Lok Sabha Question No. 2117 (UNSTARRED), answered on 2016-07-29
Subject: Expenditure for Hospital Treatment
Ministry: HEALTH AND FAMILY WELFARE
Asked by: J. JAYASINGH THIYAGARAJ NATTERJEE

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRE D  QUESTION NO. 2117 TO BE ANSWERED ON 29 TH JULY, 2016

## EXPENDITURE FOR HOSP ITAL TREATMENT

## 2117. SHRI J.J.T. NATTERJEE:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether the average expenditure for hospitalised treatment from a public hospital is less than that of private hospital in rural areas and about one third in urban areas;
- (b) if so, the details thereof along with the reasons behind such a difference; and
- (c) whether the Government has noticed inter - state variation in this regard, if so, the details thereof, State/UT - wise?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE )

(a)& (b): According to the report 'Health in India' brought out by National Sample Survey Office, Ministry of Statistics & Programme Implementation based on NSS 71 st Round (January -June, 2014), averagetotal medical expenditure per hospitali sation case ( excluding child birth) forpublic hospital is about one fourth than that of private hospital in rural areas and less than one fourth in urban areas. Further, averag total medical expenditure pe  hospitalised childbirth for public hospital is about tenth as that for private hospital in both rural and urban areas.  Details ar Annexure - I.

Under National Health Mission (NHM), support is provided to States/UTs for provision of free or subsidised healthcare services in public health facilities inc free essential drugs and diagnostics. The cost of child birth in public facilities considerably lower on account of programmes such as Janani Suraksha Yojana an Janani Sishu Suraksha Karyakram. Further, t he cost of care ,drugs and diagnostics n private facilit iesis hi gher than the public facilities.

- (c):Yes, the  government  has  noticed  inter - state  variation  in  expenditure  of hospitalised  treatment.  State/UT - wise details  are given  in Annexure - II and Annexure - III .

……………

## Annexure - I

| (A) Average medical expenditure ( Rs.) per hospitalisation (excluding childbirth) forpublic and private hospital   | (A) Average medical expenditure ( Rs.) per hospitalisation (excluding childbirth) forpublic and private hospital   | (A) Average medical expenditure ( Rs.) per hospitalisation (excluding childbirth) forpublic and private hospital   |
|--------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|
| Type of hospital                                                                                                   | average total expenditure ( Rs.)                                                                                   | average total expenditure ( Rs.)                                                                                   |
| Type of hospital                                                                                                   | rural                                                                                                              | urban                                                                                                              |
| Public hospital                                                                                                    | 5636                                                                                                               | 7670                                                                                                               |
| Private hospital                                                                                                   | 21726                                                                                                              | 32375                                                                                                              |
| (B)Average medical expenditure ( ) per hospitalized childbirth for public and private hospital                     | (B)Average medical expenditure ( ) per hospitalized childbirth for public and private hospital                     | (B)Average medical expenditure ( ) per hospitalized childbirth for public and private hospital                     |
| Type of hospital                                                                                                   | average total expenditure )                                                                                        | average total expenditure )                                                                                        |
| Type of hospital                                                                                                   | rural                                                                                                              | urban                                                                                                              |
| Public hospital                                                                                                    | 1587                                                                                                               | 2117                                                                                                               |
| Private hospital                                                                                                   | 14778                                                                                                              | 20328                                                                                                              |
| Source : NSS Report no. 574 ( Health in India)                                                                     | Source : NSS Report no. 574 ( Health in India)                                                                     | Source : NSS Report no. 574 ( Health in India)                                                                     |

case

## Annexure - II

| Average medical expenditure ( Rs.) per hospitalisation case (excluding childbirth) for treatment hospital (as inpatient) in last 365 days   | Average medical expenditure ( Rs.) per hospitalisation case (excluding childbirth) for treatment hospital (as inpatient) in last 365 days   | Average medical expenditure ( Rs.) per hospitalisation case (excluding childbirth) for treatment hospital (as inpatient) in last 365 days   | Average medical expenditure ( Rs.) per hospitalisation case (excluding childbirth) for treatment hospital (as inpatient) in last 365 days   | Average medical expenditure ( Rs.) per hospitalisation case (excluding childbirth) for treatment hospital (as inpatient) in last 365 days   |
|---------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------|
| State/UT                                                                                                                                    | averagetotal medical Rural                                                                                                                  | averagetotal medical Rural                                                                                                                  | expenditure ( Rs.) Urban                                                                                                                    | expenditure ( Rs.) Urban                                                                                                                    |
| State/UT                                                                                                                                    | public hospital                                                                                                                             | private hospital                                                                                                                            | hospital                                                                                                                                    | private hospital                                                                                                                            |
| Andhra Pradesh                                                                                                                              | 3582                                                                                                                                        | 16032                                                                                                                                       | 3629                                                                                                                                        | 38949                                                                                                                                       |
| Arunachal Pradesh                                                                                                                           | 5400                                                                                                                                        | 13428                                                                                                                                       | 9808                                                                                                                                        | 17827                                                                                                                                       |
| Assam                                                                                                                                       | 5621                                                                                                                                        | 22541                                                                                                                                       | 17613                                                                                                                                       | 79028                                                                                                                                       |
| Bihar                                                                                                                                       | 6933                                                                                                                                        | 15288                                                                                                                                       | 9232                                                                                                                                        | 33072                                                                                                                                       |
| Chhattisgarh                                                                                                                                | 3976                                                                                                                                        | 20143                                                                                                                                       | 3311                                                                                                                                        | 30547                                                                                                                                       |
| Delhi                                                                                                                                       | 4606                                                                                                                                        | 75153                                                                                                                                       | 10267                                                                                                                                       | 54868                                                                                                                                       |
| Goa                                                                                                                                         | 3177                                                                                                                                        | 57789                                                                                                                                       | 16707                                                                                                                                       | 39626                                                                                                                                       |
| Gujarat                                                                                                                                     | 7792                                                                                                                                        | 16648                                                                                                                                       | 7695                                                                                                                                        | 24025                                                                                                                                       |
| Haryana                                                                                                                                     | 9927                                                                                                                                        | 22672                                                                                                                                       | 15325                                                                                                                                       | 36318                                                                                                                                       |
| Himachal Pradesh                                                                                                                            | 15257                                                                                                                                       | 31596                                                                                                                                       | 29055                                                                                                                                       | 27990                                                                                                                                       |
| Jammu & Kashmir                                                                                                                             | 6478                                                                                                                                        | 38672                                                                                                                                       | 8819                                                                                                                                        | 44269                                                                                                                                       |
| Jharkhand                                                                                                                                   | 4444                                                                                                                                        | 14288                                                                                                                                       | 9670                                                                                                                                        | 14442                                                                                                                                       |
| Karnataka                                                                                                                                   | 4799                                                                                                                                        | 17650                                                                                                                                       | 4125                                                                                                                                        | 26230                                                                                                                                       |
| Kerala                                                                                                                                      | 3524                                                                                                                                        | 25411                                                                                                                                       | 2768                                                                                                                                        | 21808                                                                                                                                       |
| Madhya Pradesh                                                                                                                              | 3375                                                                                                                                        | 24387                                                                                                                                       | 14214                                                                                                                                       | 31142                                                                                                                                       |
| Maharashtra                                                                                                                                 | 5626                                                                                                                                        | 24087                                                                                                                                       | 4966                                                                                                                                        | 35690                                                                                                                                       |
| Manipur                                                                                                                                     | 5179                                                                                                                                        | 13936                                                                                                                                       | 7436                                                                                                                                        | 20960                                                                                                                                       |
| Meghalaya                                                                                                                                   | 1794                                                                                                                                        | 8418                                                                                                                                        | 13752                                                                                                                                       | 28172                                                                                                                                       |
| Mizoram                                                                                                                                     | 7991                                                                                                                                        | 23979                                                                                                                                       | 6003                                                                                                                                        | 25439                                                                                                                                       |
| Nagaland                                                                                                                                    | 2904                                                                                                                                        | 14411                                                                                                                                       | 5403                                                                                                                                        | 23417                                                                                                                                       |
| Odisha                                                                                                                                      | 7472                                                                                                                                        | 29233                                                                                                                                       | 7961                                                                                                                                        | 36940                                                                                                                                       |
| Punjab                                                                                                                                      | 12104                                                                                                                                       | 34273                                                                                                                                       | 14347                                                                                                                                       | 36411                                                                                                                                       |
| Rajasthan                                                                                                                                   | 3928                                                                                                                                        | 23562                                                                                                                                       | 8029                                                                                                                                        | 27202                                                                                                                                       |
| Sikkim                                                                                                                                      | 3493                                                                                                                                        | 20826                                                                                                                                       | 2667                                                                                                                                        | 18944                                                                                                                                       |
| Tamil Nadu                                                                                                                                  | 472                                                                                                                                         | 19554                                                                                                                                       | 781                                                                                                                                         | 33261                                                                                                                                       |
| Telangana                                                                                                                                   | 3309                                                                                                                                        | 26353                                                                                                                                       | 2899                                                                                                                                        | 25320                                                                                                                                       |
| Tripura                                                                                                                                     | 5729                                                                                                                                        | 15546                                                                                                                                       | 4419                                                                                                                                        | 73119                                                                                                                                       |
| Uttar Pradesh                                                                                                                               | 10034                                                                                                                                       | 22919                                                                                                                                       | 18782                                                                                                                                       | 36931                                                                                                                                       |
| Uttarakhand                                                                                                                                 | 3115                                                                                                                                        | 15399                                                                                                                                       | 6021                                                                                                                                        | 38684                                                                                                                                       |
| West Bengal                                                                                                                                 | 5766                                                                                                                                        | 25207                                                                                                                                       | 8220                                                                                                                                        | 43410                                                                                                                                       |
| Andaman & Nicobar Islands                                                                                                                   | 0                                                                                                                                           | 57457                                                                                                                                       | 250                                                                                                                                         | 46237                                                                                                                                       |
| Chandigarh                                                                                                                                  | 8027                                                                                                                                        | 44626                                                                                                                                       | 32889                                                                                                                                       | 47879                                                                                                                                       |
| Dadra & Nagar Haveli                                                                                                                        | 2314                                                                                                                                        | 11330                                                                                                                                       | 1372                                                                                                                                        | 9356                                                                                                                                        |
| Daman & Diu                                                                                                                                 | 0                                                                                                                                           | 13670                                                                                                                                       | 336                                                                                                                                         | 8349                                                                                                                                        |
| Lakshadweep                                                                                                                                 | 0                                                                                                                                           | 27968                                                                                                                                       | 157                                                                                                                                         | 26965                                                                                                                                       |
| Puducherry                                                                                                                                  | 450                                                                                                                                         | 11473                                                                                                                                       | 678                                                                                                                                         | 36088                                                                                                                                       |
| All -India                                                                                                                                  | 5636                                                                                                                                        | 21726                                                                                                                                       | 7670                                                                                                                                        | 32375                                                                                                                                       |

Source : NSS Report no. 574 ( Health in India)

## Annexure - III

| Average medical expenditure ( Rs.) per hospitalised childbirth during last 365 days average total medical expenditure   | Average medical expenditure ( Rs.) per hospitalised childbirth during last 365 days average total medical expenditure   | Average medical expenditure ( Rs.) per hospitalised childbirth during last 365 days average total medical expenditure   | Average medical expenditure ( Rs.) per hospitalised childbirth during last 365 days average total medical expenditure   | Average medical expenditure ( Rs.) per hospitalised childbirth during last 365 days average total medical expenditure   |
|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|
| State/UT                                                                                                                | Rural                                                                                                                   | Rural                                                                                                                   | Rs.)( Urban                                                                                                             | Rs.)( Urban                                                                                                             |
| State/UT                                                                                                                | public hospital                                                                                                         | private hospital                                                                                                        | public hospital                                                                                                         | private hospital                                                                                                        |
| Andhra Pradesh                                                                                                          | 1471                                                                                                                    | 13626                                                                                                                   | 1232                                                                                                                    | 17767                                                                                                                   |
| Arunachal Pradesh                                                                                                       | 2092                                                                                                                    | 8883                                                                                                                    | 773                                                                                                                     | 12480                                                                                                                   |
| Assam                                                                                                                   | 3599                                                                                                                    | 12502                                                                                                                   | 6949                                                                                                                    | 30031                                                                                                                   |
| Bihar                                                                                                                   | 2197                                                                                                                    | 16322                                                                                                                   | 2584                                                                                                                    | 13795                                                                                                                   |
| Chhattisgarh                                                                                                            | 1551                                                                                                                    | 10675                                                                                                                   | 3399                                                                                                                    | 15875                                                                                                                   |
| Delhi                                                                                                                   | 1331                                                                                                                    | 7350                                                                                                                    | 3163                                                                                                                    | 32556                                                                                                                   |
| Goa                                                                                                                     | 4814                                                                                                                    | 24757                                                                                                                   | 639                                                                                                                     | 27300                                                                                                                   |
| Gujarat                                                                                                                 | 780                                                                                                                     | 7502                                                                                                                    | 1495                                                                                                                    | 13551                                                                                                                   |
| Haryana                                                                                                                 | 1530                                                                                                                    | 16206                                                                                                                   | 1674                                                                                                                    | 19264                                                                                                                   |
| Himachal Pradesh                                                                                                        | 2839                                                                                                                    | 10357                                                                                                                   | 2807                                                                                                                    | 19172                                                                                                                   |
| Jammu & Kashmir                                                                                                         | 3277                                                                                                                    | 23750                                                                                                                   | 3246                                                                                                                    | 14778                                                                                                                   |
| Jharkhand                                                                                                               | 1275                                                                                                                    | 10573                                                                                                                   | 1857                                                                                                                    | 13413                                                                                                                   |
| Karnataka                                                                                                               | 1762                                                                                                                    | 15762                                                                                                                   | 2635                                                                                                                    | 21353                                                                                                                   |
| Kerala                                                                                                                  | 1662                                                                                                                    | 19443                                                                                                                   | 1534                                                                                                                    | 21578                                                                                                                   |
| Madhya Pradesh                                                                                                          | 882                                                                                                                     | 13818                                                                                                                   | 672                                                                                                                     | 16288                                                                                                                   |
| Maharashtra                                                                                                             | 1147                                                                                                                    | 15537                                                                                                                   | 2480                                                                                                                    | 22752                                                                                                                   |
| Manipur                                                                                                                 | 5396                                                                                                                    | 21503                                                                                                                   | 5883                                                                                                                    | 22706                                                                                                                   |
| Meghalaya                                                                                                               | 811                                                                                                                     | 20989                                                                                                                   | 2061                                                                                                                    | 17050                                                                                                                   |
| Mizoram                                                                                                                 | 1419                                                                                                                    | 11992                                                                                                                   | 2154                                                                                                                    | 16040                                                                                                                   |
| Nagaland                                                                                                                | 2001                                                                                                                    | 5207                                                                                                                    | 3406                                                                                                                    | 7104                                                                                                                    |
| Odisha                                                                                                                  | 2598                                                                                                                    | 16569                                                                                                                   | 3008                                                                                                                    | 18550                                                                                                                   |
| Punjab                                                                                                                  | 2220                                                                                                                    | 18064                                                                                                                   | 3153                                                                                                                    | 22015                                                                                                                   |
| Rajasthan                                                                                                               | 464                                                                                                                     | 12751                                                                                                                   | 972                                                                                                                     | 13811                                                                                                                   |
| Sikkim                                                                                                                  | 1987                                                                                                                    | 8241                                                                                                                    | 1355                                                                                                                    | 12466                                                                                                                   |
| Tamil Nadu                                                                                                              | 325                                                                                                                     | 28862                                                                                                                   | 661                                                                                                                     | 30132                                                                                                                   |
| Telangana                                                                                                               | 1511                                                                                                                    | 20054                                                                                                                   | 2433                                                                                                                    | 23443                                                                                                                   |
| Tripura                                                                                                                 | 4312                                                                                                                    | 19844                                                                                                                   | 5209                                                                                                                    | 22965                                                                                                                   |
| Uttar Pradesh                                                                                                           | 1296                                                                                                                    | 11965                                                                                                                   | 2147                                                                                                                    | 16717                                                                                                                   |
| Uttarakhand                                                                                                             | 1358                                                                                                                    | 5699                                                                                                                    | 2173                                                                                                                    | 16114                                                                                                                   |
| West Bengal                                                                                                             | 2061                                                                                                                    | 14821                                                                                                                   | 3208                                                                                                                    | 22829                                                                                                                   |
| Andaman & Nicobar Islands                                                                                               | 94                                                                                                                      | 57500                                                                                                                   | 114                                                                                                                     | 10500                                                                                                                   |
| Chandigarh                                                                                                              | 3669                                                                                                                    | 14857                                                                                                                   | 4695                                                                                                                    | 20340                                                                                                                   |
| Dadra & NagarHaveli                                                                                                     | 0                                                                                                                       | 7550                                                                                                                    | 1183                                                                                                                    | 16651                                                                                                                   |
| Daman & Diu                                                                                                             | 0                                                                                                                       | 10162                                                                                                                   | 271                                                                                                                     | 19314                                                                                                                   |
| Lakshadweep                                                                                                             | 667                                                                                                                     | 16688                                                                                                                   | 0                                                                                                                       | 20949                                                                                                                   |
| Puducherry                                                                                                              | 965                                                                                                                     | 18039                                                                                                                   | 1308                                                                                                                    | 25137                                                                                                                   |
| All -India                                                                                                              | 1587                                                                                                                    | 14778                                                                                                                   | 2117                                                                                                                    | 20328                                                                                                                   |

Source: NSS Report no. 574(Health in India)