CGHS Revised Rate Price List 2023
Ministry of Health and Family Welfare
- Union Health Ministry Revises CGHS Package Rates for the benefit of CGHS Beneficiaries
- Referral Process under CGHS simplified; beneficiaries can now be referred through video call
Posted On: 12 APR 2023 6:11PM by PIB Delhi
Union Ministry of Health and Family Welfare has decided to revised the CGHS package rates for all CGHS beneficiaries. The Union Govt has also simplified the referral process under CGHS for the benefit of its employees.
After due examination of demands from stakeholders and taking into consideration the increase in costs of various components of health care, the Union Health Ministry has proposed to initially revise the CGHS package rates of consultation fees, ICU charges and room rent, as per details given under:
Revised CGHS rates:
| Item | Existing | Revised |
| Consultation Fee | ||
| OPD Consultation | Rs 150 | Rs 350 |
| IPD Consultation | Rs.300 | Rs 350 |
| ICU charges | ||
| includes Rs 750 for non-NABH hospitals and Rs 862* for NABH hospitals includes – monitoring, RMO charges, nursing care and in addition Room rent is as per ward entitlement of beneficiary -general ward / semi-private ward / private ward is permitted.
*15% more for NABH accredited | Rs 862 for NABH + Room rent as per ward entitlement | Rs 5,400/- (Rs 862 + Rs 4,500/- for Private ward = 5,362- rounded to Rs 5,400) including accommodation for all ward entitlements. |
| Room Rent | ||
| General ward | Rs 1000/- | Rs 1,500/- |
| Semi-Private ward | Rs 2,000/- | Rs. 3,000/- |
| Private ward | Rs.3,000/- | Rs.4,500/- |
The referral process under CGHS has also been simplified. Earlier the CGHS beneficiary had to visit the CGHS Wellness Center himself and take referral to the hospital. But now, if the CGHS beneficiary is unable to go, he can send someone on his behalf with his documents to the wellness center. The medical officer can refer the beneficiary to go to the hospital after checking the documents. Apart from this, CGHS beneficiary can also take referral through video call.
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Revision of Consultation Fee, Room Rent and ICU charges for All Health Care Organizations (HCOs) empanelled under CGHS
F No 7.15025/28/2022/DIR/CGHS
Govt. of India
Min. of Health & Family Welfare
Department of Health & Family Welfare
Directorate General of CGHS
RK Puram Sector-13. New Delhi
Dated the 12th April, 2023
OFFICE MEMORANDUM
Subject: Revision of Consultation Fee, Room Rent and ICU charges for All Health Care Organizations (HCOs) empanelled under CGHS.
I am directed to convey the revision of the charges for Consultation fee, Intensive Care Unit and Room rent reimbursable in respect of treatment rendered to CGHS beneficiaries in all HCOs empanelled under CGHS. The revised rates in respect for the aforementioned items are as under:
a) Consultation fee –
- OPD Consultation Rs. 350/-
- IPD Consultation Rs. 350/- (For both NABH and Non-NABH accredited HCOs)
b) ICU Charges —
- Rs. 5400/- for all categories of ward entitlement (General Ward / Semi-private ward / Private ward) (For non-NABH accredited hospitals the charges shall be 15% less)
- ICU charges are inclusive of Room Rent.
c) Room Rent-
- General ward Rs.1500/-
- Semi-private ward Rs.3000/-
- Private ward Rs. 4500/- (For both NABH and Non-NABH accredited HCOs)
The other terms and conditions of empanelment shall remain unchanged.
These revised rates shall be applicable from the date of issue and shall be valid till further orders.
This issues with the approval of Competent Authority and concurrence of Integrated Finance Division Ministry of H & FW vide CD No.3419 dated 27.03.2023.
Sd/-
(Dr. Manoj Jain)
Director, CGHS
Source: CGHS