Health Ministry Revises CGHS Rates for 36 Radiological, Imaging Investigations, details
New Delhi: After revision of the CGHS package rates of consultation fees, ICU charges, room rent etc., the Union Ministry of Health and Family Welfare (MoHFW) has now revised the CGHS rates for 36 radiological/ imaging investigations.
The list of radiological investigations for which the CGHS rates have been revised includes ECG, Echo, Fetal ECHO, Stress Echo, D-Stress Echo, MRI Cardiac, USG Colour Doppler Pregnancy, Testicular Scan, Thyroid Scan with Technetium 99m Pertechnetate, TMT, USG for anomalies scan, USG Whole abdomen/KUB, USG Pelvis/Gynaec, USG Breasts, HSG, USG guided FNAC, X-Ray abdomen AP Supine or Erect (one film), Chest X-ray PA View, Chest X-ray lateral view, IVP, MCU, RGU, Mammography B/L, NCCT Head, MRI Brain, MRI Orbit, MRI Wrists single joint without contrast, MRI Wrists Both joints without contrast, MRI Knee single joint without contrast, MRI Knees Both joints without contrast, MRI ankle single joint with contrast, MRI Ankle Both joints with contrast, MRI whole Spine Screening, MRI Whole Spine, CECT Thorax, and HRCT Chest.
Issuing an office memorandum in this regard, the Director of CGHS, Dr. Manoj Jain mentioned, "I am directed to convey the approval of Competent Authority for revision of CGHS rates for 36 Radiological/ Imaging investigations as per the details given below:"
| Code No | Investigation | Revised Rates for CGHS empanelled HCOs | ||
| For NABH/NABL Accredited | For nonNABH/NABL Accredited | |||
| 1 | 590 | ECG | 175 | 150 |
| 2 | 592 | Echo | 1475 | 1255 |
| 3 | 594 | Fetal ECHO | 1600 | 1360 |
| 4 | 597 | Stress Echo | 2400 | 2040 |
| 5 | 598 | D-Stress Echo | 3000 | 2550 |
| 6 | 604 | MRI Cardiac | 8000 | 6800 |
| 7 | 710 | USG Colour Doppler Pregnancy | 1675 | 1425 |
| 8 | 1358 | Testicular Scan | 1700 | 1445 |
| 9 | 1360 | Thyroid Scan with Technetium 99m Pertechnetate | 1900 | 1615 |
| 10 | 1375 | TMT | 1120 | 950 |
| 11 | 1590/708 | USG for anomalies scan | 2000 | 1700 |
| 12 | 1591 | USG Whole abdomen /KUB | 800 | 680 |
| 13 | 1592 | USG Pelvis/Gynaec. | 500 | 425 |
| 14 | 1597 | USG Breasts | 800 | 680 |
| 15 | 1598 | HSG | 2400 | 2040 |
| 16 | 1603 | USG guided FNAC | 1800 | 1530 |
| 17 | 1606 | X Ray abdomen AP Supine or Erect (one film) | 250 | 215 |
| 18 | 1608 | Chest X-ray PA View (one film) | 230 | 195 |
| 19 | 1609 | Chest X-ray lateral View (one film) | 230 | 195 |
| 20 | 1627 | IVP | 1650 | 1400 |
| 21 | 1628 | MCU | 1120 | 950 |
| 22 | 1629 | RGU | 1120 | 950 |
| 23 | 1635 | Mammography B/L | 1375 | 1170 |
| 24 | 1637 | NCCT Head | 1035 | 880 |
| 25 | 1661 | MRI Brain | 2500 | 2125 |
| 26 | 1663 | MRI Orbit | 1700 | 1445 |
| 27 | 1674 | MRI Wrists single joint without contrast | 3000 | 2550 |
| 28 | 1675 | MRI Wrists Both joints without contrast | 4000 | 3400 |
| 29 | 1678 | MRI Knee single joint without contrast | 3000 | 2550 |
| 30 | 1680 | MRI Knees Both joints without contrast | 4000 | 3400 |
| 31 | 1682 | MRI Ankle single joint with contrast | 5000 | 4250 |
| 32 | 1684 | MRI Ankle Both joints with contrast | 6500 | 5525 |
| 33 | 1700 | MRI whole Spine Screening | 2000 | 1700 |
| 34 | 1703 | MRI Whole Spine | 4000 | 3400 |
| 35 | 1784 | CECT Thorax | 2875 | 2445 |
| 36 | 1834 | HRCT Chest | 2000 | 1700 |
Clarifying that these rates are applicable in all CGHS cities, the OM further mentioned, "The rates for non-NABH /non-NABL accredited HCOs are 15% less than the rates for NABH/NABL Accredited HCOs. The other terms and conditions of empanelment shall remain unchanged."
"The revised rates shall be applicable from the date of issue and shall be valid till further orders. This issues with the approval of Competent Authority and concurrence of Integrated Finance Division, Ministry of H&FW vide CD No. 848 dated 16.06.2023," it added.
This comes around two months after the Union Health Ministry revised the CGHS package rates for all CGHS beneficiaries and simplified the process of referral under CGHS for the benefit of its employees.
Medical Dialogues had earlier reported that the Union Government revised the CGHS package rates of consultation fees, ICU charges and room rent. Apart from this, the Union Government also simplified the process of referral under CGHS for the benefit of its employees.
Earlier the CGHS beneficiary had to visit the CGHS Wellness Center himself and take referral to the hospital. But now, if the CGHS beneficiary is unable to go, he can send someone on his behalf with his documents to the wellness center. The medical officer can refer the beneficiary to go to the hospital after checking the documents. Apart from this, CGHS beneficiary can also take referral through video call.
Revision in the rates of treatment under the Central Government Health Scheme (CGHS) has been a long pending demand by doctors. Medical Dialogues has repeatedly written about the abysmal rates under the CGHS scheme, the un-viability of which has forced many doctors and hospitals to withdraw from the scheme itself. The rates set in 2014 were Rupees 300 as a indoor consultation and rupees 150 as a outdoor consultation.
Not just for consultation, the rates for popular procedures were also very low. Normal delivery was paid Rs 9200 ( to NABH Hospitals) under CGHS which included all the services of the hospital as well. This was in sharp contrast to Rs 50,000 plus being charged currently in Tier 1 cities from private patients. Similarly, one of the basic tests, X-ray chest was priced at Rs 65, where the institutions claimed that even the raw material of film cost more than that.
Many of the doctors, especially super-specialists refused to provide services under CGHS due to the low rates. Further, due to delayed processing of their reimbursement claims and long-pending dues, the private hospital had already stopped cashless facilities for CGHS patients and left the program last year.
Taking cognizance of the basic cost of providing healthcare treatments, the Union health ministry had proposed to increase the treatment rates at almost 600 private hospitals that are empanelled with the Central Government Health Scheme (CGHS).
A commission was established by the Union Health Ministry to evaluate the charges imposed on the users, who are primarily active and retired central government officials and their families. Finally, the Union Health Ministry announced its decision of revising the CGHS rates.
To view the CGHS revised rates for Radiological investigations, click on the link below:
https://medicaldialogues.in/pdf_upload/cghs-rates-radiology-212281.pdf
Also Read: Health Ministry revises CGHS package rates for benefit of CGHS Beneficiaries
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