Narayana Health: Renal Transplant Estimate

• This is an estimate form from Narayana Health.

Patient Information

• Patient MRN: 15060000171136
• Patient Name: Ms Naushaba
• Gender/Age: Female, 46 years
• Advice Type: Surgery
• Opted Class: General
• Risk Category: Not Applicable
• Admission Type: Inpatient

Estimate Details

• Estimate Number: EST-1506-2501000394
• Estimated On: 28-01-2025 10:47
• Estimated LOS (Length of Stay): 30 days
• Consultant: Dr. Sudeep Singh Sachdev (Nephrology)
• Payor Profile: Corporate/1506_The Hans Foundation
• Mobile Number: 8587931658

Cost Breakdown:

• Admission (SVC000007): ₹1,400.00
• Biomedical Waste Management Service (SVC012478): ₹1,000.00
• Infection Control Charges (SVC013013): ₹1,000.00
• Consultation-Dietitian (SVC000113): ₹1,080.00
• Renal Transplant Recipient - Related (IM) PKG (PKG032769): ₹650,000.00
• Investigation Approx: ₹150,000.00
• Procedure Approx: ₹150,000.00
• Medicine & Consumables Approx: ₹300,000.00

Final Estimate

• Total estimated cost: INR ₹1,254,480.00 (Twelve Lakh Fifty Four Thousand Four Hundred Eighty Rupees)

Payment Notes

• International patients can deposit a maximum of $5000 in cash with passport endorsement, and the rest must be paid in foreign currency via online transfer or international card.
• Domestic patients can deposit a maximum of ₹1,99,999 in cash, and the rest must be paid via online transfer or card.

Disclaimer

• The estimate is valid for two months from the issue date and is subject to change.
• The package excludes treatment for unrelated illnesses or procedures.
• Extended hospital stays due to unforeseen circumstances or emergencies will incur additional charges.
• The estimate is based on the patient's condition at the time of contact and is not the final payable amount, which may vary upon billing or discharge.

Agreement

• The patient/relative agrees to the package, which has been explained in their language.
• Estimated by Krishna Kumar (362864) on 28-01-2025 at 10:47.