CGHS Rates for Clinical Biochemistry, Electrolyte, Organ Function, and Therapeutic Drug Monitoring Tests

Clinical biochemistry tests are fundamental tools in modern medicine, providing crucial insights into the body's metabolic processes. This page details the Central Government Health Scheme (CGHS) approved rates for a comprehensive list of investigations, including electrolyte panels, organ function tests for the liver and kidneys, lipid profiles, and therapeutic drug monitoring.

These tests help in diagnosing a wide array of conditions, monitoring the progression of chronic diseases, and assessing the effectiveness and safety of certain medications. For instance, a Liver Function Test (LFT) or Kidney Function Test (KFT) can reveal early signs of organ damage. An Arterial Blood Gas (ABG) analysis is critical in emergency settings to evaluate a patient's respiratory status. Similarly, monitoring the levels of drugs like anticonvulsants or immunosuppressants is essential to ensure they are within their therapeutic range.

As a CGHS beneficiary, you can avail these diagnostic services at empanelled hospitals and laboratories at pre-approved rates. This guide provides information on the procedures covered, what the rates include, and how to navigate the process at a healthcare facility.

CGHS Biochemistry, Electrolyte & Drug Level Test Rates (effective 13 October 2025)

• Stool for Occult Blood, Non-NABH — Rs 85
• Stool for Occult Blood, NABH — Rs 100
• 24 Hrs Urine for Proteins, Sodium, Creatinine, Non-NABH — Rs 255
• 24 Hrs Urine for Proteins, Sodium, Creatinine, NABH — Rs 300
• Urine Bile Pigment and Salt, Non-NABH — Rs 60
• Urine Bile Pigment and Salt, NABH — Rs 70
• Urine Urobilinogen, Non-NABH — Rs 60
• Urine Urobilinogen, NABH — Rs 70
• Urine Ketones, Non-NABH — Rs 60
• Urine Ketones, NABH — Rs 70
• Urine Occult Blood, Non-NABH — Rs 60
• Urine Occult Blood, NABH — Rs 70
• Urine Total Proteins, Non-NABH — Rs 60
• Urine Total Proteins, NABH — Rs 70
• Bence Jones Protein, Non-NABH — Rs 85
• Bence Jones Protein, NABH — Rs 100
• C-Reactive Protein (CRP) Quantitative, Non-NABH — Rs 255
• C-Reactive Protein (CRP) Quantitative, NABH — Rs 300
• Body Fluid (CSF/Ascitic Fluid etc.) Sugar, Protein etc, Non-NABH — Rs 255
• Body Fluid (CSF/Ascitic Fluid etc.) Sugar, Protein etc, NABH — Rs 300
• Albumin, Non-NABH — Rs 43
• Albumin, NABH — Rs 50
• Creatinine Clearance, Non-NABH — Rs 170
• Creatinine Clearance, NABH — Rs 200
• Serum Cholesterol, Non-NABH — Rs 128
• Serum Cholesterol, NABH — Rs 150
• Total Iron Binding Capacity (TIBC), Non-NABH — Rs 255
• Total Iron Binding Capacity (TIBC), NABH — Rs 300
• Glucose (Fasting & PP), Non-NABH — Rs 68
• Glucose (Fasting & PP), NABH — Rs 80
• Serum Calcium –Total, Non-NABH — Rs 128
• Serum Calcium –Total, NABH — Rs 150
• Serum Calcium – Ionic, Non-NABH — Rs 510
• Serum Calcium – Ionic, NABH — Rs 600
• Serum Phosphorus, Non-NABH — Rs 128
• Serum Phosphorus, NABH — Rs 150
• Total Protein Albumin/Globulin Ratio (A/G Ratio), Non-NABH — Rs 60
• Total Protein Albumin/Globulin Ratio (A/G Ratio), NABH — Rs 70
• Serum Amylase, Non-NABH — Rs 255
• Serum Amylase, NABH — Rs 300
• Serum Lipase, Non-NABH — Rs 340
• Serum Lipase, NABH — Rs 400
• Serum Lactate, Non-NABH — Rs 425
• Serum Lactate, NABH — Rs 500
• Serum Magnesium, Non-NABH — Rs 255
• Serum Magnesium, NABH — Rs 300
• Serum Sodium, Non-NABH — Rs 102
• Serum Sodium, NABH — Rs 120
• Serum Potassium, Non-NABH — Rs 102
• Serum Potassium, NABH — Rs 120
• Chloride, Non-NABH — Rs 128
• Chloride, NABH — Rs 150
• Serum Bicarbonate, Non-NABH — Rs 170
• Serum Bicarbonate, NABH — Rs 200
• Serum Ammonia, Non-NABH — Rs 570
• Serum Ammonia, NABH — Rs 670
• Creatine Phosphokinase (CPK)/Creatine Kinase (CK), Non-NABH — Rs 196
• Creatine Phosphokinase (CPK)/Creatine Kinase (CK), NABH — Rs 230
• Lactate dehydrogenase (LDH), Non-NABH — Rs 187
• Lactate dehydrogenase (LDH), NABH — Rs 220
• Acid Phosphatase, Non-NABH — Rs 128
• Acid Phosphatase, NABH — Rs 150
• CK MB Mass/CPK MB Mass, Non-NABH — Rs 306
• CK MB Mass/CPK MB Mass, NABH — Rs 360
• Troponin T, Non-NABH — Rs 595
• Troponin T, NABH — Rs 700
• Blood gas analysis / Arterial Blood Gas (ABG), Non-NABH — Rs 476
• Blood gas analysis / Arterial Blood Gas (ABG), NABH — Rs 560
• Blood gas analysis / Arterial Blood Gas (ABG) with electrolytes, Non-NABH — Rs 680
• Blood gas analysis / Arterial Blood Gas (ABG) with electrolytes, NABH — Rs 800
• Apolipoprotein A1 (ApoA1), Non-NABH — Rs 340
• Apolipoprotein A1 (ApoA1), NABH — Rs 400
• Apolipoprotein B (Apo B), Non-NABH — Rs 340
• Apolipoprotein B (Apo B), NABH — Rs 400
• Lipoprotein A / Lp A, Non-NABH — Rs 340
• Lipoprotein A / Lp A, NABH — Rs 400
• Low Density Lipoprotein (LDL), Non-NABH — Rs 128
• Low Density Lipoprotein (LDL), NABH — Rs 150
• Homocysteine, Non-NABH — Rs 553
• Homocysteine, NABH — Rs 650
• Serum Electrophoresis, Non-NABH — Rs 595
• Serum Electrophoresis, NABH — Rs 700
• Gamma-Glutamyl Transpeptidase (GGTP), Non-NABH — Rs 128
• Gamma-Glutamyl Transpeptidase (GGTP), NABH — Rs 150
• Fructosamine, Non-NABH — Rs 425
• Fructosamine, NABH — Rs 500
• Serum Copper, Non-NABH — Rs 553
• Serum Copper, NABH — Rs 650
• Serum Ceruloplasmin, Non-NABH — Rs 553
• Serum Ceruloplasmin, NABH — Rs 650
• Urinary copper, Non-NABH — Rs 714
• Urinary copper, NABH — Rs 840
• D Xylose test, Non-NABH — Rs 935
• D Xylose test, NABH — Rs 1,100
• Faecal / Faecal fat test/ faecal chymotrypsin/ faecal elastase, Non-NABH — Rs 850
• Faecal / Faecal fat test/ faecal chymotrypsin/ faecal elastase, NABH — Rs 1,000
• Osmolality urine, Non-NABH — Rs 383
• Osmolality urine, NABH — Rs 450
• Osmolality serum, Non-NABH — Rs 383
• Osmolality serum, NABH — Rs 450
• Urinary sodium, Non-NABH — Rs 128
• Urinary sodium, NABH — Rs 150
• Urinary Chloride, Non-NABH — Rs 128
• Urinary Chloride, NABH — Rs 150
• Urinary potassium, Non-NABH — Rs 128
• Urinary potassium, NABH — Rs 150
• Urinary calcium, Non-NABH — Rs 128
• Urinary calcium, NABH — Rs 150
• Protein Creatinine Ratio (PCR), Urine / Albumin Creatinine Ratio (ACR), Urine, Non-NABH — Rs 129
• Protein Creatinine Ratio (PCR), Urine / Albumin Creatinine Ratio (ACR), Urine, NABH — Rs 152
• Citrate Urine 24 Hour, Non-NABH — Rs 978
• Citrate Urine 24 Hour, NABH — Rs 1,150
• Lithium, Non-NABH — Rs 298
• Lithium, NABH — Rs 350
• Dilantin (Phenytoin), Non-NABH — Rs 510
• Dilantin (Phenytoin), NABH — Rs 600
• Carbamazepine, Non-NABH — Rs 595
• Carbamazepine, NABH — Rs 700
• Cyclosporine, Non-NABH — Rs 2,125
• Cyclosporine, NABH — Rs 2,500
• Valproic acid, Non-NABH — Rs 510
• Valproic acid, NABH — Rs 600
• Serum phenobarbitone level, Non-NABH — Rs 510
• Serum phenobarbitone level, NABH — Rs 600
• Tacrolimus Level, Non-NABH — Rs 2,248
• Tacrolimus Level, NABH — Rs 2,645

Rates shown are as per the CGHS approved package rates (Office Memorandum F.No.5-16/CGHS(HQ)/HEC/2024(PartI) dated 03.10.2025, effective 2025-10-13) (2025 (effective 13.10.2025)) and are subject to periodic revision. Always verify the latest approved rates on the official source.

Who This Covers

This rate guide is relevant for CGHS beneficiaries who have been advised by their consulting physician to undergo specific laboratory investigations. The procedures listed are applicable to a broad spectrum of patients, including:

• Individuals undergoing routine health screenings or preventive check-ups.

• Patients with symptoms that require diagnostic investigation, such as fatigue, jaundice, or swelling.

• People with chronic conditions like diabetes, hypertension, heart disease, liver ailments, or kidney disorders who require regular monitoring.

• Patients in critical care or emergency situations where tests like Arterial Blood Gas (ABG) analysis or cardiac markers (Troponin T, CK-MB) are needed.

• Individuals on long-term medication for conditions such as epilepsy (e.g., Phenytoin, Valproic acid) or post-transplant patients on immunosuppressants (e.g., Cyclosporine, Tacrolimus), who need therapeutic drug monitoring to adjust dosages.

• Patients being evaluated for specific metabolic or nutritional deficiencies, requiring tests for iron, calcium, copper, or various proteins.

What CGHS Covers vs. What You Pay Separately

The CGHS rates published in the official memorandum are for the complete procedure package. This means the approved rate for a test like 'Serum Creatinine' or 'Lipid Profile' covers the cost of sample collection, processing, analysis by the laboratory, and generation of the report. The rates are fixed and uniform for all beneficiaries.

However, it is important to understand that the package rate may not cover all items. In some cases, costs for special consumables, sophisticated testing kits, or certain drugs used during a specific diagnostic procedure (like a D-Xylose test) might be billed separately. These are not typically part of the standard test procedure cost.

Before proceeding with any test, it is advisable for beneficiaries to inquire at the hospital's billing counter to clarify if any additional costs for consumables or other items will be applicable over and above the specified CGHS package rate.

How to Use This at a CGHS-Empanelled Hospital

To avail the benefits of CGHS rates for laboratory tests, beneficiaries should follow a straightforward process:

1. Obtain a prescription for the required tests from a CGHS Medical Officer or a government specialist. The prescription should clearly state the tests to be conducted.

2. Carry your valid CGHS card and the prescription to a CGHS-empanelled hospital or diagnostic laboratory.

3. At the registration or billing desk, present your documents. It is important to confirm that the procedure code and name being entered by the hospital staff match the one on the CGHS list to ensure correct billing.

4. The final amount billed will depend on the accreditation status of the hospital. The rates differ for NABH-accredited and non-NABH-accredited facilities. This is determined by the hospital's own certification and is not a choice for the patient. The rates applicable will be as per the official CGHS list for that category of facility.

Frequently Asked Questions

Do I need to fast before giving my blood sample for these tests?

Fasting requirements depend on the specific test. For example, tests like Glucose (Fasting) and Lipid Profile (Serum Cholesterol, LDL) typically require 8-12 hours of fasting. However, many other tests like Serum Electrolytes or Creatinine do not require fasting. Always confirm the specific instructions with your doctor or the laboratory before your visit.

What is the purpose of monitoring therapeutic drug levels like Lithium or Tacrolimus?

Certain medications have a narrow therapeutic window, meaning the dose must be precise to be effective without causing toxicity. Monitoring blood levels of drugs like Lithium (for bipolar disorder), Tacrolimus (an immunosuppressant), or Phenytoin (an anticonvulsant) helps the doctor ensure you are receiving the correct dose for your condition.

What is the difference between an Arterial Blood Gas (ABG) and a regular blood test?

A regular blood test usually uses venous blood, drawn from a vein in your arm. An ABG test requires a sample of arterial blood, typically taken from an artery in the wrist. It measures the levels of oxygen and carbon dioxide in the blood, as well as its pH, which provides critical information about a patient's respiratory and metabolic status.

Are cardiac marker tests like Troponin T and CK-MB Mass urgent?

Yes, these are cardiac markers. Their levels in the blood rise when there is damage to the heart muscle. Doctors order these tests when a heart attack is suspected, and they are often performed on an urgent basis in an emergency setting.

What is a 24-hour urine collection test for?

A 24-hour urine collection involves collecting all the urine you produce over a full day. This type of sample gives a more accurate measurement of how much of a substance (like protein, creatinine, sodium, or citrate) your body excretes in a day, which is more informative than a single random sample for assessing kidney function and certain metabolic disorders.

Do the CGHS rates cover home sample collection?

The official CGHS rate list specifies the cost for the test performed at the empanelled facility. Any additional services like home sample collection may incur extra charges. It is advisable to check directly with the empanelled laboratory about their policy and charges for home collection services.

Related

• How to apply for a CGHS card
• CGHS rate list for common procedures
• CGHS vs Ayushman Bharat: what's the difference

Medical Disclaimer

The information provided in this article is for general informational and educational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read in this article.