CGHS Rates Overview & Implementation
Last updated: October 13, 2025
Implementation Date
The revised CGHS rates are effective from 13.10.2025 and apply to all healthcare services availed at CGHS-empanelled Healthcare Organisations (HCOs) and medical reimbursement claims.
Applicability
- •All healthcare services availed at CGHS-empanelled Healthcare Organisations (HCOs)
- •Medical Reimbursement Claims of individuals (Serving, Pensioners and other eligible categories)
- •CGHS cashless (credit) treatment for Central Government pensioners and other specified categories
Structure of Differential Rates
Accreditation-Based Rates
Non-NABH and Non-NABL HCOs: 15% lower than NABH/NABL accredited HCOs
Super Specialty Hospitals
Rates for super speciality hospitals shall be 15% higher than those applicable to NABH-accredited hospitals for the corresponding Super specialities within the same city category.
City-Based Rates
- •X (Tier I) Cities: Base rates
- •Y (Tier II) Cities: 10% lower than Tier I
- •Z (Tier III) Cities: 20% lower than Tier I
Ward Entitlement
Package rates are for semi-private ward:
- •General Ward: 5% decrease in rates
- •Semi-Private Ward: Base rate (100%)
- •Private Ward: 5% increase in rates
Uniform Rates
Rates for consultations, radiotherapy, investigations, day care procedures, and minor procedures not requiring admission shall remain uniform, irrespective of ward entitlement.
Non-Empanelled Hospitals
In exceptional circumstances, where treatment has been availed from any non-empanelled private HCOs, reimbursement may be considered as per extant instructions, but the rate would be restricted to Non-NABH rates of the concerned city.