Reference table
Tax and statutory charges
A reference table of the tax and statutory items applied to a bill, with the basis on which each is calculated and reported.
Tax on a hospital bill is worked out charge by charge, on the net after pricing adjustments, at the rate in force on the service date. This page is a reference table of the tax and statutory items applied to a bill, with the basis on which each is calculated and reported.
How tax is applied
Vault works out tax on each charge under the goods and services tax (GST), keyed by the charge's tax code, on the value left after the price-changing adjustments. The rate that applies is the one in force on the service date, so a later rate change leaves earlier charges as they stood.
The statutory items
The table sets out each item, the basis it rests on, and where it is reported.
| Item | Basis | Reported as |
|---|---|---|
| Central GST (CGST) | Half the applicable rate on the taxable value of a supply within the state, by the charge's SAC or HSN code. | A line on the periodic GST return. |
| State GST (SGST) | The matching half of the same intra-state supply. | A line on the same return. |
| Integrated GST (IGST) | The full rate on a supply that crosses a state boundary, set by the place of supply. | A line on the same return. |
| Exempt clinical care | Core healthcare services, which carry no GST. | An exempt supply on the return. |
| Room charge above the notified limit | A merit rate on a room charge over the notified nightly limit, with critical-care units held exempt. | A line on the GST return. |
| Tax deducted at source (TDS) | A statutory share of professional fees withheld at source. | A remittance to the tax authority against the payee. |
The taxable base
Tax sits on the net after the price-changing steps and above the steps that split liability across payers. The tariff, any package inclusion, a scheme concession, an approved discount and the final rounding shape the taxable value, and the coverage and co-pay steps that follow leave it alone.
Tax is fixed before the payer split
The tax on a charge is worked out on the full taxable value, before the charge is divided between payer and patient. Splitting a charge across payers moves who owes it, and holds the tax figure whole.
Codes and notifications
Every taxable line carries the code that classifies it and the notification that sets its rate, so the basis of each figure is traceable to source.
taxCode string Required | The SAC or HSN code that classifies the charge. |
rate rate Required | The applicable rate for the code, held as a whole number. |
notification string Required | The statutory notification that sets the rate. |
placeOfSupply string Required | The state that decides intra-state or inter-state treatment. |
taxableValue amount Required | The net value the tax is worked out on. |
Within a state and across a boundary
Whether a supply is taxed as two halves or as one combined charge follows from the place of supply.
| Within the state | Across a state boundary | |
|---|---|---|
| Splits into central and state halves | Present | Absent |
| Charged as one integrated amount | Absent | Present |
| Follows from the place of supply | Present | Present |
E-invoice and credit notes
A business-to-business invoice that meets the turnover threshold carries a registered e-invoice reference. A tax-reducing credit note falls inside a statutory window tied to the financial year of the supply. Read invoices and credit notes for how a credit note preserves the invoice number.
Common confusions
Is clinical care taxed?
Core healthcare services are treated as an exempt supply and carry no GST. Taxable items on the same visit are billed on their own lines.
Why is tax worked out before the payer split?
So the tax figure rests on the full taxable value. Dividing the charge across payers moves who owes it, and holds the tax whole.
What sets the rate on a line?
The charge's SAC or HSN code, matched to the rate in force on the service date, with the notification recorded beside it.
Read how the discharge finance gate confirms the tax is reconciled before a patient leaves.