Table 3.
CHSI unit cost of surgical AB PM-JAY HBPs at public district hospitals in India in US dollars
| AB PM-JAY HBPs | 100% fixed and 100% variable cost in US$ | 50% fixed and 100% variable cost in US$ | AB PM-JAY price | ||
|---|---|---|---|---|---|
| Mean (min–max) | Median (interquartile range) | Mean (min–max) | Median (interquartile range) | ||
| General surgery | |||||
| Appendicectomy—open | 209 (58–558) | 182 (106) | 155 (56–451) | 138 (90) | 298 |
| Thyroidectomy—total thyroidectomy | 276 (112–1238) | 222 (167) | 177 (72–661) | 143 (94) | 302 |
| Mastectomy—radical/modified radical mastectomy | 209 (85–541) | 179 (149) | 135 (56–299) | 118 (82) | 378 |
| Haemorrhoidectomy without stapler | 189 (65–472) | 172 (109) | 131 (55–381) | 115 (55) | 227 |
| Lipoma/cyst/other cutaneous swellings excision—lipoma excision | 130 (21–418) | 111 (58) | 96 (14–239) | 89 (34) | 76 |
| Obstetrics & Gynaecology (OBG) | |||||
| Caesarean delivery | 226 (79–529) | 208 (137) | 158 (61–302) | 149 (94) | 174 |
| Electro cauterization/cryo surgery | 128 (65–309) | 126 (65) | 89 (47–184) | 79 (52) | 60 |
| Hysterectomy—laparoscopic hysterectomy (TLH) | 350 (137–784) | 353 (261) | 222 (105–493) | 212 (125) | 302 |
| Hysterectomy—vaginal hysterectomy with anterior and posterior colpoperineorrhaphy | 201 (102–532) | 196 (81) | 142 (73–303) | 130 (71) | 302 |
| Normal delivery | 149 (53–753) | 102 (98) | 104 (36–395) | 70 (79) | 136 |
| Orthopaedics | |||||
| Application of POP casts—upper limbs | 159 (48–636) | 109 (61) | 114 (29–354) | 83 (75) | 45 |
| Arthrodesis—ankle/triple without implant | 135 (60–376) | 128 (99) | 91 (45–218) | 87 (52) | 263 |
| Duputryen’s contracture release + rehabilitation | 197 (97–577) | 154 (148) | 125 (71–316) | 108 (71) | 128 |
| Application of traction—skin traction | 67 (33–156) | 60 (33) | 49 (27–138) | 41 (15) | 11 |
| Fracture—neck femur—closed reduction and percutaneous screw fixation | 265 (84–580) | 217 (209) | 183 (57–325) | 171 (112) | 234 |
| Otolaryngology (ENT) | |||||
| Tympanoplasty | 289 (74–839) | 261 (134) | 219 (52–773) | 185 (150) | 195 |
| Functional endoscopic sinus (FESS) | 203 (80–556) | 183 (146) | 136 (58–310) | 126 (87) | 166 |
| Adenoidectomy | 219 (89–821) | 177 (135) | 139 (62–452) | 121 (92) | 76 |
| Endoscopic DCR | 222 (80–611) | 186 (119) | 146 (58–350) | 130 (92) | 292 |
| Septoplasty | 240 (80–1412) | 158 (147) | 154 (52–748) | 108 (90) | 181 |
| Ophthalmology | |||||
| Cataract surgery—phaco emulsification with foldable hydrophobic acrylic IOL | 156 (58–759) | 119 (59) | 109 (40–415) | 87 (30) | 68 |
| Cataract surgery—SICS with non-foldable IOL | 164 (18–1047) | 132 (133) | 117 (14–555) | 85 (79) | 60 |
| Pterygium + conjunctival autograft − pterygium + conjunctival autograft | 148 (17–389) | 124 (107) | 97 (15–216) | 79 (63) | 140 |
| Capsulotomy (YAG) | 256 (74–1450) | 166 (108) | 150 (50–765) | 103 (46) | 23 |
| Glaucoma surgery—(trabeculectomy only) with or without mitomycin C | 183 (93–783) | 154 (52) | 126 (77–435) | 111 (25) | 171 |
US$1 = ₹66.20
AB PM-JAY Ayushman Bharat Pradhan Mantri-Jan Aarogya Yojana, CHSI Costing of Health Services in India, DCR dacryocystorhinostomy, HBP health benefit package, IOL intraocular lens, Max maximum, Min minimum, SICS small incision cataract surgery