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TERI TER
orafera oRaterr Peers, wea dor va oraerel RY fer,
(reoiteaga)
fier a4, Q-cite, fetta ae, ore, vat aT, oTAGR
Website: hups://wwws hs rajasthan gov.in emailadd.dirrghs‘@rajasthan gov.in
Phone No.: O141-2744570
BHI WHA (240)RGHS2020-2/ Reetten:
uaa - Q
Roma wore WER FRE ahora} arena a CCHS a eh ae Pic
sft wer re oT ah iar AF
SIGNET GRR WT TT (RGHS)" Hyer aT wT ERE ae gy coher
BGs araflat wy Riv 01.07.2021 F fact fT F Notification 5(5)FD/Insurance/2020
feaiw 09.04.2021 & aH A Central Government Health Scheme (CGHS) @ srerfa Fiery
are fafa gftenai S ope eh corte wa Prof ompshee Pca A eT We
S Sw wre H gfter oer oy dt ah #1 corn } woe, Gare Wi fale dares Bg
threria pita ara fafhcucal a Pagar yftot afta 8
1 3h oreatcars amnitt et age /s dee & serfs Sacre oa w gear
ver @ arerf)
2. CGHS ta 4 "CGHS Package Rate mean and includes lump sum cost of inpatient
treatment /day care/ diagnostic procedures for which a CGHS beneficiary has been
permitted by the competent authority or for treatment under emergency from the time of
admission to the time of discharge including (but not limited to) - (i) Registration charges,
(ii) Admission Charges, (iii) Accommodation charges including patients diet,
(iv) Operation charges, (v) injection charges, (vi) Dressing charges (vii) Doctor
‘/Consultant charges, (viii) ICU/ ICCU Charges, (ix) Monitoring charges, (x) Transfusion
charges, (xi) Anesthesia charges, (xii) Operation theatre charges, (xiii) Proc:
tural charges
J surgeon's fee, (xiv) Cost of surgical disposables and all sundries used during
hospitalization, (xv) Cost of medicines, (xvi) Related routine and essential investigations,
(xvii), Physiotherapy charges etc., (xvii) Nursing care and charges for its services" =nftrat
a
Scanned with CamScanner3. Fare Rees seror B arate sre (Procedure) @ fer Pater deo ¥ ISK orere
Ti oes oat A eer Pee ert
1. faster (Super Specialty) fem — 42 eae
2. SRI WAW eeu frat (Major Surgery) -— 7 Feae
3. chienifte wohl wd ware ma 3 fea
4. FER WA /s dav/siist - 1 Pere
fe SA at ge ora S gee A gor Sy well we A srawraneT B ah OA Reet H
wrdtta fora / ates Aotie A wife war ferera, cafal, wie, Patera
creraet omit a ft daar & after 2a arf
4. fr amet a eh A ww ae yw wa Aw a afte wht @ @ A ae wh
Forma ar oes 8 er yeh yar aoe A Avge ga eer) oI BOR wT ATA
60 sftert pra & ea erm]
5. Implants/Stents/Grafts # ut CGHS grr Patter et a Hien a ar arenes are Gi
Fon et dda ai & afatter ea eth) ae feet Implant FH et oa adi 8 ot Geet
WTI CGHS & fear Pea & ser ga eT
6. Yea (Knee) Vd apet (Hip) & wana S wafert Implants &] CGHS & awrafea
‘SIT (Office Memorandum) fie 26.09.2017 & argar ara ea er |
7. ega Wit G wafer Implants 4 fea CGHS S srafea aA (Office Memorandum)
ferris 22.07.2014 $ ager yar ea eT!
8. Drug Eluting Stents ® fer CGHS @ arate sm44 (Office Memorandum) feria
29.04.2014 H aque 23625/- wd ey ah) Wh w affear dH Ke ama oT
ward & fri Drug Eluting Stents @ Gen cB afte at et wade)
9. oi ¥ meanifta fe a ae Intra Ocular lense (OL) & fa CGHS & wrafaa
‘SIA (Office Memorandum) fee 26.06.2008 & argu wr ey erty
10. =Rr gIaITH H fA CCHS B wrafera SM (Office Memorandum) fie 09.07.2018
& orqA pra Pra aT
nord & gee Gf onsce 4 a wh ota Ca Pie Tet at gree dere oT eT
ara organ | ga fed guar Yo prar &a ae een ar eh Afters WS dart ay
arerell & fare wore at ae AY ATT
12, Atos Morre/arited More, rei thor a FS sree Y amr eer, wih,
wargat anf aor at gere—yers fa er
43, RGHS airarell wT Aer aeraTgE fefcwTeT FT Wa aE (Accomodation) a after
ea eth
fF
Scanned with CamScannerlement catego!
for boarding/accommodati
{PD Eni the Ho:
Category | Pay Scale Entitlement in] Entitlement in| Maximum ceiling of
Govt Hospital | Approved Private | Boarding/Accommodation
Hospital Charges as per CGHS
Package Rates
x Rs. i000 & | Dele Frvate Ward | Rs. 30007 per day
above
B Rs, 360007 | Cottage ‘Semi Private | Rs. 2000/ per day
and about but Ward
tess than
Rs, 64000
c Below General Ward | General Ward | Re 10007 per day
| Rs. 36000/-
Note: Day Care 8g wt Afra AF ud S dex & fa ta ae wT s00/- ert)
14, after GL ICU 4 adi af Raft # CGHS wr ICU ant qd ars a UAT Pome Era
ey em
15. Whole blood/Blood components & fed @¥ Prager erh—
Sr
no
Blood Compnents
Rates
Whole Blood
1450/- per unit
Packed Red Cell
1450/- per unit
Fresh Frozen Plasma
400/- per unit
Platelet Concentrate (RDP)
400/- per unit
Cryoprecipitate
200/- per unit
|e) ell
Platelet Concentrate- Apheresis,
Should not exceed 11000/-
per unit
46. Oxygen Charges NABH arevaer # 58/— wad uff det vd NON NABH acre #
50/— waa oft der at ee 8 a ert)
qe oTaR 3 wa aT oer 2 Rea wERE og EL wR
Referrer aeraeh aftr waa 270/— a et
18, Pra Ae
ag ate aft da ae eh
1, cchorr arto 2, cigctettar (Toiletries) 3, Wek Ava GCanitary Napkins)
4, SaHH TTS (Taleom Powder) 5. Ae GFR (Mouth Freshner)
19. af BE orgie Petree Heh F orenfa ony aa fort A cada, aha wd
are meg wee 8 ateeraT Eat ae ah PARTE MA TA aa MT AA
are Ah ont |
C
20.3 draftai fiery dor ax vue & 4 ef we A a ach
A uf or ida & afer yam ta em) ame:
after 7 feat Bl cay Sow) B sary way 2000/—
wad wt rary
Fafecrea ferent ye
9 oft UR Fa a
Scanned with CamScanner. Raa tH FH cay
web ara she Amat (Catastrophic Disease) # sila 99
Paftrcarera eer arene at ooerat ear oT we
. a & fate
2 duct ae Sees ah aA ora earl oh eT BH Preare H e
art Gre a sreeth
22. frst A ga F Nutritional Supplements, Tonic, Cough Syrup,
Pafercarera ger ae A or, gs wh a ogee EB
23, fire oA weare @ Non-Drug ltemsfequipmentsappliances Pefarearera erat Fea GY
argafe a 81
24, Sa Wr S gars S fA CGHS & wratea area (Office Order) fale 07.09.2015
@ ager Prerger yar 2a er
1. date — Chemotherpy (As per CGHS ) + Accmodation (as per entitlement) +
Consultation Fees + Investigation Charges (As per CGHS Rates) + Cost of medicines and
consumables
2. ax Weft — Room rent as applicable + Anesthesia charges (as per category) + OT
charges (as per category) + Surgery charges(as per category) + Investigations at CGHS
rates + Cost of Medicines and Surgical Disposables.
25. eT ohh dental A wer weeR ent wra-wra wound tot od opp gar
fran cre | fees oft Ref A eer gre Paita wr a afte apa 2a al eT)
26, ward anmelt seh et gard gers UT aA afleas hr oad BH wT a gars or
apres @a él er
27, arpa Pefocerera Br Reh aN Rah a Putte wet Saif AT 2a a eH
20. of orpAea Patras Forme adh} era sa ora at Aw wr ars suerer
wai & fe oer Ah a aS waoer 8 ah feferera Ere fT aaa UR aE wer
ag & qa var oh ehh ware oRRaft ¥ ae arm rare wer ae
gat aaa @ ar oR UAT ore Yo ayer ery RGHS Aa anf a
aang & fafiscarers @1 PTI ST |
29. CGHS ahr WI wT RGR) er Mee, ta YF sighs onfe RGhs! Woy,
etl ¢
tech )
wea dn
Wi so PHY fry
Dare, TayR |
Vitamins, Injections
Scanned with CamScannerae Qéojrcnsroay 4gs-493 Revie: 14] oF] 2021
1. Prof afer ere afte, fe Four / Pare eh eareen Farr / PAY ATT,
RT UATE, VAR |
. Wger ore afk, fee (Sta / tiem) fer, ere afrarere, OTA |
Prof afta, Peer, wor dar a araereh PRAY Rar, SrA
Freer, Yer a Gerreh eam fara, seh are, TERR |
TERT BRS after / aia / eT / wa / aera Pree aT Ae Ad
sree Pf ferrr |
Sra, UR Aes sidan aOR 4)
7. area fore yer Patera vd waren after’ at Aue Ge é fm oh aia
Yer fafecareat a diorn & fare 8g Pert eer
QA
OK,
8. ant, Ra omecigaea segatfea Prof Peifercarera |
9. Ba ware
Raia Pera Gicheags)
fer Far cA |
2
Scanned with CamScanner