As of 4 November 2026 (19 Kartik 2083). Every rate below is read from the Social Security Fund’s own PDF, “स्वास्थ्य उपचार दर रेट सुची” (health treatment rate list), linked on ssf.gov.np/pages/hospital-rate-list on this date. The PDF is a 45-page scan created in April 2022 (Baisakh 2079), and it is still the version SSF links. Because it is a scan, we list only rates we could read clearly. Confirm any rate with the hospital’s SSF counter before treatment.
The SSF treatment rate list is the price list the Social Security Fund (सामाजिक सुरक्षा कोष) uses for treatment at its affiliated hospitals. It sets a fixed rate for about 1,339 services, from a Rs 200 hospital OPD visit to surgery packages above Rs 1 lakh. If you are an SSF contributor, these rates decide how much of your bill counts as an eligible cost.
This guide explains how the list works, then gives the most-searched rates: OPD, common lab tests, X-ray, ultrasound, CT, MRI, ICU, dialysis, delivery and common operations.
How the SSF rate list works
| Point | What it means for you |
|---|---|
| Who publishes it | Social Security Fund, on ssf.gov.np |
| Where it applies | SSF-affiliated hospitals (123 across Nepal) |
| Number of services | About 1,339 coded items |
| Format | Code, service name, rate in rupees |
| Package rates | Many surgeries are a fixed package price |
| “Extra” items | Some rates exclude devices such as balloons, pacemakers or valves; the list marks these “Extra” |
| Your share | Under the 80/20 rule in our guide, SSF pays 80% of the eligible cost and you pay 20% |
Each line has a code. Codes beginning with L are lab tests, RAD are imaging, OPD are outpatient visits, MO and MP are ICU and intensive care, CA are cancer care, CS are cardiac procedures, and codes beginning with S are surgery packages grouped by size (minor, intermediate, major, special).
To find a hospital, see our full SSF affiliated hospitals list or the Kathmandu Valley list.
OPD and emergency rates
| Service | SSF rate (Rs) |
|---|---|
| OPD at a primary health centre | 100 |
| OPD at a hospital | 200 |
| OPD at an eye hospital | 140 |
| Emergency at a hospital | 400 |
| Emergency at an eye hospital | 175 |
| Emergency at a primary health centre | 100 |
The OPD rate is the visit fee. Tests, scans and medicines are counted separately at their own rates.
Not sure what SSF will cover?
Digital Solution helps you check your SSF profile, update KYC and family details, and prepare documents for a medical claim. Message us on WhatsApp.
Common lab test rates
| Test | SSF rate (Rs) |
|---|---|
| Complete blood items: TC, DC, Hb, ESR (each) | 35 |
| Blood sugar fasting or PP (OPD) | 60 |
| HbA1c | 500 |
| Lipid profile | 600 |
| Liver function test (panel) | 460 |
| Kidney function test (RFT/KFT) | 490 |
| Thyroid function test (TFT) | 900 |
| TSH | 308 |
| Uric acid | 95 |
| Urine routine (OPD/emergency) | 40 |
| Urine culture | 200 |
| Stool routine (OPD) | 40 |
| CRP (quantitative) | 600 |
| Vitamin D | 1,500 |
| Vitamin B12 | 1,000 |
| PSA | 800 |
| Widal test | 100 |
| Urine pregnancy test | 100 |
| Histopathology, major | 1,500 |
X-ray, ultrasound, ECG and echo
| Service | SSF rate (Rs) |
|---|---|
| ECG | 200 |
| Echocardiography (ECHO) | 1,050 |
| USG abdomen | 600 |
| Transvaginal sonography | 600 |
| Colour Doppler | 950 |
| X-ray chest, double view | 550 |
| X-ray skull | 450 |
| Mammogram (one side) | 875 |
| Upper GI endoscopy | 1,000 |
CT scan and MRI rates
| Scan | SSF rate (Rs) |
|---|---|
| CT abdomen/pelvis, plain | 5,000 |
| CT chest/HRCT without contrast | 4,500 |
| CT chest/HRCT with contrast | 5,500 |
| CT neck without contrast | 4,500 |
| MRI one segment (brain, spine, body organ) | 4,500 |
| MRI full organ (spine or brain) without contrast | 8,500 |
| MRI single joint or limb with contrast | 8,500 |
| MRI tumour screening | 13,000 |
| MRCP | 5,000 |
| Coronary angiography | 12,000 |
ICU, dialysis and other daily charges
| Service | SSF rate (Rs) |
|---|---|
| ICU/CCU/NICU per day | 3,000 |
| ICU with BiPAP per day | 4,500 |
| ICU with ventilator per day | 6,000 |
| Paediatric ICU with ventilator, warmer and incubator | 8,500 |
| Haemodialysis per session (if not covered by another programme) | 2,850 |
| Oxygen per hour | 30 |
| Physiotherapy per sitting | 150 |
| Nebulisation per episode | 100 |
Delivery and common surgery packages
| Procedure | SSF package rate (Rs) |
|---|---|
| Normal delivery | 5,000 |
| Caesarean section | 18,000 |
| Open appendectomy (GA) | 18,000 |
| Hernia repair, one side (local anaesthesia) | 8,750 |
| Cataract, small incision | 9,000 |
| Laparoscopic hernia repair, both sides | 36,000 |
| Kidney stone, RIRS | 53,000 |
| Kidney transplantation | 72,000 |
| Hip and knee replacement, both sides | 1,08,000 |
| CABG (heart bypass) | 1,44,000 |
Cancer care rates
| Service | SSF rate (Rs) |
|---|---|
| Radiotherapy per fraction | 800 |
| Radiotherapy full course | 24,000 |
| Chemotherapy per day (day care, bed and supplies; medicine extra) | 700 |
| Brachytherapy per episode | 8,500 |
| Hospice (palliative) care per day | 500 |
What these rates mean for your bill
The rate list caps what counts as the eligible cost. If a hospital charges more than the SSF rate, the difference is not covered by the Fund. A worked example (our calculation): for a caesarean at the Rs 18,000 package rate, SSF would pay 80%, Rs 14,400, and you would pay 20%, Rs 3,600, within your yearly limit.
Yearly limits are in our SSF medical benefits guide: SSF pays 80% of OPD bills, up to Rs 20,000 a year (reached at a Rs 25,000 bill), and the most it pays for OPD and admission together is Rs 1,00,000 per fiscal year, with OPD already used deducted (see how the limits add up). Critical illness has a separate cap of up to Rs 10,00,000 over your service period. Updated 7 November 2026: corrected to the SSF Operation Procedure (5th amendment). Pregnancy rules are in our SSF maternity benefits guide.
Things to check before treatment
- Ask the SSF counter whether your treatment is covered and which code applies.
- Ask about “Extra” items. Devices like pacemakers, valves, balloons and implants are often outside the package.
- Check your profile on ssf.gov.np: KYC, contributions and family details must be correct.
- Keep every bill and report. They are needed if you claim reimbursement later.
- Call 1116 (NTC and Ncell) if the hospital and your understanding of the rate differ.
Frequently asked questions
Where is the SSF treatment rate list?
On the Social Security Fund website at ssf.gov.np/pages/hospital-rate-list, under “स्वास्थ्य उपचार दर रेट सुची”. It is a 45-page PDF.
How much does SSF pay for an MRI?
The list sets Rs 4,500 for one segment, Rs 8,500 for a full organ such as the whole spine or brain without contrast, and Rs 13,000 for tumour screening.
What is the SSF rate for a caesarean delivery?
Rs 18,000 as a package. A normal delivery is Rs 5,000.
Is the SSF rate list up to date?
The PDF SSF links was created in April 2022 (Baisakh 2079), and it is the version on the Fund’s site as of 4 November 2026. Ask the hospital’s SSF counter whether any newer rate applies.
Do I pay the full rate at the hospital?
No. Under the 80/20 rule described in our guide, you pay 20% of the eligible cost at an affiliated hospital, and SSF settles 80% directly with the hospital.
Conclusion
The SSF treatment rate list fixes the price of about 1,339 services at SSF-affiliated hospitals, from Rs 200 for a hospital OPD visit to Rs 1,44,000 for heart bypass surgery. Check the code and rate with the hospital’s SSF counter, ask about items marked “Extra”, and keep your SSF profile up to date.
If your SSF KYC, family details or claim need fixing, Digital Solution can help.
Sources
- Social Security Fund: स्वास्थ्य उपचार दर रेट सुची (treatment rate list, PDF), linked from ssf.gov.np/pages/hospital-rate-list (checked 4 November 2026)
- Digital Solution: SSF medical benefits guide
Rates are read from a scanned PDF and may contain reading errors. Only SSF and the hospital can confirm the rate for your treatment.
Rabin Paudel
Rabin Paudel is the Founder of Digital Solution, a Content Creator, and an AI Trainer. He shares practical and easy-to-understand content on Artificial Intelligence, Digital Literacy, Online Services, FinTech, and Technology. His mission is to make technology simple, accessible, and useful for everyone.
View all posts by Rabin Paudel →