At PSG Hospitals – B Block, quality healthcare meets affordability. Designed with middle-class families in mind, we offer a wide range of diagnostic services at 50–70% lower than typical market rates.
All services are thoughtfully packaged for specific medical conditions—ensuring accurate diagnosis, expert care, and better health outcomes.
Because good health shouldn’t come at a high cost.
Visit PSG Hospitals – B Block, Coimbatore today and take a step toward smarter, affordable healthcare.
| S. No. | Test Name | Hospital Tariff | Subsidized Cost in B Block | Concession Rate (%) |
|---|---|---|---|---|
| 1 | ANAEROBIC CULTURE | 600 | 280 | 58 |
| 2 | ANAL ULTRASOUND | 1800 | 450 | 75 |
| 3 | ASCITIC FLUID TAPPING | 1200 | 900 | 25 |
| 4 | BILATERAL IJV,SUBCLAVIAN AND AXILLARY VEINS | 2045 | 1025 | 50 |
| 5 | CIMT | 345 | 170 | 51 |
| 6 | COLONOSCOPY | 3800 | 2000 | 47 |
| 7 | CROSS MATCHING | 230 | 140 | 39 |
| 8 | CROSS MATCHING & ANTIBODY SCREENING | 520 | 320 | 38 |
| 9 | CT ABDOMEN AND PELVIS | 7230 | 3615 | 50 |
| 10 | CT ANGIOGRAPHY (CAROTID) | 10400 | 5200 | 50 |
| 11 | CT ANGIOGRAPHY (RENAL) | 10400 | 5200 | 50 |
| 12 | CT ANGIOGRAPHY ABDOMEN | 10400 | 5200 | 50 |
| 13 | CT ANGIOGRAPHY AORTA | 11400 | 5700 | 50 |
| 14 | CT ANGIOGRAPHY CIRCLE OF WILLIS | 10400 | 5200 | 50 |
| 15 | CT ANGIOGRAPHY LOWER LIMB | 10400 | 5200 | 50 |
| 16 | CT ANGIOGRAPHY PULMONARY | 10400 | 5200 | 50 |
| 17 | CT ANGIOGRAPHY UPPER LIMB | 10400 | 5200 | 50 |
| 18 | CT ANY JOINT OR EXTREMITIES | 4900 | 2450 | 50 |
| 19 | CT BRAIN FOLLOW UP | 2800 | 1400 | 50 |
| 20 | CT BRAIN PLAIN | 2900 | 1450 | 50 |
| 21 | CT BRAIN WITH CERVICAL SPINE | 6400 | 3200 | 50 |
| 22 | CT BRAIN WITH PNS | 4900 | 2450 | 50 |
| 23 | CT CARDIAC ANGIOGRAM | 12500 | 6250 | 50 |
| 24 | CT CERVICAL SPINE | 4900 | 2450 | 50 |
| 25 | CT CHEST | 7000 | 3500 | 50 |
| 26 | CT CHEST, ABDOMEN AND PELVIS | 12000 | 6000 | 50 |
| 27 | CT CISTERNOGRAM | 10250 | 5125 | 50 |
| 28 | CT CORONARY CALCIUM SCORE | 3250 | 1625 | 50 |
| 29 | CT ENTEROCLYSIS | 10925 | 5460 | 50 |
| 30 | CT ENTEROGRAPHY | 8200 | 2050 | 75 |
| 31 | CT HRCT - LUNGS | 4500 | 2250 | 50 |
| 32 | CT KUB PLAIN | 4000 | 2000 | 50 |
| 33 | CT L.S SPINE FULL (LUMBAR) | 4900 | 2450 | 50 |
| 34 | CT LDLT DONOR EVALUATION PACKAGE | 19800 | 9900 | 50 |
| 35 | CT LIVER VOLUMETRIC ASSESSMENT | 3795 | 1900 | 50 |
| 36 | CT MYELOGRAM | 10250 | 5125 | 50 |
| 37 | CT NECK | 4900 | 2450 | 50 |
| 38 | CT NECK AND CHEST | 9500 | 4750 | 50 |
| 39 | CT ORBIT - PLAIN | 3900 | 1950 | 50 |
| 40 | CT PELVIS | 4900 | 2450 | 50 |
| 41 | CT PERFUSION STUDY OF BRAIN | 12400 | 6200 | 50 |
| 42 | CT PNS AND CHEST | 9000 | 4500 | 50 |
| 43 | CT SPINE - THORACIC DORSAL FULL PLAIN | 4900 | 2450 | 50 |
| 44 | CT STROKE PROTOCOL CT WITH MRI | 7590 | 3795 | 50 |
| 45 | CT UROGRAM | 8200 | 2050 | 75 |
| 46 | CT WHOLE ABDOMEN | 8000 | 4000 | 50 |
| 47 | CT WHOLE BODY | 19800 | 9900 | 50 |
| 48 | CT WHOLE SPINE | 10740 | 5370 | 50 |
| 49 | CT ADDITIONAL SCREENING CT FOR MRI | 1150 | 575 | 50 |
| 50 | CT HRCT PNS | 3900 | 1950 | 50 |
| 51 | CT HRCT TEMPORAL BONE | 3900 | 1950 | 50 |
| 52 | D'XYLOSE ESTIMATION - 5 H URINE | 370 | 160 | 57 |
| 53 | DOWN'S SYNDROME SCREENING | 2900 | 1820 | 37 |
| 54 | EARLY PREGANANCY SCAN | 760 | 320 | 58 |
| 55 | ECHO (TRANSTHORACIC) | 2000 | 900 | 55 |
| 56 | EEG | 1920 | 800 | 58 |
| 57 | FNA CULTURE | 760 | 320 | 58 |
| 58 | GALL STONE ANALYSIS | 700 | 440 | 37 |
| 59 | HEAD UP TILT TEST | 4140 | 1725 | 58 |
| 60 | HEPATIC TISSUE COPPER | 2900 | 1210 | 58 |
| 61 | HOLTER | 3500 | 2500 | 29 |
| 62 | LIMITED COLONOSCOPY | 1750 | 1300 | 26 |
| 63 | LIVER TRANSPLANT DOPPLER | 2900 | 1450 | 50 |
| 64 | LOW DOSE CT | 4500 | 2250 | 50 |
| 65 | LUMBAR PUNCTURE | 2000 | 575 | 71 |
| 66 | MAMMOGRAPHY - SINGLE BREAST WITH USS CORRELATION | 1725 | 865 | 50 |
| 67 | MAMMOGRAPHY WITH USS CORRELATION | 2875 | 1440 | 50 |
| 68 | MET HB QUANTITATIVE | 430 | 180 | 58 |
| 69 | MR BRAIN WITH INTRACRANIAL ANGIOGRAM & VENOGRAM | 11390 | 5695 | 50 |
| 70 | MR CEREBRAL VENOGRAM - ADDITIONAL STUDY | 3800 | 1900 | 50 |
| 71 | MR SPECTROSOPY - ADDITIONAL STUDY | 3800 | 1900 | 50 |
| 72 | MRI MRCP WITH UPPER ABDOMEN SCREENING | 9490 | 4745 | 50 |
| 73 | MRI ABDOMEN AND PELVIS WITH CT CHEST SCREENING | 9490 | 4745 | 50 |
| 74 | MRI ABDOMEN WITH PELVIS SCREENING | 9490 | 4745 | 50 |
| 75 | MRI ADDITIONAL STUDY | 3800 | 1900 | 50 |
| 76 | MRI ANKLE LEFT | 7590 | 3795 | 50 |
| 77 | MRI ANKLE RIGHT | 7590 | 3795 | 50 |
| 78 | MRI AORTIC ANGIOGRAM | 7590 | 3795 | 50 |
| 79 | MRI BRAIN | 7590 | 3795 | 50 |
| 80 | MRI BRAIN - EPILEPSY PROTOCOL ( FOR 3 FILMS ) | 9490 | 4745 | 50 |
| 81 | MRI BRAIN PERFUSION | 9490 | 4745 | 50 |
| 82 | MRI BRAIN WITH CSF FLOW STUDY | 9490 | 4745 | 50 |
| 83 | MRI BRAIN WITH INTRA-CRANIAL & EXTRA CRANIAL ANGIO | 10400 | 5200 | 50 |
| 84 | MRI BRAIN WITH INTRACRANIAL ANGIOGRAM | 9490 | 4745 | 50 |
| 85 | MRI BRAIN WITH ORBIT | 9490 | 4745 | 50 |
| 86 | MRI BRAIN WITH PNS | 9490 | 4745 | 50 |
| 87 | MRI BRAIN WITH SPECTROSCOPY | 9490 | 4745 | 50 |
| 88 | MRI BRAIN WITH TRACTOGRAPHY | 9490 | 4745 | 50 |
| 89 | MRI BRAIN WITH VENOGRAM(CRANIAL) | 9490 | 4745 | 50 |
| 90 | MRI CARTILAGE RELAXOMETRY(JOINT+CARTILAGE) | 7600 | 3800 | 50 |
| 91 | MRI CEREBRAL VENOGRAM - ADDITIONAL STUDY | 3800 | 1900 | 50 |
| 92 | MRI CERVICAL SPINE | 7590 | 3795 | 50 |
| 93 | MRI CERVICAL SPINE WITH BRACHIAL PLEXUSES | 11390 | 5695 | 50 |
| 94 | MRI CSF FLOW STUDY - ADDITIONAL STUDY | 3800 | 1900 | 50 |
| 95 | MRI DORSAL & LUMBAR SPINE | 9490 | 2375 | 75 |
| 96 | MRI DORSAL SPINE | 7590 | 3795 | 50 |
| 97 | MRI ELBOW LEFT | 7590 | 3795 | 50 |
| 98 | MRI ELBOW RIGHT | 7590 | 3795 | 50 |
| 99 | MRI ENTEROGRAPHY | 10120 | 5060 | 50 |
| 100 | MRI EXTRA CRANIAL ANGIOGRAM - ADDITIONAL | 3800 | 1900 | 50 |
| 101 | MRI FAT / IRON QUANTIFICATION | 4400 | 2200 | 50 |
| 102 | MRI FISTULOGRAPHY | 7590 | 3795 | 50 |
| 103 | MRI FOOT LEFT | 7590 | 3795 | 50 |
| 104 | MRI FOOT RIGHT | 7590 | 3795 | 50 |
| 105 | MRI HIP LEFT | 7590 | 3795 | 50 |
| 106 | MRI HIP RIGHT | 7590 | 3795 | 50 |
| 107 | MRI ICA + VENOGRAM - ADDITIONAL STUDY | 5700 | 1425 | 75 |
| 108 | MRI INNER EAR | 7590 | 3795 | 50 |
| 109 | MRI INTRACRANIAL & EXTRACRANIAL ANGIOGRAM - ADDITIONAL STUDY | 5700 | 2850 | 50 |
| 110 | MRI INTRACRANIAL ANGIOGRAM - ADDITIONAL STUDY | 3800 | 1900 | 50 |
| 111 | MRI JOINT WITH KINEMATIC STUDY | 9490 | 4745 | 50 |
| 112 | MRI KNEE LEFT | 7590 | 3795 | 50 |
| 113 | MRI KNEE RIGHT | 7590 | 3795 | 50 |
| 114 | MRI LIMB | 7590 | 3795 | 50 |
| 115 | MRI LUMBO-SACRAL SPINE | 7590 | 3795 | 50 |
| 116 | MRI MAMMOGRAPHY | 9490 | 4745 | 50 |
| 117 | MRI NECK | 7590 | 3795 | 50 |
| 118 | MRI ORBIT | 7590 | 3795 | 50 |
| 119 | MRI ORBIT WITH BRAIN & PNS SCREENING | 13300 | 6650 | 50 |
| 120 | MRI PELVIS | 7590 | 3795 | 50 |
| 121 | MRI PELVIS AND ABDOMEN SCREENING | 9490 | 4745 | 50 |
| 122 | MRI PERIPHERAL ANGIOGRAM | 7590 | 3795 | 50 |
| 123 | MRI PROSTATE WITH SPECTROSCOPY | 9490 | 4745 | 50 |
| 124 | MRI RENAL ANGIOGRAM | 7590 | 3795 | 50 |
| 125 | MRI SCREENING OF BRAIN - ADDITIONAL STUDY | 3800 | 1900 | 50 |
| 126 | MRI SCREENING OF SPINE - ADDITIONAL STUDY | 3800 | 1900 | 50 |
| 127 | MRI SELLA | 7590 | 3795 | 50 |
| 128 | MRI SHOULDER LEFT | 7590 | 3795 | 50 |
| 129 | MRI SHOULDER RIGHT | 7590 | 3795 | 50 |
| 130 | MRI THORAX | 7590 | 3795 | 50 |
| 131 | MRI UPPER ABDOMEN | 7590 | 3795 | 50 |
| 132 | MRI UROGRAM | 7590 | 3795 | 50 |
| 133 | MRI VESSEL WALL IMAGING - ADDITIONAL STUDY | 3800 | 950 | 75 |
| 134 | MRI WHOLE BODY DIFFUSION | 9490 | 4745 | 50 |
| 135 | MRI WHOLE SPINE | 11400 | 5700 | 50 |
| 136 | MRI WRIST RIGHT | 7590 | 3795 | 50 |
| 137 | MRI WRIST LEFT | 7590 | 3795 | 50 |
| 138 | MUCO POLYSACCHARIDES | 290 | 120 | 59 |
| 139 | NERVE CONDUCTION STUDY (NCS) | 3000 | 1250 | 58 |
| 140 | OBSTETRICS - AFI & GROWTH | 1010 | 420 | 58 |
| 141 | OBSTETRICS - ANOMALY SCAN | 1200 | 500 | 58 |
| 142 | OBSTETRICS - I TRIMESTER SCAN FOR VIABILITY & GEST | 760 | 320 | 58 |
| 143 | OBSTETRICS -AFI & DOPPLER | 840 | 350 | 58 |
| 144 | OBSTETRICS -I TRIMESTER SCAN FOR NT | 1200 | 500 | 58 |
| 145 | OESOPHAGEAL MANOMETRY | 3000 | 2300 | 23 |
| 146 | OVULATION STUDY | 1200 | 500 | 58 |
| 147 | PACKED RED CELLS (PRBC) | 2520 | 630 | 75 |
| 148 | PACKED RED CELLS (PRBC) (NAT TESTED) | 2920 | 1030 | 65 |
| 149 | PANCREATIC CYST FLUID CEA | 580 | 240 | 59 |
| 150 | PAPER CHROMATOGRAPHY | 700 | 440 | 37 |
| 151 | PELVIS | 800 | 340 | 58 |
| 152 | PLATELETS | 980 | 670 | 32 |
| 153 | POST VOID RESIDUAL URINE | 600 | 300 | 50 |
| 154 | RENAL TRANSPLANT DOPPLER | 2045 | 1025 | 50 |
| 155 | RM-USG GUIDED PIGTAIL INSERTION | 5220 | 3500 | 33 |
| 156 | RM-USG-CHEST SCREENING | 860 | 540 | 37 |
| 157 | RM-USG-DIAGNOSTIC PLEUROCENTESIS | 1810 | 1130 | 38 |
| 158 | RM-USG-THERAPEUTIC PLEUROCENTESIS | 2820 | 1760 | 38 |
| 159 | SIGMOIDOSCOPY | 1250 | 800 | 36 |
| 160 | UPPER GI ENDOSCOPY | 2000 | 1000 | 50 |
| 161 | URETHRAL SWAB CULTURE | 760 | 320 | 58 |
| 162 | URINARY COPPER | 700 | 440 | 37 |
| 163 | URINARY STONE ANALYSIS | 730 | 460 | 37 |
| 164 | URINE FOR METABOLIC SCREENING | 180 | 110 | 39 |
| 165 | URINE PORPHOBILINOGEN | 230 | 100 | 57 |
| 166 | UROLOGY POST VOID RESIDUAL URINE | 320 | 195 | 39 |
| 167 | UROLOGY UROFLOWMETRY | 1080 | 680 | 37 |
| 168 | USG ABDOMEN | 1300 | 650 | 50 |
| 169 | USG AVF MAPPING LEFT | 3000 | 750 | 75 |
| 170 | USG AVF MAPPING RIGHT | 3000 | 750 | 75 |
| 171 | USG BED SIDE ULTRASOUND | 550 | 275 | 50 |
| 172 | USG CAROTID & VERTEBRAL DOPPLER | 2000 | 1000 | 50 |
| 173 | USG COLOUR DOPPLER - ABDOMEN | 2000 | 1000 | 50 |
| 174 | USG COLOUR DOPPLER - ORBIT | 2045 | 1025 | 50 |
| 175 | USG COLOUR DOPPLER - SMALL PARTS | 2000 | 1000 | 50 |
| 176 | USG COLOUR DOPPLER (L) LL - ARTERIES | 2000 | 1000 | 50 |
| 177 | USG COLOUR DOPPLER (L) LL -VEINS | 2000 | 1000 | 50 |
| 178 | USG COLOUR DOPPLER (L) UL -ARTERY | 2000 | 1000 | 50 |
| 179 | USG COLOUR DOPPLER (L) UL -VEINS | 2000 | 1000 | 50 |
| 180 | USG COLOUR DOPPLER (R) LL -ARTERIES | 2000 | 1000 | 50 |
| 181 | USG COLOUR DOPPLER (R) LL -VEINS | 2000 | 1000 | 50 |
| 182 | USG COLOUR DOPPLER (R) UL -ARTERY | 2000 | 1000 | 50 |
| 183 | USG COLOUR DOPPLER (R) UL -VEINS | 2000 | 1000 | 50 |
| 184 | USG COLOUR DOPPLER OBSTERTICS | 1565 | 780 | 50 |
| 185 | USG COLOUR DOPPLER OF RENAL ARTERIES | 2000 | 1000 | 50 |
| 186 | USG ELASTOGRAPHY | 2070 | 1035 | 50 |
| 187 | USG GUIDED BIOPSY WITHOUT COAXIAL | 8165 | 4080 | 50 |
| 188 | USG ILIAC ARTERY AND VEIN DOPPLER | 2045 | 1025 | 50 |
| 189 | USG KUB | 1100 | 550 | 50 |
| 190 | USG MARKING FOR PROCEDURE | 460 | 230 | 50 |
| 191 | USG OBSTETICS - NT SCAN | 1800 | 900 | 50 |
| 192 | USG OBSTETRICS | 1800 | 900 | 50 |
| 193 | USG OVULATION STUDY | 1800 | 900 | 50 |
| 194 | USG PELVIS | 1100 | 550 | 50 |
| 195 | USG PERFORATOR MARKING CHARGES | 1345 | 675 | 50 |
| 196 | USG SMALL PARTS - BREAST | 1800 | 900 | 50 |
| 197 | USG SMALL PARTS - CHEST | 1800 | 900 | 50 |
| 198 | USG SMALL PARTS - HIP | 1800 | 900 | 50 |
| 199 | USG SMALL PARTS - JOINT | 1800 | 900 | 50 |
| 200 | USG SMALL PARTS - KNEE | 1800 | 900 | 50 |
| 201 | USG SMALL PARTS - NECK | 1800 | 900 | 50 |
| 202 | USG SMALL PARTS - NEUROSONOGRAM | 1800 | 900 | 50 |
| 203 | USG SMALL PARTS - ORBIT | 1800 | 900 | 50 |
| 204 | USG SMALL PARTS - SALIVARY GLAND | 1800 | 900 | 50 |
| 205 | USG SMALL PARTS - SCROTUM | 1800 | 900 | 50 |
| 206 | USG SMALL PARTS - SOFT TISSUE & MUSCLES | 1800 | 900 | 50 |
| 207 | USG SMALL PARTS -THYROID | 1800 | 900 | 50 |
| 208 | USG TRANSPLANT DOPPLER - RENAL | 2000 | 1000 | 50 |
| 209 | USG TRANSRECTAL | 1840 | 920 | 50 |
| 210 | USG TRANSVAGINAL SCAN | 1400 | 700 | 50 |
| 211 | USG ULTRASOUND FOLLOWUP | 800 | 400 | 50 |
| 212 | XRAY ABDOMEN- ERECT | 400 | 205 | 49 |
| 213 | XRAY ABDOMEN LT LAT DECUBITUS | 400 | 300 | 25 |
| 214 | XRAY ABDOMEN RT LAT DECUBITUS | 400 | 300 | 25 |
| 215 | XRAY ABDOMEN SUPINE | 400 | 205 | 49 |
| 216 | XRAY ABDOMEN-AP | 400 | 205 | 49 |
| 217 | XRAY ANKLE BOTH AP | 400 | 300 | 25 |
| 218 | XRAY ANKLE BOTH LAT | 540 | 400 | 26 |
| 219 | XRAY ANKLE LEFT LAT | 400 | 205 | 49 |
| 220 | XRAY ANKLE LEFT OBL | 400 | 300 | 25 |
| 221 | XRAY ANKLE LT AP | 400 | 300 | 25 |
| 222 | XRAY ANKLE LT AP&LAT | 540 | 275 | 49 |
| 223 | XRAY ANKLE LT AP&LAT OBL | 680 | 505 | 26 |
| 224 | XRAY ANKLE RT AP&LAT | 540 | 275 | 49 |
| 225 | XRAY ANKLE RT AP | 400 | 300 | 25 |
| 226 | XRAY ANKLE RT AP&LAT OBL | 680 | 505 | 26 |
| 227 | XRAY ANKLE RT LAT | 400 | 300 | 25 |
| 228 | XRAY ANKLE RT OBL | 400 | 300 | 25 |
| 229 | XRAY ANKLE WITH FOOT LT AP&LAT | 540 | 400 | 26 |
| 230 | XRAY ANKLE WITH FOOT LT LAT | 400 | 300 | 25 |
| 231 | XRAY ANKLE WITH FOOT RT AP&LAT | 540 | 400 | 26 |
| 232 | XRAY ANKLE WITH FOOT RT IN - EVERSION | 400 | 300 | 25 |
| 233 | XRAY ANKLE WITH FOOT RT IN - INVERSION | 400 | 300 | 25 |
| 234 | XRAY ANKLE WITH FOOT RT LAT | 400 | 300 | 25 |
| 235 | XRAY ASCENDING URETHROGRAM | 2095 | 1045 | 50 |
| 236 | XRAY BARIUM ENEMA | 2785 | 2095 | 25 |
| 237 | XRAY BARIUM MEAL FOLLOW THROUGH | 3195 | 2405 | 25 |
| 238 | XRAY BASE OF SKULL | 400 | 300 | 25 |
| 239 | XRAY BED SIDE XRAY | 320 | 160 | 50 |
| 240 | XRAY BONE AGE | 680 | 505 | 26 |
| 241 | XRAY BONE MINERAL DENSITOMETRY | 1610 | 805 | 50 |
| 242 | XRAY C-ARM CHARGES MAJOR PROCEDURE | 2230 | 1680 | 25 |
| 243 | XRAY C-ARM CHARGES SHORT PROCEDURE | 1390 | 700 | 50 |
| 244 | XRAY CALCANIUM BOTH AXIAL | 540 | 400 | 26 |
| 245 | XRAY CALCANIUM BOTH LAT | 540 | 400 | 26 |
| 246 | XRAY CALCANIUM LT AXIAL | 400 | 300 | 25 |
| 247 | XRAY CALCANIUM LT LAT | 400 | 300 | 25 |
| 248 | XRAY CALCANIUM RT AXIAL | 400 | 300 | 25 |
| 249 | XRAY CALCANIUM RT LATL | 400 | 300 | 25 |
| 250 | XRAY CEPHALOGRAM | 400 | 300 | 25 |
| 251 | XRAY CEPHALOGRAM LT LAT | 400 | 300 | 25 |
| 252 | XRAY CER SPINE LAT | 400 | 205 | 49 |
| 253 | XRAY CER SPINE RT OBL | 400 | 300 | 25 |
| 254 | XRAY CER SPINE AP | 400 | 300 | 25 |
| 255 | XRAY CER SPINE AP&LAT | 540 | 275 | 49 |
| 256 | XRAY CERVICAL SPINE LAT IN EXTEN | 400 | 300 | 25 |
| 257 | XRAY CERVICAL SPINE LAT IN FLEX | 400 | 300 | 25 |
| 258 | XRAY CERVICAL SPINE LT OB | 400 | 300 | 25 |
| 259 | XRAY CERVICO-THORACIC SPINE AP | 400 | 300 | 25 |
| 260 | XRAY CERVICO-THORACIC SPINE LAT | 400 | 300 | 25 |
| 261 | XRAY CHARGES FOR ERCP | 2785 | 2095 | 25 |
| 262 | XRAY CHEST- AP | 400 | 205 | 49 |
| 263 | XRAY CHEST- AP FOR RIBS | 400 | 300 | 25 |
| 264 | XRAY CHEST- LT- LAT | 400 | 300 | 25 |
| 265 | XRAY CHEST LT LAT DECUBITUS | 400 | 300 | 25 |
| 266 | XRAY CHEST- OBL- LT | 400 | 300 | 25 |
| 267 | XRAY CHEST- OBL- RT | 400 | 300 | 25 |
| 268 | XRAY CHEST- PA | 400 | 205 | 49 |
| 269 | XRAY CHEST- RT- LAT | 400 | 300 | 25 |
| 270 | XRAY CHEST RT LAT DECUBITUS | 400 | 300 | 25 |
| 271 | XRAY CLAVICLE LT AP | 400 | 300 | 25 |
| 272 | XRAY CLAVICLE RT AP | 400 | 300 | 25 |
| 273 | XRAY COCCYX AP | 400 | 300 | 25 |
| 274 | XRAY COCCYX LAT | 400 | 300 | 25 |
| 275 | XRAY D SPINE AP | 400 | 205 | 49 |
| 276 | XRAY D. SPINE LAT | 400 | 205 | 49 |
| 277 | XRAY D.L SPINE AP&LAT | 540 | 275 | 49 |
| 278 | XRAY ELBOW BOTH AP | 540 | 400 | 26 |
| 279 | XRAY ELBOW BOTH AP&LAT | 830 | 620 | 25 |
| 280 | XRAY ELBOW LT AP | 400 | 300 | 25 |
| 281 | XRAY ELBOW LT AP&LAT | 540 | 275 | 49 |
| 282 | XRAY ELBOW LT LAT | 400 | 300 | 25 |
| 283 | XRAY ELBOW RT AP | 400 | 300 | 25 |
| 284 | XRAY ELBOW RT AP&LAT | 540 | 275 | 49 |
| 285 | XRAY ELBOW RT LAT | 400 | 300 | 25 |
| 286 | XRAY FEMUR LT AP | 400 | 205 | 49 |
| 287 | XRAY FEMUR LT LAT | 400 | 205 | 49 |
| 288 | XRAY FEMUR RT AP | 400 | 205 | 49 |
| 289 | XRAY FEMUR RT LAT | 400 | 205 | 49 |
| 290 | XRAY FEMUR LT AP&LAT | 540 | 275 | 49 |
| 291 | XRAY FEMUR RT AP&LAT | 540 | 275 | 49 |
| 292 | XRAY FEMUR WITH KNEE LT AP&LAT | 540 | 400 | 26 |
| 293 | XRAY FEMUR WITH KNEE RT AP&LAT | 540 | 400 | 26 |
| 294 | XRAY FINGERS LT AP | 400 | 300 | 25 |
| 295 | XRAY FINGERS LT AP&LAT | 540 | 275 | 49 |
| 296 | XRAY FINGERS LT LAT | 400 | 300 | 25 |
| 297 | XRAY FINGERS RT AP&LAT | 540 | 275 | 49 |
| 298 | XRAY FINGERS RT LAT | 400 | 300 | 25 |
| 299 | XRAY FISTULOGRAM | 2095 | 1575 | 25 |
| 300 | XRAY FLOUROSCOPY SCREENING | 495 | 255 | 48 |
| 301 | XRAY FOOT BOTH AP | 540 | 400 | 26 |
| 302 | XRAY FOOT BOTH LAT | 540 | 400 | 26 |
| 303 | XRAY FOOT BOTH OBL | 540 | 400 | 26 |
| 304 | XRAY FOOT LT AP | 400 | 205 | 49 |
| 305 | XRAY FOOT LT AP&LAT | 540 | 275 | 49 |
| 306 | XRAY FOOT LT AP&LAT OBL | 680 | 505 | 26 |
| 307 | XRAY FOOT LT AP&OBLI | 540 | 275 | 49 |
| 308 | XRAY FOOT LT LAT | 400 | 300 | 25 |
| 309 | XRAY FOOT LT OBL | 400 | 300 | 25 |
| 310 | XRAY FOOT RT AP&OBLI | 540 | 275 | 49 |
| 311 | XRAY FOOT RT AP | 400 | 205 | 49 |
| 312 | XRAY FOOT RT AP&LAT | 540 | 275 | 49 |
| 313 | XRAY FOOT RT AP&LAT OBL | 680 | 505 | 26 |
| 314 | XRAY FOOT RT LAT | 400 | 300 | 25 |
| 315 | XRAY FOOT RT OBL | 400 | 300 | 25 |
| 316 | XRAY FOREARM LT AP&LAT | 540 | 275 | 49 |
| 317 | XRAY FOREARM RT AP&LAT | 540 | 275 | 49 |
| 318 | XRAY FOREARM WITH ELBOW LT AP&LAT | 540 | 400 | 26 |
| 319 | XRAY FOREARM WITH ELBOW RT AP&LAT | 540 | 400 | 26 |
| 320 | XRAY FOREARM WITH WRIST LT AP&LAT | 540 | 275 | 49 |
| 321 | XRAY FOREARM WITH WRIST RT AP&LAT | 540 | 275 | 49 |
| 322 | XRAY GASTROGRAFFIN STUDY | 2785 | 2095 | 25 |
| 323 | XRAY HAND BOTH AP | 400 | 300 | 25 |
| 324 | XRAY HAND BOTH AP&LAT | 540 | 400 | 26 |
| 325 | XRAY HAND LT AP&LAT | 540 | 400 | 26 |
| 326 | XRAY HAND LT AP/OBL | 540 | 275 | 49 |
| 327 | XRAY HAND LT OBL | 400 | 300 | 25 |
| 328 | XRAY HAND LTAP&LAT OBL | 680 | 505 | 26 |
| 329 | XRAY HAND RIGHT AP&LAT OBL | 680 | 505 | 26 |
| 330 | XRAY HAND RT AP&LAT | 540 | 400 | 26 |
| 331 | XRAY HAND RT AP/OBL | 540 | 275 | 49 |
| 332 | XRAY HAND RT OBL | 400 | 300 | 25 |
| 333 | XRAY HAND WITH WRIST LT AP& LAT | 540 | 400 | 26 |
| 334 | XRAY HAND WITH WRIST & FOREARM LT AP&LAT | 540 | 400 | 26 |
| 335 | XRAY HAND WITH WRIST RT AP& LAT | 540 | 400 | 26 |
| 336 | XRAY HAND WITH WRIST& FOREARM RT AP&LAT | 540 | 400 | 26 |
| 337 | XRAY HEEL BOTH LAT | 540 | 275 | 49 |
| 338 | XRAY HEEL LT LAT | 400 | 300 | 25 |
| 339 | XRAY HEEL RT LAT | 400 | 300 | 25 |
| 340 | XRAY HIP LT AP | 400 | 205 | 49 |
| 341 | XRAY HIP LT FROG LEG | 400 | 300 | 25 |
| 342 | XRAY HIP LT LAT | 400 | 205 | 49 |
| 343 | XRAY HIP RT AP | 400 | 205 | 49 |
| 344 | XRAY HIP RT LAT | 400 | 205 | 49 |
| 345 | XRAY HIP WITH FEMUR LT AP | 400 | 300 | 25 |
| 346 | XRAY HIP WITH FEMUR LT AP&LAT | 540 | 275 | 49 |
| 347 | XRAY HIP WITH FEMUR RT AP | 400 | 300 | 25 |
| 348 | XRAY HIP WITH FEMUR RT AP&LAT | 540 | 400 | 26 |
| 349 | XRAY HIP WITH FEMUR RT LAT | 400 | 300 | 25 |
| 350 | XRAY HSG | 2095 | 1045 | 50 |
| 351 | XRAY HUMERUS LT AP | 400 | 300 | 25 |
| 352 | XRAY HUMERUS LT AP&LAT | 540 | 275 | 49 |
| 353 | XRAY HUMERUS LT LAT | 400 | 300 | 25 |
| 354 | XRAY HUMERUS RT AP | 400 | 300 | 25 |
| 355 | XRAY HUMERUS RT AP&LAT | 540 | 400 | 26 |
| 356 | XRAY HUMERUS RT LAT | 400 | 300 | 25 |
| 357 | XRAY HUMERUS WITH ELBOW LT AP&LAT | 540 | 400 | 26 |
| 358 | XRAY HUMERUS WITH ELBOW RT AP&LAT | 540 | 400 | 26 |
| 359 | XRAY HUMERUS WITH SHOULDER LT AP | 400 | 300 | 25 |
| 360 | XRAY HUMERUS WITH SHOULDER LT AP&LAT | 540 | 400 | 26 |
| 361 | XRAY HUMERUS WITH SHOULDER RT AP | 400 | 300 | 25 |
| 362 | XRAY HUMERUS WITH SHOULDER RT AP&LAT | 540 | 400 | 26 |
| 363 | XRAY KNEE BOTH AP | 400 | 205 | 49 |
| 364 | XRAY KNEE BOTH SKYLINE VIEW | 540 | 400 | 26 |
| 365 | XRAY KNEE LT AP&LAT | 540 | 275 | 49 |
| 366 | XRAY KNEE LT AP | 400 | 300 | 25 |
| 367 | XRAY KNEE LT LAT | 400 | 300 | 25 |
| 368 | XRAY KNEE LT OBLIQE | 400 | 300 | 25 |
| 369 | XRAY KNEE LT SKYLINE | 400 | 205 | 49 |
| 370 | XRAY KNEE LT STANDING AP | 400 | 300 | 25 |
| 371 | XRAY KNEE LT STANDING AP&LAT | 540 | 275 | 49 |
| 372 | XRAY KNEE LT STANDING LAT | 400 | 300 | 25 |
| 373 | XRAY KNEE RT AP | 400 | 300 | 25 |
| 374 | XRAY KNEE RT AP&LAT | 540 | 275 | 49 |
| 375 | XRAY KNEE RT LAT | 400 | 205 | 49 |
| 376 | XRAY KNEE RT OBLIQE | 400 | 300 | 25 |
| 377 | XRAY KNEE RT SKYLINE | 400 | 205 | 49 |
| 378 | XRAY KNEE RT STANDING LAT | 400 | 300 | 25 |
| 379 | XRAY KNEE RT STANDING AP | 400 | 300 | 25 |
| 380 | XRAY KNEE RT STANDING AP&LAT | 540 | 275 | 49 |
| 381 | XRAY KNEES BOTH AP&LAT | 680 | 345 | 49 |
| 382 | XRAY KNEES BOTH LAT | 540 | 400 | 26 |
| 383 | XRAY KNEES BOTH STANDING AP | 400 | 205 | 49 |
| 384 | XRAY KNEES BOTH STANDING AP&LAT | 680 | 345 | 49 |
| 385 | XRAY KUB- AP | 400 | 205 | 49 |
| 386 | XRAY L.S SPINE AP&LAT | 540 | 275 | 49 |
| 387 | XRAY LEG BOTH AP | 400 | 300 | 25 |
| 388 | XRAY LEG LT AP&LAT | 540 | 275 | 49 |
| 389 | XRAY LEG RT AP&LAT | 540 | 275 | 49 |
| 390 | XRAY LEG WITH ANKLE LT AP&LAT | 540 | 275 | 49 |
| 391 | XRAY LEG WITH ANKLE RT AP&LAT | 540 | 275 | 49 |
| 392 | XRAY LEG WITH KNEE LT AP&LAT | 540 | 275 | 49 |
| 393 | XRAY LEG WITH KNEE RT AP& LAT | 540 | 275 | 49 |
| 394 | XRAY LOOPOGRAM (CONTRAST) | 2095 | 1575 | 25 |
| 395 | XRAY LUMBAR SPINE- LAT | 400 | 205 | 49 |
| 396 | XRAY LUMBAR SPINE LAT IN EXTEN | 400 | 205 | 49 |
| 397 | XRAY LUMBAR SPINE LAT IN FLEX | 400 | 205 | 49 |
| 398 | XRAY LUMBAR SPINE-AP | 400 | 205 | 49 |
| 399 | XRAY LUMBO-SACRAL SPINE- AP | 400 | 205 | 49 |
| 400 | XRAY LUMBO-SACRAL SPINE LAT | 400 | 205 | 49 |
| 401 | XRAY LUMBO-SACRAL SPINE LT OBL | 400 | 300 | 25 |
| 402 | XRAY LUMBO-SACRAL SPINE RT OBL | 400 | 300 | 25 |
| 403 | XRAY MANDIBLE AP | 400 | 300 | 25 |
| 404 | XRAY MANDIBLE LT LAT OBLI | 400 | 300 | 25 |
| 405 | XRAY MANDIBLE RT LAT OBLI | 400 | 300 | 25 |
| 406 | XRAY MASTOIDS BOTH LATERAL | 540 | 400 | 26 |
| 407 | XRAY MASTOIDS LEFT LAT | 400 | 300 | 25 |
| 408 | XRAY MASTOIDS RIGHT LATERAL | 400 | 300 | 25 |
| 409 | XRAY MCU | 2095 | 1045 | 50 |
| 410 | XRAY NASO PHARYNX LAT | 400 | 205 | 49 |
| 411 | XRAY ON TABLE CHOLANGIOGRAM | 965 | 725 | 25 |
| 412 | XRAY OPG | 495 | 255 | 48 |
| 413 | XRAY OPG + CEPHALOGRAM | 920 | 690 | 25 |
| 414 | XRAY ORBITS | 400 | 300 | 25 |
| 415 | XRAY PARANASAL SINUS WATER VIEW | 400 | 205 | 49 |
| 416 | XRAY PCN | 6405 | 4805 | 25 |
| 417 | XRAY PELVIS - AP | 400 | 205 | 49 |
| 418 | XRAY PELVIS - LT OBL | 400 | 300 | 25 |
| 419 | XRAY PELVIS - RT OBL | 400 | 300 | 25 |
| 420 | XRAY PELVIS ERECT LAT ( PELVIMETRY) | 400 | 300 | 25 |
| 421 | XRAY PELVIS FROG LEG | 400 | 300 | 25 |
| 422 | XRAY PNS CALDWELS | 400 | 300 | 25 |
| 423 | XRAY PNS SUBMENTO VERTEX | 400 | 300 | 25 |
| 424 | XRAY PTBD | 12005 | 9005 | 25 |
| 425 | XRAY S.I. JOINTS- AP | 400 | 300 | 25 |
| 426 | XRAY S.I.JOINT - LEFT OBL | 400 | 300 | 25 |
| 427 | XRAY S.I.JOINT -RT OBL | 400 | 300 | 25 |
| 428 | XRAY SACRO-COCCIAL SPINE AP | 400 | 300 | 25 |
| 429 | XRAY SACRO-COCCIAL SPINE LAT | 400 | 300 | 25 |
| 430 | XRAY SACRUM AP | 400 | 300 | 25 |
| 431 | XRAY SACRUM LAT | 400 | 300 | 25 |
| 432 | XRAY SCAPULA LT AP | 400 | 300 | 25 |
| 433 | XRAY SCAPULA LT LAT | 400 | 300 | 25 |
| 434 | XRAY SCAPULA RT AP | 400 | 300 | 25 |
| 435 | XRAY SCAPULA RT LAT | 400 | 300 | 25 |
| 436 | XRAY SHOULDER RT AP | 400 | 205 | 49 |
| 437 | XRAY SHOULDER LT AP | 400 | 205 | 49 |
| 438 | XRAY SHOULDER LT AXIAL VIEW | 400 | 205 | 49 |
| 439 | XRAY SHOULDER RT AXIAL VIEW | 400 | 205 | 49 |
| 440 | XRAY SIALOGRAM | 2095 | 1575 | 25 |
| 441 | XRAY SINOGRAM | 2095 | 1575 | 25 |
| 442 | XRAY SKULL AP | 400 | 300 | 25 |
| 443 | XRAY SKULL AP&LAT | 540 | 400 | 26 |
| 444 | XRAY SKULL LAT | 400 | 205 | 49 |
| 445 | XRAY SKULL TOWNS | 400 | 300 | 25 |
| 446 | XRAY SOFT TISSUE NECK AP | 400 | 205 | 49 |
| 447 | XRAY SOFT TISSUE NECK LAT | 400 | 205 | 49 |
| 448 | XRAY STERNO- CLAVICULAR JOINT AP | 400 | 300 | 25 |
| 449 | XRAY STERNUM- AP | 400 | 300 | 25 |
| 450 | XRAY STERNUM- LAT | 400 | 300 | 25 |
| 451 | XRAY T. TUBE.CHOLANGIOGRAM | 2095 | 1575 | 25 |
| 452 | XRAY T.M.JOINT CLOSE MOUTH RT | 400 | 300 | 25 |
| 453 | XRAY T.M.JOINT OPEN MOUTH RT | 400 | 300 | 25 |
| 454 | XRAY TEMPERO MANDIBULAR JOINT LT LAT.OBLI | 400 | 300 | 25 |
| 455 | XRAY THORACIC SPINE AP | 400 | 300 | 25 |
| 456 | XRAY THORACIC SPINE LAT | 400 | 300 | 25 |
| 457 | XRAY THUMB LT AP & LAT | 540 | 400 | 26 |
| 458 | XRAY THUMB RT AP & LAT | 540 | 400 | 26 |
| 459 | XRAY TIBIA LT AP&LAT | 540 | 400 | 26 |
| 460 | XRAY TIBIA RT AP&LAT | 540 | 400 | 26 |
| 461 | XRAY TIBIA WITH KNEE + ANKLE LT AP | 400 | 300 | 25 |
| 462 | XRAY TIBIA WITH KNEE + ANKLE RT AP | 400 | 300 | 25 |
| 463 | XRAY TIBIA WITH KNEE + ANKLE RT LAT | 400 | 300 | 25 |
| 464 | XRAY TIBIA WITH KNEE LT LAT | 400 | 300 | 25 |
| 465 | XRAY T-L SPINE AP | 400 | 300 | 25 |
| 466 | XRAY T-L SPINE LAT | 400 | 300 | 25 |
| 467 | XRAY TOES LT AP / LAT | 540 | 400 | 26 |
| 468 | XRAY WHOLE SPINE AP | 805 | 610 | 24 |
| 469 | XRAY WHOLE SPINE AP&LAT | 1440 | 1080 | 25 |
| 470 | XRAY WHOLE SPINE LAT | 805 | 610 | 24 |
| 471 | XRAY WRIST BOTH AP | 400 | 300 | 25 |
| 472 | XRAY WRIST LT AP&LAT OBL | 680 | 505 | 26 |
| 473 | XRAY WRIST LT AP&LAT&SCAP | 680 | 505 | 26 |
| 474 | XRAY WRIST LT AP | 400 | 205 | 49 |
| 475 | XRAY WRIST LT AP&LAT | 540 | 275 | 49 |
| 476 | XRAY WRIST LT OBLIQUE | 400 | 300 | 25 |
| 477 | XRAY WRIST LT SCAPHOID VIEW | 400 | 300 | 25 |
| 478 | XRAY WRIST RT AP | 400 | 205 | 49 |
| 479 | XRAY WRIST RT AP&LAT | 540 | 275 | 49 |
| 480 | XRAY WRIST RT AP&LAT OBL | 680 | 505 | 26 |
| 481 | XRAY WRIST RT AP&LAT&SCAP | 680 | 505 | 26 |
| 482 | XRAY WRIST RT LAT | 400 | 300 | 25 |
| 483 | XRAY WRIST RT SCAPHOID VIEW | 400 | 300 | 25 |
| 484 | XRAY WRIST WITH HAND LT AP&LAT | 540 | 400 | 26 |
| 485 | XRAY WRIST WITH HAND RT AP&LAT | 540 | 400 | 26 |


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