CGHS new rates from October 13, 2025: Check revised hospital tariffs, city-wise and accreditation details
By Sneha Kulkarni, ET Online |
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When will the new rates for CGHS be applicable from?
The Central Government Health Scheme (CGHS) has notified revised package rates for treatment across all its empanelled healthcare organisations (HCOs) and a few other services. The new rates, issued by the Directorate General of CGHS, are effective from October 13, 2025.
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What are the latest CGHS package rates?
In the circular, the Ministry says that the revised rates effective from October 13, 2025, will apply to all CGHS-empanelled healthcare organisations and to medical reimbursement claims submitted by serving employees, pensioners, and other eligible beneficiaries. Under the revised framework, cashless (credit) treatment will continue for Central Government pensioners and other categories entitled under existing CGHS rules.
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What are accreditation-based rates under the revised CGHS tariff structure?
Hospitals without National Accreditation Board for Hospitals (NABH) / National Accreditation Board for Testing and Calibration of Laboratories (NABL) accreditation will have rates that are 15% lower than those applicable to accredited institutions.
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How are rates different for super speciality hospitals?
Super speciality hospitals will be entitled to 15% higher rates than NABH-accredited hospitals within the same city category.
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Will hospital rates vary based on the city’s category?
Rates will vary based on the city’s tier. The applicable rates for different cities are-
HCO tariffs in Tier II (Y) and Tier III (Z) cities will be 10% and 20% lower than in Tier I (X). Y (Tier II) prices also apply to Healthcare Organizations (HCO) in the North-East region and Jammu & Kashmir and Ladakh.
Y (Tier II) city charges: 10% lower than Tier I (X) cities
Z (Tier III) city charges: 20% lower than Tier I (X) cities
HCO tariffs in Tier II (Y) and Tier III (Z) cities will be 10% and 20% lower than in Tier I (X). Y (Tier II) prices also apply to Healthcare Organizations (HCO) in the North-East region and Jammu & Kashmir and Ladakh.
Y (Tier II) city charges: 10% lower than Tier I (X) cities
Z (Tier III) city charges: 20% lower than Tier I (X) cities
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Are there any changes in cancer treatment rates under CGHS?
Existing CGHS rules and rates for cancer surgeries remain unchanged. However, revised rates will apply to chemotherapy, investigations, and radiotherapy.