F. No, S-11045/36/2012 - CGHS (HEC) Government of India Ministry of Health & Family Welfare Directorate General of CGHS Maulana Azad Road, Nirman Bhawan New Dethi 110 108 Dated: 7 September, 2015 OFFICE ORDER Subject: CGHS Rates for Cancer Surgery for hospitals empanelied under CGHS - Revised w.e.f. date of issue of this order. The undersigned is directed to draw attention to the Office Memorandum of even no. dated the 1st October, 2014 and to clarify that CGHS rates for Cancer surgery at Hospitals empanelled under CGHS shall be as per the details given below: 2.1 Rates of Tata Memorial Hospital, Mumbai (2012), as mentioned below for Cancer surgical procedures are treated as CGHS rates for NABH accredited hospitals. For Non-NABH accredited hospitals the rates would be reduced by 15%, Thesc rates are for weatment for Semi private ward entitled class with 10% decrease for Gl. Ward and 15 % enhancement for Private ward entitled beneficiaries. 2.2 The duration of treatment for different categories of Surgery will be as follows: Category =I 1-2 days Category... 3-5 days (7-10 days in respect of operations involving Abdominal / thoracic cavity) Category II, IV, V &VL.. 12... 14 days2.3 ‘The surgical procedures are enlisted under Categories ~ I, II, Ill, IV, V & VI and the list is annexed to this Office Order ( at Annexure-1), 24 Rates applicable for room rent (Accommodation Charges) for different categories of wards are given below: General ward -Rs.1000/- per day Semi-private ward —-Rs. 2000/- per day Private ward -Rs.3000/- per day CGHS beneficiaries are entitled to facilities of private, semi-private or general ward depending on their basic pay / pension. The entitlement is as follows:- S.No. | Basic Pay (without the inclusion of grade pay) | Entitlement 1. | Upto Rs. 13,950/- General Ward 2. Between Rs.13,951/- and Rs.19,530/- _ Ward 3. | Rs. 19,540/- and above ‘Private Ward 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, Investigation rates and procedure charges for Chemotherapy shall be as per CGHS prescribed rates of concerned city. In case of Chemotherapy the rates prescribed are procedural charges only. Room rent, investigations and cost of medicines are reimbursable in addition to procedural charges.2.6 Consultation fee shall be as per CGHS rates applicable. 2.7 Investigations rates shall be as per CGHS prescribed rates of concerned city. 2.8 Cost of Implants / stents/ grafts is reimbursable in addition to package Tates as per CGHS ceiling rates for Implants/ stents / grafts 2.9 The rates applicable for Anesthesia, Operation Theatre and Surgery Charges under Grades- I, Il, Il, IV, V & VI are given below. | Sr. No. DESCRIPTION Rate in | Rupees ANAESTHESIOLOGY CHARGES 1 | Anesthesia Fees - Grade T 2700 2 Anesthesia Fees - Grade II ‘5000 3 Anesthesia Fees - Grade III (8000 4 | Anesthesia Fees - Grade IV 10000, 5 Anesthesia Fees - Grade V 114000 6 | Ancsthesia Fees - Grade VI 18000 SURGICAL ONCOLOGY -Operation Theatre | (Hospital Service Charges) “1_| Minor OT - Service Charges 1000 2 Minor OT - Surgery Charges 870 3 Minor OT - Drugs/Consumables (Without GA) \500 4 | Minor OT - Drugs/Consumables (with GA) 1750 5 | Major OT - Service Charges - Less than 2 Hrs, 5000 6 | Major OT - Service Charges - 2 To 4 Hrs. 10000 7 | Major OT - Service Charges - More than 4 Hrs 20000 SURGERY CHARGES 1 Grade I Surgery |5000, _ 2 | Grade ll Surgery 112500 3 _| Grade Ii Sursery 0000 4 | Grade IV Surgery [25000 5 | Grade V Surgery (35000 7 |GradeVISurgery #5000