NABH Accreditation
Cost & Fee Structure
Official NABH fees for all programmes — HCO, SHCO, HOPE Entry Level, Eye Care, Dental, and AYUSH. Updated w.e.f. April 2024 and June 2025. All figures exclude 18% GST.
Fee Overview — All Programmes
Quick reference for total annual cost (application + annual fee) across all NABH programmes, before GST:
- HCO Full Accreditation (≤100 beds)
- ₹40,000 + ₹2,00,000 / year
- HCO Full Accreditation (101–300 beds)
- ₹75,000 + ₹3,00,000 / year
- HCO Full Accreditation (301–500 beds)
- ₹1,00,000 + ₹4,00,000 / year
- HCO Full Accreditation (501+ beds)
- ₹1,50,000 + ₹5,00,000 / year
- SHCO Full Accreditation (≤50 beds)
- ₹25,000 + ₹1,50,000 / year
- HCO ELC (51–100 beds, rebate till Sep 2026)
- ₹96,000 / 2-year cycle
- HCO ELC (101–300 beds, rebate till Sep 2026)
- ₹1,20,000 / 2-year cycle
- SHCO ELC (≤5 beds)
- ₹21,000 / 2-year cycle
- SHCO ELC (6–20 beds, rebate till Sep 2026)
- ₹30,000 / 2-year cycle
- AYUSH ELC Centre (flat)
- ₹11,000 / 2-year cycle
- AYUSH ELC Hospital (≤50 beds)
- ₹21,000 / 2-year cycle
- Eye Care ECO (≤5,000 surgeries)
- ₹5,000 + ₹50,000 / year
- Dental DHSP (1–3 chairs)
- ₹5,000 + ₹15,000 / year
- AYUSH (10–50 beds)
- ₹20,000 + ₹75,000 / year
HCOHCO Full Accreditation
w.e.f. 01 April 2024
For hospitals and healthcare organisations with 50+ sanctioned beds pursuing full NABH accreditation under the 6th Edition standards.
| Bed Strength | Application Fee | Annual Fee | Total (Year 1) |
|---|---|---|---|
| Up to 100 beds | ₹40,000 | ₹2,00,000 | ₹2,40,000 |
| 101–300 beds | ₹75,000 | ₹3,00,000 | ₹3,75,000 |
| 301–500 beds | ₹1,00,000 | ₹4,00,000 | ₹5,00,000 |
| 501+ beds | ₹1,50,000 | ₹5,00,000 | ₹6,50,000 |
Source: NABH official fee schedule w.e.f. 01.04.2024. All amounts exclude 18% GST. Certificate validity: 4 years (mid-cycle surveillance required).
Additional HCO Charges
SHCOSHCO Full Accreditation
For Small Healthcare Organisations with up to 50 sanctioned beds — clinics, nursing homes, day-care centres.
| Programme | Application Fee | Annual Fee | Total (Year 1) |
|---|---|---|---|
| SHCO Full Accreditation Up to 50 beds | ₹25,000 | ₹1,50,000 | ₹1,75,000 |
Certificate validity: 4 years (mid-cycle surveillance required). All amounts exclude 18% GST.
Additional SHCO Charges
HCO ELCHCO Entry Level Certification
w.e.f. June 2025 — 2-year certification cycle
For hospitals with 50+ sanctioned beds pursuing entry-level certification via the HOPE (Healthcare Organisation for Patient Excellence) portal before progressing to Full NABH Accreditation.
Rebate available till 30 September 2026 on the 51–100 and 101–300 bed slabs. Original (non-rebated) fees apply after that date. No rebate on 301–500 and 501+ slabs.
| Bed Strength | Regular Fee | Rebated Fee (till Sep 2026) | Cycle |
|---|---|---|---|
| 51–100 beds | ₹1,60,000 | ₹96,000 | 2 years |
| 101–300 beds | ₹2,00,000 | ₹1,20,000 | 2 years |
| 301–500 beds | ₹2,00,000 | No rebate | 2 years |
| 501+ beds | ₹2,50,000 | No rebate | 2 years |
All amounts exclude 18% GST. Fees cover the full 2-year certification cycle. Source: NABH HOPE ELC fee schedule w.e.f. June 2025.
Additional HCO ELC Charges
SHCO ELCSHCO Entry Level Certification
w.e.f. June 2025 — 2-year certification cycle
For Small Healthcare Organisations with up to 50 sanctioned beds pursuing entry-level certification before progressing to SHCO Full Accreditation.
Rebate available till 30 September 2026 on the 6–20 and 21–50 bed slabs. The ≤5 bed slab has no rebate (already at base price).
| Bed Strength | Regular Fee | Rebated Fee (till Sep 2026) | Cycle |
|---|---|---|---|
| Up to 5 beds | ₹21,000 | No rebate | 2 years |
| 6–20 beds | ₹40,000 | ₹30,000 | 2 years |
| 21–50 beds | ₹80,000 | ₹48,000 | 2 years |
All amounts exclude 18% GST. Fees cover the full 2-year certification cycle. Source: NABH HOPE ELC fee schedule w.e.f. June 2025.
Additional SHCO ELC Charges
💡 ELC is a stepping stone — not permanent accreditation. After the 2-year cycle, hospitals progress to HCO or SHCO Full Accreditation. AccredReady tracks ELC compliance and helps plan your upgrade path.
ECOEye Care Accreditation
For standalone eye care organisations (ECO). Slabs are based on number of surgeries performed per year.
| Annual Surgery Volume | Application Fee | Annual Fee | Total (Year 1) |
|---|---|---|---|
| Up to 5,000 surgeries | ₹5,000 | ₹50,000 | ₹55,000 |
| 5,001–10,000 surgeries | ₹10,000 | ₹1,50,000 | ₹1,60,000 |
| 10,001+ surgeries | ₹20,000 | ₹2,00,000 | ₹2,20,000 |
DHSPDental Accreditation
For Dental Healthcare Service Providers (DHSP). Fee slabs are based on the number of dental chairs in the facility.
| Dental Chairs | Application Fee | Annual Fee | Total (Year 1) |
|---|---|---|---|
| 1–3 chairs | ₹5,000 | ₹15,000 | ₹20,000 |
| 4–10 chairs | ₹15,000 | ₹40,000 | ₹55,000 |
| 11–15 chairs | ₹20,000 | ₹60,000 | ₹80,000 |
AYUSHAYUSH Full Accreditation
For AYUSH (Ayurveda, Yoga, Unani, Siddha, Homeopathy) hospitals seeking full accreditation. Slabs are based on sanctioned bed strength.
| Bed Strength | Application Fee | Annual Fee | Total (Year 1) |
|---|---|---|---|
| 10–50 beds | ₹20,000 | ₹75,000 | ₹95,000 |
| 51–100 beds | ₹30,000 | ₹1,25,000 | ₹1,55,000 |
AYUSH ELCAYUSH Entry Level Certification
2-year certification cycle
AYUSH Entry Level Certification is available in two variants — Centre (standalone AYUSH treatment centres) and Hospital (AYUSH hospitals with inpatient beds). Both cover a 2-year cycle with no annual surveillance required.
AYUSH ELC — Centre
For standalone AYUSH treatment centres without inpatient beds. Flat fee regardless of size.
| Type | 2-Year Cycle Fee |
|---|---|
| AYUSH ELC Centre (flat) | ₹11,000 |
AYUSH ELC — Hospital
For AYUSH hospitals with sanctioned inpatient beds. Fee is slab-based on bed strength.
| Bed Strength | 2-Year Cycle Fee |
|---|---|
| Up to 50 beds | ₹21,000 |
| 51–100 beds | ₹75,000 |
| 101+ beds | ₹1,00,000 |
All amounts exclude 18% GST. Fees cover the full 2-year certification cycle.
Additional AYUSH ELC Charges
GST & Additional Charges
18% GST is levied on all NABH fees — application, annual, virtual assessment, focus assessment, and re-issue. Below is an example of how GST impacts the total outgo for a 100-bed hospital:
| Fee Component | Base Amount | GST @ 18% | Total Payable |
|---|---|---|---|
| Application Fee (≤100 beds HCO) | ₹40,000 | ₹7,200 | ₹47,200 |
| Annual Fee (≤100 beds HCO) | ₹2,00,000 | ₹36,000 | ₹2,36,000 |
| Total Year 1 (≤100 beds HCO) | ₹2,40,000 | ₹43,200 | ₹2,83,200 |
Additional Charges — All Programmes
| Charge | HCO Full | SHCO Full | HCO ELC | SHCO ELC | AYUSH ELC |
|---|---|---|---|---|---|
| Virtual Assessment Fee | ₹5,000–₹15,000 | ₹3,000 | — | — | — |
| Focus Assessment Fee | ₹15,000 | ₹15,000 | ₹15,000 | ₹15,000 | ₹15,000 |
| Certificate Re-issue Fee | ₹6,000 | ₹6,000 | ₹6,000 | ₹6,000 | ₹6,000 |
⚠️ The NABH fee structure is subject to revision. Always confirm current fees at nabh.co or contact NABH directly before submitting your application. The figures on this page are updated as of April 2024 (HCO/SHCO Full) and June 2025 (HCO ELC, SHCO ELC, AYUSH ELC).
Frequently Asked Questions
What is the total NABH accreditation cost for a 100-bed hospital?
For HCO Full Accreditation, a hospital with up to 100 beds pays ₹40,000 (application) + ₹2,00,000 (annual fee) = ₹2,40,000 before GST. With 18% GST, the total Year 1 outgo is ₹2,83,200. Annual renewal (without reapplication) is ₹2,36,000 with GST.
How much does NABH accreditation cost for a small clinic?
For SHCO Full Accreditation (up to 50 beds): ₹25,000 application + ₹1,50,000 annual = ₹1,75,000 before GST, or ₹2,06,500 with 18% GST. For even smaller facilities, the HOPE Entry Level Certification starts at ₹21,000 (up to 5 beds) for a 2-year cycle.
Is NABH accreditation fee refundable?
NABH accreditation fees are generally non-refundable. Application fees are not returned if the application is withdrawn or rejected. Always verify the refund policy with NABH directly before applying.
What is the NABH Entry Level Certification fee for a 50-bed hospital?
For the HOPE Entry Level Certification (w.e.f. June 2025), a hospital with 21–50 beds pays ₹48,000 for a 2-year cycle (rebate valid till September 30, 2026), plus 18% GST. For 51–100 beds, the fee is ₹96,000 for the 2-year cycle.
Does NABH fee include the assessor visit cost?
The annual fee covers the standard assessment visit. However, virtual assessment (₹3,000–₹15,000) and focus assessment (₹15,000) are charged separately, as are any additional visits. Travel and accommodation costs for assessors, if applicable, may also be billed separately.
What is the NABH fee for a dental clinic?
For Dental (DHSP) accreditation: 1–3 chairs pay ₹5,000 application + ₹15,000 annual = ₹20,000/year before GST. 4–10 chairs: ₹15,000 + ₹40,000 = ₹55,000. 11–15 chairs: ₹20,000 + ₹60,000 = ₹80,000. Add 18% GST to all figures.
How often do NABH fees change?
NABH revises its fee schedule periodically. The current HCO/SHCO fees are effective from 01 April 2024, and the HOPE ELC fees from June 2025. Always verify current fees at nabh.co before applying, as this page reflects the most recently published schedule.
Prepare for NABH Without Hiring a Consultant
AccredReady is India's only software built specifically for NABH compliance — covering all OEs with evidence guidance, internal audit tools, KPI tracking, and mock drill management. Hospitals using AccredReady report 40–60% faster preparation time.
Start free — no credit card required →