution 6 8.45 50.70 -
Platelet Count 5 30 150.00 IV Dextran 40 6 172.00 1,032.00 -
Total 589.54 - 600.00 1,133.12 2,322.66 550.06 2,872.72
Level 4 Medical Specialist 135 4.37 589.54 Blood for TLC, DLC 2 40 80.00 Tab Paracetamol 12 0.21 2.54 OPD 55.24 1 55.24
Blood for MP 1 20 20.00 IV Fluids 5% Isotonic glucose saline 6 7.98 47.88 IPD 131.09 5 655.47
Hematocrit 5 70 350.00 IV Fluids Ringer lactate solution 6 8.45 50.70
Platelet Count 5 30 150.00 IV Dextran or Plasma 6 172.00 1,032.00
Dengue IgG 1 1440 1,440.00
Dengue IgM antibody 1 600 600.00
Total 589.54 - 2,640.00 1,133.12 4,362.66 710.71 5,073.37
Assumption and Notes :-
The lab tests relted to Dengue i.e. IgG and IgM and Dengu Virus Antigens have to be sent to notified Central Referral Laboratories
Blood Transfusion is mentioned in Medicines but Blood cost is not taken
The cost of the following is not included in costing
Blood transfusion at level 4
Platelet rich plasma in units at level 4
Dengue virus antigens at level 4
DETAILED COST SHEET
COSTING OF ENTERIC FEVER
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- System Rate (In Days Cost (In Rs.)
es Rs.) per case (In Rs.) Cost (In Rs.) Rs.)
Rs.)
Level 1 MO 30 3.74 112.25 PBS for Malaria 1 20 20.00 Tab. PCM (500 mg) 20 0.21 4.24 OPD 78.50 3 235.50
- CBC 1 50 50.00 Tab. Chloroquine (150 mg base 4 0.34 1.37
- Platelet Count 1 30 30.00 Tab ciprofloxacin 500mg 14 6.01 84.07
Total 112.25 - 100.00 89.68 301.94 235.50 537.44
Level 2 1 MO 30 3.74 112.25 PBS for Malaria 1 20 20.00 Tab. PCM (500 mg) 20 0.21 4.24 OPD 34.98 3 104.95
CBC 1 50 50.00 Tab. Chloroquine (150 mg base 4 0.34 1.37
Platelet Count 1 30 30.00 Tab ciprofloxacin 500mg 14 6.01 84.07
Urine RE 1 25 25.00 ORS packets 6 1.67 10.02
X Ray Chest 1 100 100.00
Typhi dot 1 100 100.00
Total 112.25 - 325.00 99.70 536.96 104.95 641.90
Level 3 Physician 280 4.37 1,222.74 PBS for Malaria 1 20 20.00 Tab. PCM (500 mg)- 20 0.21 4.24 OPD 33.18 1 33.18
Surgeon 150 4.37 655.04 CBC 1 50 50.00 Tab. Chloroquine (150 mg base 4 0.34 1.37 IPD 90.11 25 2,252.65
Anaesthetist 120 4.37 524.03 Platelet Count 1 30 30.00 ORS packets 6 1.67 10.02 OT 232.96 2 465.92
Urine RE 1 25 25.00 IV Ciprofloxacin- inj. Of (100mg per inj.) 112 16.59 1,858.08 -
X Ray Chest 1 100 100.00 Ringer Lactate 24 8.45 202.80 -
Typhi dot 1 100 100.00
Blood Culture 1 100 100.00
AST 1 25 25.00
Urine Culture 1 50 50.00
Stool Culture 1 50 50.00
Widal Test 1 50 50.00
USG Abdomen 1 350 350.00
PTTK 1 100 100.00
APTT 1 240 240.00
Total 2,401.82 - 1,290.00 2,076.51 5,768.33 2,751.74 8,520.07
Level 4 Physician 280 4.37 1,222.74 PBS for Malaria 1 20 20.00 Tab. PCM (500 mg)- 20 0.21 4.24 OPD 55.24 1 55.24
Surgeon 150 4.37 655.04 CBC 1 50 50.00 Tab. Chloroquine (150 mg base 4 0.34 1.37 IPD 131.09 25 3,277.33
Anaesthetist 120 4.37 524.03 Platelet Count 1 30 30.00 ORS packets 6 1.67 10.02 OT 289.08 2 578.17
Urine RE 1 25 25.00 Ringer Lactate 24 8.45 202.80
X Ray Chest 1 100 100.00 Inj. Ceftriaxone 56 inj. Of 1gm each 56 23.00 1,288.00
Typhi dot 1 100 100.00
Blood Culture 1 100 100.00
AST 1 25 25.00
Urine Culture 1 50 50.00
Stool Culture 1 50 50.00
Widal Test 1 50 50.00
USG Abdomen 1 350 350.00
PTTK 1 100 100.00
APTT 1 240 240.00
Bone Marrow Culture 1 50 50.00
Culture of Intestinal Secretions 1 50 50.00
Echo 1 700 700.00
CSF Culture 1 50 50.00
CT Scan 1 3400 3,400.00
MRI 1 4000 4,000.00
Total 2,401.82 - 9,540.00 1,506.43 13,448.25 3,910.74 17,358.99
Assumption and Notes :-
The time for surgeon/Anaesthetist will only be used in case patient has relevant complication
Management of shock and related complication has not been included in the costing
The cost of following tests is not included in the costing
Rapid Test Kit at Level 2,3,4
VI Antigen Serology at Level 4
DETAILED COST SHEET
COSTING OF JAPANESE ENCEPHALITIS
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate (In Cost (In Total Ex- System Rate (In Days Cost (In
es Rs.) per case (In Rs.) Rs.) Cost (In Rs.) Rs.) Rs.)
Rs.)
Level 1 Medical Officer 45 3.74 168.38 Air way (size "0" and "1") 96.72 Blood for MP 2 20 40.00 Syp Paracetamol - 50ml 4 4.59 18.36 OPD 78.50 1 78.50
Syp Diazepam - 60ml 2 21.10 42.20
Total 168.38 40.00 60.56 268.94 78.50 347.44
Level 2 1 Medical Officer 45 3.74 168.38 Air way (size "0" and "1") 96.72 Blood for MP 2 20 40.00 Syp Paracetamol - 50ml 4 4.59 18.36 OPD 34.98 1 34.98
Rubber feeding tube 300.00 Blood culture 1 100 100.00 Syp Diazepam - 60ml 2 21.10 42.20
IV cannula, 22, 24 85.80 Inj Frusemide 2 2.81 5.62
Burette sets 900.00
Ambu Bag 150.00
Foley"sCathers 105.00
Total 168.38 1,637.52 140.00 66.18 2,012.08 34.98 2,047.06
Level 3 Medical Specialist 165 4.37 720.55 Air way (size "0" and "1") 96.72 Blood for MP 2 20 40.00 Syp Paracetamol - 50ml 10 4.59 45.90 OPD 33.18 1 33.18
Anaesthetist 60 4.37 262.02 Rubber feeding tube 300.00 Blood culture 1 100 100.00 Syp Diazepam - 60 ml 4 21.10 84.40 IPD 90.11 6 540.64
Neurologist 60 4.92 295.47 IV cannula, 22, 24 85.80 Serological test for JE 1 1000 1,000.00 Inj Diazepam 5 2.20 11.00
Burette sets 900.00 Blood glucose 2 20 40.00 IV Fluids Normal Sline 12 7.75 93.00
Ambu Bag 150.00 Lumbar puncture 1 150 150.00 Inj Dexamathasone 2 3.85 7.70
Foley"sCathers 105.00 Inj Mannitol 5 32.03 160.15
Defibrillators 3,035.71 Inj Frusemide 5 2.81 14.05
Heart & Lung Machine 15,000.00 Inj Dopamine 5 5.38 26.90
Lumbar Puncture Set 300.00 Syp Glycerol - 500ml 0.2 13.10 2.62
Total 1,278.03 19,973.23 1,330.00 445.72 23,026.99 573.81 23,600.80
Level 4 Medical Specialist 120 4.37 524.03 Air way (size "0" and "1") 96.72 Blood for MP 2 20 40.00 Syp Paracetamol -50 ml 10 4.59 45.90 OPD 55.24 1 55.24
Surgeon 30 4.37 131.01 Rubber feeding tube 300.00 Blood culture 1 100 100.00 Syp Diazepam - 60 ml 4 21.10 84.40 IPD 131.09 6 786.56
Anaesthetist 120 4.37 524.03 IV cannula, 22, 24 85.80 Serological test for JE 1 300 300.00 Inj Diazepam 5 2.20 11.00
Neurologist 60 4.92 295.47 Burette sets 900.00 Blood glucose 2 20 40.00 IV Fluids Normal Sline 12 7.75 93.00
Cardiologist 20 4.92 98.49 Ambu Bag 150.00 Lumbar puncture 1 150 150.00 Inj Dexamathasone 2 3.85 7.70
Foley"sCathers 105.00 EEG 1 400 400.00 Inj Mannitol 5 32.03 160.15
Defibrillators 3,035.71 CT Scan 1 3400 3,400.00 Inj Frusemide 5 2.81 14.05
Heart & Lung Machine 15,000.00 MRI 1 4000 4,000.00 Inj Dopamine 5 5.38 26.90
Lumbar Puncture Set 300.00 Syp Glycerol - 500ml 0.2 13.10 2.62
Total 1,573.03 19,973.23 8,430.00 445.72 30,421.99 841.80 31,263.79
Assumption and Notes :-
The cost of the following is not taken in costing
a) Ryle's tube at Level 1
b) Rapid test for Typhoid at Level 2,3,4
DETAILED COST SHEET
COSTING OF PNEUMONIA
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate (In Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- System Rate (In Days Cost (In Rs.)
es Rs.) per case Rs.) Rs.) Cost (In Rs.) Rs.)
Level 1 15
Medical Officer 3.74 56.13 Blood-MP 1 20 20.00 Tab Cotrimoxazole 28 0.68 19.04 OPD 78.50 1 78.50
Blood-Hb , TLC , DLC 1 60 60.00 Cap Amoxicillin 250mg 42 0.65 27.15
X-Ray Chest 1 100 100.00
Total 56.13 - 180.00 46.19 282.32 78.50 360.82
Level 2 30
Medical Officer 3.74 112.25 Blood-MP 1 20 20.00 Tab Cotrimoxazole 28 0.68 19.04 OPD 34.98 1 34.98
Nasal Catheter 35.00 Blood-Hb , TLC , DLC 1 60 60.00 Cap Amoxicillin 250mg 42 0.65 27.15 IPD 76.08 1 76.08
X-Ray Chest 2 100 200.00
Sputum-Gram stain 1 20 20.00
Blood-culture 1 100 100.00
Sputum-culture 1 50 50.00
Blood-urea 1 20 20.00
Total 112.25 35.00 470.00 46.19 663.45 111.06 774.51
Level 3 30
Medical Officer 3.74 112.25 Blood-MP 1 20 20.00 Tab Cotrimoxazole 28 0.68 19.04 OPD 33.18 1 33.18
Nasal Catheter 35.00 Blood-Hb , TLC , DLC 1 60 60.00 Cap Amoxicillin 250mg 42 0.65 27.15 IPD 90.11 1 90.11
X-Ray Chest 2 100 200.00 Inj Co-amoxiclav 1.2g 6 160.50 963.00
Sputum-Gram stain 1 20 20.00 Tab Erythromycin 250mg 56 0.72 40.17
Sputum-AFB 3 20 60.00 Inj Levofloxacillin 500mg 7 20.28 141.96
Blood-culture 1 100 100.00
Sputum-culture 1 50 50.00
Blood-urea 1 20 20.00
Blood-grouping 1 30 30.00
Blood-HIV 1 100 100.00
Total 112.25 35.00 660.00 1,191.32 1,998.58 123.28 2,121.86
Level 4 60
Medical Officer 3.74 224.51 Blood-MP 1 20 20.00 Tab Cotrimoxazole 28 0.68 19.04 OPD 55.24 1 55.24
Nasal Catheter 35.00 Blood-Hb , TLC , DLC 1 60 60.00 Cap Amoxicillin 250mg 42 0.65 27.15 IPD 131.09 3 393.28
X-Ray Chest 2 100 200.00 Inj Co-amoxiclav 1.2g 6 160.50 963.00
ICU equipment for continous cardiac
Respiratory monitoring 1,157.53 Sputum-Gram stain 1 20 20.00 Tab Erythromycin 250mg 56 0.72 40.17
(cost is for per day) == Rate *1 (IPD) Sputum-AFB 3 20 60.00 Inj Levofloxacillin 500mg 7 20.28 141.96
Blood-culture 1 100 100.00
Sputum-culture 1 50 50.00
Blood-urea 1 20 20.00
Blood-grouping 1 30 30.00
Blood-HIV 1 100 100.00
Blood-glucose 1 20 20.00
Blood-electrolytes 1 64 64.00
Blood-urea nitrogen 1 20 20.00
Blood-creatinine 1 25 25.00
Blood-bilirubin 1 50 50.00
Blood-LFT 1 130 130.00
Blood-SGOT,SGPT 1 50 50.00
Blood-gas analysis 1 205 205.00
Total 224.51 1,192.53 1,224.00 1,191.32 3,832.36 448.52 4,280.89
Assumption:
1 The minor surgical Procedures, if any, will be conducted at bed side
2 In rare cases, Surgery is required, so not taken here
3 The ICU is required for one day
4 The cost of the following is not taken in costing
a) Urine-Pneumococcal antigen / legionella Test at Level 4
b) Oxygen at Level 2,3,4
DETAILED COST SHEET
COSTING OF VIRAL FEVER
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate (In Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- System Cost Rate (In Days Cost (In Rs.)
es Rs.) per case Rs.) Rs.) (In Rs.) Rs.)
Level 1 Medical Officer 35 3.74 130.96 Complete Blood Counts 1 50 50.00 Tab Paracetamol 500 mg 15 0.21 3.18 OPD 78.50 3 235.50
Serum Bilirubin 3 50 150.00 Tab Metaclopromide 10 mg 15 0.10 1.50
Total 130.96 - 200.00 0.31 4.68 335.64 235.50 571.14
Level 2 Medical Officer 35 3.74 130.96 Complete Bood Counts 1 50 50.00 Tab Paracetamol 500 mg 15 0.21 3.18 OPD 34.98 3 104.95
Serum Bilirubin 3 50 150.00 Tab Metaclopromide 10 mg 15 0.10 1.50
Liver Enzymes ALT, AST 2 165 330.00
Serum Albumin 2 35 70.00
Total 130.96 - 600.00 0.31 4.68 735.64 104.95 840.59
Level 3 Medical Specialist 220 4.37 960.73 Complete Blood Counts 2 50 100.00 Tab Paracetamol 500 mg 30 0.21 6.36 OPD 33.18 5 165.88
Serum Bilirubin 3 50 150.00 Tab Metaclopromide 10 mg 30 0.10 3.00 IPD 90.11 15 1,351.59
Liver Enzymes ALT, AST 2 165 330.00 IV Normal Saline 5 7.75 38.75
Serum Albumin 2 35 70.00 IV Ringers' Lactate 5 8.45 42.25
Prothrombin Time 2 60 120.00 IV Glucose Saline 5 7.98 39.90
Alkaline Phosphatase 2 30 60.00
Serum HBsAg 1 60 60.00
Total 960.73 - 890.00 24.492 130.26 1,980.99 1,517.47 3,498.45
Level 4 Medical Specialist 220 4.37 960.73 Complete Blood Counts 3 50 150.00 Tab Paracetamol 500 mg 30 0.21 6.36 OPD 55.24 5 276.22
Serum Bilirubin 10 50 500.00 Tab Metaclopromide 10 mg 30 0.10 3.00 IPD 131.09 15 1,966.40
Liver Enzymes ALT, AST 5 165 825.00 IV Normal Saline 5 7.75 38.75
Serum Albumin 5 35 175.00 IV Ringers' Lactate 5 8.45 42.25
Prothrombin Time 5 60 300.00 IV Glucose Saline 5 7.98 39.90
Alkaline Phosphatase 5 30 150.00 Interferon α (5 m u) 112 3.47 388.64
Elisa for specific antibodies 1 1260 1,260.00 Lamuvidine 100 mg 365 7.60 2,774.00
Serum HbsAG 1 60 60.00 Adefovir 10 mg 365 17.00 6,205.00
Ultrasonography of Liver 2 350 700.00
Liver Biopsy 1 570 570.00
Total 960.73 - 4,690.00 52.562 9,497.90 15,148.63 2,242.61 17,391.24
Assumption and Notes :-
1. Time indicated at level 3 and level 4 is time spent per day for inpatient care
2. Patients requiring inpatient care are not admitted at Level 2, but referred to Level 3
3. Medicines required for management of Hepatic failure or encephalopathy are not shown. There can not be any standard treatment guidelines for such conditions.
4. Doses and duration of treatment of chronic Hepatitis B infection are not given in detail
DETAILED COST SHEET
COSTING OF Worm Infestations
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- System Rate (In Days Cost (In Rs.)
es Rs.) per case Tests (In Rs.) Cost (In Rs.) Rs.)
Rs.)
Level 1 Medical Officer 10 3.74 37.42 Stool (RE) 2 25 50.00 Tab Albendazole 400mg 1 0.92 0.92 OPD 78.50 1 78.50
Hb 2 20 40.00
Total 37.42 - 90.00 0.92 128.34 78.50 206.84
Level 2 Medical Officer 10 3.74 37.42 Stool (RE) 2 25 50.00 Tab Albendazole 400mg 1 0.92 0.92 OPD 34.98 1 34.98
- Hb 2 20 40.00
Total 37.42 - 90.00 0.92 128.34 34.98 163.32
Level 3 Medical Specialist 20 4.37 87.34 Stool (RE) 2 25 50.00 Tab Albendazole 400mg 1 0.92 0.92 OPD 33.18 1 33.18
Surgeon 90 4.37 393.02 Hb 2 20 40.00 Ringer Lactate bottles 6 8.45 50.70 IPD 90.11 1 90.11
Anaesthetist 90 4.37 393.02 USG Abdomen 1 350 350.00 Inj. Ampicillin 250mg 4 8.52 34.08 OT 232.96 1 232.96
Xray Skull 1 150 150.00 Inj. Gentamycin 40mg 8 5.04 40.32
Xray abdomen 1 200 200.00 Inj. Metrindazole 200mg/5ml 1 15.70 15.70
Cap Amoxycillin 250 mg 12 0.65 7.76
Tab Phenobarbitone 30 mg 350 0.57 197.75
Dexamethasone (2ml vial having 4 mg per ml) 53 2.33 123.49
Inj Ranitidine (50 mg per 2 ml) 4 2.34 9.36
Total 873.39 - 790.00 480.08 2,143.47 356.24 2,499.71
Level 4 Medical Specialist 20 4.37 87.34 Stool (RE) 3 25 75.00 Tab Albendazole 400mg 1 0.92 0.92 OPD 55.24 1 55.24
Surgeon 90 4.37 393.02 Hb 5 20 100.00 Ringer Lactate bottles 6 8.45 50.70 IPD 131.09 1 131.09
Anaesthetist 90 4.37 393.02 Urine (RE) 1 25 25.00 Inj. Ampicillin 250mg 4 8.52 34.08 OT 289.08 1 289.08
CBC 1 50 50.00 Inj. Gentamycin 40mg 8 5.04 40.32
Blood Grouping 1 30 30.00 Inj. Metrindazole 200mg/5ml 1 15.70 15.70
USG Abdomen 1 350 350.00 Cap Amoxycillin 250 mg 12 0.65 7.76
Xray Skull 1 150 150.00 Tab Phenobarbitone 30 mg 350 0.57 197.75
Xray abdomen 1 200 200.00 Dexamethasone (2ml vial having 4 mg per ml) 53 2.33 123.49
Inj Ranitidine (50 mg per 2 ml) 4 2.34 9.36
Total 873.39 - 980.00 480.08 2,333.47 475.42 2,808.89
Assumption and Notes :-
3-5 cases of worm infestation needing surgical intervention or anti-epileptic therapy will need to be treated at level 3 & 4 every year.
Neurologists will be required only for neurological cases due to worm infestations for 90 minutes at level 4. These cases are rare approx 3-5 cases p.a
MRI Scan and CT Scan will be required at Level 4 only for neurological cases of worm infestation
Any of the following medicene will be used depending upon the type of worm infestation, for costing we, have considered Albendazole.
Tab Mebendazole 500mg or
Tab Mebendazole 100mg or
Tab Albendazole 400mg or
Tab Praziquintal 600mg or
Tab Pyrantel Pamoate 200 mg
Approx. 60 % of the patients will require Albendazole
The following Medicines can be used at level 3 and level 4 only in case of intestinal obstruction. These are required in 3-5 cases p.a
Ringer Lactate bottles 6
Inj. Ampicillin 250mg 4
Inj. Gentamycin 40mg 8
Inj. Metrindazole 200mg/5ml 1
Cap Amoxycillin 250 mg 12
Tab Phenobarbitone 30 mg or 350
Tab Carbamezapine 200mg 700
Dexamethasone (2ml vial having 4
mg per ml) 53
Inj Ranitidine (50 mg per 2 ml) 4
DETAILED COST SHEET
COSTING OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)
Human Resources Equipments Tests Medicines System Costs Total Cost
Minutes Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- System Rate (In Days Cost (In Rs.)
Rs.) per case (In Rs.) Cost (In Rs.) Rs.)
Rs.)
Level 1 Medical Officer 390 3.74 1,459.30 Spacer 500.00 CBC 1 50 50.00 Cap Amoxycillin 500 mg TDS 21 1.46 30.66 OPD 78.50 26 2,041.00
- Sputum AFB 1 20 20.00 MDI Salbutamol 100 μg 2 puffs SOS (in Can) 1 68.28 68.28
- - MDI Ipratropium bromide 20μg 2 puffs QID£ (in Can) 1 148.50 148.50
Total 1,459.30 500.00 70.00 247.44 2,276.74 2,041.00 4,317.74
Level 2 Medical Officer 390 3.74 1,459.30 Spacer 500.00 CBC 1 50 50.00 Cap Amoxycillin 500 mg TDS 21 1.46 30.66 OPD 34.98 26 909.56
Nebuliser- 1 0.92 Platelet count 1 30 30.00 MDI Salbutamol 100 μg 2 puffs SOS (in Can) 1 68.28 68.28
Nasal canula 250.00 Sputum AFB 1 20 20.00 MDI Ipratropium bromide 20μg 2 puffs QID£ (in Can) 1 148.50 148.50
- Venturi mask 350.00 - Tab Prednisolone (5 mg) 40 mg OD 56 0.15 8.47
Inj Aminophylline 5mg/ kg stat 7 2.06 14.42
Salbutamol respirator solution 2.5 mg 1 2.60 2.60
Ipratropium respirator solution 0.5mg 1 3.88 3.88
Oxygen in ltrs 1256 - -
Total 1,459.30 1,100.92 100.00 276.81 2,937.02 909.56 3,846.58
Level 3 Physician 495 4.37 2,161.64 Spacer 500.00 CBC 2 50 100.00 Cap Amoxycillin 500 mg TDS 21 1.46 30.66 OPD 33.18 12 398.10
- Nebuliser- 1 0.92 X Ray Chest 2 100 200.00 MDI Salbutamol 100 μg 2 puffs SOS (in Can) 1 68.28 68.28 IPD 90.11 21 1,892.23
Nasal canula 250.00 Platelet count 2 30 60.00 Tab Prednisolone (5 mg) 40 mg OD 56 0.15 8.47 -
Venturi mask 350.00 Sputum pyogenic culture 1 50 50.00 Inj Aminophylline 5mg/ kg stat 7 2.06 14.42
Pulse oximeter 17.72 Sputum AFB 3 20 60.00 Salbutamol respirator solution 2.5 mg 7 2.60 18.20
Oxygen concentrator- 1 376.67 PT 1 60 60.00 Ipratropium respirator solution 0.5mg 7 3.88 27.16
Non-invasive Ventilator 240.00 PTTK 1 100 100.00 MDI Tiotropium 18 μg OD 1 350.75 350.75
Blood culture 1 100 100.00 MDI Tiotropium 18 μg OD+ formoterol 12 μg OD 1 460.75 460.75
Inj Hydrocortisone 100 mg QID 8 4.93 39.44
Inj Coamoxiclav 1.2 gm TDS 21 160.50 3,370.50
IV Normal Saline 14 7.75 108.50
IV Ringers' Lactate 14 8.45 118.30
Total 2,161.64 1,735.31 730.00 4,615.43 9,242.37 2,290.33 11,532.70
Level 4 Spacer 500.00 CBC 2 50 100.00 Cap Amoxycillin 500 mg TDS 21 1.46 30.66 OPD 55.24 12 662.92
Pulmonologist 495 4.37 2,161.64 Nebuliser- 1 0.92 X Ray Chest 2 100 200.00 MDI Salbutamol 100 μg 2 puffs SOS (in Can) 1 68.28 68.28 IPD 131.09 21 2,752.96
Anaesthetist 60 4.37 262.02 Nasal canula 250.00 Platelet count 2 30 60.00 Tab Prednisolone (5 mg) 40 mg OD 56 0.15 8.47
Cardiologist 30 4.92 147.74 Venturi mask 350.00 Sputum pyogenic culture 1 50 50.00 Inj Aminophylline 5mg/ kg stat 7 2.06 14.42
Nursing staff 10080 1.54 15,565.00 Pulse oximeter 17.72 Sputum AFB 3 20 60.00 Salbutamol respirator solution 2.5 mg 7 2.60 18.20
Non-invasive Ventilator 240.00 PT 1 60 60.00 Ipratropium respirator solution 0.5mg 7 3.88 27.16
Ventilator- Invasive 2,800.00 PTTK 1 100 100.00 MDI Tiotropium 18 μg OD 1 350.75 350.75
Oxygen concentrator- 1 376.67 Blood culture 1 100 100.00 MDI Tiotropium 18 μg OD+ formoterol 12 μg OD 1 460.75 460.75
ABG 3 205 615.00 Inj Hydrocortisone 100 mg QID 8 4.93 39.44
α1 antitrypsin levels 1 0 - Inj Coamoxiclav 1.2 gm TDS 21 160.50 3,370.50
Echo- 1 1 700 700.00 IV Normal Saline 14 7.75 108.50
CT Scan- 1 1 2140 2,140.00 IV Ringers' Lactate 14 8.45 118.30
Spirometer- 1 1 380 380.00 Inj Methlyprednisolone 125 mg 14 243.00 3,402.00
Inj Amikacin 500 mg BD 14 2.98 41.72
Inj Cefotaxime 1 gm TDS 21 12.50 262.50
MDI Salmeterol + Fluticasone I puff BD 1 256.45 256.45
Tab Bupropion hydrochloride SR 150 mg 28 4.76 133.31
Nicotene lozenges 2 mg 35 3.00 105.00
Total 18,136.39 4,535.31 4,565.00 8,816.41 36,053.10 3,415.88 39,468.97
Assumption and Notes :-
1 Time indicated at level 3 and 4 is time spent per day for inpatient care
2 Patients requiring admission are not admitted at level 2, but referred to level 3
3 COPD requires lifelong treatment with inhaled bronchodilators and regular follow up
4 Medicines required for management of cor pulmonale and ventilatiory care are not shown. They have to be individualised
Any of the following medicene can be used as initial choice and at lower dose, for costing we, have considered Amoxicyclin - 500 mg
Cap Amoxycillin 500 mg TDS-21
Tab Levofloxacin 500 mg OD-7
Tab Doxycycline 100 mg OD-7
Tab Roxithromycin 150 mg BD-14
Tab Coamoxiclav 625 mg TDS
Tab Azithromycin 500 mg OD
Any of the following medicene can be used as initial choice and at lower dose, for costing we, have considered Inj Coamoxiclav 1.2 gm TDS
Inj Coamoxiclav 1.2 gm TDS
Inj Cefuroxime 750 mg TDS
The cost of the following is not included in costing
Oxygen at level 2
α1 antitrypsin levels Test at level 4
DETAILED COST SHEET
COSTING OF DIABETES
Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- System Rate (In Days Cost (In Rs.)
es Rs.) per case (In Rs.) Cost (In Rs.) Rs.)
Rs.)
Level 1 Medical Officer 150 3.74 561.27 Glucose meters 0.17 blood gucose 24 20 480.00 Tab Glimipride 2mg 365 0.78 284.70 OPD 14 -
Initial examination Uristicks 80.00 urine ketones 12 20 240.00 Tab Piolitazone (30 mg) 365 3.25 1,184.79
Glucose sticks 480.00 urine glucose 12 15 180.00 Premixed Insulin (30-70) 48 438.00 21,024.00
Tab Metformin 500 mg 913 0.17 155.13
Inj Plain insulin 40/iu 36 88.38 3,181.68
Inj NPH insulin 40 /iu 36 32.50 1,170.00
Tab Atorvastatin 10 mg 365 0.69 251.85
Tab Enalapril 5 mg 365 0.21 76.65
Tab Soluble aspirin 150 mg 365 0.26 93.99
Tab Acarabose 50 mg 730 6.55 4,781.50
Total 561.27 560.17 900.00 32,204.28 34,225.72 - 34,225.72
Level 2 Medical Officer 210 3.74 785.77 Glucose meters 0.17 blood gucose 24 20 480.00 Tab Glimipride 2mg 365 0.78 284.70 OPD 34.98 17 594.71
Initial examination & Uristicks 80.00 urine ketones 12 20 240.00 Tab Piolitazone (30 mg) 365 3.25 1,184.79
monthly follow up Glucose sticks 480.00 urine glucose 12 15 180.00 Premixed Insulin (30-70) 48 438.00 21,024.00
ECG 1 75 75.00 Tab Metformin 500 mg 913 0.17 155.13
- Inj Plain insulin 40/iu 36 88.38 3,181.68
- Inj NPH insulin 40 /iu 36 32.50 1,170.00
- Tab Atorvastatin 10 mg 365 0.69 251.85
- Tab Enalapril 5 mg 365 0.21 76.65
Tab Soluble aspirin 150 mg 365 0.26 93.99
Tab Acarabose 50 mg 730 6.55 4,781.50
Total 785.77 560.17 975.00 32,204.28 34,525.22 594.71 35,119.93
Level 3 Physician 340 4.37 1,484.76 Glucose meters 0.17 blood gucose 24 20 480.00 Tab Glimipride 2mg 365 0.78 284.70 OPD 33.18 15 497.63
Initial examination Surgeon 120 4.37 524.03 Direct ophthalmoscope 0.89 urine ketones 12 20 240.00 Tab Piolitazone (30 mg) 365 3.25 1,184.79 IPD 90.11 10 901.06
Follow up Anaesthesist 120 4.37 524.03 Uristicks 80.00 urine glucose 12 15 180.00 Premixed Insulin (30-70) 48 438.00 21,024.00 OT 232.96 2 465.92
Inhospital treatment Health care worker 40 1.26 50.40 Glucose sticks 480.00 ECG 1 75 75.00 Tab Metformin 500 mg 913 0.17 155.13
Treatment of Complication X-ray chest 2 100 200.00 Inj Plain insulin 40/iu 36 88.38 3,181.68
Urea, lipids 1 140 140.00 Inj NPH insulin 40 /iu 36 32.50 1,170.00
HbA1C 0.5 85 42.50 Tab Atorvastatin 10 mg 365 0.69 251.85
USG Abdomen 1 350 350.00 Tab Enalapril 5 mg 365 0.21 76.65
Tab Soluble aspirin 150 mg 365 0.26 93.99
Insulin lispro 15 414.46 6,216.90
Insulin glargine 12 464.70 5,576.40
N ormal saline 15 7.75 116.25
5% Dextrose 15 9.50 142.50
Injection ciprofloxacin 200 mg 50 4.87 243.50
Injection Metronidazole 500 mg 50 11.23 561.50
Injection piperacilin tazobact 50 105.00 5,250.00
Tab Acarabose 50 mg 730 6.55 4,781.50
Total 2,583.22 561.06 1,707.50 50,311.33 55,163.11 1,864.61 57,027.72
Level 4 Anaesthesist 120 4.37 524.03 Glucose meters 0.17 blood gucose 24 20 480.00 Tab Glimipride 2mg 200 0.78 156.00 OPD 55.24 15 828.65
Inhospital treatment Physician 340 4.37 1,484.76 Uristicks 80.00 urine ketones 12 20 240.00 Tab Metformin 500 mg 2000 0.17 340.00 IPD 131.09 10 1,310.93
treatment of Health care worker 60 1.26 75.60 Glucose sticks 480.00 urine glucose 12 15 180.00 Inj Plain insulin 40/iu 40 88.38 3,535.20 OT 289.08 2 578.17
Complication Endocrinologist 90 4.37 393.02 Direct ophthalmoscope 0.89 ECG 1 75 75.00 Inj NPH insulin 40 /iu 40 32.50 1,300.00
treatment of Cardiologist 60 4.92 295.47 Laser machine 133.33 X-ray chest 2 100 200.00 Tab Atorvastatin 10 mg 365 0.69 251.85
CAD renal failure Nephrologist 120 4.92 590.94 Hemodialysis machine 150.00 urea, lipids 1 140 140.00 Tab Enalapril 5 mg 400 0.21 84.00
Radiogologist 60 4.37 262.02 HbA1C 0.5 85 42.50 Tab Soluble aspirin 150 mg 365 0.26 93.99
Opthalmologist 60 4.37 262.02 USG Abdomen 1 350 350.00 Insulin lispro 50 414.46 20,723.00
CT Scan 1 3400 3,400.00 Insulin glargine 30 464.70 13,941.00
MRI 1 4000 4,000.00 N ormal saline 15 7.75 116.25
5% Dextrose 15 9.50 142.50
Injection ciprofloxacin 200 mg 20 4.87 97.40
Injection Metronidazole 500 mg 20 11.23 224.60
Injection piperacilin tazobact 20 105.00 2,100.00
Water/Dialising Fluid/Hollow fiobre - 600.00
Tab Acarabose 50 mg 730 6.55 4,781.50
Tab Piolitazone (30 mg) 365 3.25 1,184.79
Total 3,887.86 844.39 None 9,107.50 49,672.08 63,511.83 2,717.75 66,229.58
Assumption and Notes :-
1 OT will appliacble for 20% of Total Diabitic Patients
2 5 % of patients will require Cardiac Cath Lab Facilities
3 10% of Patients may require neuro-physicians
4 Endocrinologist is required for 30 % of cases
5 10 % cases will require Nephrology twice in a year
6 In 10 % cases only CT scan is require and 50 % of CT Scan cases require MRI
7 Any one of the following Tab will be prescribed depending upon The patient
Tab Gliblenclamide 5mg
Tab Glipizide 5mg
Tab Glimipride 2mg
8 20 % Patient will require Insulin
9 The periodicity of some tests will be
Urea, lipids Once in a year
HbA1C Once in two Years
USG Abdomen Once in a year
DETAILED COST SHEET
COSTING OF HYPERTENSION
Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate (In Cost (In Rs.) Items Unit Rate Cost (In Total Ex- System Rate (In Days Cost (In
es Rs.) per case Rs.) (In Rs.) Rs.) Cost (In Rs.) Rs.) Rs.)
Level 1 Medical Officer 285 3.74 1,066.41 CBC 6 50 300.00 Ramipril-10mg 365 0.29 106.95 OPD 78.50 18 1,413.00
Examination Blood Urea 8 20 160.00
S. Creatinine 8 25 200.00
BloodSugar 12 20 240.00
ECG ® 10 75 750.00
Total 1,066.41 - 1,650.00 106.95 2,823.35 1,413.00 4,236.35
Level 2 Medical Officer 285 3.74 1,066.41 X- ray Chest 2 100 200.00 Ramipril-10mg 365 0.29 106.95 OPD 34.98 18 629.69
Examination CBC 6 50 300.00
Blood Urea 8 20 160.00
S. Creatinine 8 25 200.00
BloodSugar 12 20 240.00
ECG ® 10 75 750.00
S. Electrolytes 4 64 256.00
Total 1,066.41 - 2,106.00 106.95 3,279.35 629.69 3,909.05
Level 3 Physician 285 4.37 1,244.58 CBC 6 50 300.00 Ramipril-10mg 365 0.29 106.95 OPD 33.18 18 597.16
Cardiologist 30 4.92 147.74 Blood Urea 8 20 160.00 -
Ophthalmologist 40 4.37 174.68 S. Creatinine 8 25 200.00 -
BloodSugar 12 20 240.00
Lipid profile 2 120 240.00
S. Electrolytes 4 64 256.00
ECG ® 10 75 300.00
X- ray Chest 2 100 200.00
USG 1 350 350.00
Total 1,566.99 - 2,246.00 106.95 3,919.94 597.16 4,517.09
Level 4 Physician 385 4.37 1,681.27 CBC 6 50 300.00 Ramipril-10mg 365 0.29 106.95 OPD 55.24 18 994.38
Cardiologist 30 4.92 147.74 Blood Urea 8 20 160.00 IPD 131.09 5 655.47
Ophthalmologist 40 4.37 174.68 S. Creatinine 8 25 200.00
Neurologist 40 4.92 196.98 BloodSugar 12 20 240.00
Lipid profile 2 120 240.00
S. Electrolytes 4 64 256.00
ECG ® 10 75 750.00
X- ray Chest 2 100 200.00
USG 1 350 350.00
Echocardiography 1 700 700.00
CT Scan 1 1400 1,400.00
MRI 1 4000 4,000.00
Cardiac cath study 1 11000 11,000.00
Total 2,200.66 - 19,796.00 106.95 22,103.61 1,649.84 23,753.45
Assumption and Notes :-
1 Higher levels will have the the facilities of investigations in addition to the previous levels of care
2 Not all the Medicines may be prescribed to the same individuals . Additionally, Medicines other than those mentioned may be prescribed if indicated.
3 No of visits mentioned are the minimum in one year.
4 Investigations mentioned in the higher levels of care need not be required in all cases.
5 Only few patients will require Consultation by Cardiologist
6 Only few patients will require Consultation by Neurologist
8 Any of the following medicene can be used as initial choice and at lower dose, for costing we, have considered Ramipril - 10 mg
Ramipril-10mg
Hydrochlorthiazide 25 mg
Metoprolol 25 mg -365
Amlodepine 10mg-365
Losartan 25 mg -
Methyldopa 1000mg - 365
Indapamide 2.5 mg- 365
9 At Level 3 additional Medicines may be required only in some cases, the most common example of which are Amlodepine 10 mg and Hydrochlorthiazide 25 mg
10 At level 4, only the patients undergoing Angiographic Studies may require Radio Contrast material
DETAILED COST SHEET
COSTING OF ACUTE MYOCARDIAL INFARCTION
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate (In Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- System Cost Rate (In Days Cost (In
es Rs.) per case Rs.) Rs.) (In Rs.) Rs.) Rs.)
Level 1 Medical Officer 280 3.74 1,047.70 ECG 3 75 225.00 Aspirin 150 mg 365 1.72 627.80 OPD 78.50 8 628.00
Nurse 240 1.54 370.60 CPKMB 1 100 100.00 Clopidogrel 75 mg 365 0.94 341.64
- Streptokinase (1500000 units) 1 410.00 410.00
Metoprolol 50 mg 730 1.75 1,278.96
Atenolol 50 mg 365 0.11 39.13
Ramipril 10 mg 365 0.29 106.95
Atorvastatin 20 mg 365 3.25 1,186.25
Inj Nitroglycerine 50 mg 2 30.16 60.32
Inj Morphine Sulphate 15 mg, in 1 ml amp ( D) 2 13.00 26.00
Diazepam 10 mg 2 1.25 2.50
Isotonic saline 500m 3 7.75 23.25
Total 1,418.29 - 325.00 4,102.79 5,846.09 628.00 6,474.09
Level 2 Medical Officer 280 3.74 1,047.70 ECG 3 75 225.00 Aspirin 150 mg 365 1.72 627.80 OPD 34.98 8 279.86
Nurse 240 1.54 370.60 CPKMB 1 100 100.00 Clopidogrel 75 mg 365 0.94 341.64 IPD 76.08 1 76.08
Streptokinase (1500000 units) 1 410.00 410.00
Metoprolol 50 mg 730 1.75 1,278.96
Atenolol 50 mg 365 0.11 39.13
Ramipril 10 mg 365 0.29 106.95
Atorvastatin 20 mg 365 3.25 1,186.25
Inj Nitroglycerine 50 mg 2 30.16 60.32
Inj Morphine Sulphate 15 mg, in 1 ml amp ( D) 2 13.00 26.00
Diazepam 10 mg 2 1.25 2.50
Isotonic saline 500m 3 7.75 23.25
Total 1,418.29 - 325.00 4,102.79 5,846.09 355.95 6,202.03
Cardiac Monitor cum
Level 3 Medical Officer 280 3.74 1,047.70 Defibrillator - Bi-phasic 4,553.57 ECG 6 75 450.00 Aspirin 150 mg 365 1.72 627.80 OPD 33.18 8 265.40
Nurse 240 1.54 370.60 CPKMB 3 100 300.00 Clopidogrel 75 mg 365 0.94 341.64 IPD 90.11 1 90.11
X Ray Chest 1 100 100.00 Streptokinase (1500000 units) 1 410.00 410.00 -
Blood Sugar 1 20 20.00 Metoprolol 50 mg 730 1.75 1,278.96
Blood Urea 1 20 20.00 Atenolol 50 mg 365 0.11 39.13
Serum Creatinine 1 25 25.00 Ramipril 10 mg 365 0.29 106.95
Lipid profile 1 120 120.00 Atorvastatin 20 mg 365 3.25 1,186.25
Serum electrolytes 2 64 128.00 Inj Nitroglycerine 50 mg 2 30.16 60.32
Inj Morphine Sulphate 15 mg, in 1 ml amp ( D) 2 13.00 26.00
Diazepam 10 mg 2 1.25 2.50
Isotonic saline 500m 3 7.75 23.25
Inj Amiodarone 150 mg 3 25.10 75.30
Inj Enoxaparin 60 mg 10 105.00 1,050.00
Total 1,418.29 4,553.57 1,163.00 5,228.09 12,362.96 355.51 12,718.47
Cardiac Monitor cum
Level 4 Medical Specialist 30 4.37 131.01 Defibrillator - Bi-phasic 4,553.57 ECG 6 75 450.00 Aspirin 150 mg 365 1.72 627.80 OPD 55.24 8 441.95
Cardiologist 180 4.92 886.41 CPKMB 3 100 300.00 Clopidogrel 75 mg 365 0.94 341.64 IPD 131.09 2 262.19
X Ray Chest 1 100 100.00 Streptokinase (1500000 units) 1 410.00 410.00
Blood Sugar 1 20 20.00 Metoprolol 50 mg 730 1.75 1,278.96
Blood Urea 1 20 20.00 Atenolol 50 mg 365 0.11 39.13
Serum Creatinine 1 25 25.00 Ramipril 10 mg 365 0.29 106.95
Lipid profile 1 120 120.00 Atorvastatin 20 mg 365 3.25 1,186.25
Serum electrolytes 2 64 128.00 Inj Nitroglycerine 50 mg 2 30.16 60.32
Echo Cardiography 1 700 700.00 Inj Morphine Sulphate 15 mg, in 1 ml amp ( D) 2 13.00 26.00
Coronary Angiography 1 11000 11,000.00 Diazepam 10 mg 2 1.25 2.50
Isotonic saline 500m 3 7.75 23.25
Inj Amiodarone 150 mg 3 25.10 75.30
Inj Enoxaparin 60 mg 10 105.00 1,050.00
Inj Abciximab 25 mg each. 5 1,003.91 5,019.55
Total 1,017.42 4,553.57 None 12,863.00 10,247.64 28,681.63 704.13 29,385.77
Assumption and Notes :-
Any of the following medicene can be used as initial choice and at lower dose, for costing we, have considered Ramipril - 10 mg
Enalapril 10 mg
Ramipril 10 mg
Streptokinase has been taken because of availability, otherwise Fibrin Specific Agents can be used as an alternative
Either Balloons (Rs. 10000)or stents (50000 BMS) or both will be required only in some cases as indicated by Coronary Angiography. The cost of which is not included in above costing
The cost of oxygen is not included in costing at level 1,2,3,4
DETAILED COST SHEET
COSTING OF IRON DEFICIENCY ANAEMIA
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate Cost (In Total Ex- System Cost (In Rate (In Days Cost (In Rs.)
es Rs.) per case (In Rs.) (In Rs.) Rs.) Rs.) Rs.)
Level 1 Medical Officer 30 3.74 112.25 Blood haemoglobin 2 20 40.00 Tab Iron folic acid 200 mg 100 0.14 13.80 OPD 78.50 3 235.50
- - Tab Albendazole 400 mg 1 0.92 0.92
Total 112.25 - 40.00 14.72 166.97 235.50 402.47
Level 2 Medical Officer 45 3.74 168.38 Blood haemoglobin 3 20 60.00 Tab Iron folic acid 200 mg 100 0.14 13.80 OPD 34.98 3 104.95
- Blood smear for malaria 3 20 60.00 Tab Albendazole 400 mg 1 0.92 0.92
- Stool for ova & cysts 1 25 25.00 Tab Chloroquin 150 mg 10 0.34 3.43
Total 168.38 - 145.00 18.15 331.53 104.95 436.48
Level 3 Medical Specialist 125 4.37 545.87 Blood haemoglobin 3 20 60.00 Tab Iron folic acid 200 mg 100 0.14 13.80 OPD 33.18 5 165.88
Obstertician 160 4.37 698.71 Blood smear for malaria 3 20 60.00 Tab Albendazole 400 mg 1 0.92 0.92 IPD 90.11 5 450.53
Nurse 90 1.54 138.97 Blood smear for typing anaemia 1 30 30.00
- Stool for ova & cysts 1 25 25.00 -
- PCV 2 20 40.00 -
- MCH 2 50 100.00
- MCV 2 50 100.00
- MCHC 2 50 100.00
Blood Grouping-ABO, Rh 1 30 30.00
Blood Cross Matching 1 30 30.00
Australia Antigen 1 60 60.00
HIV (Rapid Test) 2 430 860.00
MP 1 20 20.00
Total 1,383.55 - 1,515.00 14.72 2,913.27 616.41 3,529.68
Level 4 Medical Specialist 125 4.37 545.87 0 Blood haemoglobin 3 20 60.00 Tab Iron folic acid 200 mg 100 0.14 13.80 OPD 55.24 5 276.22
Obstertician 160 4.37 698.71 Blood smear for malaria 3 20 60.00 Tab Albendazole 400 mg 1 0.92 0.92 IPD 131.09 5 655.47
Nurse 90 1.54 138.97 Blood smear for typing anaemia 1 30 30.00 Normal Saline 500ml 1 7.75 7.75
- Stool for ova & cysts 1 25 25.00
- PCV 2 20 40.00
- MCH 2 50 100.00
- MCV 2 50 100.00
- MCHC 2 50 100.00
- Serum ferritin 2 345 689.00
Transferrin saturation 2 250 500.00
Bone marrow examination 2 100 200.00
Blood Grouping-ABO, Rh 1 30 30.00
Blood Cross Matching 1 30 30.00
Australia Antigen 1 60 60.00
Australia Antigen 1 60 60.00
HIV (Rapid Test) 2 430 860.00
MP 1 20 20.00
Total 1,383.55 - 2,964.00 22.47 4,370.02 931.68 5,301.70
Assumption and Notes :-
At Level 3 only 10 % cases will be treted as IPD
Specific Nursing Staff is required only for IPD cases
Obstertician time for OPD at Level 3 will be required only for 3 OPD visits
Blood Transfusion is mentioned in Medicines but Blood cost is not taken
The cost of the following is not taken in costing
Erythrocyte protoporphyrine Tests
STS Tests at Level 3,4
Blood transfusion
Iron sorbitrol citrate 7.5 ml Medicine At Level 4
Packed Cell transfusion At Level 4
DETAILED COST SHEET
COSTING OF IODINE DEFICIENCY DISORDER
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate (In Rs.) Cost (In Rs.) Items Unit Rate Cost (In Rs.) Total Ex- System Rate (In Days Cost (In
es Rs.) per case (In Rs.) Cost (In Rs.) Rs.) Rs.)
Level 1 Medical Officer 45 3.74 168.38 Rapid test kit with starch indicator for iodine in salt 1 105 105.00 - - OPD 78.50 3 235.50
- - - -
Total 168.38 - 105.00 - 273.38 235.50 508.88
Level 2 Medical Officer 45 3.74 168.38 Rapid test kit with starch indicator for iodine in salt 1 105 105.00 - - OPD 34.98 3 104.95
- - - -
Total 168.38 - 105 105.00 - 273.38 104.95 378.33
Level 3 Medical Specialist 45 4.37 196.51 Ultrasonography of thyroid 1 710 710.00 Tab L-Thyroxine 365 0.60 219.88 OPD 33.18 3 99.53
Surgeon 45 4.37 196.51 X Ray (wrist) 2 100 200.00 -
Total 393.02 - 3 810 910.00 219.88 1,522.90 99.53 1,622.43
Level 4 Medical Specialist 45 4.37 196.51 TSH estimation 2 416 832.00 Tab L-Thyroxine 1 tab 365 0.60 219.88 OPD 55.24 3 165.73
Surgeon 45 4.37 196.51 T3 Estimation 2 175 350.00
T4 Estimation 2 175 350.00
Radioactive Iodine uptake 2 1438 2,875.00
Urinary Iodine Estimation 2 15 30.00
Thyroid biopsy/FNAC 2 380 760.00
Ultrasonography of Thyroid 2 710 1,420.00
Total 393.02 - 3308.5 6,617.00 219.88 7,229.90 165.73 7,395.63
Assumption:-
No/Hours in the last coloumn indicates number of visits
Iodized oil ( oral and IM injection) is to be repeared every year
Tab L-Thyroxine (Eltroxin) may be required lifelong
Thyroid biopsy/FNAC may be required only in select cases
Surgeon will be consulted in 50% cases only on referral by MO
The following items are used at Level 1 and level 2, its cost is not included in cost sheet
Iodized oil (oral) 400mg
Iodized oil IM injection 480mg
DETAILED COST SHEET
COSTING OF CANCER CERVIX
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- Rate (In Days Cost (In
es Rs.) per case (In Rs.) System Cost Rs.) Rs.)
Rs.) (In Rs.)
Level 1 Medical Officer 30 3.74 112.25 CBC 1 50 50.00 3% Acetic Acid 5ml 1 11.88 11.88 OPD 78.50 1 78.50
Total 112.25 - 50.00 11.88 174.13 78.50 252.63
Level 2 1 Medical Officer 30 3.74 112.25 CBC 1 50 50.00 3% Acetic Acid 5ml 1 11.88 11.88 OPD 34.98 1 34.98
Total 112.25 - 50.00 11.88 174.13 34.98 209.12
Level 3 Gynaecologist 150 4.37 655.04 CBC 1 50 50.00 Tab Ciprofloxacin 500mg 10 6.01 60.05 OPD 33.18 1 33.18
Anaesthetist 60 4.37 262.02 Urine Exam 1 25 25.00 Tab Tinidazole 500mg 10 3.58 35.83 IPD 90.11 2 180.21
APTT 1 240 240.00 Tab Traneximic acid 500mg 15 7.88 118.20 OT 232.96 1 232.96
PTTK 1 100 100.00 Tab Ethamsylate 250mg 30 1.15 34.50
Platelet count 1 30 30.00
BT CT 1 20 20.00
Blood urea 1 20 20.00
Serum creatinine 1 25 25.00
HbsAg 1 60 60.00
HIV 1 200 200.00
HCV 1 120 120.00
Blood sugar 1 20 20.00
X-ray Chest 1 100 100.00
USG Pelvis 1 350 350.00
LFT 1 165 165.00
- Blood grouping 1 30 30.00
Total 917.06 - 1,555.00 248.58 2,720.63 446.35 3,166.98
Level 4-A Gynae oncologist 405 4.37 1,768.61 CBC 4 50 200.00 Inj Cefotaxime sod 1 gm 10 26.70 267.00 OPD 55.24 2 110.49
Surgery Anaesthesiologist 120 4.37 524.03 Colposcope 64.00 Urine Exam 1 25 25.00 Inj Amikacin 500mg 10 2.98 29.80 IPD 131.09 7 917.65
Onco trained nurse 420 1.54 648.54 Balfour's Retractor 17.50 APTT 1 240 240.00 Inj Metronidazole 500mg 15 16.10 241.50 OT 289.08 4 1,156.33
C-Loop retractor 5.00 PTTK 1 100 100.00 Inj Pantoprazole 40 mg 5 14.00 70.00
Vein Loop retracter 5.00 Platelet count 4 30 120.00 Inj Heparin 10,000 units 5 10.20 51.00
Debakey's forceps 6.00 BT CT 1 20 20.00 Inj Dexamethasone 3 3.85 11.55
Vascular forceps 10.00 Blood urea 4 20 80.00 Inj Ondansetron 4 1.77 7.08
Serum creatinine 4 25 100.00 Inj Saline 500 ml 4 7.75 31.00
HbsAg 1 60 60.00 Inj Ringer lactate 500ml 6 8.45 50.70
HIV 1 200 200.00 Inj Glucose saline 500ml 6 7.98 47.88
HCV 1 120 120.00 Inj 5% Dextrose 500ml 6 9.50 57.00
Blood sugar 1 20 20.00
X-ray Chest 1 100 100.00
USG Pelvis 1 350 350.00
Blood grouping 1 30 30.00
INR 1 420 420.00
Colposcopic exam. 1 3140 3,140.00
CECT 1 3400 3,400.00
Papsmear 3 100 300.00
LFT 4 165 660.00
Total 2,941.18 107.50 9,685.00 864.51 13,598.19 2,184.47 15,782.67
Level 4-B Gynae oncologist 60 4.37 262.02 CBC 4 50 200.00 Inj Dexamethasone 3 3.85 11.55 OPD 55.24 28 1,546.81
Concurrent Chemo Radiation Radiation oncologist 465 4.92 2,289.90 Urine Exam 1 25 25.00 Inj Ondansetron 4 1.77 7.08
Medical oncologist 105 4.37 458.53 APTT 1 240 240.00 Inj Saline 500 ml 4 7.75 31.00
Anaesthesiologist 60 4.37 262.02 PTTK 1 100 100.00 Inj Ringer lactate 500ml 6 8.45 50.70
Onco trained nurse 300 1.54 463.24 Platelet count 4 30 120.00 Inj Glucose saline 500ml 6 7.98 47.88
BT CT 1 20 20.00 Inj 5% Dextrose 500ml 6 9.50 57.00
Blood urea 4 20 80.00
Serum creatinine 4 25 100.00
HbsAg 1 60 60.00
HIV 1 200 200.00
HCV 1 120 120.00
Blood sugar 1 20 20.00
X-ray Chest 1 100 100.00
USG Pelvis 1 350 350.00
Blood grouping 1 30 30.00
INR 1 420 420.00
Colposcopic exam. 1 3140 3,140.00
CECT 1 3400 3,400.00
Papsmear 3 100 300.00
LFT 4 165 660.00
Total 3,735.70 - 9,685.00 205.21 13,625.91 1,546.81 15,172.72
Assumption:
1 If Surgery & CCRT is to be conducted for the same patient, the cost at 4-A & 4-B will be clubbed
2 The cost of the following is not included in costing
Hourly cost of Radiotherapy unit (Cobalt Machine / Linear Accelerator) at level 4
3 The cost of following specific equipments is also not included
Cusco Speculum at Level 1,2
Sims Speculum at Level 1,2
Punch Bipsy Forceps at Level 3
DETAILED COST SHEET
COSTING OF DELIVERY BY CAESAREAN SECTION
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- System Cost (In Rate (In Days Cost (In Rs.)
es Rs.) per case (In Rs.) Rs.) Rs.)
Rs.)
Level 1 Medical Officer 30 3.74 112.25 Hb 1 20 20.00 Isotonic Glucose saline 6 7.75 46.50 OPD 78.50 1 78.50
Urine RE 1 25 25.00 Ringer Lactate 6 8.45 50.70
Blood gp & Rh 1 30 30.00 Inj Cefotaxim - 2 ampules (1.0 gram per inj) 2 12.50 25.00
Inj Gentamicin - 2 ampules (60 mg per ampule) 2 2.28 4.56
Total 112.25 - 75.00 126.76 314.01 78.50 392.51
Level 2 Medical Officer 30 3.74 112.25 Hb 1 20 20.00 Isotonic Glucose saline 6 7.75 46.50 OPD 34.98 1 34.98
- Urine RE 1 25 25.00 Ringer Lactate 6 8.45 50.70
- Blood gp & Rh 1 30 30.00 Inj Cefotaxim - 2 ampules (1.0 gram per inj) 2 12.50 25.00
- - Inj Gentamicin - 2 ampules (60 mg per ampule) 2 2.28 4.56
- -
Total 112.25 - 75.00 126.76 314.01 34.98 349.00
Level 3 1 Obstetrician 60 4.37 262.02 CBC 1 50 50.00 Isotonic Glucose Saline 10 7.75 77.50
1 Anaesthetist 60 4.37 262.02 Blood group & cross matching 1 60 60.00 Ringer Lactate 6 8.45 50.70 IPD 90.11 5 450.53
1 Neonatologist / Paediatrician 60 4.37 262.02 Platelet Count 1 30 30.00 Inj Cefotaxim(1.0 gram per inj) 15 12.50 187.50 OT 232.96 2.5 582.40
Urine RE 1 25 25.00 Inj Gentamicin(60 mg per ampule) 10 2.28 22.80
X Ray Chest 1 100 100.00 Inj Metronidazole(500 mg per ampule) 15 16.10 241.50
Renal Function Test 1 45 45.00 Inj Prostodin(250 mcg per ampule) 2 65.52 131.04
Blood Culture 1 100 100.00 Inj Pitocin(5 units per ampule) 4 15.60 62.40
AST 1 25 25.00 Tab Misoprost(200 mcg per tablet) 4 11.05 44.20
Urine Culture 1 50 50.00 Inj Pethidine(50 mg per ampule) 5 16.75 83.75
Peripheral Blood Smear 1 30 30.00 Inj Morphine Sulphate 15 mg, in 1 ml amp ( D) 5 13.00 65.00
Liver Function Test 1 165 165.00 Diclofenac Sodium Suppository(100 mg per suppository) 4 4.00 16.00
USG Obstetrics 1 350 350.00 Inj Dopamine( 40 mg / ml / ampule) 4 6.40 25.60
PTTK 1 100 100.00 Inj Adrenaline 1 2.49 2.49
APTT 1 240 240.00 Inj. Ranitidine(50 mg / 2 ml) 4 1.45 5.80
Inj Ondansetron(8 mg / 2 ml) 4 1.77 7.08
Vicryl No 1 in foils 4 227.58 910.32
Monocryl No 3-0 : in foils 2 19.17 38.33
Chromic catgut no 1-0 - in foil 1 18.33 18.33
Total 786.05 - 1,370.00 1,990.35 4,146.40 1,032.93 5,179.32
Level 4 1 Obstetrician 60 4.37 262.02 CBC 1 50 50.00 Isotonic Glucose Saline 10 7.75 77.50 IPD 131.09 5 655.47
1 Anaesthetist 60 4.37 262.02 Blood group & cross matching 1 60 60.00 Ringer Lactate 6 8.45 50.70 OT 289.08 2.5 722.71
1 Neonatologist / Paediatrician 60 4.37 262.02 Platelet Count 1 30 30.00 Inj Cefotaxim(1.0 gram per inj) 15 12.50 187.50
- Urine RE 1 25 25.00 Inj Gentamicin(60 mg per ampule) 10 2.28 22.80
- X Ray Chest 1 100 100.00 Inj Metronidazole(500 mg per ampule) 15 16.10 241.50
- Renal Function Test 1 45 45.00 Inj Prostodin(250 mcg per ampule) 2 65.52 131.04
- Blood Culture 1 100 100.00 Inj Pitocin(5 units per ampule) 4 15.60 62.40
AST 1 25 25.00 Tab Misoprost(200 mcg per tablet) 4 11.05 44.20
Urine Culture 1 50 50.00 Inj Pethidine(50 mg per ampule) 5 16.75 83.75
Peripheral Blood Smear 1 30 30.00 Inj Morphine Sulphate 15 mg, in 1 ml amp ( D) 5 13.00 65.00
Liver Function Test 1 165 165.00 Diclofenac Sodium Suppository(100 mg per suppository) 4 4.00 16.00
USG Obstetrics 1 350 350.00 Inj Dopamine( 40 mg / ml / ampule) 4 6.40 25.60
PTTK 1 100 100.00 Inj Adrenaline 1 2.49 2.49
APTT 1 240 240.00 Inj. Ranitidine(50 mg / 2 ml) 4 1.45 5.80
Inj Ondansetron(8 mg / 2 ml) 4 1.77 7.08
Vicryl No 1 in foils 4 227.58 910.32
Monocryl No 3-0 : in foils 2 19.17 38.33
Chromic catgut no 1-0 - in foil 1 18.33 18.33
Total 786.05 - 1,370.00 1,990.35 4,146.40 1,378.18 5,524.57
Assumption and Notes :-
The Time and cost Involved in Monitoring Labour Pains is not considered here and this is only for Caesarian Section
Post operative Care is not considered here
The cost per patient of the following equipment is not included in Costing
Disposable Caesarean kit at level 3,4
Disposable Vaccum Suction at level 3,4
Disposable cautery lead monopolar at level 3,4
Instruments for operations at level 3,4
Baby Kit at level 3,4
Baby resuscitation set at level 3,4
The cost of the following is not included in costing
at
Oxygen Concentrator (20 ltr)/ Cylinder Level 1,2,3,4,
Packed RBC - 2 packets at Level 3,4
a
Loop Poly-p-Dixa suture No 1 in foilst Level 3,4
Rapid Test Kit at Level 3,4
DETAILED COST SHEET
COSTING OF DILATATION & CURETTAGE (D&C)
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate (In Cost (In Total Ex- Rate (In Days Cost (In
es Rs.) per case (In Rs.) Rs.) System Cost Rs.) Rs.)
Rs.) (In Rs.)
Level 1 Medical Officer 15 3.74 56.13 OPD 78.50 1 78.50
Total 56.13 - - - 56.13 78.50 134.63
Level 2 1 Medical Officer 15 3.74 56.13 Blood Haemoglobin 1 20 20.00 OPD 34.98 1 34.98
- Urine RE 1 25 25.00
Total 56.13 - 45.00 - 101.13 34.98 136.11
LEVEL 3 1 Gynecologist 60 4.37 262.02 Gyne Exam Couch 4.60 Blood Haemoglobin 1 20 20.00 Ringer Lactate 500 ml 1 8.45 8.45 OPD 33.18 2 66.35
1 Anaesthetist 30 4.37 131.01 Gyne Exam Light 2.80 Urine RE 1 25 25.00 Normal Saline 500 ml 1 7.75 7.75 OT 232.96 0.5 116.48
1 Aaya 30 1.26 37.80 Sim's Speculum 0.17 2% Lignocaine 10 ml bottle 0.20 9.77 1.95 -
Cusco's Speculum 0.17 Inj Ketamine 100 mg 1 7.56 7.56 -
Ant Vag Retractor 0.08 Inj Fortwin 1 2.70 2.70 -
Uterine Sound 0.04 Inj Diazepam 1 2.20 2.20
Volsellum 0.17 Inj Buscopan 1 5.15 5.15
Sim's Curette 0.08 5% Pov-iodine 500 ml bottle 0.40 142.41 56.96
Endocervical Curette 0.08
Cervical Dilator set 0.42
Instrument Steriliser 2.08
Total 430.82 10.69 45.00 92.73 579.24 182.83 762.07
Level 4 1 Gynecologist 70 4.37 305.69 Gyne Exam Couch 4.60 Blood Haemoglobin 1 20 20.00 Ringer Lactate 500 ml 1 8.45 8.45 OPD 55.24 2 110.49
1 Anaesthetist 30 4.37 131.01 Gyne Exam Light 2.80 Urine RE 1 25 25.00 Normal Saline 500 ml 1 7.75 7.75 OT 289.08 0.5 144.54
1 Aaya 30 1.26 37.80 Sim's Speculum 0.17 Histo Path Exam 1 125 125.00 2% Lignocaine 10 ml bottle 0.20 9.77 1.95 IPD 131.09 1 131.09
Cusco's Speculum 0.17 Bacterial Culture 1 50 50.00 Inj Ketamine 100 mg 1 7.56 7.56
Ant Vag Retractor 0.08 Inj Fortwin 1 2.70 2.70
Uterine Sound 0.04 Inj Diazepam 1 2.20 2.20
Volsellum 0.17 Inj Buscopan 1 5.15 5.15
Sim's Curette 0.08 5% Pov-iodine 500 ml bottle 0.40 142.41 56.96
Endocervical Curette 0.08
Cervical Dilator set 0.42
Instrument Steriliser 2.08
Total 474.49 10.69 220.00 92.73 797.91 386.12 1,184.03
Assumption and Notes :-
If the procedure at Level 3/Level 4 can be completed in the OPD with Karman's Cannula and Syringe (Approx Cost Rs. 300), The patient need not be taken to OT
Bacterial Culture Tests are for pateints suspected of suffering from TB
DETAILED COST SHEET
COSTING OF DYSFUNCTIONAL UTERINE BLEEDING
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- System Rate (In Days Cost (In Rs.)
es Rs.) per case (In Rs.) Cost (In Rs.) Rs.)
Rs.)
Level 1 Medical Officer 60 3.74 224.51 Hb estimation 2 20 40.00 Tab IFA(Ferrous sulp200mg/folic acid400mcg) 60 0.14 8.28 OPD 78.50 3 235.50
Urine pregnancy test 1 70 70.00 Tab Mefenemic acid500mg 21 2.00 42.00
- Tab Treneximic acid1gm 21 13.47 282.80
-
Total 224.51 - 110.00 333.08 667.59 235.50 903.09
Level 2 Medical Officer 60 3.74 224.51 Hb estimation 2 20 40.00 Tab IFA(Ferrous sulp200mg/folic acid400mcg) 60 0.14 8.28 OPD 34.98 3 104.95
Urine pregnancy test 1 70 70.00 Tab Mefenemic acid500mg 21 2.00 42.00
Tab Treneximic acid1gm 21 13.47 282.80
Total 224.51 - 110.00 333.08 667.59 104.95 772.54
Level 3 Gynaecologist 90 4.37 393.02 Hb estimation 2 20 40.00 Tab IFA(Ferrous sulp200mg/folic acid400mcg) 60 0.14 8.28 OPD 33.18 4 132.70
TLC 1 20 20.00 Tab Mefenemic acid500mg 21 2.00 42.00
DLC 1 20 20.00 Tab Treneximic acid1gm 21 13.47 282.80
Urine pregnancy test 1 70 70.00
Endometrial sampling 1 1625 1,625.00
Total 393.02 - 1,775.00 333.08 2,501.10 132.70 2,633.81
Level 4-A Gynaecologist 255 4.37 1,113.57 Laproscopic Surgery equipment 500.00 Hb 2 20 40.00 Tab IFA(Ferrous sulp200mg/folic acid400mcg) 60 0.14 8.28 OPD 55.24 6 331.46
Anaesthesiologist 135 4.37 589.54 TLC 1 20 20.00 Tab Mefenemic acid500mg 21 2.00 42.00 IPD 131.09 3 393.28
DLC 1 20 20.00 Tab Treneximic acid1gm 21 13.47 282.80 OT 289.08 2 578.17
Platelet Count 1 30 30.00
UPT 1 70 70.00
Coagulation Profile 1 84 84.00
T3,T4,TSH 1 175 175.00
LFT 1 165 165.00
RFT 1 45 45.00
Endometrial sampling, 1 1625 1,625.00
Ultrasonography 1 350 350.00
PAP smear 1 100 100.00
Hysteroscopy 1 3325 3,325.00
Total 1,703.11 500.00 None 6,049.00 333.08 8,585.19 1,302.91 9,888.09
Level 4-B Gynaecologist 255 4.37 1,113.57 Laproscopic Surgery equipment 500.00 Hb 2 20 40.00 Tab IFA(Ferrous sulp200mg/folic acid400mcg) 60 0.14 8.28 OPD 55.24 6 331.46
Anaesthesiologist 135 4.37 589.54 TLC 1 20 20.00 Tab Medroxyprogesterone acetate10mg 75 3.22 241.50 IPD 131.09 3 393.28
- DLC 1 20 20.00 OT 289.08 2 578.17
- Platelet Count 1 30 30.00
- UPT 1 70 70.00
- Coagulation Profile 1 84 84.00
- T3,T4,TSH 1 175 175.00
- LFT 1 165 165.00
- RFT 1 45 45.00
- Endometrial sampling, 1 1625 1,625.00
Ultrasonography 1 350 350.00
PAP smear 1 100 100.00
Hysteroscopy 1 3325 3,325.00
Total 1,703.11 500.00 6,049.00 249.78 8,501.89 1,302.91 9,804.79
Level 4-C Gynaecologist 255 4.37 1,113.57 Laproscopic Surgery equipment 500.00 Hb 2 20 40.00 Tab IFA(Ferrous sulp200mg/folic acid400mcg) 60 0.14 8.28 OPD 55.24 6 331.46
Anaesthesiologist 135 4.37 589.54 TLC 1 20 20.00 IPD 131.09 3 393.28
DLC 1 20 20.00 OT 289.08 2 578.17
Platelet Count 1 30 30.00
UPT 1 70 70.00
Coagulation Profile 1 84 84.00
T3,T4,TSH 1 175 175.00
LFT 1 165 165.00
RFT 1 45 45.00
Endometrial sampling, 1 1625 1,625.00
Ultrasonography 1 350 350.00
PAP smear 1 100 100.00
Hysteroscopy 1 3325 3,325.00
Total 1,703.11 500.00 None 6,049.00 8.28 8,260.39 1,302.91 9,563.29
Assumption and Notes :-
Any of the following medicene can be used depending upon Histopathology Report, The costing for three alternatives is provided
Tab Mefenemic acid500mg & Tab Treneximic acid1gm
Tab Medroxyprogesterone acetate10mg-75
Tab Ethinyl oestradiol.03mg+levonorgestrol .15mg-63
The cost of the following is not included in the costing
Tab Ethinyl oestradiol.03mg+levonorgestrol .15mg at level 4-C qty 63
DETAILED COST SHEET
COSTING OF FIBROMYOMA UTERUS
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) per Items No. of Tests Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- System Rate (In Days Cost (In Rs.)
es Rs.) case (In Rs.) Cost (In Rs.) Rs.)
Rs.)
Level 1 Medical Officer 30 3.74 112.25 Hb estimation 1 20 20.00 Tab IFA(Ferrous sulp200mg/folic acid400mcg) 60 0.14 8.28 OPD 78.50 3 235.50
- - Tab Mefenemic acid500mg 21 2.00 42.00
Total 112.25 - Total 20.00 50.28 182.53 235.50 418.03
Level 2 Medical Officer 30 3.74 112.25 Hb estimation 1 20 20.00 Tab IFA(Ferrous sulp200mg/folic acid400mcg) 60 0.14 8.28 OPD 34.98 3 104.95
- - Tab Mefenemic acid500mg 21 2.00 42.00
Total 112.25 - Total 20.00 50.28 182.53 104.95 287.48
Level 3 Gynaecologist 60 4.37 262.02 CBC 1 50 50.00 Tab IFA(Ferrous sulp200mg/folic acid400mcg) 60 0.14 8.28 OPD 33.18 4 132.70
- Ultrasonography 1 350 350.00 Tab Mefenemic acid500mg 21 2.00 42.00 -
- Endometrial sampling 1 1625 1,625.00 Tab Traneximic acid1gm 21 13.47 282.80 -
- - Tab Medroxyprogesterone acetate10mg 75 3.22 241.50
Total 262.02 - Total 2,025.00 574.58 2,861.60 132.70 2,994.30
Level 4 Gynaecologist 285 4.37 1,244.58 Laproscopic Surgery equipment 500.00 CBC 1 50 50.00 Tab IFA(Ferrous sulp200mg/folic acid400mcg) 60 0.14 8.28 OPD 55.24 6 331.46
Anaesthesiologist 120 4.37 524.03 Interventional radiology equipment 25,000.00 PTTK 1 100 100.00 Tab Mefenemic acid500mg 21 2.00 42.00 IPD 131.09 5 655.47
INR 1 420 420.00 Tab Medroxyprogesterone acetate10mg 75 3.22 241.50 OT 289.08 2 578.17
APTT 1 240 240.00
T3,T4,TSH 1 175 175.00
Endometrial sampling 1 1625 1,625.00
Ultrasonography 1 350 350.00
PAP smear 1 100 100.00
Hysteroscopy 1 3325 3,325.00
LFT 1 165 165.00
RFT 1 45 45.00
Total 1,768.61 25,500.00 Total 6,595.00 291.78 34,155.39 1,565.09 35,720.48
Assumption and Notes :-
The cost per case for Interventional Radiology Equipment for therapy is takn as approx Rs. 25000 Market Rate
The cost of the following is not included in costing
Inj Goserelin 3.6mgs/c
DETAILED COST SHEET
COSTING OF VESICO VAGINAL & URETERO VAGINAL FISTULA
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) per Items No. of Tests Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- Rate (In Days Cost (In Rs.)
es Rs.) case (In Rs.) System Cost (In Rs.)
Rs.) Rs.)
Level 1 Medical Officer 15 3.74 56.13 - OPD 78.50 1 78.50
Total 56.13 - - - 56.13 78.50 134.63
Level 2 Medical Officer 30 3.74 112.25 Foley's catheter 01 100.00 Normal Saline- 500 cc 1 7.75 7.75 OPD 34.98 1 34.98
- Urobag- 01 16.55 -
Total 112.25 116.55 - 7.75 236.55 34.98 271.54
Level 3 Gynaecologist 60 4.37 262.02 Sim's speculum - 1 0.13 Blood Urea 1 20 20.00 Soframycin cream 1 15.06 15.06 OPD 33.18 1 33.18
- Ant vaginal retractor - 1 0.60 S Creatinine 1 25 25.00 Methylene blue- o1 ampoule 1 1.75 1.75 -
- S Uric Acid 1 30 30.00 -
- Urine RE 1 25 25.00
- Urine culture 1 50 50.00
Total 262.02 0.73 150.00 16.81 429.55 33.18 462.73
Level 4 Gynaecologist 280 4.37 1,222.74 Suture material 1,000.00 Hb 1 20 20.00 Inj Cefotoxime 1gm/vial 9 22.68 204.12 OPD 55.24 1 55.24
Urologist 210 4.92 1,034.15 Urinary/ ureteric catheters 2,000.00 TLC 1 20 20.00 Inj Gentamicin 80mg/ vial 9 5.72 51.48 IPD 131.09 7 917.65
Surgeon 120 4.37 524.03 Drains 1,500.00 DLC 1 20 20.00 Inj Pentazocine 30 mg/ ampoule 9 3.80 34.20 OT 289.08 3 867.25
- Cystoscope 550.00 BT 1 20 20.00 Methylene blue 1 49.00 49.00
CT 1 2092 2,092.00
Blood Urea 1 20 20.00
S Creatinine 1 25 25.00
- S uric acid 1 30 30.00
- IVP 1 940 940.00
- USG Abdomen & pelvis 1 350 350.00
Urine RE 1 25 25.00
Urine culture 1 50 50.00
Total 2,780.92 5,050.00 3,612.00 338.80 11,781.72 1,840.15 13,621.87
DETAILED COST SHEET
COSTING OF DIABETIC RETINOPATHY
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- Rate (In Days Cost (In
es Rs.) per case (In Rs.) System Cost (In Rs.) Rs.)
Rs.) Rs.)
Level 1 Medical Officer 15 3.74 56.13 Direct ophthalmoscope 0.89 Visual acuity measurement 2 30 60.00 Pupil dilating drops 1 4 4.00 OPD 78.50 1 78.50
- Direct Ophthalmoscopy 2 30 60.00
Total 56.13 0.89 120.00 4.00 181.02 78.50 259.52
Medical Officer 15 3.74 56.13 Direct ophthalmoscope 0.89 Blood Sugar (F &PP), 1 20 20.00 Pupil dilating drops 1 4 4.00 OPD 34.98 1 34.98
Snellen's Visual Acuity drum 0.05 BUN 1 20 20.00
HbA1C 1 85 85.00
Serum Lipid Profile 1 120 120.00
Total 56.13 0.95 245.00 4.00 306.07 34.98 341.06
Level 3 Medical Officer 15 3.74 56.13 Direct ophthalmoscope 0.89 Blood Sugar (F &PP), 1 20 20.00 Pupil dilating drops 1 4 4.00 OPD 33.18 1 33.18
Snellen's Visual Acuity drum 0.05 BUN 1 20 20.00 - -
HbA1C 1 85 85.00 - -
- Serum Lipid Profile 1 120 120.00 -
Total 56.13 0.95 245.00 4.00 306.07 33.18 339.25
Level 4-A Ophthalmologist 720 4.37 3,144.20 Vitreo Retinal Unit (Ophthal) 1,214.29 Visual acuity measurement 4 30 120.00 20% Sodium Fluorescein Ampoule 4 32.70 130.80 OPD 55.24 10 552.43
Only Laser Treatment required Asistant
Nursing 720 1.54 1,111.79 Fundus photography and fluorescein angiography 4 800 3,200.00 Diclofenac/ Flurbiprofen eye drops 12 8.98 107.76
Laser photocoagulation 8 840 6,720.00 Pupil dilating drops 1 bottle 40.00
Blood Sugar (F &PP), 4 20 80.00
BUN 4 20 80.00
HbA1C 4 85 340.00
Serum Lipid Profile 4 120 480.00
Total 4,255.98 1,214.29 11,020.00 278.56 16,768.83 552.43 17,321.26
Level 4-B Ophthalmologist 650 4.37 2,838.51 Vitreo Retinal Unit (Ophthal) 1,214.29 Visual acuity measurement 4 30 120.00 Pupil dilating drops 1 40 40.00 OPD 55.24 7 386.70
Surgery Required Nursing Asistant 650 1.54 1,003.70 Fundus photography and fluorescein angiography 4 800 3,200.00 Perfluorocarbon Liquid/ Gas 1 5000 5,000.00 OT 289.08 2 578.17
Laser photocoagulation 8 840 6,720.00 Silicon Oil 1 5000 5,000.00
Blood Sugar (F &PP), 4 20 80.00 Tab Ciprofloxacin 500mg 14 6.01 84.07
BUN 4 20 80.00 Inj Xylocaine 2% 1 16.61 16.61
HbA1C 4 85 340.00 Inj Bupivacaine 0.5% 1 16.50 16.50
Serum Lipid Profile 4 120 480.00
Total 3,842.21 1,214.29 11,020.00 10,157.18 26,233.67 964.87 27,198.54
Assumption and Notes :-
1. These costs exclude the costs of the operation theatre (OT), OT linen, consumables for GA, if required
2. Assuming that a tertiary level hospital would have the following surgical instrument Ophthalmic Ultra-sound A/B Scan,
High Speed Vitrectomy System, Posterior segment Operating Microscope with viewing system, Vitreous cutters, Endoilluminators, Intra-vitreal Irrigating canulae, MVR blades.
3. The patient will have to vist at Level 4 once in three months and for Laser Photo Coagulation 3 sitting per eye is considered
4. The cost of the following is not included in costing
Gonosol for laser lens coupling
Steroid antibiotis eye drops
DETAILED COST SHEET
COSTING OF GLAUCOMA
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Items Unit Rate (In Cost (In Rs.) Total Ex- System Rate (In Days Cost (In
es Rs.) per case (In Rs.) Rs.) Cost (In Rs.) Rs.) Rs.)
Rs.)
Visual acuity
Level 1 Medical Officer 15 3.74 56.13 Direct ophthalmoscope 0.89 measurement 2 30 60.00 OPD 78.50 1 78.50
Direct
- Ophthalmoscopy 2 30 60.00
Total 56.13 0.89 120.00 - 177.02 78.50 255.52
Level 2 Medical Officer 15 3.74 56.13 Direct ophthalmoscope 0.89 OPD 34.98 1 34.98
- Snellen's Visual Acuity drum 0.05
Total 56.13 0.95 - - 57.07 34.98 92.06
Level 3 Medical Officer 15 3.74 56.13 Direct ophthalmoscope 0.89 OPD 33.18 1 33.18
Snellen's Visual Acuity drum 0.05 - -
Total 56.13 0.95 - - 57.07 33.18 90.25
Level 4-A Ophthalmologist 60 4.37 262.02 Direct Ophthalmoscope 0.89 Lignocain 4% Eyedrops 1 9.77 9.77 OPD 55.24 6 331.46
Slit Lamp with 90D 12.14 Fluorescein strips 1 1.50 1.50
Gonioscopy lens. 0.20 Methylcellulose 2% soln 1 57.98 57.98
Goldman / Schiotz Tonometer. 1.21 Acetazolamide 250 mg. Tabs. 30 1.00 30.00
Automated Visual Field Analyser. 32.38 Inj Mannitol 20% 300 ml bottle. 4 32.03 128.12
Digital Fundus Camera 182.14 Pilocarpine 2% Eyedrops 2 16.40 32.80
Retinal Nerve Fibre Layer
Analyser (GDX / HRT / OCT).* 80.95 Timolol 0.5% Eyedrops 24 24.97 599.28
Nd YAG Laser 40.48 Brimonidine 0.2% Eyedrops 24 100.25 2,406.00
Ritch Trabeculoplasty Lens. 0.48 Bimatoprost / Xalatan / Travoprost Eyedrops. 12 172.00 2,064.00
Total 262.02 350.88 - 5,329.45 5,942.35 331.46 6,273.81
Ophthalmic Operating
Level 4-B Ophthalmologist 120 4.37 524.03 Microscope, 485.71 Lignocain 4% Eyedrops 1 9.77 9.77 OPD 55.24 6 331.46
Microsurgical Instruments, 57.78 Fluorescein strips 1 1.50 1.50 OT 131.09 1 131.09
Bipolar wetfield cautery, 364.29 Methylcellulose 2% soln 1 57.98 57.98
Acetazolamide 250 mg. Tabs. 30 1.00 30.00
Inj Mannitol 20% 300 ml bottle. 4 32.03 128.12
Pilocarpine 2% Eyedrops 2 16.40 32.80
Timolol 0.5% Eyedrops 24 24.97 599.28
Brimonidine 0.2% Eyedrops 24 100.25 2,406.00
Bimatoprost / Xalatan / Travoprost Eyedrops. 12 172.00 2,064.00
Total 524.03 907.78 - 5,329.45 6,761.26 462.55 7,223.81
Assumption and Notes :-
532 Laser is used for SLT in selected Patients not considered here
Acetazolamide 250 mg. Tabs. Used in selected patients
Inj Mannitol 20% 300 ml bottle in selected patients
Brimonidine 0.2% Eyedrops in selected cases
Pilocarpine 2% Eyedrops prior to YAG Iridotomy in Patients with narrow angle
DETAILED COST SHEET
COSTING OF ACUTE OTITIS MEDIA
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate Cost (In Rs.) Total Ex- Rate (In Days Cost (In Rs.)
es Rs.) per case (In (In Rs.) System Cost Rs.)
Rs.) (In Rs.)
Level 1 Medical Officer 45 3.74 168.38 Otoscope Level 1-3 1.80 Tab Paracetamol (500 mg) 15 0.21 3.18 OPD 78.50 3 235.50
Tab Chlorphenaramine 10 0.06 0.60
0.1 % Oxymetazoline nasal drops, 10 ml 1 9.50 9.50
Cap Amoxycillin (500mg) 30 5.20 156.00
Total 168.38 1.80 - 169.28 339.46 235.50 574.96
Level 2 Medical Officer 45 3.74 168.38 Otoscope Level 1-3 1.80 Tab Paracetamol (500 mg) 15 0.21 3.18 OPD 34.98 3 104.95
Tab Chlorphenaramine 10 0.06 0.60
0.1 % Oxymetazoline nasal drops, 10 ml 1 9.50 9.50
Cap Amoxycillin (500mg) 30 5.20 156.00
Total 168.38 1.80 - 169.28 339.46 104.95 444.41
Level 3 Medical Officer 75 3.74 280.63 Otoscope Level 1-3 1.80 Aural Swab for Pus Culture and Antibiotic Sensitivity (ABST) 1 50 50.00 Tab Paracetamol (500 mg) 15 0.21 3.18 OPD 33.18 3 99.53
X Ray Mastoids Bilateral 1 100 100.00 Tab Chlorphenaramine 10 0.06 0.60 IPD 90.11 1 90.11
0.1 % Oxymetazoline nasal drops, 10 ml 1 9.50 9.50
Cap Amoxycillin (500mg) 30 5.20 156.00
Inj Ampicillin 500 mg 4 2.99 11.96
Inj Gentamycin 80 mg 2 5.72 11.44
Total 280.63 1.80 150.00 192.68 625.11 189.63 814.75
Level 4 Medical Officer 60 3.74 224.51 ENT Surgical Microscope 1,100.00 CT Scan -HRCT Temporal Bones 1 1900 1,900.00 Tab Paracetamol (500 mg) 15 0.21 3.18 OPD 55.24 3 165.73
Myringotomy Otolaryngologist (ENT Specialist) 60 4.37 262.02 Otoscope 15.00 Aural Swab for Pus Culture and Antibiotic Sensitivity (ABST) 1 50 50.00 Tab Chlorphenaramine 10 0.06 0.60 OT 289.08 0.5 144.54
Mastoid Exploration Otolaryngologist (ENT Specialist) 255 4.37 1,113.57 Suction apparatus 75.00 CBC 1 50 50.00 0.1 % Oxymetazoline nasal drops, 10 ml 1 9.50 9.50 OT 289.08 3 867.25
Mastoid Exploration Operating Room Assistant (ENT Trained) 270 4.37 1,179.07 High powered illimunation Headlight 11.25 Urine RE 1 25 25.00 Cap Amoxycillin (500mg) 30 5.20 156.00 IPD 131.09 5 655.47
Otological Microinstruments 333.33 X Ray Mastoids Bilateral 1 100 100.00 Inj Ampicillin 500 mg 28 2.99 83.72
Otologic drill 320.00 Inj Gentamycin 80 mg 14 5.72 80.08
Total 2,779.17 1,854.58 2,125.00 333.08 7,091.83 1,832.99 8,924.82
Assumption and Notes :-
Level 1, 2 and 3 as in Level 4 for intial presentation
CT Scan & Mastoid exploration in case of suspected complications only
The patient can be treated for Myringotomy and Mastoid Exploration both or only for Myringotomy or Mastoid Exploration
For Patients allergic to Penicillin alternative medicenes are used
DETAILED COST SHEET
COSTING OF CHRONIC OTITIS MEDIA ATTICO -ANTRAL
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate Cost (In Rs.) Total Ex- System Rate (In Days Cost (In Rs.)
es Rs.) per case (In (In Rs.) Cost (In Rs.) Rs.)
Rs.)
Level 1 Medical Officer 180 3.74 673.52 Otoscope Level 1-3 1.80 - Tab Paracetamol (500 mg) 30 0.21 6.36 OPD 78.50 12 942.00
- - Tab Chlorphenaramine 30 0.06 1.80
- - Cap Amoxycillin (500mg) 90 5.20 468.00
- Ear drops Ciprofloxacin (10ml) 12 3.37 40.44
Total 673.52 1.80 - 516.60 1,191.92 942.00 2,133.92
Level 2 Medical Officer 180 3.74 673.52 Otoscope Level 1-3 1.80 Tab Paracetamol (500 mg) 30 0.21 6.36 OPD 34.98 12 419.80
- - Tab Chlorphenaramine 30 0.06 1.80
- - Cap Amoxycillin (500mg) 90 5.20 468.00
- - Ear drops Ciprofloxacin (10ml) 12 3.37 40.44
Total 673.52 1.80 - 516.60 1,191.92 419.80 1,611.72
Aural Swab for Pus Culture and
Level 3 Medical Officer 180 3.74 673.52 Otoscope Level 1-3 1.80 Antibiotic Sensitivity (ABST) 1 50 50.00 Tab Paracetamol (500 mg) 30 0.21 6.36 OPD 33.18 12 398.10
- X Ray Mastoids Bilateral 1 100 100.00 Tab Chlorphenaramine 30 0.06 1.80
- - Cap Amoxycillin (500mg) 90 5.20 468.00 -
- - Ear drops Ciprofloxacin (10ml) 12 3.37 40.44
Total 673.52 1.80 150.00 516.60 1,341.92 398.10 1,740.03
Aural Swab for Pus Culture and
Level 4 Medical Officer 15 3.74 56.13 ENT Surgical Microscope 1,100.00 Antibiotic Sensitivity (ABST) 1 50 50.00 Tab Paracetamol (500 mg) 30 0.21 6.36 OPD 55.24 12 662.92
OPD Otolaryngologist (ENT Specialist) 180 4.37 786.05 Otoscope 15.00 CBC 1 50 50.00 Tab Chlorphenaramine 30 0.06 1.80 IPD 131.09 5 655.47
Modified Radical Mastoidectomy
Otolaryngologist (ENT Specialist) 225 4.37 982.56 Suction apparatus 75.00 Urine RE 1 25 25.00 Cap Amoxycillin (500mg) 90 5.20 468.00 OT 289.08 3 867.25
High powered illimunation Headlight 11.25 X Ray Mastoids Bilateral 1 100 100.00 Ear drops Ciprofloxacin (10ml) 12 3.37 40.44
Otological Microinstruments 333.33 CT Scan -HRCT Temporal Bones 1 1900 1,900.00 Inj Ampicillin 500 mg 28 2.99 83.72
- Otologic drill 320.00 - Inj Gentamycin 80 mg 14 5.72 80.08
Total 1,824.74 1,854.58 2,125.00 680.40 6,484.72 2,185.64 8,670.36
Assumption and Notes :-
1 Level 1, 2 and 3 as in Level 4 for intial presentation
2 Follow up after surgery has not been included as it is variable
3 Costing is done for uncomplicated case with no requirement of ossiculoplasty
4 Tympanoplasty may be conducted separately or combined with Cortical mastoidectomy surgery in single sitting, For costing we have considered that procedures are performed separately.
5 There are 3 episodes of acute exacerbations in an year
DETAILED COST SHEET
COSTING OF CHRONIC OTITIS MEDIA TUBO TYMPANIC
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate Cost (In Rs.) Total Ex- Rate (In Days Cost (In Rs.)
es Rs.) per case (In (In System Cost (In Rs.)
Rs.) Rs.) Rs.)
Level 1 Medical Officer 180 3.74 673.52 Otoscope Level 1-3 1.80 Tab Paracetamol (500 mg) 30 0.21 6.36 OPD 78.50 12 942.00
- Tab Chlorphenaramine 30 0.06 1.80
- Cap Amoxycillin (500mg) 90 5.20 468.00
Ear drops Ciprofloxacin (10ml) 12 3.37 40.44
Total 673.52 1.80 - 516.60 1,191.92 942.00 2,133.92
Level 2 Medical Officer 180 3.74 673.52 Otoscope Level 1-3 Tab Paracetamol (500 mg) 30 0.21 6.36 OPD 34.98 12 419.80
Tab Chlorphenaramine 30 0.06 1.80
Cap Amoxycillin (500mg) 90 5.20 468.00
Ear drops Ciprofloxacin (10ml) 12 3.37 40.44
Total 673.52 - - 516.60 1,190.12 419.80 1,609.92
Aural Swab for Pus Culture and
Level 3 Medical Officer 180 3.74 673.52 Otoscope Level 1-3 1.80 Antibiotic Sensitivity (ABST) 1 50 50.00 Tab Paracetamol (500 mg) 30 0.21 6.36 OPD 33.18 12 398.10
X Ray Mastoids Bilateral 1 100 100.00 Tab Chlorphenaramine 30 0.06 1.80
Cap Amoxycillin (500mg) 90 5.20 468.00 -
Ear drops Ciprofloxacin (10ml) 12 3.37 40.44
Total 673.52 1.80 150.00 516.60 1,341.92 398.10 1,740.03
Aural Swab for Pus Culture and
Level 4 Medical Officer 15 3.74 56.13 ENT Surgical Microscope 1,100.00 Antibiotic Sensitivity (ABST) 1 50 50.00 Tab Paracetamol (500 mg) 30 0.21 6.36 OPD 55.24 12 662.92
OPD Otolaryngologist (ENT Specialist) 180 4.37 786.05 Otoscope 15.00 CBC 1 50 50.00 Tab Chlorphenaramine 30 0.06 1.80 OT 289.08 2 578.17
Tympanoplasty Otolaryngologist (ENT Specialist) 120 4.37 524.03 Suction apparatus 75.00 Urine RE 1 25 25.00 Cap Amoxycillin (500mg) 90 5.20 468.00 OT 289.08 3 867.25
Cortical Mastoidectomy Otolaryngologist (ENT Specialist) 255 4.37 1,113.57 High powered illimunation Headlight 11.25 X Ray Mastoids Bilateral 1 100 100.00 Ear drops Ciprofloxacin (10ml) 12 3.37 40.44 IPD 131.09 5 655.47
Otological Microinstruments 333.33 Inj Ampicillin 500 mg 28 2.99 83.72
Otologic drill 320.00 Inj Gentamycin 80 mg 14 5.72 80.08
Total 2,479.78 1,854.58 225.00 680.40 5,239.76 2,763.80 8,003.57
Assumption and Notes :-
1 Level 1, 2 and 3 as in Level 4 for intial presentation
2 Follow up after surgery has not been included as it is variable
3 Costing is done for uncomplicated case with no requirement of ossiculoplasty
4 Tympanoplasty may be conducted separately or combined with Cortical mastoidectomy surgery in single sitting, For costing we have considered that procedures are performed separately.
5 There are 3 episodes of acute exacerbations in an year
DETAILED COST SHEET
COSTING OF ORAL MALIGNANCIES
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- System Rate (In Days Cost (In Rs.)
es Rs.) per case (In Rs.) Cost (In Rs.) Rs.)
Rs.)
Level 1 Medical Officer 10 3.74 37.42 Tab paracetamol 500mg TDS 100 0.21 21.20 OPD 78.50 1 78.50
- Ibuprofen Tab. I.P. - 400 mg 100 0.52 51.80
Total 37.42 - - 73.00 110.42 78.50 188.92
Level 2 Medical Officer 10 3.74 37.42 Tab paracetamol 500mg TDS 100 0.21 21.20 OPD 34.98 1 34.98
10 - Ibuprofen Tab. I.P. - 400 mg 100 0.52 51.80
Total 37.42 - - 73.00 110.42 34.98 145.40
Level 3 Physician 10 4.37 43.67 Tab paracetamol 500mg TDS 100 0.21 21.20 OPD 33.18 1 33.18
- Ibuprofen Tab. I.P. - 400 mg 100 0.52 51.80 -
Total 43.67 - - 73.00 116.67 33.18 149.84
Level 4 Otolaryngologist-ENT Specialist 660 4.37 2,882.18 FNAC 1 242 242.00 OPD 55.24 10 552.43
Radiotherapist 30 4.92 147.74 Flexible and Rigid Endoscopes 120.00 Punch Biopsy 1 152.5 152.50 Inj Morphine Sulphate 15 mg, in 1 ml amp ( D) 10 13.00 130.00 IPD 131.09 30 3,932.80
Oncophysician 300 4.92 1,477.35 Suction apparatus 75.00 Hematology - 1 1 275 275.00 Tab paracetamol 500mg TDS 100 0.21 21.20 OT 289.08 6 1,734.50
Anaesthesiologist 360 3.74 1,347.04 High powered illimunation Headlight 11.25 Biochemistry - 1 1 300 300.00 Ibuprofen Tab. I.P. - 400 mg 100 0.52 51.80
Medical Counselor 120 3.74 449.01 Histopathology, including frozen section examination - 1 1 275 275.00 Inj Cisplatin 150 mg 5 138.32 691.60
Oncology Nurses 360 1.54 555.89 CT Scan 1 3400 3,400.00 Inj Flourouracil 1000 mg 25 38.20 955.00
- MRI 1 4000 4,000.00
- USG 1 350 350.00
Total 6,859.22 206.25 8,994.50 1,849.60 17,909.57 6,219.73 24,129.30
Assumption and Notes :-
Assumption: Adult patient with stage III / IV cancer requiring multi-modality treatment
The cost of the following is not included in costing
Hourly cost of Radiotherapy unit (Cobalt Machine / Linear Accelerator) at level 4
DETAILED COST SHEET
COSTING OF PROLAPSE UTERUS
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- System Cost Rate (In Days Cost (In Rs.)
es Rs.) per case (In Rs.) (In Rs.) Rs.)
Rs.)
Level 1 Medical Officer 30 3.74 112.25 Gyne Exam Couch 4.60 - OPD 78.50 1 78.50
- Gyne Exam Light 2.80 -
- Sim's Speculum 0.17 -
Cusco's Speculum 0.17
Ant Vag Retractor 0.08
Uterine Sound 0.04
Volsellum 0.17
Instrument Steriliser 2.08
Karman's Cannula 18.71
Karman's Syringe 80.00
Total 112.25 108.82 - - 221.07 78.50 299.57
Level 2 Medical Officer 30 3.74 112.25 Gyne Exam Couch 4.60 OPD 34.98 1 34.98
- Gyne Exam Light 2.80 -
Sim's Speculum 0.17
Cusco's Speculum 0.17
Ant Vag Retractor 0.08
Uterine Sound 0.04
Volsellum 0.17
Instrument Steriliser 2.08
Karman's Cannula 18.71
Karman's Syringe 80.00
Total 112.25 108.82 - - 221.07 34.98 256.05
Level 3 Gynaecologist 60 4.37 262.02 Gyne Exam Couch 4.60 Urine R/E 1 25 25.00 Vaginal Pessary - 40 size 2 69.93 139.86 OPD 33.18 2 55.24
Gyne Exam Light 2.80 - 393.28
Sim's Speculum 0.17 - 578.17
Cusco's Speculum 0.17 -
Ant Vag Retractor 0.08 -
Uterine Sound 0.04 -
Volsellum 0.17 -
Instrument Steriliser 2.08 -
Karman's Cannula 18.71
Karman's Syringe 80.00
Total 262.02 108.82 25.00 139.86 535.69 1,026.69 1,562.39
Level 4-A Gynaecologist 210 4.37 917.06 Foley's Catheter 100.00 CBC 2 50 100.00 Inj Cefotaxime (1 gm ) 3 12.50 37.50 OPD 55.24 1 55.24
Conventional Surgery Anaesthetist 150 4.37 655.04 Gyne Exam Couch 4.60 Urine RE 2 25 50.00 Inj Bupivacaine Spinal 1 10.00 10.00 IPD 131.09 3 393.28
Urologist 30 4.92 147.74 Gyne Exam Light 2.80 Blood Grouping 1 30 30.00 Inj Thiopentone 1 19.00 19.00 OT 289.08 2 578.17
Sim's Speculum 0.17 Blood urea 1 20 20.00 Inj Scoline 1 17.04 17.04
Cusco's Speculum 0.17 Serum Creatinine 1 25 25.00 Inj Pavulon 2 17.50 35.00
Ant Vag Retractor 0.08 Bleeding Time 1 20 20.00 Inj Neostigmine 10 2.32 23.20
Uterine Sound 0.04 Clotting Time 1 20 20.00 Inj Atropine 5 1.65 8.25
Volsellum 0.17 Chest Xray 1 100 100.00 Ringer Lactate 5 8.45 42.25
Instrument Steriliser 2.08 ECG 1 75 75.00 5% dextrose 5 9.50 47.50
Karman's Cannula 18.71 PAP Smear 1 100 100.00 Normal saline 5 7.75 38.75
Karman's Syringe 80.00 Ultrasonography 1 350 350.00 Suture Prolene No 1 in packets 2 54.58 109.16
suture vicryl No 1 in packets 3 227.58 682.74
Diclofenac Sodium Suppository (100 mg per suppository) 2 4.00 8.00
Inj Pentazocine (30mg ) 6 22.46 134.76
Mersilene Tape 1 - -
Vaginal Pessary 2 69.93 139.86
Total 1,719.83 208.82 890.00 1,353.01 4,171.66 1,026.69 5,198.35
Level 4-B Gynaecologist 270 4.37 1,179.07 Foley's Catheter 100.00 CBC 2 50 100.00 Inj Cefotaxime (1 gm ) 3 12.50 37.50 OPD 55.24 1 55.24
Laparoscopic Surgery Anaesthetist 210 4.37 917.06 Gyne Exam Couch 4.60 Urine RE 2 25 50.00 Inj Bupivacaine Spinal 1 10.00 10.00 IPD 131.09 3 393.28
Urologist 30 4.92 147.74 Gyne Exam Light 2.80 Blood Grouping 1 30 30.00 Inj Thiopentone 1 19.00 19.00 OT 289.08 3 867.25
Sim's Speculum 0.17 Blood urea 1 20 20.00 Inj Scoline 1 17.04 17.04
- Cusco's Speculum 0.17 Serum Creatinine 1 25 25.00 Inj Pavulon 2 17.50 35.00
- Ant Vag Retractor 0.08 Bleeding Time 1 20 20.00 Inj Neostigmine 10 2.32 23.20
- Uterine Sound 0.04 Clotting Time 1 20 20.00 Inj Atropine 5 1.65 8.25
- Volsellum 0.17 Chest Xray 1 100 100.00 Ringer Lactate 5 8.45 42.25
- Instrument Steriliser 2.08 ECG 1 75 75.00 5% dextrose 5 9.50 47.50
- Karman's Cannula 18.71 PAP Smear 1 100 100.00 Normal saline 5 7.75 38.75
Karman's Syringe 80.00 Ultrasonography 1 350 350.00 Suture Prolene No 1 in packets 2 54.58 109.16
Laproscopic Surgery equipment 500.00 suture vicryl No 1 in packets 3 227.58 682.74
Diclofenac Sodium Suppository (100 mg per suppository) 2 4.00 8.00
Inj Pentazocine (30mg ) 6 22.46 134.76
Mersilene Tape 1 - -
Vaginal Pessary 2 69.93 139.86
Total 2,243.87 708.82 890.00 1,353.01 5,195.69 1,315.77 6,511.47
Assumption and Notes :-
Mersilene Tape will be used only in some cases at level 3,4,. The cost of Merilene tape is not included in costing
Laproscopic Surgery only in some cases where indicated and depending upon Surgical Expertise of Gynaecologist
DETAILED COST SHEET
COSTING OF ALCOHOL AND SUBSTANCE USE DISORDERS
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minutes Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- System Cost (In Rate (In Days Cost (In Rs.)
Rs.) per case (In Rs.) Rs.) Rs.)
Rs.)
Level 1 Medical Officer 150 3.74 561.27 Alcohol Breath Analyser 1.00 Mean Corpuscular Volume (MCV) 4 50 200.00 Nicotine replacement Patches 5 83.23 416.17 OPD 78.50 8 628.00
Alcohol Use Disorders Identification Test (AUDIT) 0.10 Tab Diazepam (5 mg) 40 0.18 7.20
Tab Lorazepam (1mg) 20 0.12 2.40
Tab Carbamazepine (200 mg) 20 1.10 21.92
Tab Multivitamin 90 0.15 13.09
Tab Nortryptaline (25 mg) 90 1.36 122.40
Tab Bupropion (150 mg) 60 4.76 285.66
Total 561.27 1.10 200.00 868.83 1,631.20 628.00 2,259.20
Level 2 Medical Officer 150 3.74 561.27 Alcohol Breath Analyser 1.00 Mean Corpuscular Volume (MCV) 4 50 200.00 Nicotine replacement Patches 5 83.23 416.17 OPD 34.98 8 279.86
- Alcohol Use Disorders Identification Test (AUDIT) 0.10 Serum glutamic oxaloacetic transaminase (SGOT) 4 25 100.00 Tab Diazepam (5 mg) 40 0.18 7.20
- Serum glutamic pyruvic transaminase (SGPT) 4 25 100.00 Tab Lorazepam (1mg) 20 0.12 2.40
Tab Carbamazepine (200 mg) 20 1.10 21.92
Tab Multivitamin 90 0.15 13.09
Tab Nortryptaline (25 mg) 90 1.36 122.40
Tab Bupropion (150 mg) 60 4.76 285.66
Total 561.27 1.10 400.00 868.83 1,831.20 279.86 2,111.06
Level 3 Physician 375 4.37 1,637.60 Alcohol Breath Analyser 1.00 Mean Corpuscular Volume (MCV) 4 50 200.00 Nicotine replacement Patches 5 83.23 416.17 OPD 33.18 8 265.40
Alcohol Use Disorders Identification Test (AUDIT) 0.10 Serum glutamic oxaloacetic transaminase (SGOT) 4 25 100.00 Tab Diazepam (5 mg) 40 0.18 7.20 IPD 90.11 15 1,351.59
Serum glutamic pyruvic transaminase (SGPT) 4 25 100.00 Tab Lorazepam (1mg) 20 0.12 2.40 -
Gamma Glutamyl Transpeptidase (GGT) 4 130 520.00 Tab Carbamazepine (200 mg) 20 1.10 21.92
USG 3 350 1,050.00 Tab Multivitamin 90 0.15 13.09
Electro Encephalo Graph (EEG) 2 400 800.00 Tab Nortryptaline (25 mg) 90 1.36 122.40
Tab Bupropion (150 mg) 60 4.76 285.66
Tab Haloperidol (5 mg) 10 0.15 1.50
Tab Pacitane (2 mg) 20 0.10 2.00
Cap Fluoxetine (20 mg) 30 0.20 5.94
- Inj Naloxone (400 mcg) 10 75.28 752.80
Total 1,637.60 1.10 2,770.00 1,631.07 6,039.77 1,616.99 7,656.77
Level 4 Physician 15 4.37 65.50 Aversion Therapy Machine 3.47 Mean Corpuscular Volume (MCV) 4 50 200.00 OPD 55.24 24 1,325.84
Neurologist 15 4.92 2.17 Serum glutamic oxaloacetic transaminase (SGOT)
73.87 Relaxation training equipment including TV, DVD player, and Relaxation DVDs 4 25 100.00 Tab Diazepam (5 mg) 40 0.18 7.20 IPD 131.09 15 1,966.40
Psychiatrist 600 4.37 2,620.16 Bio-feed back Machines (GSR, EMG & EEG) 6.93 Serum glutamic pyruvic transaminase (SGPT) 4 25 100.00 Tab Lorazepam (1mg) 20 0.12 2.40
Alcohol Breath Analyser 1.00 Gamma Glutamyl Transpeptidase (GGT) 4 130 520.00 Tab Carbamazepine (200 mg) 20 1.10 21.92
Alcohol Use Disorders Identification Test (AUDIT) 0.10 USG 3 350 1,050.00 Tab Multivitamin 90 0.15 13.09
Electro Encephalo Graph (EEG) 2 400 800.00 Tab Nortryptaline (25 mg) 90 1.36 122.40
Carbohydrate Deficit Transferrin (CDT) 4 85 340.00 Tab Bupropion (150 mg) 60 4.76 285.66
Urine Tests (Quantitative). 1 115 115.00 Tab Haloperidol (5 mg) 100 0.15 15.00
Tab Olanzapine (5 mg) 100 2.02 201.80
Tab Pacitane (2 mg) 100 0.10 10.00
Tab Clonidine (100 mcg) 30 0.60 18.00
Nicotine replacement Patches 15 83.23 1,248.50
Tab Chlordiazepoxide (10 mg) 90 2.05 184.50
Tab Lorazepam (1mg) 30 0.12 3.60
Tab Carbamazepine (200 mg) 100 1.10 109.60
Inj Haloperidol (5 mg) 2 2.10 4.20
Inj Resperidon (4 mg) 2 7.20 14.40
Inj Naloxone (400 mcg) 10 75.28 752.80
Tab Naltrexone (50 mg) 200 62.00 12,400.00
Tab Acamprosate (333 mg) 1200 4.50 5,400.00
Tab Disulfiram (250 mg) 200 0.69 137.60
Total 2,759.54 13.67 3,225.00 20,952.67 26,950.87 3,292.24 30,243.10
Assumption and Notes :-
The cost of the following is not included in costing
Serum Drug Screening Test at level 4
DETAILED COST SHEET
COSTING OF DEPRESSION
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- System Rate (In Days Cost (In Rs.)
es Rs.) per case (In Rs.) Cost (In Rs.) Rs.)
Rs.)
Level 1 Medical Officer 150 3.74 561.27 Hemogram 4 50 200.00 Tab Imipramine (25 mg) 300 0.18 54.00 OPD 78.50 8 628.00
- Cap Fluoxetine (20 mg) 210 0.20 41.58
Total 561.27 - 200.00 95.58 856.85 628.00 1,484.85
Level 2 Medical Officer 375 3.74 1,403.17 Hemogram 4 50 200.00 Cap Fluoxetine (20 mg) 300 0.20 59.40 OPD 34.98 8 279.86
Blood urea 4 20 80.00 Cap Fluoxetine (20 mg) 210 0.20 41.58 IPD 76.08 15 1,141.22
Serum creatinine 4 25 100.00
Blood sugar 4 20 80.00
Total 1,403.17 - 460.00 100.98 1,964.15 1,421.09 3,385.24
Level 3 Physician 375 4.37 1,637.60 Hemogram 4 50 200.00 Tab Imipramine (25 mg) 250 0.18 45.00 OPD 33.18 8 265.40
Surgeon Blood urea 4 20 80.00 Tab clomipramine (25 mg) 150 2.31 346.35 IPD 90.11 15 1,351.59
Anaesthetist Serum creatinine 4 25 100.00 Cap Fluoxetine (20 mg) 120 0.20 23.76 -
Blood sugar 4 20 80.00 Tab Bupropion (150 mg) 120 13.50 1,620.00
Screening for Syphilis 1 300 300.00
Screening for HIV 1 145 145.00
ECG 1 75 75.00
Thyroidal Harmonal assay 1 175 175.00
Total 1,637.60 - 1,155.00 2,035.11 4,827.71 1,616.99 6,444.71
Brief Pulse Electro Convulsive
Level 4 Physician 15 4.37 65.50 Therapy (ECT) Machine 1.91 Hemogram 4 50 200.00 Tab Imipramine (25 mg) 250 0.18 45.00 OPD 55.24 8 441.95
Electro Encephalo Graph
Anaesthetist 90 4.37 393.02 (EEG) 16.36 Blood urea 4 20 80.00 Tab clomipramine (25 mg) 250 2.31 577.25 IPD 131.09 15 1,966.40
Neurologist 15 4.92 73.87 Laptop Computer with Printer 3.74 Serum creatinine 4 25 100.00 Cap Fluoxetine (20 mg) 120 0.20 23.76 OT 289.08 1.5 433.63
Luria Nebraska
Neuropsychiatric test Battery
Psychiatrist 600 4.37 2,620.16 (LNNB). 1.67 Blood sugar 4 20 80.00 Tab Bupropion (150 mg) 120 13.50 1,620.00
Clinical psychologist (optional) 45 4.37 196.51 Screening for Syphilis 1 300 300.00 Tab Venlafaxine (37.5 mg) 120 1.55 185.52
Screening for HIV 1 145 145.00 Tab Citalopam (20 mg) 120 0.68 81.60
ECG 1 75 75.00 Tab Sertraline (50 mg) 250 0.50 123.75
Thyroidal Harmonal assay 1 175 175.00 Cap Doxepine (25 mg) 250 2.39 597.25
CT scan Head 1 1400 1,400.00
Total 3,349.07 23.68 2,555.00 3,254.13 9,181.88 2,841.97 12,023.85
Assumption and Notes :-
Clinical Psychologist and Medical Social Worker improve the quality of care but are optional.
OT will be used for ECT six times at 15 minutes each
Psycho therapy is administered by a Psychiatrist/Clinical Psychologist once a month for 12 months for fifteen minutes session each time
Laptop Computer Set with printer is specifically required for consducting Psychlogical Tests
BDI, HAS, BGT,MMPI,LNNB are softwares and its cost per patient has been worked out
One percent of general population around Level 4 Hospital would seek treatment for depression. Persuming a dependent population of 5 lacs, the no of patient seeking treatment will be 5000 p.a
DETAILED COST SHEET
COSTING OF SCHIZOPHRENIA
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- System Cost Rate (In Days Cost (In Rs.)
es Rs.) per case (In Rs.) (In Rs.) Rs.)
Rs.)
Level 1 Medical Officer 150 3.74 561.27 Hemogram 4 50 200.00 Tab Chlorpromazine (100mg) 270 0.48 130.68 OPD 78.50 8 628.00
- - Tab Trifluperazine ( 5 mg) 270 0.12 32.40
- - Tab Haloperidol (5 mg) 100 0.15 15.00
Tab Olanzapine (5 mg) 270 2.02 544.86
Tab Pacitane (2 mg) 270 0.10 27.00
Tab Promethazine (25 mg) 270 0.19 51.03
Inj Haloperidol (5 mg) 10 2.10 21.00
Inj Promethazine (25 mg) 10 1.85 18.50
Total 561.27 - 200.00 840.47 1,601.74 628.00 2,229.74
Level 2 Medical Officer 150 3.74 561.27 Hemogram 4 50 200.00 Tab Chlorpromazine (100mg) 270 0.48 130.68 OPD 34.98 8 279.86
- Blood urea 4 20 80.00 Tab Trifluperazine ( 5 mg) 270 0.12 32.40
- Serum creatinine 4 25 100.00 Tab Haloperidol (5 mg) 100 0.15 15.00
- Blood sugar 4 20 80.00 Tab Olanzapine (5 mg) 270 2.02 544.86
- Liver Function Test 4 165 660.00 Tab Pacitane (2 mg) 270 0.10 27.00
- ECG 1 75 75.00 Tab Promethazine (25 mg) 270 0.19 51.03
- - Inj Haloperidol (5 mg) 10 2.10 21.00
- - Inj Promethazine (25 mg) 10 1.85 18.50
Total 561.27 - 1,195.00 840.47 2,596.74 279.86 2,876.60
Level 3 Physician 375 4.37 1,637.60 Hemogram 4 50 200.00 Tab Chlorpromazine (100mg) 270 0.48 130.68 OPD 33.18 8 265.40
Blood urea 4 20 80.00 Tab Trifluperazine ( 5 mg) 270 0.12 32.40 IPD 90.11 15 1,351.59
Serum creatinine 4 25 100.00 Tab Haloperidol (5 mg) 100 0.15 15.00 -
Blood sugar 4 20 80.00 Tab Olanzapine (5 mg) 270 2.02 544.86
Liver Function Test 4 165 660.00 Tab Pacitane (2 mg) 270 0.10 27.00
ECG 1 75 75.00 Tab Promethazine (25 mg) 270 0.19 51.03
Screening for Syphilis 1 300 300.00 Inj Haloperidol (5 mg) 10 2.10 21.00
Screening for HIV 1 145 145.00 Inj Promethazine (25 mg) 10 1.85 18.50
Total 1,637.60 - 1,640.00 840.47 4,118.07 1,616.99 5,735.07
Brief Pulse Electro Convulsive Therapy
Level 4 Physician 15 4.37 65.50 (ECT) Machine 1.91 Hemogram 4 50 200.00 Tab Chlorpromazine (100mg) 270 0.48 130.68 OPD 55.24 24 1,325.84
Anaesthetist 90 4.37 393.02 Electro Encephalo Graph (EEG) 16.36 Blood urea 4 20 80.00 Tab Trifluperazine ( 5 mg) 270 0.12 32.40 IPD 131.09 15 1,966.40
Neurologist 15 4.37 65.50 Laptop computer with Printer 3.74 Serum creatinine 4 25 100.00 Tab Haloperidol (5 mg) 100 0.15 15.00 OT 289.08 90 26,017.53
Schedule for Clinical Assessment of
Psychiatrist 600 4.37 2,620.16 Neuropsychiatric Disorders (SCAN) 16.67 Blood sugar 4 20 80.00 Tab Olanzapine (5 mg) 270 2.02 544.86
Luria Nebraska Neuropsychiatric test
Battery (LNNB). 16.67 Liver Function Test 4 165 660.00 Tab Pacitane (2 mg) 270 0.10 27.00
ECG 1 75 75.00 Tab Promethazine (25 mg) 270 0.19 51.03
Screening for Syphilis 1 300 300.00 Inj Haloperidol (5 mg) 10 2.10 21.00
Screening for HIV 1 145 145.00 Inj Promethazine (25 mg) 10 1.85 18.50
Ct scan Head 1 1400 1,400.00 Tab Clozapine (100 mg) 270 4.42 1,192.05
- Tab Resperidon (4 mg) 100 2.82 281.60
Tab Ziprasidon (40 mg) 100 5.96 596.40
Tab Quietiapine (150 mg) 100 3.47 347.00
Tab Lorazipam (2 mg) 100 16.21 1,621.00
Inj Resperidon (4 mg) 10 7.20 72.00
Inj Haloperidol deconoate (50 mg) 10 49.14 491.40
Total 3,144.20 55.35 None 3,040.00 5,441.92 11,681.46 29,309.77 40,991.23
Assumption and Notes :-
Clinical Psychologist and Medical Social Worker improve the quality of care but are optional.
OT will be used for ECT six times at 15 minutes each
LNNB will be used only by clinical Psychologist
DETAILED COST SHEET
COSTING OF BREAST CANCER
Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- System Cost Rate (In Days Cost (In Rs.)
es Rs.) per case (In Rs.) (In Rs.) Rs.)
Rs.)
Level 1 Medical Officer 45 3.74 168.38 OPD 78.50 1 78.50
Total 168.38 - - - 168.38 78.50 246.88
Level 2 Medical Officer 45 3.74 168.38 OPD 34.98 1 34.98
Total 168.38 - - - 168.38 34.98 203.36
Level 3 Medical Officer 45 3.74 168.38 OPD 33.18 6 199.05
Surgeon 510 4.37 2,227.14 IV Fluids::: IPD 90.11 4 360.42
Anaesthetist 120 4.37 524.03 Normal Saline 10 7.75 77.50 OT 232.96 4 931.84
Ringer Lactate 6 8.45 50.70 -
5% Dextrose 6 9.50 57.00 -
Inj Augmentin (1.2 g) 6 42.00 252.00
Tab Augmentin Duo (1000mg) 6 53.31 319.88
Total 2,919.55 - - 757.08 3,676.63 1,491.31 5,167.94
Level 4 Medical Officer 45 3.74 168.38 FNAC 1 242 242.00 Inj Augmentin (1.2 g) 6 42.00 252.00 OPD 55.24 38 2,099.24
Surgeon 660 4.37 2,882.18 CBC 7 50 350.00 Tab Augmentin Duo (1000mg) 6 53.31 319.88 IPD 131.09 4 524.37
Anaesthetist 120 4.37 524.03 LFT 7 165 1,155.00 Inj Cyclophosphamide (500mg) 9 20.80 187.20 OT 289.08 4 1,156.33
Medical Oncologist 2160 4.37 9,432.59 Urea Creatinine 7 45 315.00 Inj Adriamycin (50 mg) 9 336.96 3,032.64
Radiotherapist 1500 4.37 6,550.41 Urine RE 1 25 25.00 Inj 5 FU (500mg) 18 5.20 93.60
X Ray Chest 1 100 100.00 Inj Epirubicin (50 mg) 9 230.00 2,070.00
ECG 1 75 75.00 Inj Paclitaxel (100 mg) 6 2,883.85 17,303.10
USG 1 350 350.00 Tab Tamoxifen 20mg 1725 0.65 1,128.15
Mammography 1 540 540.00 Inj Emeset (8 mg) 12 40.25 483.00
Bone Scan 1 2200 2,200.00 Inj Dexamethasone 12 3.85 46.20
IV Fluids:::
Normal Saline - 10 10 7.75 77.50
Ringer Lactate - 6 6 8.45 50.70
5% Dextrose 6 9.50 57.00
Total 19,557.59 - 5,352.00 25,100.97 50,010.56 3,779.95 53,790.51
Assumption and Notes :-
The cost of radiotherapy at level 4 for 25 hrs isnot included in costing
DETAILED COST SHEET
COSTING OF BURNS
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Cost (In Rs.) Items Cost (In Rs.) Items No. of Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- Rate (In Days Cost (In Rs.)
es Rs.) per case Tests (In Rs.) System Cost Rs.)
Rs.) (In Rs.)
Level 1 Medical Officer 60 3.74 224.51 Hb 1 20 20.00 Inj Morphine Sulphate 15 mg 2 13.00 26.00 270.51 OPD 78.50 1 78.50
Foley's catheter 100.00 TLC 1 20 20.00 SSD tube 2 68.72 137.44 257.44
Dressing Materials Drum 400.00 DLC 1 20 20.00 Inj Ranitidine 3 2.34 7.02 427.02
Ambu bag 50.00 PCV 1 20 20.00 Inj TT 1 7.65 7.65 77.65
Suction machine 75.00 Urine - routine exam 1 25 25.00 IV fluids RL 4 8.45 33.80 133.80
Intubation eqpt set 1,000.00 -
-
Total 224.51 1,625.00 105.00 211.91 2,166.42 2,166.42
Level 2 Medical Officer 120 3.74 449.01 Foley's catheter 100.00 Hb 1 20 20.00 Inj Morphine Sulphate 15 mg 2 13.00 26.00 595.01 IPD 76.08 1 76.08
Dressing materials drum 400.00 TLC 1 20 20.00 SSD tube 2 68.72 137.44 557.44
Cut Down Set 50.00 DLC 1 20 20.00 Inj Ranitidine 3 2.34 7.02 77.02
Ambu bag 50.00 PCV 1 20 20.00 Inj TT 2 7.65 15.30 85.30
Suction machine 75.00 Urine - routine exam 1 25 25.00 IV fluids RL 4 8.45 33.80 133.80
Intubation eqpt set 1,000.00 Coagulation-BT, CT, PT 1 84 84.00
Grouping ABO & Rh 1 30 30.00
Random blood sugar 1 20 20.00
Blood Urea 1 20 20.00
Serum Creatinine 1 25 25.00
Urine - routine exam 1 25 25.00
X Ray chest 1 100 100.00
Total 449.01 1,675.00 409.00 219.56 2,752.57 76.08 2,828.66
Level 3 Physician 10 4.37 43.67 Foley's catheter 100.00 Hb 2 20 40.00 Inj Morphine Sulphate 15 mg 8 13.00 104.00 IPD 90.11 3 270.32
Surgeon 120 4.37 524.03 Dressing Materials Drum 400.00 TLC 2 20 40.00 SSD tube 6 68.72 412.32 OT 232.96 1 232.96
Anaesthetist 60 4.37 262.02 Cut Down Set 50.00 DLC 2 20 40.00 Inj Ranitidine 12 2.34 28.08
Ambu bag 50.00 PCV 2 20 40.00 Fortum 12 36.00 432.00
Suction machine 75.00 Urine - routine exam 2 25 50.00 Amikacin 9 14.00 126.00
Intubation eqpt set 1,000.00 Coagulation-BT, CT, PT 2 84 168.00 Metronidazole 9 0.15 1.32
Central venous catheter 1,019.00 Grouping ABO & Rh 2 30 60.00 Ringers Lactate 24 8.45 202.80
Intraosseous needle 1,000.00 Random blood sugar 2 20 40.00 5% DS 9 7.98 71.82
Blood Urea 2 20 40.00
Serum Creatinine 2 25 50.00
Urine - routine exam 2 25 50.00
X Ray chest 2 100 200.00
Serum electrolytes 2 64 128.00
LFT with enzymes 2 165 330.00
Total 829.72 3,694.00 1,276.00 1,378.34 7,178.06 503.28 7,681.34
Level 4 Physician 10 4.37 43.67 Foley's catheter 100.00 Hb 9 20 180.00 Inj Morphine Sulphate 15 mg 16 13.00 208.00 IPD 131.09 50 6,554.66
Surgeon 600 4.37 2,620.16 Dressing Materials Drum 400.00 TLC 9 20 180.00 SSD tube 60 68.72 4,123.20 OT 289.08 2 578.17
Anaesthetist 120 4.37 524.03 Cut Down Set 50.00 DLC 9 20 180.00 Inj Ranitidine 24 2.34 56.16
Ambu bag 50.00 PCV 9 20 180.00 Fortum 12 36.00 432.00
Suction machine 75.00 Urine - routine exam 9 25 225.00 Amikacin 9 14.00 126.00
Intubation eqpt set 1,000.00 Coagulation-BT, CT, PT 9 84 756.00 Metronidazole 9 0.15 1.32
Central venous catheter 1,019.00 Grouping ABO & Rh 9 30 270.00 Ringers Lactate 24 8.45 202.80
Intraosseous needle 1,000.00 Random blood sugar 9 20 180.00 5% DS 9 7.98 71.82
Blood Urea 9 20 180.00
Serum Creatinine 9 25 225.00
Urine - routine exam 9 25 225.00
X Ray chest 9 100 900.00
Serum electrolytes 9 64 576.00
LFT with enzymes 9 165 1,485.00
Bronchoscopy 1 1700 1,700.00
Total 3,187.87 3,694.00 7,442.00 5,221.30 19,545.17 7,132.83 26,678.00
Assumption and Notes :-
The cost of the following is not included in costing
Venflon 16G at level 1,2,3,4
Oxygen at Level 4
at level 1,2,3,4
DETAILED COST SHEET
COSTING OF TRAUMA CARE AND MANAGEMENT OF INJURIES
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate (In Rs.) Cost (In Rs.) Items Items No. of Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- Rate (In Days Cost (In Rs.)
es Tests (In Rs.) System Cost (In Rs.)
Rs.) Rs.)
Level 1 Medical Officer 30 3.74 112.25 Suction apparatus 75.00 - Inj Diclofenac 2ml 2 1.68 3.36 OPD 78.50 1 78.50
Oropharyngeal airways 200.00 Inj Cefataxime 1gm 2 12.50 25.00
Nasopharyngeal airways 364.00 Inj Gentamycin 80 mg 2 5.72 11.44
IV cannula 50.00 Inj Metronidazole 500mg 2 16.10 32.20
NG Tubes 50.00 Inj Tetanus Toxoid 10 ml 1 7.65 7.65
Foleys cathetor 100.00 IV Ringer lactate 500ml 5 8.45 42.25
Tourniquet 10.40 IV Normal saline 500ml 5 7.75 38.75
Splints 100.00 IV 5% GLUCOSE 500ml 2 9.50 19.00
Hard cervical collar 110.00 Lignocaine jelly 25 2 12.90 25.80
Artery forceps 100.00 2/0 silk 2 42.00 84.00
Tooth forceps 45.52 3/0 silk 2 60.00 120.00
Needle holder 200.00
Total 112.25 1,404.92 - 409.45 1,926.62 78.50 2,005.12
Level 2 Medical Officer 30 3.74 112.25 Endotracheal tubes 62.85 Hb, 1 20 20.00 Inj Ketamine 2 7.56 15.12 OPD 34.98 2 69.97
Laryngoscope 15.00 Blood grouping, cross matching 1 80 80.00 Inj Mannitol 200ml 2 21.35 42.71
Ambu bag 50.00 PCV 1 20 20.00 Inj Diclofenac 2ml 2 1.68 3.36
Cricothyroidotomy set 2,000.00 Inj Cefataxime 1gm 2 12.50 25.00
Inj Gentamycin 80 mg 2 5.72 11.44
Inj Metronidazole 500mg 2 16.10 32.20
Inj Tetanus Toxoid 10 ml 1 7.65 7.65
IV Ringer lactate 500ml 5 8.45 42.25
IV Normal saline 500ml 5 7.75 38.75
IV 5% GLUCOSE 500ml 2 9.50 19.00
Lignocaine jelly 25 2 12.90 25.80
2/0 silk 2 42.00 84.00
3/0 silk 2 60.00 120.00
Total 112.25 2,127.85 120.00 467.28 2,827.38 69.97 2,897.35
Level 3 Hb 3 20 60.00 Inj Diclofenac 2ml 10 1.68 16.80 OPD 33.18 7 232.23
Surgeon 260 4.37 1,135.40 Ventilator 12,500.00 TLC 3 20 60.00 Inj Cefataxime 1gm 15 12.50 187.50 IPD 90.11 7 630.74
Anaesthetist 60 4.37 262.02 DLC 3 20 60.00 Inj Gentamycin 80 mg 15 5.72 85.80 OT 232.96 2 465.92
PCV 3 20 60.00 Inj Metronidazole 500mg 15 16.10 241.50
Blood Grouping 1 30 30.00 IV Ringer lactate 500ml 15 8.45 126.75
Blood Urea 3 20 60.00 IV Normal saline 500ml 30 7.75 232.50
Urune RE 3 125 375.00 IV 5% GLUCOSE 500ml 15 9.50 142.50
Serum Electrolytes 3 64 192.00 Lignocaine jelly 25 10 12.90 129.00
Blood Sugar 3 20 60.00 2/0 silk 2 42.00 84.00
Chest X Ray 2 100 200.00 3/0 silk 2 60.00 120.00
X Ray Limbs 4 100 400.00 Inj Tetanus Toxoid 10 ml 1 7.65 7.65
USG 3 350 1,050.00
Total 1,397.42 12,500.00 2,607.00 1,374.00 17,878.42 1,328.89 19,207.31
Level 4 Ventilator 12,500.00 Ct Scan Test 1 3400 3,400.00 Inj Diclofenac 2ml 10 1.68 16.80 OPD 55.24 14 773.41
Surgeon 420 4.37 1,834.11 Hb 3 20 60.00 Inj Cefataxime 1gm 15 12.50 187.50 IPD 131.09 10 1,310.93
Anaesthetist 120 4.37 524.03 TLC 3 20 60.00 Inj Gentamycin 80 mg 15 5.72 85.80 OT 289.08 3 867.25
DLC 3 20 60.00 Inj Metronidazole 500mg 15 16.10 241.50
PCV 3 20 60.00 IV Ringer lactate 500ml 15 8.45 126.75
Blood Grouping 1 30 30.00 IV Normal saline 500ml 30 7.75 232.50
Blood Urea 3 20 60.00 IV 5% GLUCOSE 500ml 15 9.50 142.50
Urune RE 3 125 375.00 Lignocaine jelly 25 10 12.90 129.00
Serum Electrolytes 3 64 192.00 2/0 silk 2 42.00 84.00
Blood Sugar 3 20 60.00 3/0 silk 2 60.00 120.00
Chest X Ray 2 100 200.00 Inj Tetanus Toxoid 10 ml 1 7.65 7.65
- X Ray Limbs 4 100 400.00
- USG 3 350 1,050.00
Total 2,358.15 12,500.00 None 6,007.00 1,374.00 22,239.15 2,951.59 25,190.74
Assumption and Notes :-
Oxygen cost is not included in the costing at level 1,2,3,4
DETAILED COST SHEET
COSTING OF PERIODONTITIS
Level of Care Human Resources Equipments Tests Medicines System Costs Total Cost
Minut Rate Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- System Rate (In Days Cost (In
es (In per case (In Rs.) Cost (In Rs.) Rs.) Rs.)
Rs.) Rs.)
Level 1 Medical Officer 15 3.74 56.13 - Chlorhexidine mouth wash 0.2% 2 46.80 93.60 OPD 78.50 1 78.50
Tab Ciprofloxacin 500mg 10 6.01 60.05
Tab Tinidazole 500mg 10 3.58 35.83
Proxa brush 2 50.00 100.00
Total 56.13 - - 289.48 345.60 78.50 424.10
Level 2 Medical Officer 15 3.74 56.13 Chlorhexidine mouth wash 0.2% 2 46.80 93.60 OPD 34.98 1 34.98
Tab Ciprofloxacin 500mg 10 6.01 60.05
Tab Tinidazole 500mg 10 3.58 35.83
Proxa brush 2 50.00
Total 56.13 - - 189.48 245.60 34.98 280.58
Level 3 Medical Officer 15 3.74 56.13 Chlorhexidine mouth wash 0.2% 2 46.80 93.60 OPD 33.18 1 33.18
Tab Ciprofloxacin 500mg 10 6.01 60.05 IPD 90.11 1 90.11
Tab Tinidazole 500mg 10 3.58 35.83
Proxa brush 2 50.00 100.00
Total 56.13 - - 289.48 345.60 123.28 468.88
Level 4-A Dental Surgeon 120 4.37 524.03 Dental Unit-Periodontitis 40.00 Intra oral periapical radiograph-2 2 50 100.00 Chlorhexidine mouth wash 4 46.80 187.20 OPD 55.24 5 276.22
OPG-1 1 50 50.00 Tab Ciprofloxacin 500mg 10 6.01 60.05
Culture Sensitivity test 1 50 50.00 Tab Tinidazole 500mg 10 3.58 35.83
Proxa brush 2 50.00 100.00
Total 524.03 40.00 200.00 383.08 1,147.11 276.22 1,423.32
Level 4-B Dental Surgeon 120 4.37 524.03 Dental Unit-Periodontitis 40.00 Intra oral periapical radiograph-2 2 50 100.00 Tab Ciprofloxacin 500mg 24 6.01 144.12 OPD 55.24 5 276.22
Surgical Cases OPG-1 1 50 50.00 Tab Tinidazole 500mg 24 3.58 85.98
Culture Sensitivity test 1 50 50.00 Ibuprofen Tab. I.P. - 400 mg 15 0.52 7.77
Coe Pack 1 120.00 120.00
OPG Films 1 50.00 50.00
Total 524.03 40.00 200.00 407.87 1,171.90 276.22 1,448.12
DETAILED COST SHEET
COSTING OF DENTAL CARIES
Level of Human Resources Equipments Tests Medicines System Costs Total Cost
Care
Minut Rate (In Rs.) Cost (In Rs.) Items Cost (In Rs.) Items No. of Tests Rate Cost (In Rs.) Items Unit Rate (In Cost (In Rs.) Total Ex- Rate (In Days Cost (In Rs.)
es per case (In Rs.) System Cost Rs.)
Rs.) (In Rs.)
Level 1 Medical Officer 40 3.74 149.67 - Cap Amoxicillin500mg 15 1.46 21.90 OPD 78.50 2 157.00
- Tab Paracetamol 500mg 15 0.21 3.18
- Ibuprofen Tab. I.P. - 400 mg 15 0.52 7.77
Total 149.67 - - 32.85 182.52 157.00 339.52
Level 2 Medical Officer 40 3.74 149.67 - Cap Amoxicillin500mg 15 1.46 21.90 OPD 34.98 2 69.97
Tab Paracetamol 500mg 15 0.21 3.18
Ibuprofen Tab. I.P. - 400 mg 15 0.52 7.77
Total 149.67 - - 32.85 182.52 69.97 252.49
Level 3 Physician 40 4.37 174.68 - Cap Amoxicillin500mg 15 1.46 21.90 OPD 33.18 2 66.35
- Tab Paracetamol 500mg 15 0.21 3.18
- Ibuprofen Tab. I.P. - 400 mg 15 0.52 7.77 -
Total 174.68 - - 32.85 207.53 66.35 273.88
Level 4-A Dental Surgeon 60 4.37 262.02 Dental Unit-Caries 35.00 Intra oral periapical radiograph-2 2 50 100.00 Cap Amoxicillin 500mg 15 1.46 21.90 OPD 55.24 2 110.49
- Tab Paracetamol 500mg 15 0.21 3.18
- Tab Tinidazole 500mg 10 3.58 35.83
- Ibuprofen Tab. I.P. - 400 mg 15 0.52 7.77
Glass ionomer 15 gm 1 20.00 20.00
Total 262.02 35.00 100.00 88.68 485.69 110.49 596.18
Level 4-B Dental Surgeon 150 4.37 655.04 Dental Unit-Caries 35.00 Intra oral periapical radiograph-2 2 50 100.00 Cap Amoxicillin 500mg 15 1.46 21.90 OPD 55.24 5 276.22
Root Canal
treatment OPG-1 1 50 50.00 Tab Paracetamol 500mg 15 0.21 3.18
Culture Sensitivity test 1 50 50.00 Tab Tinidazole 500mg 10 3.58 35.83
- Ibuprofen Tab. I.P. - 400 mg 15 0.52 7.77
Gutta Percha Points 1 13.33 13.33
Paper Points 1 13.33 13.33
Glyde ( EDTA ) 1 50.00 50.00
Normal Saline 1 7.75 7.75
Sodium Hypochloride Solution 1 18.40 18.40
Glass ionomer 15 gm 1 20.00 20.00
Total 655.04 35.00 200.00 191.49 1,081.53 276.22 1,357.75
Assumptions and Notes:-
Any one of the following items can be used in combination for filling at Level 4
However, for Costing Glass ionomer is taken into consideration
1 Mercury
2 Silver Alloy 30 gm
3 Glass ionomer 15 gm
4 Kalsogen powder & liquid
5 Zinc phosphate cement & liquid
6 Composite Resins
