5/11/2021 RATE LIST

RATE LIST
OF
Recognized Private Hospitals
and Diagnostic Centres
Under
CGHS HYDERABAD
' CGHS OFFICE: 040-27902316, 040-27902583
FAX: 040-27900115

F With Index for the Contents.

F Under each Departmental Package arranged in

Alphabetical order.

Ministry of Health and Family Welfare

Government of India
Nirman Bhawan
New Delhi-110 011

F.No.S.11011/38/2001-CGHS Desk.II/CGHS(P)
GOVERNMENT OF INDIA
Ministry of Health & Family Welfare

Nirman Bhawan, New Delhi.

Dated:23rd December. 2002.

OFFICE MEMORANDUM

SUB:- Recognition of private hospitals/diagnostic centers under CGHS, Hyderabad for specialized
and general purpose treatment and diagnostic procedures and fixation of package/ceiling
https://dme.ap.nic.in/ma/cghs.html 1/37
5/11/2021 RATE LIST

rates -regarding.

The undersigned is directed to say that the issue of fresh recognition of private hospitals and diagnostic centers for
treatment of CGHS beneficiaries under CGHS, Hyderabad and fixation of package/ceiling rates has been under
consideration of the Government for quite some time. It has now been decided to recognize the hospitals/diagnostic
centers for different specialities as per list attached at Annex.A&B.

2. (a) Package rate is defined as lump sum cost of in-patient treatment or diagnostic procedure for which a patient
has been referred by competent authority or CGHS to Hospital or Diagnostic Center. This includes all
charges pertaining to a particular treat�ment/procedure including admission charges, accommodation charges,
ICU/ICCU charges, monitoring charges, operation charges, anesthesia charges, operation theatre charges,
pro�cedural charges/surgeon's fee, cost of disposable, surgical charges and cost of medicine used during
hospitalization, related routine investigations, physiotherapy charges etc.

(b) The package rate does not include diet, telephone charges, T.V.charges and cost of cosmetics, toiletry,
tonics and medicines advertised in mass media. Cost of these, if offered on request of patient will be realized
from the individual patient and are not to be included in package charges.

(c) The recognized hospital/diagnostic center will not charge more than the package rate from the beneficiary.

3. - 12 days for specialized procedure

- 7-8 day for other procedures.
- 3 days for laproscopic surgery.
- 1 day for day care/minor procedures (OPD)

4. However if the beneficiary has to stay in the hospital for his/her recovery for more than the period covered
in the package rate, the additional reimbursement shall be limited to room rent as per entitlement, cost of
the prescribed medicines and investigations, doctors visits (not more than 2 times a day) for additional stay.

5. (a) The entitlement for indoor treatment would be as under :

(i) Basic Pay upto Rs.7,500/- - General Ward.
(ii) Basic Pay Rs.7,501/- to 10,500/- - Semi Pvt. Ward.
(iii) Basic Pay Rs. 10,501/- and above - Private Ward.

(b) Package rate offered to CGHS for treatment in Semi-Pvt. Ward is mentioned and indicated in the rate
list at Annex.-C.

(c) It has further been decided that the CGHS beneficiaries taking treatment in the above mentioned
hospitals with the prior permission of the CGHS will be entitled for reimburse�- ment as per the package
rates given in the Annex.-C. The rates for indoor treatment mentioned in attached Annexures are for
Semi Private Category. For Private Ward there will be an increase of 15% and for General Ward there
will be a decrease of 10%.

(d) The implant shall be reimbursed as per actuals except for the items where ceiling is defined.

6. A Private Hospital/Diagnostic Center whose rates for a procedure/test/facility are lower than the approved rates
shall charge the beneficiaries as per actuals.

7. (a) For investigations and treatment procedures for which admission is not required rates will be same for all
categories.

(b) The maximum room rent for different categories would be :-

General Rs.500/- per day

Semi Private Rs.l,000/-per day
Private Rs.1,500/- per day
Day Care (6-8 hours admission) Rs.500/- per day (same for all categories)
https://dme.ap.nic.in/ma/cghs.html 2/37
5/11/2021 RATE LIST

8. The beneficiary will have the option of availing specialized treatment/diagnostic tests at CGHS recognized
Hospitals/Diagnostic Centers of his/her choice after the Specialist of CGHS/ Govt.Hospital/CMO I/c of CGHS
Dispensary recommends the procedure/test.

9. For non-emergency cases, beneficiaries of Central Govt. Health Scheme are entitled to medical reimbursement for
treatment in hospitals/diagnostic centers recognized under the scheme subject to written permission from the
competent authority.

10. On production of valid permission, the recognized hospitals/diagnostic centers shall provide credit facilities to:

� Freedom Fighters, or
� Ex- Member of Parliament, or
� Ex-Governor/ Ex-Vice President of India/Former Prime Minister, or
� CGHS Employees
� Pensioners (& their dependants) of Central Govt.drawing pension from Civil Estimates.
holding valid CGHS card.
The recognized Private Hospital/Diagnostic Centers required to submit bills pertaining to above mentioned
beneficiaries once in a month directly to the office of concerned Joint Director of CGHS, who will settle the claims within
60 days of submission of bills.

11. In case of an emergency, the recognized private hospital shall not refuse admission or demand advance from the
beneficiary and shall provide credit facilities to the concerned patient on the production of valid CGHS card. The
recognized CGHS Hospital/Diagnostic Center shall submit the bill for reimbursement subject to the ceiling of
approved rate to the respective Department/Joint Director, CGHS where the payment is made by CGHS
Directorate.

12. Reimbursement in respect of serving CGHS beneficiaries and Members of Parliament covered under CGHS will
be made by the respective Ministries/Department/ Organizations.

13. The recognized hospitals/ diagnostic centers will provide necessary medicines & all disposable sundries of
standard quality and will not get them purchased through CGHS beneficiaries.

14. If one or more treatment procedures form part of a major treatment procedure, package charges would be
made against the major procedures and only one half of approved charges quoted for the other procedures would
be added to the package charges of the first major procedure.

15. Treatment taken in branches of the recognized hospitals will not be admissible for reimbursement.

16. Any legal liability coming out of such services shall be dealt by the hospital/ diagnostic center and it shall be
responsible alone.

17. This issues with the concurrence of Finance Division Vide JS(FA) Dy. No. 5618/JS(FA)/2002 dated 6.9.2002.

18. All the Hospitals/Diagnostic Centers mentioned in Annx. A & B have signed the Memo�randum of Agreement
(MOA) with Director, CGHS about recognition and rates.

19. An abstract of every indoor treatment/test shall be sent by the recognized private hospitals/diagnostic centers
to every Joint/Additional Director of concerned CGHS city on monthly basis by the 10th of the following month,
indicating Name of the patient, CGHS Card Number, Name of Office/Organization, Name of referring Specialist,
Permission No. and Date, Description of procedure/tests performed and the amount charged, in the proforma at
Annex.'D'

(B.B.BHATTACHARJEE)
DY.SECRETARY TO THE
GOVERNMENT OF INDIA

https://dme.ap.nic.in/ma/cghs.html 3/37