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Guide · GST Rates

GST on Healthcare in India — Exempt or Taxable?

The GST position on hospital treatment, doctor fees, room rent, cosmetic surgery, medicines and health & life insurance — updated for the GST 2.0 reforms.

Written by
TaxClue Editorial Desk
Updated
18 August 2026
Reading time
5 min
Questions
14 answered
  • Updated for FY 2026-27
  • GST Expert Reviewed
  • Hospital, Pharmacy & Insurance
Quick Answer

Healthcare services are exempt from GST. Treatment by a clinical establishment, an authorised medical practitioner or paramedics — diagnosis, treatment, doctor consultation and ambulance — is exempt under Notification 12/2017-CT(R), entry 74. The main exceptions: hospital room rent above ₹5,000/day (non-ICU) is 5% without ITC, and cosmetic/plastic surgery (non-reconstructive) is 18%. Medicines are goods — most at 5% since GST 2.0, specified life-saving drugs Nil. Health & life insurance became GST-exempt from 22 September 2025 under GST 2.0.

At a glance

GST on Healthcare — Decision Table

The GST position for every common healthcare service, medicine and product, with ITC eligibility.

Service / ProductGST RateITCNotes
Hospital treatment (OPD / IPD / surgery)Exempt—Clinical establishment · entry 74
Doctor consultation feeExempt—Authorised medical practitioner
Diagnostics — pathology / radiologyExempt—Part of healthcare services
Ambulance servicesExempt—Patient transport
Dental & AYUSH treatmentExempt—By authorised practitioners
Room rent ≤ ₹5,000/dayExempt—Non-ICU
Room rent > ₹5,000/day (non-ICU)5%NoOn the room charge only
ICU / CCU / NICU roomExempt—No ₹5,000 cap on ICU
Cosmetic / plastic surgery (non-reconstructive)18%NoNot treatment of illness/injury
Health & life insurance premiumExempt—Individual policies · from 22 Sep 2025
Most medicines & drugs5%B2BGoods · HSN-based
Life-saving / specified drugsNilB2BCertain critical drugs
Human blood & componentsNil—Fully exempt goods

Reflects the GST 2.0 structure effective 22 September 2025, including the insurance exemption. Confirm specific items on the official GST portal before invoicing.

The core rule

Which Healthcare Services Are Exempt?

Under Notification 12/2017-CT(R) (entry 74), healthcare services by a clinical establishment, an authorised medical practitioner or paramedics are exempt — covering diagnosis, treatment or care for any illness, injury, deformity or abnormality, plus patient transport by ambulance.

  • Hospital OPD, IPD, ICU & operation-theatre charges
  • Doctor & specialist consultation fees
  • Pathology, radiology & diagnostic tests
  • Ambulance / patient-transport services
  • Dental treatment by registered dentists
  • AYUSH treatment by authorised practitioners
  • Physiotherapy as part of medical treatment
  • Mental-health services at clinical establishments
  • Human blood, its components & blood-bank services
  • Cord-blood banking & storage
What is NOT exempt

The exemption is for treatment of a health condition. Cosmetic or plastic surgery done purely to enhance appearance (hair transplant, liposuction, rhinoplasty, botox for aesthetics) is taxable at 18%. Reconstructive surgery to restore function or correct an injury/congenital defect stays exempt as treatment.

Running a hospital, clinic or diagnostic centre? Get your GST exemption and taxable-service split reviewed.

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The ₹5,000 rule

GST on Hospital Room Rent

Room rent charged by a hospital for a room (other than ICU/CCU/ICCU/NICU) is taxable at 5% without ITC where the charge exceeds ₹5,000 per day. Rooms at ₹5,000/day or below, and all ICU categories, remain exempt.

Exempt

Exempt room categories

  • Any room charged ≤ ₹5,000/day
  • ICU / CCU / ICCU / NICU (no cap)
  • The treatment, surgery & nursing itself
  • Ambulance & diagnostics
5%

Taxable room rent — no ITC

  • Non-ICU room > ₹5,000/day
  • GST applies to the room charge only
  • No Input Tax Credit for the hospital
  • Treatment on the same bill stays exempt
The 18% exception

Cosmetic & Plastic Surgery

Cosmetic surgery, plastic surgery and aesthetic procedures are taxable at 18% — except where undertaken to restore or reconstruct anatomy or function affected by a congenital defect, developmental abnormality, injury or trauma, which remains exempt as healthcare.

TaxClue Insight

The test is purpose, not procedure. The same surgeon's work can be exempt (reconstruction after an accident) or taxable at 18% (elective aesthetic enhancement). Hospitals should classify each procedure and bill the taxable portion correctly to avoid demand notices.

Need help classifying taxable vs exempt procedures on hospital bills?

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Goods, not services

GST on Medicines & Medical Products

Medicines are goods, so they are taxed at their own HSN rate even when supplied by a hospital pharmacy. Since GST 2.0 (22 September 2025) most drugs are 5% (down from 12%) and specified life-saving drugs are Nil; a few items (human blood, some contraceptives) are exempt. Patients are end consumers and cannot claim ITC.

Medicine / ProductGST RateNotes
Most formulations & branded medicines5%Was 12% before GST 2.0 · HSN-based
Life-saving / specified critical drugsNilE.g. certain cancer & specified drugs
Branded AYUSH medicines5%Ayurvedic, Unani, Siddha, Homeopathy
Human blood & its componentsNilFully exempt
Basic diagnostic devices5%Glucometer, BP monitor
Medical & surgical devices5%Most moved from 12% under GST 2.0 · check HSN

Rates depend on the exact HSN code — verify each product on the CBIC rate finder before invoicing.

A hospital pharmacy that sells medicines and consumables makes a taxable supply of goods and must handle GST registration, invoicing and returns for that activity, separately from its exempt healthcare services. See our HSN / rate finder guide.

Run a pharmacy or hospital store? Get your GST registration and returns handled.

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GST 2.0 change

GST on Health & Life Insurance

Under the GST 2.0 reforms effective 22 September 2025, GST on individual health and life insurance premiums is exempt (previously 18%). This covers individual, family-floater and senior-citizen health policies and individual life policies (term, endowment, ULIP). The premium payable no longer carries a GST component for individuals.

  • Individual health & life insurance premiums are now GST-exempt — no 18% add-on.
  • The Section 80D income-tax deduction for health-insurance premium continues (₹25,000 for self/family; ₹50,000 where a senior citizen is insured).
  • For genuinely exempt supply, insurers cannot pass through blocked input GST as a separate charge — confirm the exact impact on your renewal quote.
  • Group/employer policies and other lines of general insurance follow their own treatment — check the current position for your policy type.
Reading your renewal notice

If a renewal notice dated on or after 22 September 2025 still shows 18% GST on an individual health or life premium, query it with the insurer — the exemption should apply. Keep the premium receipt for your 80D claim.

Sources
  1. Rates & notifications: gst.gov.in
  2. CBIC rate finder: cbic-gst.gov.in
  3. Healthcare exemption: Notification 12/2017-CT(R), entry 74
  4. Insurance exemption: GST 2.0 reforms, effective 22 September 2025

Disclaimer: This guide is general information based on the law and notifications in force when it was last updated. It is not professional advice for your case — rates, thresholds and due dates change, so check the current position or speak to our CA team before you act on it.

People also ask

Questions, answered

Short, direct answers to the 14 questions readers ask most on this topic.

Healthcare services on a hospital bill — OPD and IPD charges, surgery, ICU, operation-theatre, nursing and diagnostic tests — are exempt from GST under Notification 12/2017-CT(R), entry 74. The main taxable items that can appear on a hospital bill are room rent above ₹5,000/day for a non-ICU room (5%), cosmetic procedures (18%), medicines from the pharmacy (mostly 5% as goods) and non-medical services like canteen or parking.

No. Consultation fees charged by an authorised medical practitioner — a registered doctor, specialist or surgeon — are exempt from GST as healthcare services. This applies whether the consultation is in a hospital, a clinic or via teleconsultation, as long as it is by an authorised medical professional.

No. Treatment provided by a clinical establishment for diagnosis, treatment or care of any illness, injury, deformity or abnormality is exempt. This includes surgery, ICU, operation-theatre and diagnostic charges. A hospital charges GST only on specific non-exempt items: room rent above ₹5,000/day (non-ICU) at 5%, cosmetic procedures at 18%, pharmacy medicines as goods, and services like canteen or parking.

No. Pathology, radiology and diagnostic services (blood tests, X-ray, MRI, CT scan and similar) form part of exempt healthcare services when provided as diagnosis or care of a health condition. They are exempt under the healthcare-services entry.

No. Transportation of a patient by ambulance is specifically covered within the exempt healthcare-services entry, so ambulance services do not attract GST.

GST at 5% (without ITC) applies to hospital room rent only where the room charge exceeds ₹5,000 per day and the room is not an ICU/CCU/ICCU/NICU. Rooms charged at ₹5,000 per day or less, and all ICU categories, are exempt. The GST applies to the room charge alone; the treatment on the same bill stays exempt.

No. The 5% room-rent levy applies only to non-ICU rooms above ₹5,000/day. ICU, CCU, ICCU and NICU rooms are outside this charge and remain exempt regardless of the per-day amount.

No. Cosmetic and plastic surgery done to enhance appearance — hair transplant, liposuction, rhinoplasty, breast augmentation, cosmetic botox and similar aesthetic procedures — is taxable at 18%. The exception is reconstructive surgery to restore anatomy or function affected by a congenital defect, developmental abnormality, injury or trauma, which is exempt as treatment.

Yes — medicines are goods and carry GST at their HSN rate even from a hospital pharmacy. Since GST 2.0 most medicines are taxed at 5% and specified life-saving drugs are Nil; and a few items such as human blood and its components are exempt. Patients are end consumers and cannot claim ITC on medicines they buy.

Branded Ayurvedic, Unani, Siddha and Homeopathic (AYUSH) medicines generally attract 5% GST as goods since GST 2.0 (12% before 22 September 2025). Treatment by an authorised AYUSH practitioner or clinical establishment is exempt as a healthcare service — only the branded medicine product is taxable.

Medical devices are goods and follow HSN-based rates. Under GST 2.0 most medical, surgical and diagnostic devices — glucometers, BP monitors, diagnostic kits, implants and orthopaedic items — moved to 5% (many were 12% earlier). Confirm the exact rate for a specific device on the CBIC rate finder, as classification varies by product.

No — not for individual policies. Under the GST 2.0 reforms effective 22 September 2025, GST on individual health insurance premiums is exempt (it was previously 18%). This covers individual, family-floater and senior-citizen health policies. Group and employer-arranged policies follow their own treatment, so confirm the position for your specific policy.

For individual life insurance policies, premiums became GST-exempt from 22 September 2025 under the GST 2.0 reforms, having earlier attracted GST. The exemption applies to individual life cover such as term, endowment and ULIP policies. Verify your renewal notice reflects the exemption.

Yes. The Section 80D income-tax deduction for health-insurance premium is separate from GST and continues — up to ₹25,000 a year for self and family (below 60) and up to ₹50,000 where a senior citizen is insured. With the GST exemption, the premium you pay no longer includes an 18% GST component, but the 80D deduction on the premium paid is unaffected.