Table 3

Cost components of surgical procedures in the study hospitals (rupees 2011) (US$1=rupees 52)

ProcedureOperations (n)Person-time (minutes)Labour cost (rupees)Capital cost (rupees)Drugs, materials cost (rupees)Direct cost (rupees)Indirect cost (rupees)Unit cost (rupees)Reference (RSBY rate)Difference (%)
Lower section caesarean section (LSCS)6000
Charitable hospital28210130447201516528035 80741 087585
 Cost component (%)7241387100
District hospital20286812668737617297402469−59
 Cost component (%)514157030100
Private teaching hospital1220703520254266064341551798533
 Cost component (%)424327822100
Hysterectomy 10 000
Charitable hospital1215947928991714740550 21757 622476
 Cost component (%)823%1387100
District hospital4169317321221035288812354124−59
 Cost component (%)423257030100
Private teaching hospital13896482835129448123195810 0810.81
 Cost component483298020100
Appendectomy 6000*
District hospital19669128519321816957252421−60
 Cost component (%)53897030100
Tertiary care hospital77166231224079933512653616−40
 Cost component (%)64722937100
LSCS+tubal ligation Not available
Charitable hospital1510531647201516540136 62442 025
 Cost component (%)7241387100
Hernia repair10 000
District hospital15498182522771969248395613 20432
 Cost component (%)142547030100
Intestinal obstruction 9000
Tertiary care hospital8991264414303121959364706406−29
 Cost component (%)69519937100
External fixation 13 000†
Tertiary care hospital547963363309411777896178406−35
 Cost component (%)40449937100
Lap cholecystectomy 12 000
Tertiary care hospital4726422 4641473171325 649208327 732131
 Cost component (%)8156928100
Amputation 9658†
Tertiary care hospital390802803276170147803785158−46
 Cost component (%)54533927100
Open cholecystectomy 10 000
Tertiary care hospital1869633 6952031510040 827331544 142341
 Cost component (%)76511928100
Coronary artery bypass graft 28 000‡
Private hospital25519025 98915 66261 311102 96174 180177 141533
 Cost component(%)159355941100
Craniotomy 23 000§
Private hospital16217341 4682776625350 49725 48675 982230
 Cost component (%)54486634100
Functional endoscopic sinus surgery 9000
Private hospital1129823 4904937706035 48717 91053 398493
 Cost component (%)449136634100
  • *Appendectomy rate is the rate under general surgery.

  • †External fixation and amputation rates are the average rates.

  • ‡Coronary artery bypass graft rate is under procedures requiring bypass techniques.

  • §Craniotomy rate is the rate for Burr hole.