Laboratory Investigation · LB218

Urinary Vanillylmandelic Acid (VMA)

Revised CGHS Rates w.e.f. 13 October 2025 (as notified 03.10.2025)

City tier	Non-NABH rate	NABH rate
Tier X — Metro cities (Delhi, Mumbai, Kolkata etc.)	₹1,857	₹2,185
Tier Y — Other cities (10% lower)	₹1,672	₹1,967
Tier Z — Smaller cities (20% lower)	₹1,486	₹1,748

Check rates for your city:

Port Blair Guntur Nellore Rajahmundry Vijayawada Visakhapatnam Itanagar Dibrugarh Guwahati Silchar Patna Bilaspur

Supreme Court (2024): Court urged standardisation of hospital charges or implementation of CGHS rates. Read the Supreme Court order → (media summary)

CGHS reference rates are for scheme beneficiaries only. Not mandatorily applicable to general patients. Semi-private ward base rate — general ward: −5%, private ward: +5%. Non-NABH: 15% below NABH rate. Verify at cghs.mohfw.gov.in.