මූල්‍යාධාර ලබාදෙනු ලබන රෝග

මූල්‍යාධාර ලබාදෙනු ලබන රෝග

Type of Surgery Gross Estimate Govt. Hospitals
(Rs.)
SJGH
(Rs.)
Private Hospitals
(Rs.)
Foreign Hospitals
(Rs.)
Anomalous Left Coronary Artery from the Pulmonary Artery (ALCAPA) - - 140,000.00 140,000.00 140,000.00
Arterial Switch Operation - 140,000.00 140,000.00 140,000.00
Atrial Septal Defect using Percutaneous Device closure (ASD) - 150,000.00 150,000.00 150,000.00
Ventricular Septal Defect using Percutaneous Device closure (VSD) - 150,000.00 150,000.00 150,000.00
Patent Foramen Ovale Device Closure (PFO) - 150,000.00 150,000.00 150,000.00
For Amplaster device used for ASD - 150,000.00 150,000.00 150,000.00
Balloon Valvoplasty 50,000.00 50,000.00 50,000.00 50,000.00
Bidirectional Glenn Shunt 140,000.00 140,000.00 140,000.00 140,000.00
Blalock Taussing Shunt (BT Shunt) 50,000.00 50,000.00 50,000.00 50,000.00
Coronary Artery Bypass Grafting Surgery (CABG) - 200,000.00 200,000.00 200,000.00
Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) - 200,000.00 200,000.00 200,000.00
Minimally Invasive Coronary Surgery (MICS) - 200,000.00 200,000.00 200,000.00
Closure of ASD - 140,000.00 140,000.00 140,000.00
Closure of VSD/Repair of Atrioventricular Canal Defect (AV Canal) 140,000.00 140,000.00 140,000.00 140,000.00
Coarctation of Aorta (CoA) 115,000.00 115,000.00 115,000.00 115,000.00
Double Outlet Right Ventricle + Pulmonary Stenosis (DORV + PS) - 140,000.00 140,000.00 140,000.00
Double Valve Replacement - 200,000.00 200,000.00 200,000.00
Intra Cardiac Repair - 140,000.00 140,000.00 140,000.00
Mitral Valvotomy - 50,000.00 50,000.00 50,000.00
Septal Myectomy / Myocardial Resection - - 140,000.00 140,000.00
Pulmonary Artery Band (PA Band) - 40,000.00 40,000.00 40,000.00
Implantation of Permanent Pacemaker Upto 500,000.00 150,000.00 150,000.00 150,000.00 150,000.00
Over 500,000.00 200,000.00 200,000.00 200,000.00 200,000.00
Implantable Cardioverter Defibrillator (ICD) 200,000.00 200,000.00 200,000.00 200,000.00
Patent Ductus Arteriosus (PDA) - 40,000.00 40,000.00 40,000.00
PDA Closure Device 100,000.00 100,000.00 100,000.00 100,000.00
PTCA & Stenting ( for the stents) (Percutaneous Transluminal Coronary Angioplasty) - 150,000.00 150,000.00 150,000.00
Pulmonary Valvoplasty 40,000.00 40,000.00 40,000.00 40,000.00
Pulmonary Venous Drainage - 140,000.00 140,000.00 140,000.00
Repair of Aortic Valve Replacement - 150,000.00 150,000.00 150,000.00
Repair of Mitral Valve Replacement - 200,000.00 200,000.00 200,000.00
Radio Frequency Ablation (RF) - Ventricular tachycardia - - 75,000.00 75,000.00
3D Mapping - - 150,000.00 150,000.00
Repair of "Left or Right" Ventricular Outflow Treat (RVOT) - 140,000.00 140,000.00 140,000.00
Tetralogy of Fallot (TOF) - 140,000.00 140,000.00 140,000.00
Total Anomalous Pulmonary Venous Drainage (TAPVD) - 140,000.00 140,000.00 140,000.00
Percutaneous Transvenous Mitral Commissurotomy (PTMC) - 50,000.00 50,000.00 50,000.00
Multiple Aorto Pulmonary Collaterals Arteries (MAPCAs) - 140,000.00 140,000.00 140,000.00

Type of Surgery/Treatment Gross Estimate Govt. Hospitals
(Rs.)
SJGH
(Rs.)
Private Hospitals
(Rs.)
Foreign Hospitals
(Rs.)
Kidney transplantation - 200,000.00 300,000.00 400,000.00 400,000.00
Dialysis treatment - - 400,000.00 400,000.00 -

Type of Surgery/Treatment Gross Estimate Govt. Hospitals
(Rs.)
SJGH
(Rs.)
Private Hospitals
(Rs.)
Foreign Hospitals
(Rs.)
Cancer treatment Up to 750,000.00 Half of the Estimated Cost - Half of the Estimated Cost Half of the
Estimated Cost
- Over 750,000.00 400,000.00 - 400,000.00 400,000.00
CyberKnife (Radiotherapy) Up to 750,000.00 Half of the Estimated Cost Half of the Estimated Cost Half of the
Estimated Cost
- Over 750,000.00 400,000.00 400,000.00 400,000.00

Type of Surgery/Treatment Gross Estimate Govt. Hospitals
(Rs.)
SJGH
(Rs.)
Private Hospitals
(Rs.)
Foreign Hospitals
(Rs.)
Brain tumour / Craniotomy/Occipital Meningioma Upto 500,000.00 - 250,000.00 250,000.00 250,000.00
500,001.00 - 1,000,000.00 - 300,000.00 300,000.00

300,000.00

1,000,001.00 - 1,500,000.00 - 350,000.00 350,000.00 350,000.00
Over 1,500,000.00 - 400,000.00 400,000.00 400,000.00
Effective Intervention Radiological Management of Arterio-Venous Malformation of Brain (AVM) 300,000.00 300,000.00 300,000.00 300,000.00
Effective Intervention Radiological Management of Cerebral Aneurysms (CA) 350,000.00 350,000.00 350,000.00 350,000.00
Gamma Knife Radio Surgery (Stereotactic Radio Surgery) 300,000.00 300,000.00
Guillain-Barre Syndrome 300,000.00 300,000.00
VP Shunt (Ventriculo-Peritoneal Shunt) 150,000.00 150,000.00 150,000.00
Epilepsy Surgery 300,000.00 300,000.00 300,000.00
Titanium Mesh-Cranioplasty Upto 200,000.00 75,000.00 75,000.00 75,000.00 75,000.00
Over 200,000.00 100,000.00 100,000.00 100,000.00 100,000.00

Type of Surgery Gross Estimate Govt. Hospitals
(Rs.)
SJGH
(Rs.)
Private Hospitals
(Rs.)
Foreign Hospitals
(Rs.)
Total hip Replacement (One hip) - 100,000.00 100,000.00 100,000.00 100,000.00
(Both hips) - 200,000.00 200,000.00 200,000.00 200,000.00
Total knee Replacement (One knee) - 100,000.00 100,000.00 100,000.00 100,000.00
(Both knees) - 200,000.00 200,000.00 200,000.00 200,000.00
Shoulder/Elbow Replacements (One Shoulder/Elbow) - 100,000.00 100,000.00 100,000.00 100,000.00
(Both Shoulders/Elbows) - 200,000.00 200,000.00 200,000.00 200,000.00
Artificial Limb Prosthesis - 50,000.00 50,000.00 50,000.00 50,000.00

Type of Surgery/Treatment Gross Estimate Govt. Hospitals
(Rs.)
SJGH
(Rs.)
Private Hospitals
(Rs.)
Foreign Hospitals
(Rs.)
Scoliosis (Spinal Cord Deformity) 200,000.00 200,000.00 200,000.00 200,000.00
Spinal Cord Compression / Decompression 200,000.00 200,000.00 200,000.00 200,000.00

Type of Surgery/Treatment Gross Estimate Govt. Hospitals
(Rs.)
SJGH
(Rs.)
Private Hospitals
(Rs.)
Foreign Hospitals
(Rs.)
Bone Marrow Transplantation (Pre-Tests) 300,000.00 - 500,000.00 500,000.00
Stem Cell Transplantation (Pre-Tests) 300,000.00 - 500,000.00 500,000.00
Aplastic Anemia - - 300,000.00 300,000.00
Thalassaemia (Infusion Pump) 35,000.00 - - -

Type of Surgery/Treatment Gross Estimate Govt. Hospitals
(Rs.)
SJGH
(Rs.)
Private Hospitals
(Rs.)
Foreign Hospitals
(Rs.)
Liver Transplantation - (Tests & Drugs) 300,000.00 500,000.00 500,000.00
Trans-Arterial Chemo-Embolization (TACE) Treatment 200,000.00 200,000.00 200,000.00

Type of Surgery/Treatment Gross Estimate Govt. Hospitals
(Rs.)
SJGH
(Rs.)
Private Hospitals
(Rs.)
Foreign Hospitals
(Rs.)
Cochlear Implantation - 500,000.00 500,000.00 500,000.00
Eye Surgery / Treatments (only for abroad) - - - - 100,000.00

Type of Surgery/Treatment Teaching Hospital, Karapitiya Teaching Hospital, Kandy National Hospital of Sri Lanka (NHSL) Lady Ridgeway Hospital for Children (LRH)
Open Heart Surgery 57,500.00 57,500.00 57,500.00 57,500.00
( More than 50 Surgeries ) ●●81,000.00 ●●81,000.00 ●●81,000.00 ●●81,000.00
Brain Surgery (Only for President's Fund Approved Surgeries) 57,500.00 57,500.00 57,500.00 57,500.00
Spinal Cord Compression 57,500.00 57,500.00 57,500.00 57,500.00
Hip/Knee/Shoulder/Elbow Replacements 57,500.00 57,500.00 57,500.00 57,500.00

1. ●● The surgeries should be performed after the duty hours to be considered for the above special project.

2. ●● A particular Cardiothoracic Surgeon should perform more than 50 open heart surgeries per month Cardiothoracic Unit to be eligible to claim Rs. 81,000/- per surgery