Following clarification about CGHS rates notified in 2010/2011 applicable to empanelled hospitals and Diagnostic Laboratories and Imaging Centers in various cities issued vide Govt of India, Ministry of Health & Family Welfare, Deptt of Heath & Family Welfare’s No. S.11011/23/2009-CGHS D.II/Hospital Cell (Part IX):
1. If CGHS rate is not available for any procedure/ investigation/ Category (say super-specialty) in any CGHS covered city, this CGHS rete notified for such procedure / investigation / category for the nearest CGHS city or the rate notified under CGHS, Delhi, whichever is lower shall be applicable as CGHS rate for such procedure/ investigation / category for that city.
2. Since NABL Accreditation for in-house laboratories of hospitals has been made optional, rates prescribed for NABL Accredited laboratories shall be applicable for the in-house laboratories of hospitals, for the investigations under taken for in-patient.
3. It has also been clarified that for any day care procedure requiring short admission – a few hours to one day – accommodation charge for one day as per entitlement shall be applicable, provided the patient has been admitted in a room as per his/her entitlement.
CLARIFICATION REGARDING CGHS RATES APPLICABLE IN CITIES OTHER THAN DELHI FOR PROCEDURES / CATEGORIES WHEN CGHS RATES ARE NOT AVAILABLE FOR THAT CITY