CGHS Room Rent and Consultation Charges: Ward Entitlement Explained

Beyond procedure packages, CGHS sets OPD consultation charges and room-rent ceilings. Your ward entitlement is decided by your basic pay or pension slab.

The Office Memorandum effective 13 October 2025 sets one consultation rate for every hospital category, and defines room rent per ward category as an all-inclusive charge.

CGHS Consultation Charges (effective 13 October 2025)

Consultation is charged at one flat rate for every hospital category and every ward entitlement.

• OPD consultation, all hospital categories — Rs 350
• Consultation for an inpatient, all hospital categories — Rs 350
• OPD consultation — super-speciality or psychiatry, all hospital categories — Rs 700

ICU and Ventilator Charges Per Day

The ICU charge already includes room rent, monitoring and oxygen. Ventilator charges are billed over and above it.

• ICU / CCU / PICU / MICU / HDU per day, including room rent, all hospital categories — Rs 5,400
• Ventilator charges per day, including associated disposables, Non-NABH — Rs 2,550
• Ventilator charges per day, including associated disposables, NABH — Rs 3,000
• Non-invasive ventilator charges per day, including associated disposables, Non-NABH — Rs 510
• Non-invasive ventilator charges per day, including associated disposables, NABH — Rs 600

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.

Room Rent by Ward Category

The Office Memorandum effective 13 October 2025 sets room rent per day by ward category, tied to basic pay. Room rent is a consolidated charge: it covers the bed, diet, nursing care, duty doctor charges, air conditioning, electricity, water, linen, housekeeping and the discharge summary, and none of those may be billed separately.

• General ward (basic pay up to Rs 36,500): Rs 1,500 per day
• Semi-private ward (basic pay Rs 36,501 to Rs 50,500): Rs 3,000 per day
• Private ward (basic pay Rs 50,501 and above): Rs 4,500 per day
• ICU, ICCU, NICU, PICU, HDU or isolation, same for every entitlement: Rs 5,400 per day
• Day care, same for every entitlement: Rs 1,500

How Ward Entitlement Changes the Package Rate

Every package rate published by CGHS is the semi-private ward figure. If you are entitled to a general ward the admissible amount is 5% lower, and if you are entitled to a private ward it is 5% higher. Consultations, investigations, radiotherapy, day-care procedures and minor procedures not needing admission are the same for every ward entitlement.

City tier also matters: a hospital in a Tier II city is paid 10% below the Tier I rate and a hospital in a Tier III city 20% below it. North-East states and the Union Territories of Jammu & Kashmir and Ladakh are paid at Tier II rates.

How CGHS Package Rates Work

A CGHS "package rate" is an all-inclusive amount covering admission, surgeon and anaesthetist charges, operation theatre, nursing, routine investigations, medicines and accommodation for the standard length of stay.

High-value implants such as knee and hip prostheses, coronary stents, meshes, spinal cages and heart valves are not part of the package and are reimbursed separately against notified implant ceiling rates.

Under the Office Memorandum effective 13 October 2025, a non-NABH hospital is paid 15% below the NABH rate, and for the specialities the memorandum names, a super-speciality hospital is paid 15% above the NABH rate.

The published rate is the semi-private ward figure: a general-ward entitlement is 5% lower and a private-ward entitlement 5% higher. Hospitals in Tier II cities are paid 10% less and in Tier III cities 20% less than Tier I. Consultations, investigations, radiotherapy, day-care and minor procedures are the same for every ward entitlement.

Frequently Asked Questions

What is the CGHS consultation charge?

Rs 350 for an OPD consultation and for an inpatient consultation, and Rs 700 for a super-speciality or psychiatry OPD consultation, under the Office Memorandum effective 13 October 2025. The rate is the same at every empanelled hospital.

How is my CGHS ward entitlement decided?

By your basic pay. Up to Rs 36,500 you are entitled to a general ward, Rs 36,501 to Rs 50,500 to a semi-private ward, and Rs 50,501 and above to a private ward.

What is the CGHS room rent per day?

Rs 1,500 for a general ward, Rs 3,000 for a semi-private ward and Rs 4,500 for a private ward, per day. ICU is Rs 5,400 per day for every entitlement and already includes room rent, monitoring and oxygen.

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.