03.10.2025. New CGHS rates applicable to empanelled HCOs.pdf

Medical · السبت، 17 أكتوبر 2026
Medical
10 Nov 2025

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

F.No.5-16/CGHS(HQ)/HEC/2024(PartI)

(Comp No. - 8365027)

भारत सरकार

'ा( एवं प-रवार क.ाण मं 1ालय

क4 5ीय सरकार 'ा( योजना महािनदेशालय

क4. स. 'ा.यो. भवन, िद?ी

िदनांक –03.10.2025

काया@लय Aापन/OFFICE MEMORANDUM

Subject: CGHS rates applicable for treatment at healthcare organisation

In reference to subject above, and in supersession of all previous memoranda

on the subject, the CGHS rates package rates are hereby notified.

1. Implementation of Revised CGHS Rates

These rates will be effective from 13.10.2025 and shall apply to:

a) All healthcare services availed at CGHS-empanelled Healthcare Organisations (HCOs)

b) Medical Reimbursement Claims of individuals (in r/o Serving, Pensioners and other eligible categories of CGHS beneficiaries).

c) CGHS, cashless (credit) treatment shall be extended to Central Government pensioners and other specified categories of beneficiaries as per extant rules.

The revised rates as per Annexure-I are for the semiprivate ward entitlement. and are also available on the CGHS website: https://cghs.mohfw.gov.in.

In exceptional circumstances, where treatment has been availed from any non empanelled private HCOs, reimbursement may be considered as per extant instructions, but the rate would be restricted to Non-NABH (National Accreditation Board for Hospital for Healthcare Providers) rates of the concerned city.

2. Structure of Differential Rates

Revised rates have been rationalised based on accreditation status, hospital type, city classification and ward entitlement:

a) Non-NABH and Non-NABL HCOs: 15% lower than NABH/NABL accredited

HCOs. (NABL – National Accreditation Board for Testing and Calibration of

Laboratories)

b) Rates for super speciality hospitals shall be 15% higher than those

applicable to NABH-accredited hospitals for the corresponding Super

specialities within the same city category.

c) HCO located in Y (Tier II) cities and Z (Tier III) cities rates shall be 10% and

20% respectively lower than those located in X (Tier I) Cities. Y (Tier II)

rates also apply to the HCO located in North-East region and Union

Territories of Jammu & Kashmir and Ladakh.

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5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

d) The new package rates mentioned in are for semi-private ward. For general

ward there will be a decrease of 5% in the rates, and for the private ward

entitlement, there will be an increase of 5% on the applicable admissible

claim amount.

e) Rates for consultations, radiotherapy, investigations, day care procedures,

and minor procedures not requiring admission shall remain uniform,

irrespective of the ward entitlement.

f) For cancer surgeries, existing CGHS rules and rates continue. However,

revised rates apply to chemotherapy, investigations and radiotherapy.

3. Supporting Guidelines and Definitions

Key definitions and guidelines are provided in Annexures II–VII, including:

a) CGHS Package Rate structure and inclusions.

b) Description of Ward Categories.

c) ICU and Nursing Care Charges.

d) Equipment Charges.

e) Admissible vs. Non-Admissible Items.

f) Definition and Criteria for Super Speciality Hospitals.

g) Relevant Office Memoranda issued by the Directorate General of CGHS.

4. Renewal of MoA with Empanelled Hospitals

a. All existing Memoranda of Agreement (MoAs) executed with private

empanelled hospitals shall cease to be valid with effect from 13.10.2025

12 AM.

b. All Health Care Organisations (HCOs) are required to seek fresh

empanelment through the revised Hospital Engagement Module.

c. The revised MoAs must be executed afresh within 90 days from the date

of implementation of the revised rates.

d. However, in order to continue to avail the benefit of the revised rate,

each HCO shall be required to submit an undertaking, on or before

13.10.2025, confirming its acceptance of the terms and conditions of

the newly notified MoA.

e. In case, the HCO fails to submit the undertaking shall be deemed to be

de-panelled.

This issues with the approval of the Competent Authority.

(Dr. Satheesh Y. H.)

Director (CGHS)

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5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

Tel No. 011-26872280

Copy to:

1. All Ministries and Departments of the Government of India through the CGHS website

2. Addl. DDG(CGHS) with the directions to monitor the implementation in coordination with AD HQ.

3. Addl. Director, CGHS(HQ)/ Addl. Directors, CGHS of Cities / Zone with the directions to comply with the provision of instructions above

4. All CGHS Wellness Centres through the concerned AD, CGHS

5. All Pensioner Associations.

6. MCTC, CGHS with the directions to upload the document on CGHS Website (www.cghs.mohfw.gov.in).

7. All HCOs empanelled under CGHS through CGHS website.

8. Director, AIIMS as per list; JIPMER, Puducherry; PGIMER, Chandigarh; CNCI Kolkata & Tata Memorial Hospital, Mumbai

9. Medical Superintendent Safdarjung Hospital, Dr. RML Hospital, Delhi & Sucheta Kriplani Hospital, Delhi

10. CDAC, Noida with the request to Modify the CGHS Software as per the provisions contained above.

11. CEO & MD NHA with the request to kindly inform the Claim Processing Doctors regarding the referral process.

12. LACs/ ZACs through Addl. Directors, CGHS.

13. Sanctioning Authorities in CGHS.

14. CMO Hospital Cell, CGHS HQ.

15. CMO Hospital Empanelment Cell, CGHS

Copy of Information to:

1. PPS to the Minister for Health and Family Welfare

2. PPS to the Minister of State (H&FW), MoHFW

3. PPS to Secretary (H&FW), MoHFW

4. PSO/Senior PPS/PPS/PS to Secretary (Personnel), DoPT, MoPPG&P

5. PSO/Senior PPS/PPS/PS to Secretary (DARPG & DoPPW), MoPPG&P

6. PPS to AS & DG CGHS

7. PPS to JS (MoHFW), CGHS

(Dr. Satheesh Y. H.)

Director (CGHS)

Tel No. 011-26872280

*****

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5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

Annexure I

CGHS Rate List

Annexure 1 is divided into three parts, A for Tier 1, B for Tier 2, and C for Tier III cities

A) Rate list for Semiprivate ward for HCOs in X(Tier I)

List of X (Tier I) Cities

Hyderabad (UA)#
Delhi (UA)
Ahmedabad (UA)
Bengaluru (UA)
Mumbai (UA)
Pune (UA)
Chennai (UA) Kolkata (UA)

*as per O.M. No.2/5/2017-E.II(B) dated 07.07.2017. #(UA) = Urban Agglomeration

**In case of any discrepancy, the most instructions of the Department of

Expenditure shall prevail.

General Guidelines.

a) The package rates are for semi-private ward. If the beneficiary is entitled for general ward there will be a decrease of 5% in the rates; for private ward

entitlement there will be an increase of 5%.

b) Rates for radiotherapy, investigations, day care procedures, and minor procedures not requiring admission shall remain uniform, irrespective of ward

entitlement.

Method for Calculation and Application of CGHS Rates
CGHS Rates applicable to respective Ward entitlement:
The rates defined below are for a HCO located in Tier I city for Semiprivate Ward; for general ward there will be a decrease of 5% in the rates, and for the private ward entitlement, there will be an increase of 5% on the applicable admissible claim amount.
Let:
• A = Base CGHS Package Rate
• F = Final Rate Payable
Example Table:
Ward Entitlement Final Rate (F)
General Ward F=A-5% of A
Semi-Private Ward F=A
Private Ward F=A+5% of A

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5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

• The empanelled CGHS healthcare provider (HCO) shall apply the above formula at the time of billing based on the ward entitlement printed on the beneficiary’s CGHS card.
a) Multiple Surgical Procedures in One Operation Theatre(OT) Session (i.e. procedure conducted on same date
S.
Scenario Reimbursement Rule Illustration No.
(Symbolic)
1 Primary surgery* in a
100% of its package
Procedure A = ₹X →
single OT session
rate
Reimbursed at X
2 Second surgery in the
50% of its package
Procedure B = ₹Y →
same session
rate
Reimbursed at 50% of
Y
3 Third & subsequent
25% of each respective
Procedure C = ₹Z →
surgeries in same
package rate
Reimbursed at 25%of
session
Z
Example: (Symbolic) 3 Procedures performed in same OT session: • Procedure A: ₹X
• Procedure B: ₹Y
• Procedure C: ₹Z
Total Reimbursement (T)= X + 50% of Y + 25% of Z
*Primary Surgery = Surgery with Highest Package Rate
b) Identical surgeries are performed at different anatomical sites S.
Scenario Reimbursement
Illustration
No.
Rule
(Symbolic)
1 Identical surgeries at
Second procedure
Procedure = ₹X each
different anatomical sites
at 50%
side → Total = X +
(e.g., bilateral) during a
50% of X
single session
Example (Symbolic):
• Procedure: Bilateral Knee Replacement
• Each side package rate = ₹X
Total Reimbursement= X + 50% of X

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5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

c) Any procedure within the package period of an earlier
procedure (i.e procedure performed on a different date, but within same admission and within package period)
If a procedure is performed during the package period (typically upto 12days) of an earlier procedure.
CGHS Reimbursement Rule:
• The subsequent procedure performed within the package period shall be reimbursed at 75% of its applicable package rate.
Illustrative Example (Symbolic):
• Follow-up Procedure B = ₹X
• Performed within the 12-day package period of Procedure A
Reimbursement= 75% of X
Package Rates Definition
• Package rates envisage up to a maximum duration of indoor treatment as follows:
o Up to 12 days for Specialized (Super Specialties) treatment
o Up to 7 days for other Major Surgeries
o Up to 3 days for/ Laparoscopic surgeries / elective Angioplasty / normal deliveries and
o 1 day for day care / Minor (OPD) surgeries.

6

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1
CN001
Consultation OPD 350 350 350 Consultation
2
CN002
Consultation for Inpatients 350 350 350 Consultation
3
CN003
Consultation OPD – Super speciality/Psychiatry 700 700 700 Consultation
4
LB001 Urine Routine- pH, Specific Gravity, Sugar, Protein and Microscopy 85 100 100 Laboratory Investigation
5
LB002
Urine Microalbumin 207 243 243 Laboratory Investigation
6
LB003
Stool Routine and Microscopy 68 80 80 Laboratory Investigation
7
LB004
Stool for Occult Blood 85 100 100 Laboratory Investigation
8
LB005
Post Coital Smear Examination 340 400 400 Laboratory Investigation
9
LB006
Semen Analysis (Automated/Manual) 213 250 250 Laboratory Investigation
10
LB007
Haemoglobin (Hb) 43 50 50 Laboratory Investigation
11
LB008
Total Leucocytic Count (TLC) 43 50 50 Laboratory Investigation
12
LB009
Differential Leucocytic Count (DLC) 85 100 100 Laboratory Investigation
13
LB010
Erythrocyte Sedimentation Rate (ESR) 85 100 100 Laboratory Investigation
14
LB011 Total Red Cell count with MCV,MCH,MCHC,DRW 43 50 50 Laboratory Investigation
15
LB012
Complete Haemogram/CBC, Hb, RBC Count and Indices, TLC, DLC, Platelet, ESR, Peripheral Smear Examination) 255 300 300 Laboratory Investigation
16
LB013
Platelet Count 85 100 100 Laboratory Investigation
17
LB014
Reticulocyte Count 85 100 100 Laboratory Investigation
18
LB015
Absolute Eosinophil Count (AEC) 85 100 100 Laboratory Investigation
19
LB016
Packed Cell Volume (PCV) 43 50 50 Laboratory Investigation
20
LB017
Peripheral Smear Examination 85 100 100 Laboratory Investigation
21
LB018
Smear for Malaria/Filaria Parasite 85 100 100 Laboratory Investigation
22
LB019
Bleeding Time 43 50 50 Laboratory Investigation
23
LB020
Clotting Time 43 50 50 Laboratory Investigation
24
LB021 Osmotic Fragility Test 255 300 300 Laboratory Investigation

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5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
25
LB022
Bone Marrow Smear Examination 298 350 350 Laboratory Investigation
26
LB023
Bone Marrow Smear Examination with Iron Stain 680 800 800 Laboratory Investigation
27
LB024
Bone Marrow Smear Examination and Cytochemistry 10200 12000 12000 Laboratory Investigation
28
LB025
Activated Partial Thromboplastin Time (APTT) 247 290 290 Laboratory Investigation
29
LB026
Rapid Test for Malaria (Card Test)/QBC Malaria Test 85 100 100 Laboratory Investigation
30
LB027
Bleeding Disorder Panel- PT, APTT, Thrombin Time Fibrinogen, D-Dimer/ Fibrinogen Degradation Products (FDP) 680 800 800 Laboratory Investigation
31
LB028
Factor Assays-Factor VIII 1275 1500 1500 Laboratory Investigation
32
LB029
Factor Assays-Factor IX 1275 1500 1500 Laboratory Investigation
33
LB030
Platelet Function Tests 1075 1265 1265 Laboratory Investigation
34
LB031 Tests for Hypercoagulable States- Protein C, Protein S, Antithrombin 2873 3380 3380 Laboratory Investigation
35
LB032
Tests for Lupus Anticoagulant 1105 1300 1300 Laboratory Investigation
36
LB033
Tests for Antiphospholipid Antibody IgG, IgM (for Cardiolipin and B2 Glycoprotein 1) 850 1000 1000 Laboratory Investigation
37
LB034
Thalassemia Studies (Red Cell Indices and Hb HPLC) 850 1000 1000 Laboratory Investigation
38
LB035
Tests for Sickling / Hb HPLC) 850 1000 1000 Laboratory Investigation
39
LB036
Blood Group & Rh Type 77 90 90 Laboratory Investigation
40
LB037
Cross Match 170 200 200 Laboratory Investigation
41
LB038
Coomb’s Test - Direct 170 200 200 Laboratory Investigation
42
LB039
Coomb’s Test - Indirect 213 250 250 Laboratory Investigation
43
LB040
3 Cell Panel- Antibody Screening for Pregnant Female 893 1050 1050 Laboratory Investigation
44
LB041 11 Cells Panel for Antibody Identification 1942 2285 2285 Laboratory Investigation
45
LB042
Hepatitis B Surface Antigen (HBsAg) 255 300 300 Laboratory Investigation
46
LB043
Hepatitis C Virus (HCV) 425 500 500 Laboratory Investigation
47
LB044
Human Immunodeficiency Virus- HIV I and II 327 385 385 Laboratory Investigation
48
LB045
Venereal Disease Research Laboratory Test (VDRL) 85 100 100 Laboratory Investigation
49
LB046
Rh Antibody Titre 255 300 300 Laboratory Investigation

8

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
50
LB047
Platelet Concentrate Test 850 1000 1000 Laboratory Investigation
51
LB048
Routine - H & E 463 545 545 Laboratory Investigation
52
LB049
Special Stain 170 200 200 Laboratory Investigation
53
LB050
Histopathology Examination (HPE) - Frozen Section 1275 1500 1500 Laboratory Investigation
54
LB051 Histopathology Examination (HPE) - Paraffin Section 425 500 500 Laboratory Investigation
55
LB052
Pap Smear 340 400 400 Laboratory Investigation
56
LB053
Body Fluid for Malignant cells 298 350 350 Laboratory Investigation
57
LB054
Paroxysmal Nocturnal Haemoglobinuria (PNH) Panel- CD55, CD59 1275 1500 1500 Laboratory Investigation
58
LB055
Blood Glucose Random / Blood Glucose Fasting /Blood Glucose PP 34 40 40 Laboratory Investigation
59
LB056
24 Hrs Urine for Proteins, Sodium, Creatinine 255 300 300 Laboratory Investigation
60
LB057
Blood Urea Nitrogen (BUN) / Urea 85 100 100 Laboratory Investigation
61
LB058
Serum Creatinine 85 100 100 Laboratory Investigation
62
LB059
Urine Bile Pigment and Salt 60 70 70 Laboratory Investigation
63
LB060
Urine Urobilinogen 60 70 70 Laboratory Investigation
64
LB061 Urine Ketones 60 70 70 Laboratory Investigation
65
LB062
Urine Occult Blood 60 70 70 Laboratory Investigation
66
LB063
Urine Total Proteins 60 70 70 Laboratory Investigation
67
LB064
Rheumatoid Factor / Rh Factor Test 638 750 750 Laboratory Investigation
68
LB065
Bence Jones Protein 85 100 100 Laboratory Investigation
69
LB066
Serum Uric Acid 128 150 150 Laboratory Investigation
70
LB067
Serum Bilirubin total & direct 128 150 150 Laboratory Investigation
71
LB068
Serum Iron 213 250 250 Laboratory Investigation
72
LB069
C-Reactive Protein (CRP) 213 250 250 Laboratory Investigation
73
LB070
C-Reactive Protein (CRP) Quantitative 255 300 300 Laboratory Investigation
74
LB071 Body Fluid (CSF/Ascitic Fluid etc.) Sugar, Protein etc. 255 300 300 Laboratory Investigation
75
LB072
Albumin 43 50 50 Laboratory Investigation
76
LB073
Creatinine Clearance 170 200 200 Laboratory Investigation

9

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
77
LB074
Serum Cholesterol 128 150 150 Laboratory Investigation
78
LB075
Total Iron Binding Capacity (TIBC) 255 300 300 Laboratory Investigation
79
LB076
Glucose (Fasting & PP) 68 80 80 Laboratory Investigation
80
LB077
Serum Calcium –Total 128 150 150 Laboratory Investigation
81
LB078
Serum Calcium – Ionic 510 600 600 Laboratory Investigation
82
LB079
Serum Phosphorus 128 150 150 Laboratory Investigation
83
LB080
Total Protein Albumin/Globulin Ratio (A/G Ratio) 60 70 70 Laboratory Investigation
84
LB081 Immunoglobulin G (IgG) 340 400 400 Laboratory Investigation
85
LB082
Immunoglobulin M(IgM) 340 400 400 Laboratory Investigation
86
LB083
Immunoglobulin A(IgA) 340 400 400 Laboratory Investigation
87
LB084
Antinuclear Antibody (ANA) 557 655 655 Laboratory Investigation
88
LB085
Anti-double stranded DNA (anti-dsDNA) 680 800 800 Laboratory Investigation
89
LB086
Serum Glutamic Pyruvic Transaminase (SGPT) / Alanine Aminotransferase (ALT) 85 100 100 Laboratory Investigation
90
LB087
Serum Glutamic Oxaloacetic Transaminase (SGOT) /Aspartate Aminotransferase (AST) 85 100 100 Laboratory Investigation
91
LB088
Serum Amylase 255 300 300 Laboratory Investigation
92
LB089
Serum Lipase 340 400 400 Laboratory Investigation
93
LB090
Serum Lactate 425 500 500 Laboratory Investigation
94
LB091 Serum Magnesium 255 300 300 Laboratory Investigation
95
LB092
Serum Sodium 102 120 120 Laboratory Investigation
96
LB093
Serum Potassium 102 120 120 Laboratory Investigation
97
LB094
Chloride 128 150 150 Laboratory Investigation
98
LB095
Serum Bicarbonate 170 200 200 Laboratory Investigation
99
LB096
Serum Ammonia 570 670 670 Laboratory Investigation
100
LB097
Anaemia Profile (Hb, Serum Iron, TIBC, Ferritin, Transferrin Saturation,Stool Occult Blood, CBC, Reticulocyte Count) 1122 1320 1320 Laboratory Investigation

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5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
101
LB098
Serum Testosterone 340 400 400 Laboratory Investigation
102
LB099
Imprint Smear from Endoscopy 850 1000 1000 Laboratory Investigation
103
LB100
Triglycerides 128 150 150 Laboratory Investigation
104
LB101 Glucose Tolerance Test (GTT) 255 300 300 Laboratory Investigation
105
LB102
Triple Marker Test (AFP,HCG,UE3) 1275 1500 1500 Laboratory Investigation
106
LB103
Creatine Phosphokinase (CPK)/Creatine Kinase (CK) 196 230 230 Laboratory Investigation
107
LB104
Foetal Haemoglobin (HbF) 425 500 500 Laboratory Investigation
108
LB105
Prothrombin Time (PT)/ International normalized ratio (INR) 213 250 250 Laboratory Investigation
109
LB106
Lactate dehydrogenase (LDH) 187 220 220 Laboratory Investigation
110
LB107
Alkaline Phosphatase 128 150 150 Laboratory Investigation
111
LB108
Acid Phosphatase 128 150 150 Laboratory Investigation
112
LB109
CPK MB/CK MB 306 360 360 Laboratory Investigation
113
LB110
CK MB Mass/CPK MB Mass 306 360 360 Laboratory Investigation
114
LB111 Troponin I 595 700 700 Laboratory Investigation
115
LB112
Troponin T 595 700 700 Laboratory Investigation
116
LB113
Glucose-6-Phosphate Dehydrogenase (G6PD) 255 300 300 Laboratory Investigation
117
LB114
Lithium 298 350 350 Laboratory Investigation
118
LB115
Dilantin (Phenytoin) 510 600 600 Laboratory Investigation
119
LB116
Carbamazepine. 595 700 700 Laboratory Investigation
120
LB117
Cyclosporine 2125 2500 2500 Laboratory Investigation
121
LB118
Valproic acid. 510 600 600 Laboratory Investigation
122
LB119
Blood gas analysis / Arterial Blood Gas (ABG) 476 560 560 Laboratory Investigation
123
LB120
Blood gas analysis / Arterial Blood Gas (ABG) with electrolytes 680 800 800 Laboratory Investigation
124
LB121 Urine Pregnancy Test(UPT) 85 100 100 Laboratory Investigation
125
LB122
Glycosylated Haemoglobin (HbA1c) 255 300 300 Laboratory Investigation
126
LB123
Kidney Function Test (KFT)- (Sr.Creatinine,Blood Urea,BUN,Sr.Uric Acid,Sr.Sodium,Sr.Potassium,Urine R/E) 425 500 500 Laboratory Investigation

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5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
127
LB124
Liver Function Test (LFT) 425 500 500 Laboratory Investigation
128
LB125
Lipid Profile (Total cholesterol ,Triglycerides, LDL, HDL,VLDL) 417 490 490 Laboratory Investigation
129
LB126
Serum Ferritin 298 350 350 Laboratory Investigation
130
LB127
Vitamin B12 Assay. 510 600 600 Laboratory Investigation
131
LB128
Folic Acid Assay. 553 650 650 Laboratory Investigation
132
LB129
Extended Lipid Profile. (Total cholesterol, LDL,HDL, Triglycerides Apo A1, Apo B,Lp (a) ) 850 1000 1000 Laboratory Investigation
133
LB130
Apolipoprotein A1 (ApoA1) 340 400 400 Laboratory Investigation
134
LB131 Apolipoprotein B (Apo B) 340 400 400 Laboratory Investigation
135
LB132
Lipoprotein A / Lp A 340 400 400 Laboratory Investigation
136
LB133
CD 3,4 and 8 Counts 1054 1240 1240 Laboratory Investigation
137
LB134
CD 3,4 and 8 Percentage 1284 1510 1510 Laboratory Investigation
138
LB135
Low Density Lipoprotein (LDL) 128 150 150 Laboratory Investigation
139
LB136
Homocysteine 553 650 650 Laboratory Investigation
140
LB137
Serum Electrophoresis 595 700 700 Laboratory Investigation
141
LB138
Fibrinogen 425 500 500 Laboratory Investigation
142
LB139
Gamma-Glutamyl Transpeptidase (GGTP) 128 150 150 Laboratory Investigation
143
LB140
Fructosamine 425 500 500 Laboratory Investigation
144
LB141 Beta 2 microglobulin (B2M) /β2 microglobulin 510 600 600 Laboratory Investigation
145
LB142
Prostate Specific Antigen (PSA)- Total 404 475 475 Laboratory Investigation
146
LB143
Prostate-Specific Antigen (PSA) - Free 680 800 800 Laboratory Investigation
147
LB144
Alpha Fetoprotein (AFP) 468 550 550 Laboratory Investigation
148
LB145
Human Chorionic Gonadotropin (HCG)/ Beta HCG 383 450 450 Laboratory Investigation
149
LB146
Cancer Antigen 125 (CA 125) 680 800 800 Laboratory Investigation
150
LB147
Cancer Antigen 19.9 (CA 19.9) 680 800 800 Laboratory Investigation
151
LB148
Cancer Antigen 15.3 (CA 15.3) 680 800 800 Laboratory Investigation
152
LB149
Vanillylmandelic Acid (VMA) 1360 1600 1600 Laboratory Investigation

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5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
153
LB150
Calcitonin 1020 1200 1200 Laboratory Investigation
154
LB151 Carcinoembryonic Antigen (CEA) 510 600 600 Laboratory Investigation
155
LB152
Direct Immunofluorescence (Skin and Kidney Disease etc) 1020 1200 1200 Laboratory Investigation
156
LB153
Indirect (anti ds DNA Anti Smith ANCA) 1020 1200 1200 Laboratory Investigation
157
LB154
Calcidiol / 25-hydroxycholecalciferol / Vitamin D3 assay (Vit D3) 850 1000 1000 Laboratory Investigation
158
LB155
Serum Protein electrophoresis with immunofixation electrophoresis (IFE) 595 700 700 Laboratory Investigation
159
LB156
Anti-Cyclic Citrullinated Peptide (Anti CCP) 765 900 900 Laboratory Investigation
160
LB157
Anti-tissue Transglutaminase antibody (Anti TTG Antibody) / Tissue Transglutaminase IgA (tTg-IgA) 680 800 800 Laboratory Investigation
161
LB158
Serum Erythropoietin 1020 1200 1200 Laboratory Investigation
162
LB159
Adrenocorticotropic Hormone (ACTH) 1020 1200 1200 Laboratory Investigation
163
LB160
T3, T4, TSH -Thyroid Function Test (TFT) 383 450 450 Laboratory Investigation
164
LB161 Thyroid stimulating hormone (TSH) 170 200 200 Laboratory Investigation
165
LB162
Luteinizing hormone (LH) 340 400 400 Laboratory Investigation
166
LB163
Follicle stimulating hormone (FSH) 340 400 400 Laboratory Investigation
167
LB164
Prolactin 340 400 400 Laboratory Investigation
168
LB165
Cortisol 468 550 550 Laboratory Investigation
169
LB166
PTH(Parathormone) 850 1000 1000 Laboratory Investigation
170
LB167
C-Peptide (Connecting Peptide) 638 750 750 Laboratory Investigation
171
LB168
Insulin 425 500 500 Laboratory Investigation
172
LB169
Progesterone 340 400 400 Laboratory Investigation
173
LB170
17 Hydroxyprogesterone (17 OH Progesterone) 638 750 750 Laboratory Investigation
174
LB171 Dehydroepiandrosterone sulfate (DHEAS) 850 1000 1000 Laboratory Investigation
175
LB172
Androstenedione 850 1000 1000 Laboratory Investigation
176
LB173
Growth Hormone 510 600 600 Laboratory Investigation
177
LB174
Thyroid peroxidase antibody (TPO) 595 700 700 Laboratory Investigation
178
LB175
Thyroglobulin. 595 700 700 Laboratory Investigation

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5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
179
LB176
Hydatid Serology 697 820 820 Laboratory Investigation
180
LB177
Anti Sperm Antibodies. 765 900 900 Laboratory Investigation
181
LB178
Hepatitis B Virus (HBV) DNA Qualitative 2125 2500 2500 Laboratory Investigation
182
LB179
Hepatitis B Virus (HBV) DNA Quantitative. 2975 3500 3500 Laboratory Investigation
183
LB180
Hepatitis C Virus (HCV) RNA Qualitative. 2550 3000 3000 Laboratory Investigation
184
LB181 Human papillomavirus (HPV) Serology 1360 1600 1600 Laboratory Investigation
185
LB182
Rota Virus serology 340 400 400 Laboratory Investigation
186
LB183
Mantoux Test 170 200 200 Laboratory Investigation
187
LB184
ADA( Adenosine deaminase) 553 650 650 Laboratory Investigation
188
LB185
GeneXpert Test (Tuberculosis) 880 1035 1035 Laboratory Investigation
189
LB186
QuantiFERON TB Gold 2125 2500 2500 Laboratory Investigation
190
LB187
PCR for Tuberculosis (TB) 1020 1200 1200 Laboratory Investigation
191
LB188
PCR for Human immunodeficiency virus (HIV) 1530 1800 1800 Laboratory Investigation
192
LB189
Chlamydia antigen 850 1000 1000 Laboratory Investigation
193
LB190
Chlamydia antibody 723 850 850 Laboratory Investigation
194
LB191 Brucella serology 383 450 450 Laboratory Investigation
195
LB192
Influenza A serology 850 1000 1000 Laboratory Investigation
196
LB193
Acetylcholine receptor (AChR) antibody titre 3825 4500 4500 Laboratory Investigation
197
LB194
Anti muscle specific receptor tyrosine kinase (Anti MuSK) antibody titre 5695 6700 6700 Laboratory Investigation
198
LB195
Serum Copper 553 650 650 Laboratory Investigation
199
LB196
Serum Ceruloplasmin 553 650 650 Laboratory Investigation
200
LB197
Urinary copper 714 840 840 Laboratory Investigation
201
LB198
Serum phenobarbitone level 510 600 600 Laboratory Investigation
202
LB199
Coagulation profile 638 750 750 Laboratory Investigation
203
LB200
D-Dimer 425 500 500 Laboratory Investigation
204
LB201CSF/Any Body Fluid for Basic studies including cell count, protein, sugar, gram stain, India Ink preparation and smear for AFB 298 350 350 Laboratory Investigation

14

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
205
LB202
PCR for Herpes simplex 1190 1400 1400 Laboratory Investigation
206
LB203
Bacterial culture and sensitivity - Aerobic 391 460 460 Laboratory Investigation
207
LB204
Bacterial culture and sensitivity - Anaerobic 595 700 700 Laboratory Investigation
208
LB205
Mycobacterial culture and sensitivity 468 550 550 Laboratory Investigation
209
LB206
Fungal culture 421 495 495 Laboratory Investigation
210
LB207
Anti measles antibody titre (with serum antibody titre) 1020 1200 1200 Laboratory Investigation
211
LB208
Viral culture 510 600 600 Laboratory Investigation
212
LB209
Antibody titre (Herpes simplex, cytomegalovirus, flavivirus, zoster varicella virus) 1785 2100 2100 Laboratory Investigation
213
LB210
Oligoclonal bands (OCBs) 1913 2250 2250 Laboratory Investigation
214
LB211 Myelin basic protein (MBP) 2975 3500 3500 Laboratory Investigation
215
LB212
Cryptococcal antigen 1275 1500 1500 Laboratory Investigation
216
LB213
D Xylose test 935 1100 1100 Laboratory Investigation
217
LB214
Faecal / Faecal fat test/ faecal chymotrypsin/ faecal elastase 850 1000 1000 Laboratory Investigation
218
LB215
H pylori serology for Coeliac disease /Celiac disease 1020 1200 1200 Laboratory Investigation
219
LB216
HBV genotyping 2444 2875 2875 Laboratory Investigation
220
LB217
HCV genotyping 4765 5606 5606 Laboratory Investigation
221
LB218
Urinary Vanillylmandelic Acid (VMA) 1857 2185 2185 Laboratory Investigation
222
LB219
Urinary metanephrine/Normetanephrine 2465 2900 2900 Laboratory Investigation
223
LB220
Urinary free catecholamine 2125 2500 2500 Laboratory Investigation
224
LB221 Serum aldosterone 1530 1800 1800 Laboratory Investigation
225
LB222
24 Hr urinary aldosterone 1275 1500 1500 Laboratory Investigation
226
LB223
Plasma renin activity 1360 1600 1600 Laboratory Investigation
227
LB224
Serum aldosterone/renin ratio 1275 1500 1500 Laboratory Investigation
228
LB225
Osmolality urine 383 450 450 Laboratory Investigation
229
LB226
Osmolality serum 383 450 450 Laboratory Investigation
230
LB227
Urinary sodium 128 150 150 Laboratory Investigation

15

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
231
LB228
Urinary Chloride 128 150 150 Laboratory Investigation
232
LB229
Urinary potassium 128 150 150 Laboratory Investigation
233
LB230
Urinary calcium 128 150 150 Laboratory Investigation
234
LB231 Thyroid binding globulin 935 1100 1100 Laboratory Investigation
235
LB232
24-hour urinary free cortisol 638 750 750 Laboratory Investigation
236
LB233
Islet cell antibody 1020 1200 1200 Laboratory Investigation
237
LB234
Glutamic Acid Decarboxylase Autoantibodies test (GAD antibodies) 1700 2000 2000 Laboratory Investigation
238
LB235
Insulin associated antibody 833 980 980 Laboratory Investigation
239
LB236
Insulin-like growth factor-1 (IGF-1) 1870 2200 2200 Laboratory Investigation
240
LB237
Insulin-like growth factor binding protein 3 (IGF- BP3) 1955 2300 2300 Laboratory Investigation
241
LB238
Sex hormone binding globulin 1309 1540 1540 Laboratory Investigation
242
LB239
Estradiol (E2) 340 400 400 Laboratory Investigation
243
LB240
Thyroglobulin antibody 595 700 700 Laboratory Investigation
244
LB241 Kappa Lambda Light Chains, Free, Serum/ Serum free light chains (SFLC) 3421 4025 4025 Laboratory Investigation
245
LB242
Serum IgE Level 323 380 380 Laboratory Investigation
246
LB243
N-terminal pro BNP (NT-pro BNP / Brain natriuretic peptide (BNP) 1760 2070 2070 Laboratory Investigation
247
LB244
HCV RNA Quantitative 1568 1845 1845 Laboratory Investigation
248
LB245
Tacrolimus Level 2248 2645 2645 Laboratory Investigation
249
LB246
Protein Creatinine Ratio (PCR), Urine / Albumin Creatinine Ratio (ACR), Urine 129 152 152 Laboratory Investigation
250
LB247
HLA B27 (PCR) 489 575 575 Laboratory Investigation
251
LB248
Procalcitonin 1760 2070 2070 Laboratory Investigation
252
LB249
TORCH Test 1095 1288 1288 Laboratory Investigation
253
LB250
Anti –Smooth Muscle Antibody Test (ASMA) 1241 1460 1460 Laboratory Investigation
254
LB251 C ANCA-IFA 1275 1500 1500 Laboratory Investigation
255
LB252
P ANCA-IFA 1275 1500 1500 Laboratory Investigation
256
LB253
Angiotensin converting enzyme (ACE) 850 1000 1000 Laboratory Investigation

16

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
257
LB254
Extractable Nuclear Antigens (ENA) - Quantitative 3910 4600 4600 Laboratory Investigation
258
LB255
Chromogranin A 4250 5000 5000 Laboratory Investigation
259
LB256
Faecal calprotectin 2321 2730 2730 Laboratory Investigation
260
LB257
C3-COMPLEMENT 553 650 650 Laboratory Investigation
261
LB258
C4-COMPLEMENT 553 650 650 Laboratory Investigation
262
LB259
H1N1 (RT-PCR) 921 1084 1084 Laboratory Investigation
263
LB260
Anti HEV IgM 850 1000 1000 Laboratory Investigation
264
LB261 Anti HAV IgM 638 750 750 Laboratory Investigation
265
LB262
HBsAg Quantitative 553 650 650 Laboratory Investigation
266
LB263
Typhidot IgM 340 400 400 Laboratory Investigation
267
LB264
Hepatitis B Core Antibody (HBcAb) Level (Hepatitis B Core IgM Antibody) 408 480 480 Laboratory Investigation
268
LB265
Hepatitis B surface antibody (anti HBs) 553 650 650 Laboratory Investigation
269
LB266
Free Triiodothyronine (FT3) 106 125 125 Laboratory Investigation
270
LB267
Free Thyroxine (FT4) 106 125 125 Laboratory Investigation
271
LB268
Widal Test 60 70 70 Laboratory Investigation
272
LB269
Dengue NS1 Ag 340 400 400 Laboratory Investigation
273
LB270
Dengue IgM and Ig G 680 800 800 Laboratory Investigation
274
LB271 Interleukin 6 (IL 6) 1360 1600 1600 Laboratory Investigation
275
LB272
Covid Antibody Test 595 700 700 Laboratory Investigation
276
LB273
Cryoglobulins 850 1000 1000 Laboratory Investigation
277
LB274
Cytogenetics 4250 5000 5000 Laboratory Investigation
278
LB275
Plasma Free Normetanephrine 1955 2300 2300 Laboratory Investigation
279
LB276
Plasma Metanephrines 1955 2300 2300 Laboratory Investigation
280
LB277
PLA2 receptor antibody quantitative 3570 4200 4200 Laboratory Investigation
281
LB278
Allergic Bronchopulmonary Aspergillosis (ABPA) Panel 2465 2900 2900 Laboratory Investigation
282
LB279
Allergy Food Screening Panel 5100 6000 6000 Laboratory Investigation
283
LB280
AMA (Anti Mitochondrial Antibody) 850 1000 1000 Laboratory Investigation

17

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
284
LB281 AMH (Anti- Mullerian Hormone) 850 1000 1000 Laboratory Investigation
285
LB282
ANA BLOT 2550 3000 3000 Laboratory Investigation
286
LB283
ANA Profile 2550 3000 3000 Laboratory Investigation
287
LB284
Anti GBM (Glomerular Basement Membrane) Antibody 1275 1500 1500 Laboratory Investigation
288
LB285
Anti LKM (Liver Kidney Microsome) Ab 1275 1500 1500 Laboratory Investigation
289
LB286
Anti Parietal Cell Antibodies 1700 2000 2000 Laboratory Investigation
290
LB287
Anti Intrinsic Factor Antibodies 1700 2000 2000 Laboratory Investigation
291
LB288
ASO Titre /ASLO Titre 459 540 540 Laboratory Investigation
292
LB289
Aspergillus Fumigatus Specific IgE 1318 1550 1550 Laboratory Investigation
293
LB290
Autoimmune Encephalitis Panel 14450 17000 17000 Laboratory Investigation
294
LB291 Autoimmune Hepatitis Profile 2516 2960 2960 Laboratory Investigation
295
LB292
Beta-D-Glucan Assay 12750 15000 15000 Laboratory Investigation
296
LB293
C1 Esterase inhibitor (Quantitative ) 2040 2400 2400 Laboratory Investigation
297
LB294
CMV Quantitative (Viral load) Test 1955 2300 2300 Laboratory Investigation
298
LB295
Double Marker (Beta-hCG,PAPP-A) 1700 2000 2000 Laboratory Investigation
299
LB296
Quadruple test (AFP,HCG,UE3,Inhibin A) 2040 2400 2400 Laboratory Investigation
300
LB297
HBeAb (Hepatitis B envelope Antibody) 306 360 360 Laboratory Investigation
301
LB298
HBeAg (Hepatitis B envelope Antigen) 306 360 360 Laboratory Investigation
302
LB299
HIAA 24 Hours Urinary 1955 2300 2300 Laboratory Investigation
303
LB300
HIV Viral Load by PCR 4250 5000 5000 Laboratory Investigation
304
LB301 HSV 1 & 2 IgG 697 820 820 Laboratory Investigation
305
LB302
Hypersensitive Pneumonitis Panel 6120 7200 7200 Laboratory Investigation
306
LB303
IgG4 1700 2000 2000 Laboratory Investigation
307
LB304
Inhibin A 765 900 900 Laboratory Investigation
308
LB305
Inhibin B 1615 1900 1900 Laboratory Investigation
309
LB306
Scrub Typhus IgM 1360 1600 1600 Laboratory Investigation
310
LB307
Interferon Gamma Release Assay (IGRA) 2550 3000 3000 Laboratory Investigation

18

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
311
LB308
KOH Mount 128 150 150 Laboratory Investigation
312
LB309
Serum AMA M2 (IFA Method) 1700 2000 2000 Laboratory Investigation
313
LB310
Serum Gastrin 1020 1200 1200 Laboratory Investigation
314
LB311 Serum Haptoglobin Levels 850 1000 1000 Laboratory Investigation
315
LB312
Skin Prick Test for Allergy 1530 1800 1800 Laboratory Investigation
316
LB313
Myositis Profile (Up to 16 Antigens) 6800 8000 8000 Laboratory Investigation
317
LB314
Paraneoplastic Panel 8500 10000 10000 Laboratory Investigation
318
LB315
TSH Receptor Antibody 1020 1200 1200 Laboratory Investigation
319
LB316
Anti-Nuclear Antibodies - IFA 1360 1600 1600 Laboratory Investigation
320
LB317
Autoimmune Liver Diseases Profile 4250 5000 5000 Laboratory Investigation
321
LB318
Citrate Urine 24 Hour 978 1150 1150 Laboratory Investigation
322
LB319
Comprehensive Allergy Panel 5950 7000 7000 Laboratory Investigation
323
LB320
Comprehensive Myeloma Protein Panel 5950 7000 7000 Laboratory Investigation
324
LB321 DCP (DES Gamma-Carboxy- Prothrombin) 2848 3350 3350 Laboratory Investigation
325
LB322
Desmoglein (DSG) 1 And 3 Antibody 4590 5400 5400 Laboratory Investigation
326
LB323
Galactomannan 2644 3110 3110 Laboratory Investigation
327
LB324
SCL 70 Antibody 1428 1680 1680 Laboratory Investigation
328
LB325
Serum Chromogranin A 3230 3800 3800 Laboratory Investigation
329
LB326
SSA- Antibody Ro Serum Test 1233 1450 1450 Laboratory Investigation
330
LB327
SSB- Antibody La Serum Test 1233 1450 1450 Laboratory Investigation
331
LB328
Stool for Clostridium difficile Toxin 2414 2840 2840 Laboratory Investigation
332
LB329
TPHA 340 400 400 Laboratory Investigation
333
LB330
UGT1A1 Gene Analysis 5100 6000 6000 Laboratory Investigation
334
LB331 Urine For Myoglobin 468 550 550 Laboratory Investigation
335
LB332
Leptospira Ig M 850 1000 1000 Laboratory Investigation
336
LB333
Chikungunya Ig M 850 1000 1000 Laboratory Investigation
337
LB334
Weil Felix Agglutination Test 425 500 500 Laboratory Investigation

19

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
338
LB335
Continuous Glucose Monitoring for 2 Weeks 3400 4000 4000 Laboratory Investigation
339
RI001 2D echocardiography 1254 1475 1475 Radiological Investigation
340
RI002 Fetal Echo 1360 1600 1600 Radiological Investigation
341
RI003 2D Transoesophageal Echocardiography (TEE) 1403 1650 1650 Radiological Investigation
342
RI004 3D Transoesophageal Echocardiography (TEE) 1403 1650 1650 Radiological Investigation
343
RI005 Stress Echo- exercise 2040 2400 2400 Radiological Investigation
344
RI006 Stress Echo- pharmacological / D Stress Echo 2550 3000 3000 Radiological Investigation
345
RI007 Stress Myocardial Perfusion Imaging (MPI)- exercise 7820 9200 9200 Radiological Investigation
346
RI008 Stress Myocardial Perfusion Imaging (MPI) - pharmacological 7820 9200 9200 Radiological Investigation
347
RI009 CT Coronary Angiography including Calcium Score Test 7820 9200 9200 Radiological Investigation
348
RI010 Cardiac CT scan 5525 6500 6500 Radiological Investigation
349
RI011 MRI Cardiac 6800 8000 8000 Radiological Investigation
350
RI012 Stress Cardiac MRI 7820 9200 9200 Radiological Investigation
351
RI013 Cardiac PET 7820 9200 9200 Radiological Investigation
352
RI014USG Transvaginal sonography (TVS for Follicular
monitoring /aspiration) /TVS for follicular monitoring/pelvic pathology/ET measurement 		850 1000 1000 Radiological Investigation
353
RI015 Growth scan (including BPP, AFI, Doppler) 1700 2000 2000 Radiological Investigation
354
RI016 1st trimester scan-dating scan/NT scan/Early pregnancy scan 595 700 700 Radiological Investigation
355
RI017USG Colour Doppler Pregnancy / Fetal Doppler/Umbilical Doppler/Uterine Vessel
Doppler 		1424 1675 1675 Radiological Investigation
356
RI018 Biophysical score / Biophysical profile test (BPP test) 1275 1500 1500 Radiological Investigation
357
RI019 USG Obstetrics for Anomalies scan 1700 2000 2000 Radiological Investigation
358
RI020 USG Whole Abdomen Including Pelvis and post Void urine 680 800 800 Radiological Investigation
359
RI021Pelvic USG (gynae, infertility, prostate , KUB with post- void residual (PVR) etc ). 425 500 500 Radiological Investigation

20

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
360
RI022 USG Small parts (scrotum, thyroid, parathyroid etc) 655 770 770 Radiological Investigation
361
RI023 USG Large Parts (Joints/Chest,...etc) 680 800 800 Radiological Investigation
362
RI024 USG Neonatal spine 850 1000 1000 Radiological Investigation
363
RI025 USG Breast including relevant Lymph nodes- Bilateral/Unilateral 680 800 800 Radiological Investigation
364
RI026 USG Hysterosalpingography (HSG) 2040 2400 2400 Radiological Investigation
365
RI027 Fibroscan Liver 978 1150 1150 Radiological Investigation
366
RI028 Carotid Doppler Bilateral 850 1000 1000 Radiological Investigation
367
RI029 Arterial Colour Doppler Bilateral 850 1000 1000 Radiological Investigation
368
RI030 Venous Colour Doppler Bilateral 850 1000 1000 Radiological Investigation
369
RI031 Colour Doppler, renal arteries/any other organ 850 1000 1000 Radiological Investigation
370
RI032 X Ray Abdomen AP Supine or Erect (One film) 213 250 250 Radiological Investigation
371
RI033 X Ray Abdomen Lateral view (one film) 179 210 210 Radiological Investigation
372
RI034 X Ray Chest PA /AP/ Oblique view (one film) 196 230 230 Radiological Investigation
373
RI035 X Ray Chest Lateral (one film) 196 230 230 Radiological Investigation
374
RI036 X Ray Mastoids: Towne view, oblique views (3 films) 425 500 500 Radiological Investigation
375
RI037X Ray Extremities (Hand/Leg/Feet/Finger/Toe) bones & Joints (Hip/ Knee/Ankle / shoulder/ Wrist / fingers/Toes, etc) AP & Lateral views (standing or weight bearing)(Two films) 323 380 380 Radiological Investigation
376
RI038 X Ray Pelvis AP (one film) 170 200 200 Radiological Investigation
377
RI039 X Ray Temporomandibular (TM) Joints (one film) 213 250 250 Radiological Investigation
378
RI040 X Ray Abdomen & Pelvis for KUB 200 235 235 Radiological Investigation
379
RI041X Ray Skull AP & Lateral (2 films)/ Extra oral radiographs - All skull views, TMJ, Lateral oblique [Dental] 340 400 400 Radiological Investigation
380
RI042 X Ray Spine AP & Lateral (2 films) 340 400 400 Radiological Investigation
381
RI043 X Ray Paranasal sinuses (PNS) view (1 film) 170 200 200 Radiological Investigation
382
RI044 Barium Swallow 1020 1200 1200 Radiological Investigation
383
RI045 Barium Upper GI study 1275 1500 1500 Radiological Investigation

21

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
384
RI046 Barium Upper GI study (Double contrast) 1700 2000 2000 Radiological Investigation
385
RI047 Barium Meal follow through 1700 2000 2000 Radiological Investigation
386
RI048 Barium Enema (Single contrast/double contrast) 1700 2000 2000 Radiological Investigation
387
RI049 Small bowel enteroclysis 1700 2000 2000 Radiological Investigation
388
RI050General:Fistulography / Sinography/Sialography/Dacrocystography/ T-Tube cholangiogram/Nephrostogram 1080 1270 1270 Radiological Investigation
389
RI051 Intravenous Pyelography (IVP) 1403 1650 1650 Radiological Investigation
390
RI052 Micturating Cystourethrography (MCU) 952 1120 1120 Radiological Investigation
391
RI053 Retrograde Urethrography (RGU) 952 1120 1120 Radiological Investigation
392
RI054 Contrast Hystero-Salpingography (HSG) 1700 2000 2000 Radiological Investigation
393
RI055 X ray Arthrography 1700 2000 2000 Radiological Investigation
394
RI056 Ortho Scanogram 1437 1690 1690 Radiological Investigation
395
RI057 Cephalography 298 350 350 Radiological Investigation
396
RI058 Myelography 2125 2500 2500 Radiological Investigation
397
RI059 Diagnostic Digital Subtraction Angiography (DSA) cerebral vessels 11390 13400 13400 Radiological Investigation
398
RI060 X Ray Mammography – Bilateral/Unilateral 1169 1375 1375 Radiological Investigation
399
RI061 MRI Mammography 4250 5000 5000 Radiological Investigation
400
RI062 CT Scan Head/ Brain-Without Contrast / NCCT Head/Brain 880 1035 1035 Radiological Investigation
401
RI063 CT Scan Head / Brain- with Contrast -including CT angiography 1870 2200 2200 Radiological Investigation
402
RI064 CT Scan Chest - without contrast (for lungs) 1700 2000 2000 Radiological Investigation
403
RI065 High Resolution computed Tomography (HRCT Chest) 1700 2000 2000 Radiological Investigation
404
RI066 Contrast Enhanced Computed Tomograpy (CECT) Chest (Including CD) 2444 2875 2875 Radiological Investigation
405
RI067 CT Scan Lower Abdomen (incl. Pelvis) With Contrast/ CT KUB with Contrast 3825 4500 4500 Radiological Investigation
406
RI068CT Scan Lower Abdomen (Incl. Pelvis) Without Contrast / CT KUB without Contrast 2975 3500 3500 Radiological Investigation
407
RI069 CT Scan Whole Abdomen Without Contrast 2933 3450 3450 Radiological Investigation

22

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
408
RI070 CT Scan Whole Abdomen With Contrast 4399 5175 5175 Radiological Investigation
409
RI071 Triple Phase CT abdomen 4399 5175 5175 Radiological Investigation
410
RI072 CT Urography 3825 4500 4500 Radiological Investigation
411
RI073 CT Scan Angiography Chest 4399 5175 5175 Radiological Investigation
412
RI074 CT Scan Angiography Abdomen 4399 5175 5175 Radiological Investigation
413
RI075 CT Angiography Entire Aorta ( CT Aortogram) 8500 10000 10000 Radiological Investigation
414
RI076 CT Scan Enteroclysis 5865 6900 6900 Radiological Investigation
415
RI077 CT Scan Neck – Without Contrast 2125 2500 2500 Radiological Investigation
416
RI078 CT Scan Neck – With Contrast 2975 3500 3500 Radiological Investigation
417
RI079 CT Angio-Neck Vessels 5100 6000 6000 Radiological Investigation
418
RI080 CT Scan Orbits - Without Contrast 1870 2200 2200 Radiological Investigation
419
RI081 CT Scan Orbits - With Contrast 2720 3200 3200 Radiological Investigation
420
RI082 CT Scan of Para Nasal Sinuses (CT PNS)- Without Contrast 1955 2300 2300 Radiological Investigation
421
RI083 CT Scan of Para Nasal Sinuses (CT PNS)- With Contrast 2805 3300 3300 Radiological Investigation
422
RI084 CT Scan Spine (Cervical, Dorsal, Lumbar,Sacral)–without Contrast 2380 2800 2800 Radiological Investigation
423
RI085 CT Scan Temporal bone – without contrast 2125 2500 2500 Radiological Investigation
424
RI086 CT Scan / Cone Beam CT (CBCT) Dental 1275 1500 1500 Radiological Investigation
425
RI087 CT Scan Limbs -Without Contrast 2380 2800 2800 Radiological Investigation
426
RI088 CT Scan Limbs -With Contrast including CT angiography 4930 5800 5800 Radiological Investigation
427
RI089 MRI Head / Brain – Without Contrast 2338 2750 2750 Radiological Investigation
428
RI090 MRI Head / Brain– With Contrast 4250 5000 5000 Radiological Investigation
429
RI091 MRI Orbits – Without Contrast 1590 1870 1870 Radiological Investigation
430
RI092 MRI Orbits – With Contrast 4250 5000 5000 Radiological Investigation
431
RI093 MRI Nasopharynx and PNS – Without Contrast 2975 3500 3500 Radiological Investigation
432
RI094 MRI Nasopharynx and PNS – With Contrast 4250 5000 5000 Radiological Investigation
433
RI095 MR for Salivary Glands with Sialography/Maxillofacial MRI 4250 5000 5000 Radiological Investigation
434
RI096 MRI Neck - Without Contrast 2975 3500 3500 Radiological Investigation

23

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
435
RI097 MRI Neck- with contrast 4888 5750 5750 Radiological Investigation
436
RI098 MRI Shoulder – Without contrast 2975 3500 3500 Radiological Investigation
437
RI099 MRI Shoulder – With contrast 4250 5000 5000 Radiological Investigation
438
RI100 MRI shoulder both Joints - Without contrast 3400 4000 4000 Radiological Investigation
439
RI101 MRI Shoulder both joints – With contrast 5100 6000 6000 Radiological Investigation
440
RI102 MRI Wrist Single joint - Without contrast 2805 3300 3300 Radiological Investigation
441
RI103 MRI Wrist Single joint - With contrast 4250 5000 5000 Radiological Investigation
442
RI104 MRI Wrist both joints - Without contrast 3400 4000 4000 Radiological Investigation
443
RI105 MRI Wrist Both joints - With contrast 4888 5750 5750 Radiological Investigation
444
RI106 MRI knee Single joint - Without contrast 2550 3000 3000 Radiological Investigation
445
RI107 MRI knee Single joint - With contrast 4888 5750 5750 Radiological Investigation
446
RI108 MRI knee both joints - Without contrast 3400 4000 4000 Radiological Investigation
447
RI109 MRI knee both joints - With contrast 4888 5750 5750 Radiological Investigation
448
RI110 MRI Ankle Single joint - Without contrast 2975 3500 3500 Radiological Investigation
449
RI111 MRI Ankle single joint - With contrast 4250 5000 5000 Radiological Investigation
450
RI112 MRI Ankle both joints - With contrast 5525 6500 6500 Radiological Investigation
451
RI113 MRI Ankle both joints - Without contrast 2975 3500 3500 Radiological Investigation
452
RI114 MRI Hip - With contrast 4250 5000 5000 Radiological Investigation
453
RI115 MRI Hip – without contrast 2975 3500 3500 Radiological Investigation
454
RI116 MRI Pelvis – Without Contrast 2975 3500 3500 Radiological Investigation
455
RI117 MRI Pelvis – with contrast 4888 5750 5750 Radiological Investigation
456
RI118 MRI Extremities - With contrast 4888 5750 5750 Radiological Investigation
457
RI119 MRI Extremities - Without contrast 2975 3500 3500 Radiological Investigation
458
RI120MRI Temporomandibular – B/L - With contrast / MRI TMJ (Double Joint) with contrast 4250 5000 5000 Radiological Investigation
459
RI121MRI Temporomandibular – B/L - Without contrast / MRI -TMJ(Double Joint) without contrast 2975 3500 3500 Radiological Investigation
460
RI122 MR Temporal Bone/ Inner ear with contrast 4250 5000 5000 Radiological Investigation

24

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
461
RI123 MRI Temporal Bone/ Inner ear without contrast 2975 3500 3500 Radiological Investigation
462
RI124 MRI Abdomen – Without Contrast 2975 3500 3500 Radiological Investigation
463
RI125 MRI Abdomen – With Contrast 4888 5750 5750 Radiological Investigation
464
RI126 MRI-Prostate (Multi-parametric) (Including CD) 5865 6900 6900 Radiological Investigation
465
RI127 MRI Breast - With Contrast 4250 5000 5000 Radiological Investigation
466
RI128 MRI Breast - Without Contrast 2975 3500 3500 Radiological Investigation
467
RI129 MRI whole Spine Screening- Without Contrast 1700 2000 2000 Radiological Investigation
468
RI130 MRI Chest – Without Contrast 2975 3500 3500 Radiological Investigation
469
RI131 MRI Chest – With Contrast 4250 5000 5000 Radiological Investigation
470
RI132 MRI Whole spine – Without Contrast 3740 4400 4400 Radiological Investigation
471
RI133 MRI Cervical/ Cervico Dorsal Spine – With Contrast 4250 5000 5000 Radiological Investigation
472
RI134 MRI Dorsal/ Dorso Lumbar Spine - Without Contrast 2975 3500 3500 Radiological Investigation
473
RI135 MRI Dorsal/ Dorso Lumbar Spine – With Contrast 4250 5000 5000 Radiological Investigation
474
RI136 MRI Lumbar/ Lumbo-Sacral Spine – Without Contrast 2975 3500 3500 Radiological Investigation
475
RI137 MRI Lumbar/ Lumbo-Sacral Spine – With Contrast 4888 5750 5750 Radiological Investigation
476
RI138 Whole body MRI (For oncological workup) 7820 9200 9200 Radiological Investigation
477
RI139 MR cholecysto-pancreatography (MRCP) 7225 8500 8500 Radiological Investigation
478
RI140 MRI Angiography - with contrast 4888 5750 5750 Radiological Investigation
479
RI141 MR Enteroclysis 4250 5000 5000 Radiological Investigation
480
RI142 MRI DEFECOGRAPHY 5950 7000 7000 Radiological Investigation
481
RI143 MRI FISTULOGRAM 3825 4500 4500 Radiological Investigation
482
RI144 MRI SPECTROSCOPY 2550 3000 3000 Radiological Investigation
483
RI145 Dexa Scan Bone Densitometry - Two sites 1700 2000 2000 Radiological Investigation
484
RI146 Dexa Scan Bone Densitometry - Three sites (Spine, Hip &extremity) 2125 2500 2500 Radiological Investigation
485
RI147 Dexa Scan Bone Densitometry Whole body 2550 3000 3000 Radiological Investigation
486
PI001Pulmonary Function Test (PFT) / (Spirometry with Diffusing Capacity of the Lungs for Carbon monoxide (DLCO) 425 500 500 Pulmonology Investigation

25

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
487
PI002 Lung Ventilation & Perfusion Scan (V/Q Scan) 5100 6000 6000 Pulmonology Investigation
488
PI003 Lung Perfusion Scan 4250 5000 5000 Pulmonology Investigation
489
PI004 6 Minute Walk Test 425 500 500 Pulmonology Investigation
490
PI005 FeNO Breathing Test 612 720 720 Pulmonology Investigation
491
PP001Endo bronchial Ultrasound (EBUS) -Trans bronchial needle aspiration (TBNA) - Excluding the cost of Needle 17000 20000 20000 Pulmonology Procedure
492
PP002 Video Bronchoscopy with BAL 9350 11000 11000 Pulmonology Procedure
493
NM001
Whole Body Bone Scan with SPECT. 4250 5000 5000
Nuclear Medicine Investigation
494
NM002
Three phase whole body Bone Scan 5100 6000 6000
Nuclear Medicine Investigation
495
NM003
Brain Perfusion SPECT Scan with Technetium 99m radiopharmaceuticals. 11390 13400 13400
Nuclear Medicine Investigation
496
NM004
Radionuclide Cisternography for CSF leak 5780 6800 6800
Nuclear Medicine Investigation
497
NM005
Renal Cortical Scintigraphy with Technetium 99m Dimercaptosuccinic acid (DMSA)/DTPA 3400 4000 4000
Nuclear Medicine Investigation
498
NM006
Dynamic Renography. 3400 4000 4000
Nuclear Medicine Investigation
499
NM007
Dynamic Renography with Diuretic. 3400 4000 4000
Nuclear Medicine Investigation
500
NM008
Dynamic Renography with Captopril 5780 6800 6800
Nuclear Medicine Investigation
501
NM009
Testicular Scan with Technetium 99m Pertechnetate 1445 1700 1700
Nuclear Medicine Investigation
502
NM010
Thyroid Uptake measurements with 131-Iodine. 2125 2500 2500
Nuclear Medicine Investigation

26

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
503
NM011
Thyroid Scan with Technetium 99m Pertechnetate 1615 1900 1900
Nuclear Medicine Investigation
504
NM012
Iodine-131 Whole Body Scan 11390 13400 13400
Nuclear Medicine Investigation
505
NM013
Whole Body Scan with MIBG 11390 13400 13400
Nuclear Medicine Investigation
506
NM014
Parathyroid Scan 6218 7315 7315
Nuclear Medicine Investigation
507
NM015
Scintimammography. 5100 6000 6000
Nuclear Medicine Investigation
508
NM016
Indium labelled octreotide Scan 61200 72000 72000
Nuclear Medicine Investigation
509
NM017
FDG Whole body PET CT Scan 12219 14375 14375
Nuclear Medicine Investigation
510
NM018
Brain / Heart FDG PET CT Scan 12219 14375 14375
Nuclear Medicine Investigation
511
NM019
Gallium-68 Peptide PET / CT imaging for Neuroendocrine Tumour 12219 14375 14375
Nuclear Medicine Investigation
512
NM020
PSMA PET CT Scan 12750 15000 15000
Nuclear Medicine Investigation
513
NM021
F-DOPA PET-CT scan 12750 15000 15000
Nuclear Medicine Investigation
514
BY001
Skin Biopsy 1063 1250 1250 Biopsies
515
BY002
Punch/Wedge biopsy 2550 3000 3000 Biopsies
516
BY003
Excision Biopsy of Ulcers 4250 5000 5000 Biopsies
517
BY004
Excision Biopsy of Superficial Lumps 7820 9200 9200 Biopsies
518
BY005
Incision Biopsy of Growths/Ulcers 4250 5000 5000 Biopsies

27

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
519
BY006
Bone Marrow Aspiration and Biopsy 7225 8500 8500 Biopsies
520
BY007
Scalene Node Biopsy 7820 9200 9200 Biopsies
521
BY008
Liver Biopsy 7225 8500 8500 Biopsies
522
BY009
Muscle Biopsy 2125 2500 2500 Biopsies
523
BY010
Trucut Needle Biopsy- (excluding the cost of Needle/Biopsy Gun if used) 3273 3850 3850 Biopsies
524
RP001 USG Guided Intervention- Diagnostic 850 1000 1000Interventional Radiological Procedure
525
RP002
USG Guided Intervention -Therapeutic 1700 2000 2000Interventional Radiological Procedure
526
RP003USG Guided Intervention - Specialized Procedures excluding cost of Catheter or biopsy gun 2550 3000 3000Interventional Radiological Procedure
527
RP004
CT Guided biopsy including all the consumables 7820 9200 9200Interventional Radiology
Procedure
528
RP005CT Guided Intervention -Percutaneous catheter drainage/tube placement excluding the cost of tube /catheter 2975 3500 3500Interventional Radiological Procedure
529
RP006
Percutaneous transhepatic cholangiography (PTC) 1530 1800 1800Interventional Radiological Procedure
530
RP007
Transarterial Chemoembolization (TACE) 45050 53000 53000Interventional Radiological Procedure
531
CA001
A, B, DR Molecular Typing PCR - SSP 8768 10315 10315 Oncology Investigations
532
CA002
ABL Kinase Domain Mutation for Chronic Myeloid leukemia (TKI Resistance, Imatinib Resistance 6885 8100 8100 Oncology Investigations
533
CA003
ABL Kinase Domain Mutation for Ph Positive Acute Lymphoblastic leukemia (TKI Resistance, I 6885 8100 8100 Oncology Investigations
534
CA004
Acute Leukemia karyotyping 4713 5545 5545 Oncology Investigations
535
CA005
Acute Leukemia mutation detection (per gene)ASXL1 /c-KIT/DNMT3A/ IDH1 and IDH2 /K RAS and N RAS mutation detection 4582 5390 5390 Oncology Investigations

28

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
536
CA006
Acute Leukemia RUNX1 mutation detection 4582 5390 5390 Oncology Investigations
537
CA007
Acute Leukemia TET2 mutation detection 19567 23020 23020 Oncology Investigations
538
CA008
Acute Leukemia TP53 mutation detection 19567 23020 23020 Oncology Investigations
539
CA009
Acute Lymphoblastic leukemia karyotyping 4713 5545 5545 Oncology Investigations
540
CA010
Acute Lymphoblastic Leukemia Mutation Detection 9384 11040 11040 Oncology Investigations
541
CA011
Acute Lymphoblastic Leukemia Transcript Identification 2567 3020 3020 Oncology Investigations
542
CA012
Acute Myeloid Leukemia (AML) Panel 11365 13370 13370 Oncology Investigations
543
CA013
ALK -1 3987 4690 4690 Oncology Investigations
544
CA014
ALK rearrangement: 2p23 3987 4690 4690 Oncology Investigations
545
CA015
B-cell Acute Lymphoblastic Leukemia (B-ALL) Panel 9835 11570 11570 Oncology Investigations
546
CA016
BCL3 rearrangement 19q13.3 / BCL6 rearrangement: 3q27 2962 3485 3485 Oncology Investigations
547
CA017
BCOR alteration 5143 6050 6050 Oncology Investigations
548
CA018
BCR/ABL (Ph) duplication, trisomy 8, trisomy 21, TP53 deletion 5181 6095 6095 Oncology Investigations
549
CA019
BCR/ABL Ph: t(9;22) 2962 3485 3485 Oncology Investigations
550
CA020
BCR-ABL by PCR-Quantitative 3400 4000 4000 Oncology Investigations
551
CA021
BRAF 7650 9000 9000 Oncology Investigations
552
CA022
BRCA1 & BRCA2 17000 20000 20000 Oncology Investigations
553
CA023
C3d Single Allele Antibody for HLA Class I (C3dLSA Class I) /C3d Single Allele Antibody for HLA Class II (C3dLSA Class II) 14875 17500 17500 Oncology Investigations
554
CA024
CAN ASSIST 42500 50000 50000 Oncology Investigations
555
CA025
CCND1/IgH: t(11;14) 3987 4690 4690 Oncology Investigations
556
CA026
CD 19 and CD 20 1275 1500 1500 Oncology Investigations
557
CA027
Cell line karyotyping 9435 11100 11100 Oncology Investigations
558
CA028
Chimerism Analysis 1309 1540 1540 Oncology Investigations
559
CA029
Chromosomal breakage (fragility) studies in Fanconi's Anemia/Aplastic Anemia 4713 5545 5545 Oncology Investigations
560
CA030
Chronic Lymphocytic Leukemia (CLL) Panel 9835 11570 11570 Oncology Investigations

29

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
561
CA031
Chronic Lymphocytic Leukemia Comprehensive Mutation Profile (IGVH Gene Mutation & Usage, T 28322 33320 33320 Oncology Investigations
562
CA032
Chronic Lymphocytic Leukemia IGVH Mutation Detection 5398 6350 6350 Oncology Investigations
563
CA033
Chronic Lymphoproliferative disorder IGVH Mutation Detection 5398 6350 6350 Oncology Investigations
564
CA034
Chronic Lymphoproliferative disorder NOTCH1 mutation / NOTCH2 mutation 4582 5390 5390 Oncology Investigations
565
CA035
Chronic Lymphoproliferative disorder SF3B1 mutation 4582 5390 5390 Oncology Investigations
566
CA036
Chronic Lymphoproliferative disorder TP53 mutation 19567 23020 23020 Oncology Investigations
567
CA037
CLINICAL EXOME SEQUENCING 12750 15000 15000 Oncology Investigations
568
CA038
CLL PANEL FISH 8500 10000 10000 Oncology Investigations
569
CA039
CML Blast Crisis karyotyping 4713 5545 5545 Oncology Investigations
570
CA040
Combined High Sensitivity JAK2 V617F and Exon12 Mutation Detection 5806 6830 6830 Oncology Investigations
571
CA041
Comprehensive Molecular Testing 16422 19320 19320 Oncology Investigations
572
CA042
Comprehensive Next Generation sequencing assay for Hematolymphoid malignancies 22950 27000 27000 Oncology Investigations
573
CA043
Constitutional karyotyping 4713 5545 5545 Oncology Investigations
574
CA044
Custom Sequencing Assay 9384 11040 11040 Oncology Investigations
575
CA045
DICER1 Mutation 3298 3880 3880 Oncology Investigations
576
CA046
Donor Specific Antibodies (DSA) 6800 8000 8000 Oncology Investigations
577
CA047
EGFR Mutation DETECTION 8075 9500 9500 Oncology Investigations
578
CA048
EGFR Resistance Mutation (T790m Mutation Analysis) 6800 8000 8000 Oncology Investigations
579
CA049
ER PR Her2 Neu 2678 3150 3150 Oncology Investigations
580
CA050
ER/PR/Her2neu, Ki67 4250 5000 5000 Oncology Investigations
581
CA051
Extended Immune subset for Post Allogenic Stem Cell Transplant Monitoring 4250 5000 5000 Oncology Investigations
582
CA052
Factor V Leiden Mutation Detection 5610 6600 6600 Oncology Investigations
583
CA053
FISH for 1p33/TAL1 deletion 4233 4980 4980 Oncology Investigations

30

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
584
CA054
FISH FOR HER2 Neu 8500 10000 10000 Oncology Investigations
585
CA055
FISH for t(10;11)(p12;q14)/MLLT10(AF10)/PICALM 4233 4980 4980 Oncology Investigations
586
CA056
FISH for t(11;19)(q23;p13.1)/KMT2A/ELL 4233 4980 4980 Oncology Investigations
587
CA057
FISH for t(5;11)(q35;p15.5) NUP98/NSD1 4233 4980 4980 Oncology Investigations
588
CA058
FISH for t(6;14)(p21;q32) IGH/CCND3 4233 4980 4980 Oncology Investigations
589
CA059
FISH on Bone marrow Smear( 1 marker) 2962 3485 3485 Oncology Investigations
590
CA060
FISH on bone marrow smear( 2 markers) 4654 5475 5475 Oncology Investigations
591
CA061
FISH on FFPE - Block /Slide (2 markers) 4046 4760 4760 Oncology Investigations
592
CA062
FISH PANEL FOR MYELOMA 11900 14000 14000 Oncology Investigations
593
CA063
FISH Test for C19MC amplification 10838 12750 12750 Oncology Investigations
594
CA064
FISH test for CDKN2A 6333 7450 7450 Oncology Investigations
595
CA065
FISH test for CEN 10 loss - on Tissue 3528 4150 4150 Oncology Investigations
596
CA066
FISH test for ETV6 break-apart analysis - On Tissue 5925 6970 6970 Oncology Investigations
597
CA067
FISH test for MAML2 break-apart analysis - On Tissue 6086 7160 7160 Oncology Investigations
598
CA068
Fluorescent PCR + fragment length analysis per Amplicon 298 350 350 Oncology Investigations
599
CA069
GeneCORE Somatic 161 Gene Panel (NGS) 25500 30000 30000 Oncology Investigations
600
CA070
Hairy Cell Leukemia Mutation (BRAF V600E) Detection 2967 3490 3490 Oncology Investigations
601
CA071
Hematolymphoid Malignancy At Diagnosis- Cancer Cytogenetics Testing 14548 17115 17115 Oncology Investigations
602
CA072
Hematolymphoid Malignancy Follow-up- Cancer Cytogenetics Testing 12750 15000 15000 Oncology Investigations
603
CA073
Hereditary Cancer Panel 10200 12000 12000 Oncology Investigations
604
CA074
High Sensitivity JAK2 Mutation Detection (V617F) 3919 4610 4610 Oncology Investigations
605
CA075
Histone Mutation Detection Assay 7884 9275 9275 Oncology Investigations
606
CA076
HLA C, DQB Molecular Typing PCR - SSP 6265 7370 7370 Oncology Investigations
607
CA077
HLA Disease Association Next Generation Sequencing HLA-A/B/DRB1/G 3995 4700 4700 Oncology Investigations
608
CA078
HLA Disease Association Sequence based Typing HLA A/B/DRB1 4080 4800 4800 Oncology Investigations

31

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
609
CA079
HLA Drug Hypersensitivity Next Generation Sequencing HLA-A/B/DRB1 HLA A/B/DRB1/G 3995 4700 4700 Oncology Investigations
610
CA080
HLA Drug Hypersensitivity Typing HLA-A/B/DRB1 4080 4800 4800 Oncology Investigations
611
CA081
HLA Loss Chimerism 10200 12000 12000 Oncology Investigations
612
CA082
HLA-A, B, C, DRB1, DQB1, DPB1 (Sequence Based Typing - SBT) 12750 15000 15000 Oncology Investigations
613
CA083
HLA-A, B, DRB1 (Sequence Based Typing - SBT) 8500 10000 10000 Oncology Investigations
614
CA084
HLA-A, B, DRB1(Sequence Specific Oligonucleotide - SSO) 6630 7800 7800 Oncology Investigations
615
CA085
HLA-C, DQB1(Sequence Specific Oligonucleotide - SSO) 4420 5200 5200 Oncology Investigations
616
CA086
HRR Gene Test 26350 31000 31000 Oncology Investigations
617
CA087
IGH Characterization IGH/CCND1:t(11;14), IGH/BCL2:t(14;18),BCL6(3q27), MYC(8q24) (4markers 4505 5300 5300 Oncology Investigations
618
CA088
IgH/BCL2 :t(14;18) 3987 4690 4690 Oncology Investigations
619
CA089
IGHV Gene Mutation 6375 7500 7500 Oncology Investigations
620
CA090
Interphase FISH test for Chr. 1 copy number variations 9095 10700 10700 Oncology Investigations
621
CA091
IRFA/DUSP22 gene rearrangement by FISH 13243 15580 15580 Oncology Investigations
622
CA092
JAK2 Exon 12 Mutation Detection 3919 4610 4610 Oncology Investigations
623
CA093
JAK2V617 MUTATION, WITH REFLEX TO JAK2 EX-12,CALR EX-9 MUTATION AND MPL W515, S505 MUTATION 9775 11500 11500 Oncology Investigations
624
CA094
KI67 1105 1300 1300 Oncology Investigations
625
CA095
KIR Typing 4930 5800 5800 Oncology Investigations
626
CA096
KMT2A Characterization for AML 6711 7895 7895 Oncology Investigations
627
CA097
KMT2A Characterization for B-ALL 5181 6095 6095 Oncology Investigations
628
CA098
KRAS + NRAS + BRAF + Mutation Profile 11730 13800 13800 Oncology Investigations
629
CA099
Lineage specific Chimerism - B Cell, T Cell and NK Cells 6120 7200 7200 Oncology Investigations
630
CA100
Liquid Biopsy (Onco) 25500 30000 30000 Oncology Investigations
631
CA101
Lung Basic Panel By NGS 25500 30000 30000 Oncology Investigations
632
CA102
Lymphoma Panel 5925 6970 6970 Oncology Investigations

32

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
633
CA103
Lymphoplasmacytic Leukemia / Waldenstroms Macroglobulinemia Mutation (MYD88 L265P) Detection 2967 3490 3490 Oncology Investigations
634
CA104
MDS Panel 5925 6970 6970 Oncology Investigations
635
CA105
MECOM (EVI1) rearrangement: inv(3)(q21.3q26.2)/t(3;3) 3987 4690 4690 Oncology Investigations
636
CA106
MGMT PCR 6919 8140 8140 Oncology Investigations
637
CA107
Miscellaneous Profile I(1 marker) 2962 3485 3485 Oncology Investigations
638
CA108
Miscellaneous profile II(2 markers) 4654 5475 5475 Oncology Investigations
639
CA109
MLPA per gene 3400 4000 4000 Oncology Investigations
640
CA110
Monosomy 5/deletion 5q 2962 3485 3485 Oncology Investigations
641
CA111
Monosomy 7/deletion 7q 2962 3485 3485 Oncology Investigations
642
CA112
MPN (Myelo Proliferative Neoplasm)PANEL 10200 12000 12000 Oncology Investigations
643
CA113
MSI ( Micro Satellite Instability) and MMR (Mis Match Repair) 5525 6500 6500 Oncology Investigations
644
CA114
Multigene NGS Germline Panel 15300 18000 18000 Oncology Investigations
645
CA115
Multiple Myeloma (MM) Panel 12640 14870 14870 Oncology Investigations
646
CA116
Multiple Myeloma High Risk Markers (4 Markers) 4505 5300 5300 Oncology Investigations
647
CA117
Multiple Myeloma Screening Panel 6800 8000 8000 Oncology Investigations
648
CA118
MYD88 L265 Mutation Detection Test 5746 6760 6760 Oncology Investigations
649
CA119
Myelodysplastic Syndromes karyotyping 4713 5545 5545 Oncology Investigations
650
CA120
Next generation RNA sequencing assay for Chimeric Trancript in Hematolymphod malignancies 14450 17000 17000 Oncology Investigations
651
CA121
Next Generation sequencing assay for Minimal residual disease(MRD) for NPM mutated AML 22950 27000 27000 Oncology Investigations
652
CA122
NGS HLA Typing 8500 10000 10000 Oncology Investigations
653
CA123
NGS Platform-extended Panel >50 gene 30600 36000 36000 Oncology Investigations
654
CA124
NGS Platform-limited Panel(10 Genes) 15300 18000 18000 Oncology Investigations
655
CA125
NRAS (Neuroblastoma RAS ) Gene 2975 3500 3500 Oncology Investigations
656
CA126
Panel Reactive Antibodies (PRA) class I 2550 3000 3000 Oncology Investigations

33

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
657
CA127
Panel Reactive Antibodies (PRA) class II 2550 3000 3000 Oncology Investigations
658
CA128
PCR + Sanger Sequencing per Amplicon 723 850 850 Oncology Investigations
659
CA129
PDGFRA (4q12), PDGFRB (5q33), FGFR1 (8p11.2) rearrangement 5181 6095 6095 Oncology Investigations
660
CA130
PDGFRA rearrangement: 4q12 3987 4690 4690 Oncology Investigations
661
CA131
PDGFRB rearrangement: 5q33 3987 4690 4690 Oncology Investigations
662
CA132
PDL 1 4250 5000 5000 Oncology Investigations
663
CA133
PDL-1-28-8 (FDA Approved) 6375 7500 7500 Oncology Investigations
664
CA134
Ph: t(9;22) karyotyping 3362 3955 3955 Oncology Investigations
665
CA135
Ph-like ALL Panel (4 Markers) 4505 5300 5300 Oncology Investigations
666
CA136
PIK3CA GENE MUTATION 4590 5400 5400 Oncology Investigations
667
CA137
PIK3CA Mutation Testing 4845 5700 5700 Oncology Investigations
668
CA138
Ploidy analysis 3362 3955 3955 Oncology Investigations
669
CA139
PML-RARA t(15;17), variants 4450 5235 5235 Oncology Investigations
670
CA140
PRA Screen 2550 3000 3000 Oncology Investigations
671
CA141
PTPRT: Deletion 20q 3987 4690 4690 Oncology Investigations
672
CA142
RARA Variant - ZBTB16 / RARA : t(11;17) (1 marker) 2576 3030 3030 Oncology Investigations
673
CA143
RHOA Mutation Detection Assay 5925 6970 6970 Oncology Investigations
674
CA144
ROS 1 8262 9720 9720 Oncology Investigations
675
CA145
RQ PCR based assay for MRD monitoring of Acute Leukaemia 8075 9500 9500 Oncology Investigations
676
CA146
RQ-PCR BCR-ABL (P210) 9316 10960 10960 Oncology Investigations
677
CA147
RQ-PCR PML-RARA 9316 10960 10960 Oncology Investigations
678
CA148
RT-PCR Multiplex, Acute Leukaemia Panel 6205 7300 7300 Oncology Investigations
679
CA149
RT-PCR Multiplex, BCR-ABL (P190, P210) 5398 6350 6350 Oncology Investigations
680
CA150
RT-PCR Nested, IGH Chain Gene Rearrangement /TCR Gene Rearrangement 3919 4610 4610 Oncology Investigations
681
CA151
Single Antigen Class I 11050 13000 13000 Oncology Investigations
682
CA152
Single Antigen Class II 11050 13000 13000 Oncology Investigations

34

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
683
CA153
Slide / Images for Second Opinion- Cancer Cytogenetics 782 920 920 Oncology Investigations
684
CA154
STR Panel studies 3783 4450 4450 Oncology Investigations
685
CA155
Surface Marker Complete Panel 10340 12165 12165 Oncology Investigations
686
CA156
Surface Marker Individual 1615 1900 1900 Oncology Investigations
687
CA157
t(1;22) and Trisomy 21 in Acute Megakaryoblastic Leukemia (AML -M7) (2 Markers) 4046 4760 4760 Oncology Investigations
688
CA158
T-cell Acute Lymphoblastic Leukemia (T-ALL) Panel 12895 15170 15170 Oncology Investigations
689
CA159
TCR-A rearrangement: 14q11 3987 4690 4690 Oncology Investigations
690
CA160
TERT Promoter Mutation Assay 4934 5805 5805 Oncology Investigations
691
CA161
TFE-3 FISH 10268 12080 12080 Oncology Investigations
692
CA162
TPMT (Thiopurine Methyl Transferase) Genotyping 4335 5100 5100 Oncology Investigations
693
CA163
Trisomy 12 2061 2425 2425 Oncology Investigations
694
CA164
Trisomy 21 2061 2425 2425 Oncology Investigations
695
CA165
Trisomy 4, 10 & 17 2962 3485 3485 Oncology Investigations
696
CA166
Trisomy 8 2061 2425 2425 Oncology Investigations
697
CA167
V Beta Repertoire Analysis by Flow Cytometry for T-Cell Clonality 10340 12165 12165 Oncology Investigations
698
CA168
XX/XY (Chimerism Studies) in Sex mismatch Bone Marrow Transplantation (BMT) 2061 2425 2425 Oncology Investigations
699
CT001
Single drug Chemotherapy 1445 1700 1700 Chemotherapy
700
CT002
Multiple drugs Chemotherapy/Targeted therapy/Immunotherapy 1955 2300 2300 Chemotherapy
701
CT003
Neoadjuvant Chemotherapy 2295 2700 2700 Chemotherapy
702
CT004
Adjuvant Chemotherapy 1870 2200 2200 Chemotherapy
703
CT005
Concurrent-chemoradiation 1615 1900 1900 Chemotherapy
704
CT006
Intravesical Instillation of BCG excluding the cost of BCG 2550 3000 3000 Chemotherapy
705
RT001Level 1- Brachytherapy
(Eye Plaque or SIVA or CVS per insertion or application) 		5950 7000 8050 Radiotherapy
706
RT002
Level 2- Brachytherapy
(Simple ICA with Xray based 2D planning, ILRT, Endobilliary BCT) 		8500 10000 11500 Radiotherapy

35

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
707
RT003
Level 3- Brachytherapy
(Surface Mould, Radical Interstitial BCT, Intraoperative Template or interstitial brachytherapy catheter insertion) 		21250 25000 28750 Radiotherapy
708
RT004
Level 4- Brachytherapy (ICA with CT based Planning) 25500 30000 34500 Radiotherapy
709
RT005
Level 5- Brachytherapy
(Complex ICA with interstitial with CT or MR based planning) 		34000 40000 46000 Radiotherapy
710
RT006
Level 1- Radiation Therapy (1-10 fractions on Cobalt) 12750 15000 17250 Radiotherapy
711
RT007
Level 2- Radiation Therapy
(More than 10 fractions on Cobalt OR Upto 10 fractions on LA clinical (without CT or TPS planning) without IGRT OR Hemibody palliative RT (1-2 fractions weekly)) 		23800 28000 32200 Radiotherapy
712
RT008
Level 3- Radiation Therapy
(LA 3D with conventional fractionation of 2-5 Gy OR Weekly hypofractionation of >5 Gy with 3D CRT plan in 1-2 fractions. No IGRT allowed.) 		42500 50000 57500 Radiotherapy
713
RT009
Level 4- Radiation therapy
(LA 3D with IGRT conventional fractionation of 2- 5 Gy OR Weekly hypofractionation >5 Gy with 3D CRT plan in 1-2 fractions. with IGRT) 		53550 63000 72450 Radiotherapy
714
RT010
Level 5- Radiation Therapy
(LA IMRT/ Rapid Arc/VMAT with < 5Gy per fraction and <10 IGRT (CBCT or MVCT or EPID) OR Cobalt Radical with LA boost including electron boost OR TSET OR TBI)
127500 150000 172500 Radiotherapy
715
RT011Level 6- Radiation Therapy
(LA 4D/DE or DIBH with 3D CRT/ IMRT/ Rapid Arc/VMAT with >10 IGRT (CBCT or MVCT or EPID) OR LA IMRT/ Rapid Arc/VMAT with <5Gy per fraction and
>10 IGRT (CBCT or MVCT or EPID) OR Adaptive RT OR CSI OR Multisite 		153000 180000 207000 Radiotherapy

36

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
  treatment outside one FOV or one plan OR SBRT OR SRS OR SRT (per fraction dose >5Gy))    
716
IT001 Radiosynovectomy with Yttrium 21250 25000 28750 Radio-Isotope Therapy
717
IT002 131-Iodine Therapy 51-100mCi 12172 14320 16468 Radio-Isotope Therapy
718
IT003 131-Iodine Therapy >100mCi 16809 19775 22741 Radio-Isotope Therapy
719
IT004 Samarium-153 therapy for metastatic bone pain palliation 17043 20050 23058 Radio-Isotope Therapy
720
IT005 131-Iodine Therapy <15mCi 6299 7410 8522 Radio-Isotope Therapy
721
IT006 131-Iodine Therapy 15-50mCi 9486 11160 12834 Radio-Isotope Therapy
722
IT007 Phosphorus-32 therapy for metastatic bone pain palliation 12040 14165 16290 Radio-Isotope Therapy
723
PT001 Cervical Traction (per session) 255 300 300 Physiotherapy
724
PT002 Lumbar Traction (per session) 255 300 300 Physiotherapy
725
PT003Exercises /Post Natal Exercises/Prenatal Exercises/Therapeutic
Exercises/Orthopaedic Rehabilitation (Joint Replacement/Post Surgery)/Hand Rehab (per session) 		255 300 300 Physiotherapy
726
PT004Chest Physiotherapy/ Breathing Exercise &Postural Drainage per Session/Post Covid Rehabilitation /Pulmonary Rehabilitation/Cardiac Rehabilitation (per session) 255 300 300 Physiotherapy
727
PT005Ultra Sonic Therapy /Short Wave Diathermy / Microwave/ Long Wave Diathermy /Infrared/IFT) (per session) 255 300 300 Physiotherapy
728
PT006 Electrical Muscle Stimulation/Cryotherapy/TENS (per session) 340 400 400 Physiotherapy
729
PT007 Hot Pack/ Cold Pack/Wax Bath/Moist Heat (per session) 255 300 300 Physiotherapy
730
PT008Shock Wave Therapy/Matrix Rhythm Therapy/Laser/PEMF -Pulse Electro Magnetic Therapy (per session) 340 400 400 Physiotherapy

37

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
731
PT009 Gait Assessment (per session) 510 600 600 Physiotherapy
732
PT010 Gait Training (per session) 255 300 300 Physiotherapy
733
PT011 Tilt Training/Neuro-Rehab Basic (per session) 255 300 300 Physiotherapy
734
PT012 Neuro Rehabilitation Advanced (per session) 680 800 800 Physiotherapy
735
PT013 Paediatric Rehabilitation (per session) 255 300 300 Physiotherapy
736
BT001 Speech Therapy per session of at least 40 minutes 340 400 400 Behavioural Therapy
737
BT002
Occupational Therapy per session of at least 40 minutes 340 400 400 Behavioural therapy
738
BT003
Applied Behaviour Analysis based behaviour therapy (ABA based Behaviour therapy) per session of at least 40 minutes 340 400 400 Behavioural therapy
739
BT004
Special education per session of at least 40 minutes 340 400 400 Behavioural therapy
740
BT005
Biofeedback per session 2550 3000 3000 Behavioural therapy
741
DI001 Intraoral Periapical (IOPA) Radiograph X-ray/RVG(Single Film) 170 200 200 Dental Investigation
742
DI002 Intraoral Occlusal/Bite Wing X-Ray 255 300 300 Dental Investigation
743
DI003 Digital OPG with X ray film/ CD 425 500 500 Dental Investigation
744
DI004 Biopsy of Oral tissue- Soft 1020 1200 1200 Dental Biopsy
745
DI005 Biopsy of Oral tissue - Hard (bone, tooth) 1700 2000 2000 Dental Biopsy
746
DP001 Abscess - Drainage-Dental 1275 1500 1500 Dental Procedure
747
DP002
Scaling 850 1000 1000 Dental Procedure
748
DP003
Curettage and Root Planning - Per Tooth 298 350 350 Dental Procedure
749
DP004
Curettage and Root Planning - Per Arch 1700 2000 2000 Dental Procedure
750
DP005
Gingivoplasty - Per Quadrant 850 1000 1000 Dental Procedure
751
DP006
Gingivectomy - Per Quadrant 1020 1200 1200 Dental Procedure
752
DP007
Flap Surgery- Per Tooth 383 450 450 Dental Procedure
753
DP008
Flap Surgery- Per Quadrant 1700 2000 2000 Dental Procedure
754
DP009
Flap Surgery and Bone Graft per quadrant 2550 3000 3000 Dental Procedure
755
DP010
Extraction - Normal Tooth 340 400 400 Dental Procedure
756
DP011 Complicated Extraction per tooth under LA 680 800 800 Dental Procedure

38

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
757
DP012
Extraction Impacted - Soft tissue/ 3rd Molar/wisdom tooth extraction 1700 2000 2000 Dental Procedure
758
DP013
Multiple Extraction and Treatment Procedures for Special Children, Patients with Systemic Diseases, Patient with Special Needs Which Requires Admission and Treatment Under GA 5100 6000 6000 Dental Procedure
759
DP014
Extraction - Orthodontic Extraction 638 750 750 Dental Procedure
760
DP015
Operculectomy- Pericoronal flap excision 1700 2000 2000 Dental Procedure
761
DP016
Extraction Impacted – Bony 4250 5000 5000 Dental Procedure
762
DP017
Alveoloplasty - Per Tooth 255 300 300 Dental Procedure
763
DP018
Alveoloplasty - Per Quadrant 1020 1200 1200 Dental Procedure
764
DP019
Frenectomy 2125 2500 2500 Dental Procedure
765
DP020
Excision of hyperplastic tissue - per arch 1020 1200 1200 Dental Procedure
766
DP021 Surgical Augmentation/Alveolectomy per Arch 2975 3500 3500 Dental Procedure
767
DP022
Bone replacement graft for ridge preservation - per site 1700 2000 2000 Dental Procedure
768
DP023
Minor oral surgery, cyst, granuloma, residual infection, mucocele, epulis under LA 1700 2000 2000 Dental Procedure
769
DP024
Application of Desensitizing Medicament 425 500 500 Dental Procedure
770
DP025
Fluoride Application for Children 850 1000 1000 Dental Procedure
771
DP026
Temporary restoration 128 150 150 Dental Procedure
772
DP027
Glass ionomer Cement Restoration 510 600 600 Dental Procedure
773
DP028
Composite - Occlusal Pit/Class I 425 500 500 Dental Procedure
774
DP029
Composite -Class I with buccal extension/Class II Class III/Class IV/Class VI/Diastema Closure/MOD 850 1000 1000 Dental Procedure
775
DP030
RCT-Single Rooted tooth 1700 2000 2000 Dental Procedure
776
DP031 RCT Multiple root and/ canal tooth 2550 3000 3000 Dental Procedure
777
DP032
Re-RCT - Anterior 2125 2500 2500 Dental Procedure
778
DP033
Re-RCT - Posterior 2550 3000 3000 Dental Procedure
779
DP034
Medication -intracanal medicament (only lesion cases) 425 500 500 Dental Procedure

39

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
780
DP035
Apicectomy-Single tooth 1700 2000 2000 Dental Procedure
781
DP036
Apicectomy-Multiple tooth 2550 3000 3000 Dental Procedure
782
DP037
Apexification with any bio-compatible material 1700 2000 2000 Dental Procedure
783
DP038
Root end resection and Retro grade filling 2550 3000 3000 Dental Procedure
784
DP039
Surgical - Apicectomy/ Periapical surgery without bone grafting 595 700 700 Dental Procedure
785
DP040
Tissue Conditioning, Maxillary/Mandibular 255 300 300 Dental Procedure
786
DP041 Core build-up/ Post and Core - Custom made /Inlay/onlay 1275 1500 1500 Dental Procedure
787
DP042
Crown lengthening - Per Tooth 425 500 500 Dental Procedure
788
DP043
Crown - PMMA Crown 850 1000 1000 Dental Procedure
789
DP044
Crown - All Metal-Nickel Free 1700 2000 2000 Dental Procedure
790
DP045
Crown - Metal with Ceramic Facing 2550 3000 3000 Dental Procedure
791
DP046
Crown - Recementation 510 600 600 Dental Procedure
792
DP047
Crown - Removal 425 500 500 Dental Procedure
793
DP048
Odontoplasty /Enameloplasty 425 500 500 Dental Procedure
794
DP049
Pulpectomy (Anterior Tooth) 1700 2000 2000 Dental Procedure
795
DP050
Pulpectomy (Posterior Tooth) 2550 3000 3000 Dental Procedure
796
DP051 Pulpotomy 850 1000 1000 Dental Procedure
797
DP052
Veneer - Ceramic paediatric 2550 3000 3000 Dental Procedure
798
DP053
Interceptive Orthodontic Treatment of the Primary Dentition/Transition Dentition
5950 7000 7000 Dental Procedure
799
DP054
Limited Orthodontic Treatment of the Primary Dentition 4250 5000 5000 Dental Procedure
800
DP055
Occlusion Analysis/Adjustment/Occlusal Equilibration 425 500 500 Dental Procedure
801
DP056
Tooth Splinting -General 1275 1500 1500 Dental Procedure
802
DP057
Splinting - Periodontally weak teeth 1530 1800 1800 Dental Procedure
803
DP058
Night Guard 1700 2000 2000 Dental Procedure
804
DP059
Bridge/ Fixed Partial denture (per missing/ extracted tooth) metal crown 1700 2000 2000 Dental Procedure
805
DP060
 2550 3000 3000 Dental Procedure

40

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
  Bridge/ Fixed Partial denture (per missing/ extracted tooth) metal crown with Ceramic facing    
806
DP061 Removable Partial Denture - Flexible Per Arch 6375 7500 7500 Dental Procedure
807
DP062
Removable Partial Denture - Cast Metal Up to 3 Teeth 3400 4000 4000 Dental Procedure
808
DP063
Removable Partial Denture - Cast Metal (additional Per tooth) 255 300 300 Dental Procedure
809
DP064
Removable Partial Denture - Acrylic Up to 3 teeth 1700 2000 2000 Dental Procedure
810
DP065
Removable Partial Denture - Tooth Addition (per tooth) 255 300 300 Dental Procedure
811
DP066
Add Clasp to existing Partial Denture 425 500 500 Dental Procedure
812
DP067
Add Tooth to existing Partial Denture 340 400 400 Dental Procedure
813
DP068
Tooth Supported Overdenture Per Arch 6375 7500 7500 Dental Procedure
814
DP069
Complete Denture - Per Arch 8500 10000 10000 Dental Procedure
815
DP070
Removable orthodontic appliance / Post Orthodontic R O A -per arch 2125 2500 2500 Dental Procedure
816
DP071 Fixed orthodontic per arch 12750 15000 15000 Dental Procedure
817
DP072
Space Maintainers - Fixed 3400 4000 4000 Dental Procedure
818
DP073
Minor Treatment to Control Habits-Removable Appliance Therapy 2125 2500 2500 Dental Procedure
819
DP074
Minor Treatment to Control Habits-Fixed Appliance Therapy 3400 4000 4000 Dental Procedure
820
DP075
Functional orthodontic appliance 5100 6000 6000 Dental Procedure
821
DP076
Feeding appliance for Cleft Palate 4250 5000 5000 Dental Procedure
822
DP077
Expansion plate 5525 6500 6500 Dental Procedure
823
DP078
Maxillofacial Prosthesis -Sal/auricular/orbital/Nasal/Palatal/facial lost/ Speech Aid 5950 7000 7000 Dental Procedure
824
DP079
Obturator Prosthesis - Surgical/Definitive/Modification 4250 5000 5000 Dental Procedure
825
DP080
Removal of - Lateral Exostosis/Torus Mandibularis/Torus Palatines/Surgical reduction of Osseous Tuberosity 2550 3000 3000 Dental Procedure
826
DP081 Sialolithotomy/Sialodocotomy/ Closure of Salivary Fistula 1700 2000 2000 Dental Procedure
827
DP082
Excision of Salivary gland 12750 15000 15000 Dental Procedure
828
DP083
Release of fibrous bands & grafting in (OSMF) treatment under GA 17000 20000 20000 Dental Procedure
829
DP084
Facial Space Abscess 4250 5000 5000 Dental Procedure

41

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
830
DP085
Partial Ostectomy / sequestrectomy for removal of non-vital bone 1700 2000 2000 Dental Procedure
831
DP086
Alveolus – Closed Reduction stabilization of Teeth 3400 4000 4000 Dental Procedure
832
DP087
Alveolus – Open Reduction stabilization of Teeth 5100 6000 6000 Dental Procedure
833
DP088
Arch bar fixation 4250 5000 5000 Dental Procedure
834
DP089
Oroantral Fistula closure 4250 5000 5000 Dental Procedure
835
DP090
Osseous, Oste periosteal, or Cartilage graft of the Mandible or Maxilla - autogenous or non-autogenous bone graft 2550 3000 3000 Dental Procedure
836
DP091 Osteoplasty - for Orthognathic deformities/ Mandibular Rami/ Body of Mandible 25500 30000 30000 Dental Procedure
837
DP092
Maxilla - Closed Reduction 5100 6000 6000 Dental Procedure
838
DP093
Maxilla - Open Reduction 8500 10000 10000 Dental Procedure
839
DP094
Mandible - Closed Reduction 5100 6000 6000 Dental Procedure
840
DP095
Mandible – Open Reduction 8500 10000 10000 Dental Procedure
841
DP096
Cyst of Maxilla/mandible by enucleation/excision/marsupialization upto 4 cms under LA 4250 5000 5000 Dental Procedure
842
DP097
Cyst of Maxilla/mandible by enucleation/excision/marsupialization more than 4 cms under LA 5100 6000 6000 Dental Procedure
843
DP098
Cyst of Maxilla/mandible by enucleation/excision/marsupialization more than 4 cms under GA and admission 21250 25000 25000 Dental Procedure
844
DP099
Temporomandibular(TM) joint ankylosis- under GA/Open /Closed Reduction 17000 20000 20000 Dental Procedure
845
DP100
Segmental / Hemi Mandibulectomy with graft 21250 25000 25000 Dental Procedure
846
DP101 Segmental /Hemi Mandibulectomy without graft 17000 20000 20000 Dental Procedure
847
DP102
Sub-Total mandibulectomy with graft 29750 35000 35000 Dental Procedure
848
DP103
Sub-Total mandibulectomy without graft 25500 30000 30000 Dental Procedure
849
DP104
Maxillectomy/Mandibulectomy- Total with graft 29750 35000 35000 Dental Procedure
850
DP105
Maxillectomy/Mandibulectomy- Total without graft 25500 30000 30000 Dental Procedure

42

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
851
DP106
Maxillectomy- partial with graft 21250 25000 25000 Dental Procedure
852
DP107
Maxillectomy- partial without graft 17000 20000 20000 Dental Procedure
853
DP108
Malar and/or Zygomatic arch - Closed Reduction 5100 6000 6000 Dental Procedure
854
DP109
Malar and/or Zygomatic arch - Open Reduction 8500 10000 10000 Dental Procedure
855
DP110
Distraction osteogenesis of mandible or maxilla under GA 25500 30000 30000 Dental Procedure
856
DP111 Facial bones - Complicated Reduction with fixation 38250 45000 45000 Dental Procedure
857
OI001 Refraction with auto refraction - Both Eyes 170 200 200 Ophthalmology Investigation
858
OI002 Indirect Ophthalmoscopy (Fundoscopy) - Both Eyes 255 300 300 Ophthalmology Investigation
859
OI003 Orthoptic check-up- with synoptophore- Both Eyes 170 200 200 Ophthalmology Investigation
860
OI004 Lees’ charting or Hess’ charting- Both Eyes 255 300 300 Ophthalmology Investigation
861
OI005 Perimetry (Visual Field Testing) -Goldman- Both Eyes 425 500 500 Ophthalmology Investigation
862
OI006 Perimetry /Humphrey Visual Field (HVF ) test- Automated- Both Eyes 680 800 800 Ophthalmology Investigation
863
OI007 Fluorescein angiography for fundus or iris- Both Eyes 1700 2000 2000 Ophthalmology Investigation
864
OI008 Indocyanine green angiography - Both Eyes 1700 2000 2000 Ophthalmology Investigation
865
OI009 Ultrasound A- Scan/optical biometry[lenstar, IOL master] - Both Eyes 850 1000 1000 Ophthalmology Investigation
866
OI010 Ultrasound B- Scan - Both Eyes 425 500 500 Ophthalmology Investigation

43

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
867
OI011 Fundus Photo Test /disc photo for glaucoma- Both Eyes 425 500 500 Ophthalmology Investigation
868
OI012 Corneal endothelial cell count with specular microscopy- Both Eyes 510 600 600 Ophthalmology Investigation
869
OI013 Corneal topography /pentacam- Both Eyes 1700 2000 2000 Ophthalmology Investigation
870
OI014 Corneal pachymetry (corneal thickness)/ CCT - Both Eyes 451 530 530 Ophthalmology Investigation
871
OI015 OCT (Optical Coherence Tomography) /Ocular OCT Angiography - Both Eyes 1785 2100 2100 Ophthalmology Investigation
872
OI016 UBM- Ultrasound bio microscopy- Both Eyes 850 1000 1000 Ophthalmology Investigation
873
OI017 Non Contact tonometry (NCT) - Both Eyes 128 150 150 Ophthalmology Investigation
874
OI018 IOP measurement with Schiotz - Both Eyes 85 100 100 Ophthalmology Investigation
875
OI019 IOP measurement with applanation tonometry - Both Eyes 170 200 200 Ophthalmology Investigation
876
OI020 Diurnal variation of IOP - Both Eyes 1275 1500 1500 Ophthalmology Investigation
877
OI021 90 D lens examination/Three mirror examination for retina - Both Eyes 128 150 150 Ophthalmology Investigation
878
OI022 Gonioscopy- Both Eyes 255 300 300 Ophthalmology Investigation
879
OI023 EOG- Electrooculogram - Both Eyes 1760 2070 2070 Ophthalmology Investigation
880
OI024 ERG- Electroretinogram- Both Eyes 1530 1800 1800 Ophthalmology Investigation

44

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
881
OI025 VEP- visually evoked potential - Both Eyes 1530 1800 1800 Ophthalmology Investigation
882
OI026 X Ray orbit -Bilateral 298 350 350 Ophthalmology Investigation
883
OI027 Dacryocystography - Bilateral 1700 2000 2000 Ophthalmology Investigation
884
OI028 Orbital Angiographical Studies - Bilateral 4250 5000 5000 Ophthalmology Investigation
885
OI029 Neostigmine test - Both Eyes 4250 5000 5000 Ophthalmology Investigation
886
OI030 Lipi View One Eye 765 900 900 Ophthalmology Investigation
887
OI031 Lipi View Both Eyes 1275 1500 1500 Ophthalmology Investigation
888
OI032 Schirmer Test 255 300 300 Ophthalmology Investigation
889
OI033 Vitreous biopsy per eye 4250 5000 5000 Ophthalmology Biopsy
890
OP001
Subconjunctival/sub-tenon’s injections in one eye 425 500 500 Ophthalmology Procedure
891
OP002
Subconjunctival/sub-tenon’s injections in both eyes 680 800 800 Ophthalmology Procedure
892
OP003
Pterygium surgery with auto conjunctival graft per eye 11390 13400 13400 Ophthalmology Procedure
893
OP004
Conjunctival Peritomy per eye 1275 1500 1500 Ophthalmology Procedure
894
OP005
Conjunctival wound repair or exploration following blunt trauma per eye 7225 8500 8500 Ophthalmology Procedure
895
OP006
Removal of corneal foreign body 340 400 400 Ophthalmology Procedure
896
OP007
Cauterization of ulcer/subconjunctival injection in one eye 425 500 500 Ophthalmology Procedure
897
OP008
Cauterization of ulcer/subconjunctival injection in both eyes 680 800 800 Ophthalmology Procedure
898
OP009
Corneal grafting—Penetrating keratoplasty per eye 17000 20000 20000 Ophthalmology Procedure
899
OP010
Bandage contact lenses for corneal perforation/PED per eye 1700 2000 2000 Ophthalmology Procedure

45

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
900
OP011
Scleral grafting or conjunctival flap for corneal perforation per eye 7225 8500 8500 Ophthalmology Procedure
901
OP012
Keratoconus correction with therapeutic contact lenses - Both Eyes 7225 8500 8500 Ophthalmology Procedure
902
OP013
Ultraviolet (UV) radiation for cross-linking for keratoconus /C3R/KXL - Both Eyes 17000 20000 20000 Ophthalmology Procedure
903
OP014
EDTA for band shaped keratopathy - Both Eyes 2550 3000 3000 Ophthalmology Procedure
904
OP015
Arcuate keratotomy for astigmatism /Limbal Relaxing Incision - Both Eyes 5780 6800 6800 Ophthalmology Procedure
905
OP016
Re-suturing (Primary suturing) of corneal wound per eye 4250 5000 5000 Ophthalmology Procedure
906
OP017
Penetrating keratoplasty with glaucoma surgery per eye 29750 35000 35000 Ophthalmology Procedure
907
OP018
Penetrating keratoplasty with vitrectomy per eye 29750 35000 35000 Ophthalmology Procedure
908
OP019
Penetrating keratoplasty with IOL implantation per eye 29750 35000 35000 Ophthalmology Procedure
909
OP020
DALK- Deep anterior lamellar keratoplasty per eye 36550 43000 43000 Ophthalmology Procedure
910
OP021
Keratoprosthesis stage I and II per eye 36550 43000 43000 Ophthalmology Procedure
911
OP022
DSAEK Descemet’s stripping automated endothelial keratoplasty/DMEK Descemet membrane endothelial keratoplasty per eye 36550 43000 43000 Ophthalmology Procedure
912
OP023
ALTK- Automated lamellar therapeutic keratoplasty per eye 36550 43000 43000 Ophthalmology Procedure
913
OP024
Bleb repair with conjunctival autograft per eye 12750 15000 15000 Ophthalmology Procedure
914
OP025
Bleb compression sutures per eye 5950 7000 7000 Ophthalmology Procedure
915
OP026
Bleb needling with MMC/5-FU per eye 6800 8000 8000 Ophthalmology Procedure
916
OP027
Probing and Syringing of lacrimal sac- in one eye 850 1000 1000 Ophthalmology Procedure
917
OP028
Probing and Syringing of lacrimal sac- in both eye 1275 1500 1500 Ophthalmology Procedure
918
OP029
Dacryocystorhinostomy-Plain 11390 13400 13400 Ophthalmology Procedure
919
OP030
Dacryocystorhinostomy-Plain with intubation and/or with lacrimal implants excluding the cost of implant per eye 17000 20000 20000 Ophthalmology Procedure
920
OP031
Dacryocystorhinostomy-conjunctival with implant excluding the cost of implant per eye 17000 20000 20000 Ophthalmology Procedure
921
OP032
Canaliculoplasty per eye 4497 5290 5290 Ophthalmology Procedure
922
OP033
Dacryocystectomy per eye 7820 9200 9200 Ophthalmology Procedure

46

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
923
OP034
Punctal plugs for dry eyes - Both Eyes 383 450 450 Ophthalmology Procedure
924
OP035
Chalazion incision and curettage in one eye 1700 2000 2000 Ophthalmology Procedure
925
OP036
Chalazion incision and curettage in both eyes 2550 3000 3000 Ophthalmology Procedure
926
OP037
Ptosis surgery with Fasanella-Servat procedure /Ptosis surgery with LPS resection one lid Ptosis surgery with Sling surgery one lid 17000 20000 20000 Ophthalmology Procedure
927
OP038
Ectropion surgery- one lid 7225 8500 8500 Ophthalmology Procedure
928
OP039
Ectropion surgery- both lids 11390 13400 13400 Ophthalmology Procedure
929
OP040
Epicanthus correction - Both Eyes 7225 8500 8500 Ophthalmology Procedure
930
OP041
Cantholysis and canthotomy- Both Eyes 2975 3500 3500 Ophthalmology Procedure
931
OP042
Entropion surgery- one lid 7225 8500 8500 Ophthalmology Procedure
932
OP043
Entropion surgery- both lids 11390 13400 13400 Ophthalmology Procedure
933
OP044
Tarsorrhaphy- Both Eyes 2550 3000 3000 Ophthalmology Procedure
934
OP045
Suturing of lid lacerations- Both Eyes 4250 5000 5000 Ophthalmology Procedure
935
OP046
Lid retraction repair per eye 7225 8500 8500 Ophthalmology Procedure
936
OP047
Concretions removal- Both Eyes 425 500 500 Ophthalmology Procedure
937
OP048
Bucket handle procedure for lid tumours per eye (for non-malignant conditions) 11390 13400 13400 Ophthalmology Procedure
938
OP049
Eyelid reconstruction with flap one eye 17000 20000 20000 Ophthalmology Procedure
939
OP050
Eyelid reconstruction with flap both eyes 21250 25000 25000 Ophthalmology Procedure
940
OP051
Cheek rotation flap for lid tumours per eye (for non-malignant conditions) 17000 20000 20000 Ophthalmology Procedure
941
OP052
Orbitotomy per eye 23375 27500 27500 Ophthalmology Procedure
942
OP053
Enucleation per eye(for non-malignant conditions) 11390 13400 13400 Ophthalmology Procedure
943
OP054
Enucleation with orbital implants and artificial (Cost of implants included) per eye 17000 20000 20000 Ophthalmology Procedure
944
OP055
Evisceration per eye 11390 13400 13400 Ophthalmology Procedure
945
OP056
Evisceration with orbital implants and artificial (Cost of implants included) prosthesis per eye 17000 20000 20000 Ophthalmology Procedure

47

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
946
OP057
Telecanthus correction- Both Eyes 11390 13400 13400 Ophthalmology Procedure
947
OP058
Orbital decompression /with incision or excision biopsy per eye 29750 35000 35000 Ophthalmology Procedure
948
OP059
Exenteration per eye 17000 20000 20000 Ophthalmology Procedure
949
OP060
Exenteration with skin grafting per eye 29750 35000 35000 Ophthalmology Procedure
950
OP061
Fracture orbital repair per eye 29750 35000 35000 Ophthalmology Procedure
951
OP062
Retinal laser procedures -green laser for PRP,retinal tears, ROP,endolaser per eye
2975 3500 3500 Ophthalmology Procedure
952
OP063
Retinal detachment surgery (RDS) per eye 23375 27500 27500 Ophthalmology Procedure
953
OP064
Retinal detachment surgery (RDS) with scleral buckling per eye 29750 35000 35000 Ophthalmology Procedure
954
OP065
Buckle removal per eye 7225 8500 8500 Ophthalmology Procedure
955
OP066
Silicone oil removal per eye 7820 9200 9200 Ophthalmology Procedure
956
OP067
Anterior retinal cryopexy per eye 4250 5000 5000 Ophthalmology Procedure
957
OP068
Squint correction for one eye 11390 13400 13400 Ophthalmology Procedure
958
OP069
Squint correction for both eyes 17000 20000 20000 Ophthalmology Procedure
959
OP070
Trabeculectomy per eye 17000 20000 20000 Ophthalmology Procedure
960
OP071
Trabeculotomy /kahook dual blade goniotomy excluding blade cost per eye 17000 20000 20000 Ophthalmology Procedure
961
OP072
Trabeculectomy with Trabeculotomy- Both Eyes 29750 35000 35000 Ophthalmology Procedure
962
OP073
Microincisional trabeculectomy(MIT) per eye 21250 25000 25000 Ophthalmology Procedure
963
OP074
Surgical posterior capsulotomy one eye 8500 10000 10000 Ophthalmology Procedure
964
OP075
Goniotomy per eye 4250 5000 5000 Ophthalmology Procedure
965
OP076
Glaucoma surgery with Glaucoma valves (Cost of Valve extra) per eye 17000 20000 20000 Ophthalmology Procedure
966
OP077
Cost of the Glaucoma valve/Glaucoma Ahmed valve per eye 15000 15000 15000 Ophthalmology Procedure
967
OP078
AC wash per eye 4250 5000 5000 Ophthalmology Procedure
968
OP079
Endocyclophotocoagulation per eye 15300 18000 18000 Ophthalmology Procedure
969
OP080
Cyclocryotherapy /Trans scleral cyclophotocoagulation TSCPC per eye 4250 5000 5000 Ophthalmology Procedure
970
OP081
YAG Laser iridotomy / Hyaloidotomy/Laser suture lysis post trabeculectomy per eye 4250 5000 5000 Ophthalmology Procedure
971
OP082
YAG Laser capsulotomy per eye 4250 5000 5000 Ophthalmology Procedure

48

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
972
OP083
ALT-Argon laser trabeculoplasty per eye 4250 5000 5000 Ophthalmology Procedure
973
OP084
TTT- Transpupillary thermal therapy per eye 7225 8500 8500 Ophthalmology Procedure
974
OP085
PTK- Phototherapeutic keratectomy /PRK for keratoconus per eye 11390 13400 13400 Ophthalmology Procedure
975
OP086
Argon/diode laser for retinal detachment per eye 7225 8500 8500 Ophthalmology Procedure
976
OP087
Intralase application for keratoconus /CAIRS Corneal allogenic intrastromal ring segments per eye excluding the cost of the rings 17000 20000 20000 Ophthalmology Procedure
977
OP088
Vitrectomy- pars plana including Fluid air exchange (per eye) 29750 35000 35000 Ophthalmology Procedure
978
OP089
Vitrectomy +membrane peeling +fluid air exchange+endolaser+ gas/silicon oil tamponade per eye 34000 40000 40000 Ophthalmology Procedure
979
OP090
Macular hole surgery- Vitrectomy +membrane peeling + ILM peeling+ fluid air exchange+endolaser+ gas/silicon oil tamponade per eye 34850 41000 41000 Ophthalmology Procedure
980
OP091
Vitrectomy +phaco fragmentation/ IOL drop +/- secondary IOL per eye 21250 25000 25000 Ophthalmology Procedure
981
OP092
Anterior vitrectomy per eye 6800 8000 8000 Ophthalmology Procedure
982
OP093
Membranectomy one eye 10200 12000 12000 Ophthalmology Procedure
983
OP094
Membranectomy both eyes 12750 15000 15000 Ophthalmology Procedure
984
OP095
Intravitreal injections of antibiotics excluding the cost of the antibiotic per eye 4250 5000 5000 Ophthalmology Procedure
985
OP096
Intravitreal Injection of drugs (Ranibizumab/ Aflibercept etc) excluding the cost of the drug per eye 4250 5000 5000 Ophthalmology Procedure
986
OP097
Intravitreal Insertion of Drug Implant excluding cost of the Drug Implant (Ozurdex,...etc) per eye 5100 6000 6000 Ophthalmology Procedure
987
OP098
Extracapsular cataract extraction (ECCE) with IOL excluding the cost of IOL per eye 11390 13400 13400 Ophthalmology Procedure
988
OP099
Small Incision Cataract Surgery (SICS) with IOL excluding the cost of IOL per eye 11390 13400 13400 Ophthalmology Procedure
989
OP100
Phaco with foldable IOL (silicone and acrylic)/PMMA IOL / MICS surgery excluding the cost of IOL per eye 14450 17000 17000 Ophthalmology Procedure
990
OP101
 14450 17000 17000 Ophthalmology Procedure

49

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
  Pars plana lensectomy with/without IOL excluding the cost of IOL per eye    
991
OP102
Secondary IOL implantation- AC IOL PC IOL or scleral fixated IOL excluding the cost of IOL per eye 17000 20000 20000 Ophthalmology Procedure
992
OP103
Cataract extraction with IOL with capsular tension rings (Cionni’s ring)(cost of the ring included) excluding the cost of IOL per eye 29750 35000 35000 Ophthalmology Procedure
993
OP104
Paediatric cataract surgery +parsplana capsulotomy + anterior vitrectomy excluding the cost of IOL - one eye 17000 20000 20000 Ophthalmology Procedure
994
OP105
Paediatric cataract surgery +parsplana capsulotomy + anterior vitrectomy excluding the cost of IOL - Both Eyes 21250 25000 25000 Ophthalmology Procedure
995
OP106
IOL exchange [excluding IOL cost] per eye 8500 10000 10000 Ophthalmology Procedure
996
OP107
IOL reposition per eye 5100 6000 6000 Ophthalmology Procedure
997
OP108
IOL explantation per eye 6800 8000 8000 Ophthalmology Procedure
998
OP109
Iridodialysis repair or pupillary reconstruction /Cyclodialysis repair per eye 11390 13400 13400 Ophthalmology Procedure
999
OP110
Iris cyst removal /synechiolysis/surgical iridectomy per eye 4250 5000 5000 Ophthalmology Procedure
1000
OP111
Lid Abscess incision and Drainage per eye 4250 5000 5000 Ophthalmology Procedure
1001
OP112
Orbital Abscess incision and Drainage per eye 7225 8500 8500 Ophthalmology Procedure
1002
OP113
Excision Biopsy of lid, conjunctiva, cornea per eye 7820 9200 9200 Ophthalmology Procedure
1003
OP114
Paracentesis (eye) per eye 4250 5000 5000 Ophthalmology Procedure
1004
OP115
Scleral graft for scleral melting or perforation per eye 11390 13400 13400 Ophthalmology Procedure
1005
OP116
Amniotic membrane grafting /symblepharon release with AMG per eye 11390 13400 13400 Ophthalmology Procedure
1006
OP117
Intraocular foreign body removal per eye 7225 8500 8500 Ophthalmology Procedure
1007
OP118
Electrolysis (eye) - Both Eyes 850 1000 1000 Ophthalmology Procedure
1008
OP119
Perforating injury repair (eye) per eye 11390 13400 13400 Ophthalmology Procedure
1009
OP120
Botulinum injection for blepharospasm or squint /epiphora/entropion/lid retraction (excluding cost of drug) per eye 4250 5000 5000 Ophthalmology Procedure

50

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1010
OP121
C3F8 GAS Injection intravitreal for descemetopexy/retinopexy/pneumatopexy (per eye) 4250 5000 5000 Ophthalmology Procedure
1011
OP122
Silicone Oil injection (per eye) 4250 5000 5000 Ophthalmology Procedure
1012
OP123
Epiretinal Membrane (ERM) Peeling (per eye) 5950 7000 7000 Ophthalmology Procedure
1013
OP124
Epiretinal Membrane (ERM) Removal (per eye) 2550 3000 3000 Ophthalmology Procedure
1014
OP125
Internal limiting membrane (ILM) peeling (per eye) 2550 3000 3000 Ophthalmology Procedure
1015
OP126
Punctoplasty (per eye) 5525 6500 6500 Ophthalmology Procedure
1016
OP127
Punctal plug(Collagen/silicone) per eye 3400 4000 4000 Ophthalmology Procedure
1017
OP128
Laser Trabeculoplasty Gonioplasty - Both Eyes 13600 16000 16000 Ophthalmology Procedure
1018
OP129
Eye laser pulse therapy /Lipiflow/IPL [Intense pulse light] per eye 2975 3500 3500 Ophthalmology Procedure
1019
OP130
Malyugin Ring /pupil dilator/iris expander per eye 8500 10000 10000 Ophthalmology Procedure
1020
OP131
Globe exploration per eye 8500 10000 10000 Ophthalmology Procedure
1021
OP132
Scleral Fixation Tissue glue /fibrin glue per eye 7140 8400 8400 Ophthalmology Procedure
1022
OP133
PFCL Injection Per Eye Including Cost of The Drug 2321 2730 2730 Ophthalmology Procedure
1023
OP134
Methylprednisolone Injection IV Infusion per day Excluding the cost of the drug 2125 2500 2500 Ophthalmology Procedure
1024
OP135
Retinoblastoma[RB] EUA both eyes 2550 3000 3000 Ophthalmology Procedure
1025
OP136
RB intravitreal/intravenous/subtenons chemotherapy affected eye excluding the cost of the chemotherapy drug 2975 3500 3500 Ophthalmology Procedure
1026
OP137
RB TTT/ Cryotherapy affected eye 3825 4500 4500 Ophthalmology Procedure
1027
OP138
Plaque brachytherapy-surface affected eye 12750 15000 15000 Ophthalmology Procedure
1028
OP139
Plaque brachytherapy-intraocular affected eye 17000 20000 20000 Ophthalmology Procedure
1029
OP140
Simple limbal stem cell transplant SLET per eye 17000 20000 20000 Ophthalmology Procedure
1030
OP141
Mucous membrane grafting MMG one eyelid 17000 20000 20000 Ophthalmology Procedure
1031
OP142
Mucous membrane grafting MMG two eyelids 21250 25000 25000 Ophthalmology Procedure
1032
OP143
iStent Inject per eye including the cost of consumables and implant 68000 80000 80000 Ophthalmology Procedure
1033
OP144
Orthoptic exercises per session 213 250 250 Ophthalmology Physiotherapy

51

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1034
OP145
Pleoptic exercises per session 213 250 250 Ophthalmology Physiotherapy
1035
EI001 Impedance with stapedial reflex / Impedance Audiometry 510 600 600 ENT Investigation
1036
EI002 Pure Tone Audiogram / Pure Tone Audiometry / PTA 383 450 450 ENT Investigation
1037
EI003 Short Increment Sensitivity Index (SISI) Tone Decay 340 400 400 ENT Investigation
1038
EI004 Speech Assessment 340 400 400 ENT Investigation
1039
EI005 Speech Discrimination Score 340 400 400 ENT Investigation
1040
EI006 Multiple hearing assessment test to Adults 340 400 400 ENT Investigation
1041
EI007 BERA (Brain stem evoked response audiometry) 2125 2500 2500 ENT Investigation
1042
EI008 OAE (Otoacoustic Emission Test) 1071 1260 1260 ENT Investigation
1043
EI009 Hearing Aid Trail 170 200 200 ENT Investigation
1044
EI010 Vestibular Evoked Myogenic Potential (VEMP) 2338 2750 2750 ENT Investigation
1045
EI011 Cold Calorie Test for Vestibular function 510 600 600 ENT Investigation
1046
EI012 Electronystagmography (ENG) 1275 1500 1500 ENT Investigation
1047
EI013 Videonystagmography(VNG) 2125 2500 2500 ENT Investigation
1048
EI014 Video Laryngoscopy 5100 6000 6000 ENT investigation
1049
EI015 Videostroboscopy 4675 5500 5500 ENT Investigation
1050
EI016 Fibreoptic examination of Larynx (FOL) under LA 4250 5000 5000 ENT Investigation
1051
EI017 Fibro optic Nasal Endoscopy 1955 2300 2300 ENT Investigation
1052
EP001 Removal of foreign body From Nose 595 700 700 ENT Procedure
1053
EP002 Removal of foreign body From Ear/otoscopy diagnostic or therapeutic 595 700 700 ENT Procedure
1054
EP003 Syringing (Ear) 425 500 500 ENT Procedure
1055
EP004 Polyp removal under LA (Larynx) 4250 5000 5000 ENT Procedure
1056
EP005 Polyp removal under GA (Larynx) 7820 9200 9200 ENT Procedure
1057
EP006 Peritonsillar abscess Drainage under LA 7225 8500 8500 ENT Procedure
1058
EP007 Myringoplasty 23375 27500 27500 ENT Procedure
1059
EP008 Stapedectomy 23375 27500 27500 ENT Procedure

52

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1060
EP009 Myringotomy with Grommet Insertion 11390 13400 13400 ENT Procedure
1061
EP010 Tympanotomy 23375 27500 27500 ENT Procedure
1062
EP011 Tympanoplasty 29750 35000 35000 ENT Procedure
1063
EP012 Mastoidectomy 29750 35000 35000 ENT Procedure
1064
EP013 Otoplasty 29750 35000 35000 ENT Procedure
1065
EP014 Labyrinthectomy 29750 35000 35000 ENT Procedure
1066
EP015 Skull Base Surgery 45050 53000 53000 ENT Procedure
1067
EP016 Facial Nerve Decompression 36550 43000 43000 ENT Procedure
1068
EP017 Septoplasty 23375 27500 27500 ENT Procedure
1069
EP018 Submucous Resection 11390 13400 13400 ENT Procedure
1070
EP019 Septo-Rhinoplasty 36550 43000 43000 ENT Procedure
1071
EP020 Rhinoplasty- Non-cosmetic 29750 35000 35000 ENT Procedure
1072
EP021 Fracture Reduction of Nasal Bone 11390 13400 13400 ENT Procedure
1073
EP022 Intra Nasal Diathermy 5100 6000 6000 ENT Procedure
1074
EP023 Turbinectomy 11390 13400 13400 ENT Procedure
1075
EP024 Endoscopic Dacryocystorhinostomy (DCR) 29750 35000 35000 ENT Procedure
1076
EP025 Endoscopic Surgery (ENT) 29750 35000 35000 ENT Procedure
1077
EP026 Septal Perforation Repair 23375 27500 27500 ENT Procedure
1078
EP027 Antrum Puncture 2550 3000 3000 ENT Procedure
1079
EP028 Lateral Rhinotomy 17000 20000 20000 ENT Procedure
1080
EP029 Cranio-Facial resection 36550 43000 43000 ENT Procedure
1081
EP030 Angiofibroma Excision 36550 43000 43000 ENT Procedure
1082
EP031 Endoscopic Hypophysectomy 45050 53000 53000 ENT Procedure
1083
EP032 Endoscopic Optic Nerve Decompression 45050 53000 53000 ENT Procedure
1084
EP033 Tonsillectomy 23375 27500 27500 ENT Procedure
1085
EP034 Uvulo-palatoplasty 29750 35000 35000 ENT Procedure
1086
EP035 Functional Endoscopic Sinus Surgery (FESS) for Antrochoanal polyp 29750 35000 35000 ENT Procedure

53

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1087
EP036 Functional Endoscopic Sinus Surgery (FESS) for Ethmoidal polyp 29750 35000 35000 ENT Procedure
1088
EP037 Polyp removal ear 4250 5000 5000 ENT Procedure
1089
EP038 Polyp removal Nose (Septal polyp) 7225 8500 8500 ENT Procedure
1090
EP039Mastoidectomy plus Ossiculoplasty including TORP (Total Ossicular Replacement Prosthesis) or PORP (Partial Ossicular Replacement Prosthesis) 29750 35000 35000 ENT Procedure
1091
EP040 Endolymphatic sac decompression 36550 43000 43000 ENT Procedure
1092
EP041 Diagnostic endoscopy under GA 4250 5000 5000 ENT Procedure
1093
EP042 Young's operation for Atrophic rhinitis 17000 20000 20000 ENT Procedure
1094
EP043 Vidian neurectomy for vasomotor Rhinitis 23375 27500 27500 ENT Procedure
1095
EP044 Nasal Packing-anterior 2125 2500 2500 ENT Procedure
1096
EP045 Nasal Packing-Posterior 2550 3000 3000 ENT Procedure
1097
EP046 Ranula Excision 17000 20000 20000 ENT Procedure
1098
EP047 Tongue Tie excision 7225 8500 8500 ENT Procedure
1099
EP048 Sub Mandibular Duct Lithotomy 5780 6800 6800 ENT Procedure
1100
EP049 Adenoidectomy 17000 20000 20000 ENT Procedure
1101
EP050 Palatopharyngoplasty 29750 35000 35000 ENT Procedure
1102
EP051 Pharyngoplasty 36550 43000 43000 ENT Procedure
1103
EP052 Styloidectomy 17000 20000 20000 ENT Procedure
1104
EP053 Direct Laryngoscopy including Biopsy under GA 11390 13400 13400 ENT Procedure
1105
EP054 Oesophagoscopy with foreign body removal from Oesophagus 11390 13400 13400 ENT Procedure
1106
EP055 Bronchoscopy with foreign body (FB) removal 11390 13400 13400 ENT Procedure
1107
EP056 Ear Lobe Repair one side 3400 4000 4000 ENT Procedure
1108
EP057 Excision of Pinna for non-cancerous Growth/Injuries - Skin Only 7820 9200 9200 ENT Procedure
1109
EP058 Excision of Pinna for non-cancerous/ Injuries - Skin and Cartilage 11390 13400 13400 ENT Procedure
1110
EP059 Partial Amputation of Pinna 11390 13400 13400 ENT Procedure
1111
EP060 Total Amputation of Pinna 17000 20000 20000 ENT Procedure

54

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1112
EP061 Total Amputation & Excision of External Auditory Meatus 17000 20000 20000 ENT Procedure
1113
EP062 Excision of Cystic Hygroma 17000 20000 20000 ENT Procedure
1114
EP063 Excision of Cystic Hygroma Extensive 23375 27500 27500 ENT Procedure
1115
EP064 Excision of Branchial Cyst 23375 27500 27500 ENT Procedure
1116
EP065 Excision of Branchial Sinus 23375 27500 27500 ENT Procedure
1117
EP066 Excision of Pharyngeal Diverticulum 23375 27500 27500 ENT Procedure
1118
EP067 Excision of Carotid Body / Carotid Body Tumours 36550 43000 43000 ENT Procedure
1119
EP068 Operation for Cervical Rib 29750 35000 35000 ENT Procedure
1120
EP069 Estlander Operation (Estlander flap in plastic surgery of lips) 29750 35000 35000 ENT Procedure
1121
EP070 Abbe Operation (Abbe flap in plastic surgery of lips) 23375 27500 27500 ENT Procedure
1122
EP071 Cheek Advancement 29750 35000 35000 ENT Procedure
1123
EP072 Excision of the Maxilla 36550 43000 43000 ENT Procedure
1124
EP073 Excision of mandible-segmental 29750 35000 35000 ENT Procedure
1125
EP074 Parotidectomy - Superficial 29750 35000 35000 ENT Procedure
1126
EP075 Parotidectomy - Total 36550 43000 43000 ENT Procedure
1127
EP076 Repair of Parotid Duct 23375 27500 27500 ENT Procedure
1128
EP077 Removal of Submandibular Salivary gland 23375 27500 27500 ENT Procedure
1129
EP078 Hemithyroidectomy 29750 35000 35000 ENT Procedure
1130
EP079 Partial Thyroidectomy (lobectomy) 29750 35000 35000 ENT Procedure
1131
EP080 Subtotal Thyroidectomy 36550 43000 43000 ENT Procedure
1132
EP081 Total Thyroidectomy 45050 53000 53000 ENT Procedure
1133
EP082 Resection Enucleation of thyroid Adenoma 23375 27500 27500 ENT Procedure
1134
EP083 Excision of Lingual Thyroid 29750 35000 35000 ENT Procedure
1135
EP084 Excision of Thyroglossal Cyst/Duct/Fistula 29750 35000 35000 ENT Procedure
1136
EP085 Laryngectomy 45050 53000 53000 ENT Procedure
1137
EP086 Hyoid Suspension 23375 27500 27500 ENT Procedure
1138
EP087 Genioplasty 29750 35000 35000 ENT Procedure

55

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1139
EP088 Phonosurgery 23375 27500 27500 ENT Procedure
1140
EP089 Microlaryngeal Surgery 23375 27500 27500 ENT Procedure
1141
EP090 Laryngofissure 36550 43000 43000 ENT Procedure
1142
EP091 Tracheal Stenosis Excision 36550 43000 43000 ENT Procedure
1143
EP092 Tracheostomy 11390 13400 13400 ENT Procedure
1144
CC001
ICU/CCU/PICU/MICU/HDU (For all categories of ward entitlement, inclusive of Room Rent) 5400 5400 5400 Critical Care
1145
CC002
Compressed Air / Piped Oxygen per hour 85 100 100 Critical Care
1146
CC003
Ventilator charges (Per day) inclusive of associated disposables 2550 3000 3000 Critical Care
1147
CC004
Non invasive Ventilator charges (Per day)( inclusive of associated disposables) 510 600 600 Critical Care
1148
CC005
Pneupac Ventilator in Nursery (Per day) 2210 2600 2600 Critical Care
1149
CC006
Incubator charges (Per day) 1275 1500 1500 Critical Care
1150
CC007
Neonatal ICU charges (Per day) inclusive of incubator 5400 5400 5400 Critical Care
1151
CC008
Exchange Transfusion 2975 3500 3500 Critical Care
1152
CC009
Phototherapy per session (up to 6 Hours) 340 400 400 Critical Care
1153
CC010
Resuscitation/CPR/Intubation 1275 1500 1500 Critical Care
1154
CC011
PICC line (peripherally inserted Central Cannulisation) 4250 5000 5000 Critical Care
1155
CC012
Nebulization Per Session 43 50 50 Critical Care
1156
CC013
PICC Line Removal 850 1000 1000 Critical Care
1157
CC014
Ryles Tube Insertion 765 900 900 Critical Care
1158
BC001
Blood Component Charges - Whole Blood per Unit 1550 1550 1550 Blood Component Charges
1159
BC002
Blood Component Charges - Packed Red Cell per Unit 1550 1550 1550 Blood Component Charges
1160
BC003
Blood Component Charges - Fresh Frozen Plasma 400 400 400 Blood Component Charges
1161
BC004
Platelet Concentrate- Random Donor Platelet (RDP) 400 400 400 Blood Component Charges
1162
BC005
Blood Component Charges - Cryoprecipitate 250 250 250 Blood Component Charges
1163
BC006
Platelet Concentrate – Single Donor Platelet (SDP)- Apheresis per unit 11000 11000 11000 Blood Component Charges
1164
GP001
Dressings of wounds 255 300 300 General Procedure

56

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1165
GP002
Aspiration Pleural Effusion - Diagnostic 595 700 700 General Procedure
1166
GP003
Aspiration Pleural Effusion - Therapeutic 595 700 700 General Procedure
1167
GP004
Abdominal / Peritoneal Aspiration – Diagnostic/Ascitic tapping / Paracentesis - Diagnostic 595 700 700 General Procedure
1168
GP005
Abdominal / Peritoneal Aspiration – Therapeutic/Ascitic tapping / Paracentesis - Therapeutic 638 750 750 General Procedure
1169
GP006
Removal of Sutures (All) 170 200 200 General Procedure
1170
GP007
Venesection 595 700 700 General Procedure
1171
GP008
Sternal puncture 1700 2000 2000 General Procedure
1172
GP009
Urinary bladder Catheterisation 595 700 700 General Procedure
1173
GP010
Incision & Drainage under local Anaesthesia (Large) 1955 2300 2300 General Procedure
1174
GP011
Intercostal Drainage 2975 3500 3500 General Procedure
1175
GP012
Drainage of abscess with anaesthesia 11390 13400 13400 General Procedure
1176
GP013
Excision of lumps under anaesthesia 11390 13400 13400 General Procedure
1177
HN001
Temporal Bone Subtotal Resection 36550 43000 49450 Head and Neck Surgery
1178
HN002
Benign Tumour Excisions of Head and Neck 23375 27500 31625 Head and Neck Surgery
1179
SK001
Excision of Moles 850 1000 1000 Skin Procedure
1180
SK002
Excision of Warts 850 1000 1000 Skin Procedure
1181
SK003
Excision of Molluscum Contagiosum 850 1000 1000 Skin Procedure
1182
SK004
Excision of Venereal Warts 850 1000 1000 Skin Procedure
1183
SK005
Excision of Corns 850 1000 1000 Skin Procedure
1184
SK006
Intradermal (ID) Injection Keloid (Intralesional Injection) including the cost of the drug 850 1000 1000 Skin Procedure
1185
SK007
Chemical Cautery (s)/Cryotherapy 850 1000 1000 Skin Procedure
1186
CI001 Electrocardiogram (ECG) 149 175 175 Cardiology Investigation
1187
CI002 Treadmill Test (TMT) 952 1120 1120 Cardiology Investigation
1188
CI003 Holter analysis per day 2125 2500 2500 Cardiology Investigation
1189
CI004 Ambulatory BP monitoring per day 850 1000 1000 Cardiology Investigation

57

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1190
CI005 Head Up Tilt Test (HUTT) 7820 9200 9200 Cardiology Investigation
1191
CI006 External Loop/event recording -first day Rs.1500 1275 1500 1500 Cardiology Investigation
1192
CI007External Loop/event recording - subsequent Days 1000/day (Maximum up to 6 days) 850 1000 1000 Cardiology Investigation
1193
CI008 Diagnostic Electrophysiological studies conventional (Including catheter) 61710 72600 72600 Cardiology Investigation
1194
CI009 Stress Thallium / Myocardial Perfusion Scintigraphy 11390 13400 13400 Cardiology Investigation
1195
CI010 Rest Thallium / Myocardial Perfusion Scintigraphy 8160 9600 9600 Cardiology Investigation
1196
CI011 Venography 4250 5000 5000 Cardiology Investigation
1197
CI012 Lymphangiography 4250 5000 5000 Cardiology Investigation
1198
CI013 Sinogram 1700 2000 2000 Cardiology Investigation
1199
CI014 Digital Subtraction Angiography-Peripheral artery 12419 14610 14610 Cardiology Investigation
1200
CI015 Digital Subtraction Angiography- venogram 12419 14610 14610 Cardiology Investigation
1201
CI016 Coronary Angiography 11390 13400 13400 Cardiology Investigation
1202
CI017 Cardiac Catheterization (CATH) 12665 14900 14900 Cardiology Investigation
1203
CP001
Balloon Coronary Angioplasty / Percutaneous transluminal coronary angioplasty (PTCA) /Percutaneous coronary intervention (PCI) with Vascular closure device (VCD) excluding the cost of Stent. Cost of Drug Eluting Balloon allowed in lieu of Stent
82450 97000 111550 Cardiology Procedure
1204
CP002
Balloon Coronary Angioplasty / Percutaneous transluminal coronary angioplasty (PTCA) / Percutaneous coronary intervention (PCI) without Vascular closure device (VCD) excluding the cost of Stent.Cost of Drug Eluting Balloon allowed in lieu of Stent 71166 83725 96284 Cardiology Procedure
1205
CP003 Rotablation excluding the cost of Rotablator Burr/Advancer 52553 61827 71101 Cardiology Procedure
1206
CP004
Balloon Mitral Valvotomy / Percutaneous Transvenous Mitral Commissurotomy (PTMC) 82450 97000 111550 Cardiology Procedure

58

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1207
CP005
Temporary Pacemaker Implantation (TPI) (Temporary Cardiac Pacing) Single Chamber 17952 21120 24288 Cardiology Procedure
1208
CP006
Permanent pacemaker implantation (PPI)- Single Chamber excluding the cost of Pacemaker 29920 35200 40480 Cardiology Procedure
1209
CP007
Permanent pacemaker implantation- Dual Chamber excluding the cost of Pacemaker 40205 47300 54395 Cardiology Procedure
1210
CP008
Permanent pacemaker implantation (PPI)- Biventricular excluding the cost of pacemaker 46400 54588 62776 Cardiology Procedure
1211
CP009
Automatic implantable cardioverter defibrillator (AICD) Single Chamber - excluding the cost of Device 46750 55000 63250 Cardiology Procedure
1212
CP010
Automatic implantable cardioverter defibrillator (AICD) Dual Chamber excluding the cost of Device 48947 57585 66223 Cardiology Procedure
1213
CP011 Combo Device Implantation excluding the cost of Device 55165 64900 74635 Cardiology Procedure
1214
CP012
Radiofrequency (RF) Ablation Conventional 82450 97000 111550 Cardiology Procedure
1215
CP013 Radiofrequency (RF) Ablation Atrial Tachycardia/CARTO 153000 180000 207000 Cardiology Procedure
1216
CP014
Intra-aortic balloon pump (IABP) excluding the cost of the balloon 29750 35000 40250 Cardiology Procedure
1217
CP015
Intra vascular coiling excluding cost of the coils 64600 76000 87400 Cardiology Procedure
1218
CP016
Balloon Septostomy 28050 33000 37950 Cardiology Procedure
1219
CP017
Aortic Valve Balloon Dilatation (AVBD) / Pulmonary Valve Balloon Dilatation (PVBD) 52734 62040 71346 Cardiology Procedure
1220
CP018
Peripheral Angioplasty with Vascular Closure Device (VCD) excluding the cost of Stent 51893 61050 70208 Cardiology Procedure
1221
CP019
Peripheral Angioplasty without Vascular Closure Device (VCD) excluding the cost of Stent 45050 53000 60950 Cardiology Procedure
1222
CP020
Renal Angioplasty excluding the cost of Stent 51425 60500 69575 Cardiology Procedure
1223
CP021Transcatheter Aortic Valve Implantation (TAVI) / Transcatheter Aortic Valve Replacement (TAVR) – Procedure Cost. (Approval of Director, CGHS in consultation with Special Technical Committee (STC) is required for this procedure) 85000 100000 115000 Cardiology Procedure

59

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1224
CP022
TAVI / TAVR Implant (cost of implant only)
1284000
1284000
1284000 Cardiology Implant(Valve)
1225
CP023Cost of Intravascular ultrasound (IVUS) Catheter excluding GST(Procedure Charge included in PTCA) 55000 55000 55000 Cardiology Add on Procedure
1226
CP024
Cost of Fractional flow reserve (FFR) Catheter excluding GST (Procedure Charge included in PTCA) 33000 33000 33000 Cardiology Add on Procedure
1227
CP025
Catheter cost of Intracoronary optical coherence tomography (OCT) / Intravascular optical coherence tomography (IVOCT) / Intravascular Ventricular Assist System excluding GST(Procedure cost is included in PTCA) 65000 65000 65000 Cardiology Add on Procedure
1228
CP026
IVL (Coronary Intra vascular Lithotripsy / Shock wave Lithotripsy – Including GST (Approval of Director, CGHS in consultation with Special Technical Committee (STC) is required for this procedure) 268000 268000 268000 Cardiology Add on Procedure
1229
CV001
Varicose vein Surgery-Trendelenburg Operation with Suturing or Ligation 21505 25300 29095Cardiovascular And Cardiac Surgery Procedure
1230
CV002
Radio Ablation of Varicose Veins (RFA Ablation) excluding the cost of RFA Catheter 7948 9350 10753Cardiovascular And Cardiac Surgery Procedure
1231
CV003
Laser Ablation of Varicose Veins 37400 44000 50600Cardiovascular And Cardiac Surgery Procedure
1232
CV004
Atrial Septal Defect (ASD) closure excluding the cost of the Device 93500 110000 126500Cardiovascular And Cardiac Surgery Procedure
1233
CV005
Ventricular Septal Defect (VSD) with Graft / VSD Device Closure excluding the cost of the Device 102000 120000 138000Cardiovascular And Cardiac Surgery Procedure
1234
CV006
Tetralogy of Fallot (TOF)/TAPVC/TCPC/REV/RSOV repair 153000 180000 207000Cardiovascular And Cardiac Surgery Procedure
1235
CV007
BD Glenn/Left Atrium Myxoma 153000 180000 207000Cardiovascular And Cardiac Surgery Procedure

60

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1236
CV008
Senning/Arterial Switch Operation (ASO) with graft 153000 180000 207000Cardiovascular And Cardiac Surgery Procedure
1237
CV009
Double Switch Operation (DSO) 200600 236000 271400Cardiovascular And Cardiac Surgery Procedure
1238
CV010
Atrioventricular(AV) Canal Repair 200600 236000 271400Cardiovascular And Cardiac Surgery Procedure
1239
CV011
Fontan Procedure 232900 274000 315100Cardiovascular And Cardiac Surgery Procedure
1240
CV012
Conduit Repair 200600 236000 271400Cardiovascular And Cardiac Surgery Procedure
1241
CV013
Coronary Artery Bypass Graft surgery (CABG) 153000 180000 207000Cardiovascular And Cardiac Surgery Procedure
1242
CV014
Coronary Artery Bypass Graft surgery (CABG) + Intra-Aortic Balloon Pump (IABP) 200600 236000 271400Cardiovascular And Cardiac Surgery Procedure
1243
CV015
Coronary Artery Bypass Graft surgery (CABG) + Valve Replacement excluding the cost of the valve 232900 274000 315100Cardiovascular And Cardiac Surgery Procedure
1244
CV016
CABG without bypass. 200600 236000 271400Cardiovascular And Cardiac Surgery Procedure
1245
CV017
Ascending Aorta Replacement 232900 274000 315100Cardiovascular And Cardiac Surgery Procedure
1246
CV018
Double Valve Replacement (DVR) 200600 236000 271400Cardiovascular And Cardiac Surgery Procedure
1247
CV019
Mitral valve Replacement(MVR)/ Aortic valve Replacement (AVR)/ Tricuspid Valve Replacement (TVR) / Pulmonary valve replacement (PVR) 153000 180000 207000Cardiovascular And Cardiac Surgery Procedure
1248
CV020
Mitral valve (MV) Repair + Aortic valve (AV) Repair / Tricuspid Valve (TV) Repair + Pulmonary valve (PV) repair 153000 180000 207000Cardiovascular And Cardiac Surgery Procedure

61

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1249
CV021
Aorta Femoral Bypass 109650 129000 148350Cardiovascular And Cardiac Surgery Procedure
1250
CV022
Blalock-Taussig Shunt (BT Shunt) / Coarctation 129200 152000 174800Cardiovascular And Cardiac Surgery Procedure
1251
CV023
Pulmonary Artery Banding (PA Banding) Septostomy 129200 152000 174800Cardiovascular And Cardiac Surgery Procedure
1252
CV024
Pericardiocentesis 8500 10000 10000Cardiovascular And Cardiac Surgery Procedure
1253
CV025
Pericardiectomy 129200 152000 174800Cardiovascular And Cardiac Surgery Procedure
1254
CV026
Patent Ductus Arteriosus (PDA)-Device Closure 93500 110000 126500Cardiovascular And Cardiac Surgery Procedure
1255
CV027
Heart Transplant Surgery (As per Guidelines mentioned in OM.No. Z 42011/11/2021-MG/EHS Dated 1st December, 2023)
1500000
1500000
1500000Cardiovascular And Cardiac Surgery Procedure
1256
CV028
Aortic Arch Replacement 232900 274000 315100Cardiovascular And Cardiac Surgery Procedure
1257
CV029
Aortic Dissection 232900 274000 315100Cardiovascular And Cardiac Surgery Procedure
1258
CV030
Thoraco Abdominal Aneurysm Repair 200600 236000 271400Cardiovascular And Cardiac Surgery Procedure
1259
CV031
Embolectomy 64600 76000 87400Cardiovascular And Cardiac Surgery Procedure
1260
CV032
Vascular Repair 64600 76000 87400Cardiovascular And Cardiac Surgery Procedure
1261
CV033
Bentall Repair with Prosthetic Valve 232900 274000 315100Cardiovascular And Cardiac Surgery Procedure
1262
CV034
Bentall Repair with Biologic Valve 200600 236000 271400Cardiovascular And Cardiac Surgery Procedure

62

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1263
CV035
Coarctation dilatation / Balloon dilatation of Aortic coarctation -Excluding the cost of Balloon 66946 78760 90574Cardiovascular And Cardiac Surgery Procedure
1264
CV036
Coarctation dilatation with Stenting 53550 63000 72450Cardiovascular And Cardiac Surgery Procedure
1265
CV037
Septostomy- Blade 53550 63000 72450Cardiovascular And Cardiac Surgery Procedure
1266
CV038
Aortic stent grafting for aortic aneurysm 153000 180000 207000Cardiovascular And Cardiac Surgery Procedure
1267
CV039
Inferior Vena Cava (IVC) filter implantation- excluding the cost of filter 28050 33000 37950Cardiovascular And Cardiac Surgery Procedure
1268
CV040
Video Assisted Thoracoscopic Surgery (VATS) for Decortication of Lungs/Thymectomy/Other Major Surgeries 153000 180000 207000Cardiovascular And Cardiac Surgery Procedure
1269
GS001
Sclerotherapy Injection / Banding of Haemorrhoids (cost of drug/sclerotherapy agent/band extra) 595 700 700 General Surgery
1270
GS002
Injection for Varicose Veins (cost of drug/sclerotherapy agent extra) 595 700 700 General Surgery
1271
GS003
Suturing of small wounds 1169 1375 1375 General Surgery
1272
GS004
Secondary suture of wounds 3740 4400 4400 General Surgery
1273
GS005
Debridement of wounds - Small 1403 1650 1650 General Surgery
1274
GS006
Phimosis Under LA 5100 6000 6000 General Surgery
1275
GS007
Removal Of Foreign Bodies -without C-ARM 1275 1500 1500 General Surgery
1276
GS008
Toe Nail Removal 850 1000 1000 General Surgery
1277
GS009
Excision of Cervical Lymph Node under Local Anaesthesia 2635 3100 3100 General Surgery
1278
GS010
Excision of Axillary Lymph Node under General Anaesthesia 7225 8500 8500 General Surgery
1279
GS011
Excision of Inguinal Lymph Node under Local Anaesthesia 2550 3000 3000 General Surgery
1280
GS012
Excision of Sebaceous Cysts 4250 5000 5000 General Surgery
1281
GS013
Excision of Superficial Lipoma 4250 5000 5000 General Surgery
1282
GS014
Excision of Superficial Neurofibroma 4250 5000 5000 General Surgery

63

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1283
GS015
Excision of Dermoid Cysts 4250 5000 5000 General Surgery
1284
GS016
Excision of Keloid 7820 9200 9200 General Surgery
1285
GS017
Excision of mammary fistula 23375 27500 27500 General Surgery
1286
GS018
Haemorrhoidectomy 28050 33000 33000 General Surgery
1287
GS019
Stapler haemorrhoidectomy excluding the cost of Stapler 29750 35000 35000 General Surgery
1288
GS020
Debridement of Large wounds including Diabetic Wound under Anaesthesia 23375 27500 27500 General Surgery
1289
GI001 Gastro Oesophageal Reflux Study (GER Study) 2550 3000 3000Gastro and Hepatobiliary
Investigation
1290
GI002 Meckel's Scan 2550 3000 3000Gastro and
Hepatobiliary/Nuclear
Medicine Investigation
1291
GI003 Hepatobiliary Scintigraphy. 3400 4000 4000Gastro and
Hepatobiliary/Nuclear
Medicine Investigation
1292
GI004 Gastrointestinal Bleed (GloB.) Study with Technetium 99m labeled RBCs. 5100 6000 6000Gastro and
Hepatobiliary/Nuclear
Medicine Investigation
1293
GI005 Gastric Emptying 2125 2500 2500Gastro and
Hepatobiliary/Nuclear
Medicine Investigation
1294
GI006 Hepatosplenic scintigraphy with Technetium-99m radiopharmaceuticals 4250 5000 5000Gastro and
Hepatobiliary/Nuclear
Medicine Investigation
1295
GI007 Diagnostic Angiography 7820 9200 9200Gastroenterology/Interventional Radiology Investigation
1296
GI008 Oesophageal pH metry 7820 9200 9200Gastroenterology / Endoscopic Procedures

64

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1297
GI009 Oesophageal Manometry 7820 9200 9200Gastroenterology / Endoscopic Procedures
1298
GI010 Small Bowel Manometry 8500 10000 10000Gastroenterology / Endoscopic Procedures
1299
GI011 Anorectal manometry 36550 43000 43000Gastroenterology / Endoscopic Investigation
1300
GI012 Colonic manometry 29750 35000 35000Gastroenterology / Endoscopic Investigation
1301
GI013 Biliary Manometry 36550 43000 43000Gastroenterology / Endoscopic Investigation
1302
GI014 Breath Tests (Urea breath test/ H. pylori breath test)/RUT 2457 2890 2890Gastroenterology / Endoscopic Investigation
1303
MG001
Gastroscopy/Upper GI Endoscopy with or without Biopsy 3400 4000 4000Gastroenterology / Endoscopic Procedures
1304
MG002
Lower GI Endoscopy(Colonoscopy/Sigmoidoscopy) with or without Biopsy 5100 6000 6000Gastroenterology / Endoscopic Procedures
1305
MG003
Endoscopic mucosal resection 11390 13400 13400Gastroenterology / Endoscopic Procedures
1306
MG004
Endoscopic Polypectomy - GIT 17000 20000 20000Gastroenterology / Endoscopic Procedures
1307
MG005
Oesophageal Stricture dilatation 7820 9200 9200Gastroenterology / Endoscopic Procedures
1308
MG006
Balloon dilatation of achalasia cardia 11390 13400 13400Gastroenterology / Endoscopic Procedures
1309
MG007
Gastrointestinal (GIT) Foreign body removal 17000 20000 20000Gastroenterology / Endoscopic Procedures
1310
MG008
Oesophageal stenting excluding the cost of stent 11390 13400 13400Gastroenterology / Endoscopic Procedures

65

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1311
MG009
Band ligation of oesophageal varices 7225 8500 8500Gastroenterology / Endoscopic Procedures
1312
MG010
Sclerotherapy of oesophageal varices 7225 8500 8500Gastroenterology / Endoscopic Procedures
1313
MG011
Glue injection of varices 11390 13400 13400Gastroenterology / Endoscopic Procedures
1314
MG012
Argon plasma coagulation 7820 9200 9200Gastroenterology / Endoscopic Procedures
1315
MG013
Pyloric balloon dilatation 7225 8500 8500Gastroenterology / Endoscopic Procedures
1316
MG014
Enteral stenting excluding cost of the stent 17000 20000 20000Gastroenterology / Endoscopic Procedures
1317
MG015
Duodenal stricture dilation 7225 8500 8500Gastroenterology / Endoscopic Procedures
1318
MG016
Single balloon enteroscopy 11390 13400 13400Gastroenterology / Endoscopic Procedures
1319
MG017
Double balloon enteroscopy 17000 20000 20000Gastroenterology / Endoscopic Procedures
1320
MG018
Capsule endoscopy excluding the cost of capsule 11390 13400 13400Gastroenterology / Endoscopic Procedures
1321
MG019
Piles banding 4250 5000 5000Gastroenterology / Endoscopic Procedures
1322
MG020
Colonic stricture dilatation 7225 8500 8500Gastroenterology / Endoscopic Procedures
1323
MG021
Hot biopsy forceps procedures 7225 8500 8500Gastroenterology / Endoscopic Procedures
1324
MG022
Colonic stenting excluding cost of the stent 11390 13400 13400Gastroenterology / Endoscopic Procedures

66

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1325
MG023
Junction biopsy 4250 5000 5000Gastroenterology / Endoscopic Procedures
1326
MG024
Conjugal microscopy 7225 8500 8500Gastroenterology / Endoscopic Procedures
1327
MG025
ERCP (Endoscopic Retrograde Cholangio –
Pancreatography) Diagnostic 		11390 13400 13400Gastro and Hepatobiliary
Investigation
1328
MG026
Endoscopic sphincterotomy by ERCP 17000 20000 23000Gastroenterology / Endoscopic Procedures
1329
MG027
Common Bile Duct (CBD) stone extraction by ERCP 17000 20000 23000Gastroenterology / Endoscopic Procedures
1330
MG028
Common Bile Duct (CBD) stricture dilatation by ERCP 17000 20000 23000Gastroenterology / Endoscopic Procedures
1331
MG029
Biliary stenting (plastic and metallic) by ERCP 17000 20000 23000Gastroenterology / Endoscopic Procedures
1332
MG030
Mechanical lithotripsy of CBD stones by ERCP 29750 35000 40250Gastroenterology / Endoscopic Procedures
1333
MG031
Pancreatic sphincterotomy by ERCP 17000 20000 23000Gastroenterology / Endoscopic Procedures
1334
MG032
Pancreatic stricture dilatation by ERCP 17000 20000 23000Gastroenterology / Endoscopic Procedures
1335
MG033
Pancreatic stone extraction by ERCP 17000 20000 23000Gastroenterology / Endoscopic Procedures
1336
MG034
Mechanical lithotripsy of pancreatic stones 29750 35000 40250Gastroenterology / Endoscopic Procedures
1337
MG035
Endoscopic cysto gastrostomy 17000 20000 23000Gastroenterology / Endoscopic Procedures
1338
MG036
Balloon dilatation of papilla 17000 20000 23000Gastroenterology / Endoscopic Procedures

67

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1339
MG037
Percutaneous Transhepatic Biliary Drainage (PTBD) 17000 20000 23000Gastroenterology/Interventional Radiology Procedures
1340
MG038
Vascular Embolization 36550 43000 49450Gastroenterology/Interventional Radiology Procedures
1341
MG039
Transjugular Intrahepatic Portosystemic Shunt (TIPS) 45050 53000 60950Gastroenterology/Interventional Radiology Procedures
1342
MG040
Inferior Vena Cava (IVC) Venography and Hepatic Vein (HV Venography) 36550 43000 49450Gastroenterology/Interventional Radiology Procedures
1343
MG041
Muscular Stenting 45050 53000 60950Gastroenterology / Endoscopic Procedures
1344
MG042
Balloon-Occluded Retrograde Intravenous Obliteration (BRTO) 45050 53000 60950Gastroenterology/Interventional Radiology Procedures
1345
MG043
Portal Haemodynamic Studies 7225 8500 8500Gastroenterology/Interventional Radiology Procedures
1346
MG044
Sengstaken Blakemore (SB) Tube Tamponade 7820 9200 9200Gastroenterology / Endoscopic Procedures
1347
MG045
Lintas Machles Tube Tempode 5100 6000 6000Gastroenterology / Endoscopic Procedures
1348
MG046
EUS (Endoscopic Ultrasound) guided FNAC Excluding the cost of the Needle 14025 16500 16500Gastroenterology / Endoscopic Procedures
1349
AG001
Atresia of Oesophagus and Tracheo Oesophageal Fistula 45050 53000 60950Abdomen/GI Surgery
Procedure
1350
AG002
Operations for Replacement of Oesophagus by Colon / Colon-Inter position or Replacement of Oesophagus 45050 53000 60950Abdomen/GI Surgery
Procedure
1351
AG003
Heller’s Operation 36550 43000 49450Abdomen/GI Surgery
Procedure
1352
AG004
Oesophageal Intubation (Mousseau Barbin Tube) 23375 27500 31625Abdomen/GI Surgery
Procedure

68

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1353
AG005
Achalasia Cardia Transthoracic 36550 43000 49450Abdomen/GI Surgery
Procedure
1354
AG006
Achalasia Cardia Abdominal 36550 43000 49450Abdomen/GI Surgery
Procedure
1355
AG007
Pyloromyotomy 23375 27500 31625Abdomen/GI Surgery
Procedure
1356
AG008
Gastrostomy 23375 27500 31625Abdomen/GI Surgery
Procedure
1357
AG009
Simple Closure of Perforated peptic Ulcer 29750 35000 40250Abdomen/GI Surgery
Procedure
1358
AG010
Vagotomy Pyloroplasty / Gastro Jejunostomy 36550 43000 49450Abdomen/GI Surgery
Procedure
1359
AG011
Duodenojejunostomy 45050 53000 60950Abdomen/GI Surgery
Procedure
1360
AG012
Partial/Subtotal Gastrectomy for Ulcer 45050 53000 60950Abdomen/GI Surgery
Procedure
1361
AG013
Operation for Bleeding Peptic Ulcer 36550 43000 49450Abdomen/GI Surgery
Procedure
1362
AG014
Operation for Gastrojejunal Ulcer 36550 43000 49450Abdomen/GI Surgery
Procedure
1363
AG015
Highly Selective Vagotomy 45050 53000 60950Abdomen/GI Surgery
Procedure
1364
AG016
Selective Vagotomy & Drainage 45050 53000 60950Abdomen/GI Surgery
Procedure
1365
AG017
Exploratory Laparotomy (Open) 23375 27500 31625Abdomen/GI Surgery
Procedure
1366
AG018
Congenital Diaphragmatic Hernia 36550 43000 49450Abdomen/GI Surgery
Procedure

69

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1367
AG019
Hiatus Hernia Repair- Abdominal (excluding cost of mesh and tacker if used) 30855 36300 41745Abdomen/GI Surgery
Procedure
1368
AG020
Hiatus Hernia Repair- Transthoracic (excluding cost of mesh and tacker if used) 30855 36300 41745Abdomen/GI Surgery
Procedure
1369
AG021
Epigastric Hernia Repair - excluding the cost of mesh and tacker 23375 27500 31625Abdomen/GI Surgery
Procedure
1370
AG022
Umbilical Hernia Repair - excluding the cost of mesh and tacker 29750 35000 40250Abdomen/GI Surgery
Procedure
1371
AG023
Ventral /incisional Hernia Repair - excluding the cost of mesh and tacker 29750 35000 40250Abdomen/GI Surgery
Procedure
1372
AG024
Inguinal Hernia Herniorrhaphy 24310 28600 32890Abdomen/GI Surgery
Procedure
1373
AG025
Inguinal Hernia - Hernioplasty excluding the cost of mesh and tacker 29750 35000 40250Abdomen/GI Surgery
Procedure
1374
AG026
Femoral Hernia Repair - excluding the cost of mesh and tacker 29750 35000 40250Abdomen/GI Surgery
Procedure
1375
AG027
Rare Hernias Repair (Spigelian, Obturator, Lumbar, Sciatic) - excluding the cost of mesh and tacker 36550 43000 49450Abdomen/GI Surgery
Procedure
1376
AG028
Splenectomy - For Trauma 45050 53000 60950Abdomen/GI Surgery
Procedure
1377
AG029
Splenectomy - For Hypersplenism 53550 63000 72450Abdomen/GI Surgery
Procedure
1378
AG030
Splenorenal Anastomosis 45050 53000 60950Abdomen/GI Surgery
Procedure
1379
AG031
Portocaval Anastomosis 53550 63000 72450Abdomen/GI Surgery
Procedure
1380
AG032
Direct Operation on Oesophagus for Portal
Hypertension 		45050 53000 60950Abdomen/GI Surgery
Procedure

70

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1381
AG033
Mesentericocaval Anastomosis 36550 43000 49450Abdomen/GI Surgery
Procedure
1382
AG034
Warren Shunt (Distal Splenorenal Shunt) 45050 53000 60950Abdomen/GI Surgery
Procedure
1383
AG035
Pancreaticoduodenectomy (Whipple's procedure) 45050 53000 60950Abdomen/GI Surgery
Procedure
1384
AG036
Cystojejunostomy or Cystogastrostomy 36550 43000 49450Abdomen/GI Surgery
Procedure
1385
AG037
Cholecystectomy 29750 35000 40250Abdomen/GI Surgery
Procedure
1386
AG038
Cholecystectomy & Exploration of CBD 30855 36300 41745Abdomen/GI Surgery
Procedure
1387
AG039
Repair of Common Bile Duct (CBD) 36550 43000 49450Abdomen/GI Surgery
Procedure
1388
AG040
Cholecystostomy 22440 26400 30360Abdomen/GI Surgery
Procedure
1389
AG041
Operation for Hydatid Cyst of Liver 25245 29700 34155Abdomen/GI Surgery
Procedure
1390
AG042
Hepatic Resections (Lobectomy /Hepatectomy) 30855 36300 41745Abdomen/GI Surgery
Procedure
1391
AG043
Operation on Adrenal Glands - Bilateral 53550 63000 72450Abdomen/GI Surgery
Procedure
1392
AG044
Operation on Adrenal Glands - Unilateral 36550 43000 49450Abdomen/GI Surgery
Procedure
1393
AG045
Appendicectomy 17765 20900 24035Abdomen/GI Surgery
Procedure
1394
AG046
Appendicular Abscess – Drainage 29750 35000 40250Abdomen/GI Surgery
Procedure

71

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1395
AG047
Mesenteric Cyst- Excision 29750 35000 40250Abdomen/GI Surgery
Procedure
1396
AG048
Diagnostic Peritonioscopy/Laparoscopy 17000 20000 23000Abdomen/GI Surgery
Procedure
1397
AG049
Jejunostomy 29750 35000 40250Abdomen/GI Surgery
Procedure
1398
AG050
Ileostomy 29750 35000 40250Abdomen/GI Surgery
Procedure
1399
AG051
Resection & Anastomosis of Small Intestine 44413 52250 60088Abdomen/GI Surgery
Procedure
1400
AG052
Duodenal Diverticulum 45050 53000 60950Abdomen/GI Surgery
Procedure
1401
AG053
Operation for Intestinal Obstruction including resection , anastomosis, Adhesiolysis 45050 53000 60950Abdomen/GI Surgery
Procedure
1402
AG054
Operation for Intestinal perforation including resection, anastomosis , Adhesiolysis 45050 53000 60950Abdomen/GI Surgery
Procedure
1403
AG055
Operations for Benign Tumours of Small Intestine 45050 53000 60950Abdomen/GI Surgery
Procedure
1404
AG056
Excision of Small Intestine Fistula 42075 49500 56925Abdomen/GI Surgery
Procedure
1405
AG057
Operations for GI Bleed 45050 53000 60950Abdomen/GI Surgery
Procedure
1406
AG058
Operations for Haemorrhage of Small Intestines 45050 53000 60950Abdomen/GI Surgery
Procedure
1407
AG059
Operations of the Duplication of the Intestines – including Exploratory Laparotomy 38335 45100 51865Abdomen/GI Surgery
Procedure
1408
AG060
Operations for Recurrent Intestinal Obstruction (Noble Plication & Other Operations for Adhesions) 45050 53000 60950Abdomen/GI Surgery
Procedure

72

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1409
AG061
Ileosigmoidostomy and related resection 45050 53000 60950Abdomen/GI Surgery
Procedure
1410
AG062
Ileotransverse Colostomy and related resection 45050 53000 60950Abdomen/GI Surgery
Procedure
1411
AG063
Caecostomy 29750 35000 40250Abdomen/GI Surgery
Procedure
1412
AG064
Loop Colostomy Transverse Sigmoid 36550 43000 49450Abdomen/GI Surgery
Procedure
1413
AG065
Terminal Colostomy 28050 33000 37950Abdomen/GI Surgery
Procedure
1414
AG066
Closure of Colostomy 28050 33000 37950Abdomen/GI Surgery
Procedure
1415
AG067
Right Hemicolectomy 29920 35200 40480Abdomen/GI Surgery
Procedure
1416
AG068
Left Hemicolectomy 29920 35200 40480Abdomen/GI Surgery
Procedure
1417
AG069
Total Colectomy 37400 44000 50600Abdomen/GI Surgery
Procedure
1418
AG070
Operations for Volvulus of Large Bowel 45050 53000 60950Abdomen/GI Surgery
Procedure
1419
AG071
Operations for Sigmoid Diverticulitis 36550 43000 49450Abdomen/GI Surgery
Procedure
1420
AG072
Fissure in Ano with Internal sphincterotomy with fissurectomy. 29750 35000 40250Abdomen/GI Surgery
Procedure
1421
AG073
Fissure in Ano - Fissurectomy 23375 27500 31625Abdomen/GI Surgery
Procedure
1422
AG074
Rectal Polyp-Excision 12810 15070 17331Abdomen/GI Surgery
Procedure

73

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1423
AG075
Fistula in Ano - High Fistulectomy 29750 35000 40250Abdomen/GI Surgery
Procedure
1424
AG076
Fistula in Ano - Low Fistulectomy 21505 25300 29095Abdomen/GI Surgery
Procedure
1425
AG077
Prolapse Rectum - Thiersch Wiring 23375 27500 31625Abdomen/GI Surgery
Procedure
1426
AG078
Prolapse Rectum - Rectopexy 13090 15400 17710Abdomen/GI Surgery
Procedure
1427
AG079
Excision of Pilonidal Sinus (open) 20570 24200 27830Abdomen/GI Surgery
Procedure
1428
AG080
Excision of Pilonidal Sinus with closure 23375 27500 31625Abdomen/GI Surgery
Procedure
1429
AG081
Abdomino-Perineal Excision of Rectum 45050 53000 60950Abdomen/GI Surgery
Procedure
1430
AG082
Anterior Resection of Rectum 53550 63000 72450Abdomen/GI Surgery
Procedure
1431
AG083
Pull Through Abdominal Resection 45050 53000 60950Abdomen/GI Surgery
Procedure
1432
AG084
Retro Peritoneal Tumour Removal 45050 53000 60950Abdomen/GI Surgery
Procedure
1433
AG085
Laparoscopic Fundoplication 53550 63000 72450Abdomen/GI Surgery
Procedure
1434
AG086
Laparoscopic Splenectomy 53550 63000 72450Abdomen/GI Surgery
Procedure
1435
AG087
Laparoscopic Removal of hydatid cyst 53550 63000 72450Abdomen/GI Surgery
Procedure
1436
AG088
Laparoscopic Treatment of Pseudo Pancreatic cyst 53550 63000 72450Abdomen/GI Surgery
Procedure

74

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1437
AG089
Laparoscopic Whipple's operation (Laparoscopic
Pancreaticoduodenectomy 		45050 53000 60950Abdomen/GI Surgery
Procedure
1438
AG090
Laparoscopic GI bypass operation 53550 63000 72450Abdomen/GI Surgery
Procedure
1439
AG091
Laparoscopic Total Colectomy 53550 63000 72450Abdomen/GI Surgery
Procedure
1440
AG092
Laparoscopic Hemicolectomy 45050 53000 60950Abdomen/GI Surgery
Procedure
1441
AG093
Laparoscopic Anterior Resection (of Intestine/
Rectum) 		53550 63000 72450Abdomen/GI Surgery
Procedure
1442
AG094
Laparoscopic Cholecystectomy 30855 36300 41745Abdomen/GI Surgery
Procedure
1443
AG095
Laparoscopic Appendectomy 28050 33000 37950Abdomen/GI Surgery
Procedure
1444
AG096
Laparoscopic Hernia – Inguinoplasty (excluding the cost of Tacker and Mesh) 32725 38500 44275Abdomen/GI Surgery
Procedure
1445
AG097
Laparoscopic Ventral Hernia Repair (excluding the cost of Tacker and Mesh) 32725 38500 44275Abdomen/GI Surgery
Procedure
1446
AG098
Laparoscopic Paraumbilical Hernia Repair (excluding the cost of Tacker and Mesh) 32725 38500 44275Abdomen/GI Surgery
Procedure
1447
AG099
Laparoscopic Adrenalectomy 53550 63000 72450Abdomen/GI Surgery
Procedure
1448
PS001 Diaphragmatic Hernia Repair (Thoracic or Abdominal Approach) 45050 53000 60950 Paediatric Surgery Procedure
1449
PS002 Tracheoesophageal Fistula (Correction Surgery) 45050 53000 60950 Paediatric Surgery Procedure
1450
PS003 Colon Replacement of Oesophagus 36550 43000 49450 Paediatric Surgery Procedure

75

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1451
PS004 Omphalomesenteric Cyst Excision 36550 43000 49450 Paediatric Surgery Procedure
1452
PS005 Omphalomesenteric Duct- Excision 36550 43000 49450 Paediatric Surgery Procedure
1453
PS006 Omphalocele 1st Stage (Hernia Repair) 29750 35000 40250 Paediatric Surgery Procedure
1454
PS007 Omphalocele 2nd Stage (Hernia Repair) 29750 35000 40250 Paediatric Surgery Procedure
1455
PS008 Gastroschisis Repair 36550 43000 49450 Paediatric Surgery Procedure
1456
PS009 Inguinal Herniotomy 29750 35000 40250 Paediatric Surgery Procedure
1457
PS010 Congenital Hydrocele 29750 35000 40250 Paediatric Surgery Procedure
1458
PS011 Hydrocele of Cord 23375 27500 31625 Paediatric Surgery Procedure
1459
PS012 Torsion Testis Operation 29750 35000 40250 Paediatric Surgery Procedure
1460
PS013 Congenital Pyloric Stenosis- operation 29750 35000 40250 Paediatric Surgery Procedure
1461
PS014 Duodenal Atresia Operation 36550 43000 49450 Paediatric Surgery Procedure
1462
PS015 Pancreatic Ring Operation 45050 53000 60950 Paediatric Surgery Procedure
1463
PS016 Meconium Ileus Operation 36550 43000 49450 Paediatric Surgery Procedure
1464
PS017 Malrotation of Intestines Operation 36550 43000 49450 Paediatric Surgery Procedure

76

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1465
PS018 Rectal Biopsy (Megacolon) 17000 20000 23000 Paediatric Surgery Procedure
1466
PS019 Colostomy Transverse 36550 43000 49450 Paediatric Surgery Procedure
1467
PS020 Colostomy Left Iliac 36550 43000 49450 Paediatric Surgery Procedure
1468
PS021 Abdominal Perineal Pull Through (Hirschsprung's Disease) 45050 53000 60950 Paediatric Surgery Procedure
1469
PS022 Imperforate Anus Low Anomaly -Cut Back Operation 23375 27500 31625 Paediatric Surgery Procedure
1470
PS023 Imperforate Anus Low Anomaly - Perineal Anoplasty 29750 35000 40250 Paediatric Surgery Procedure
1471
PS024 Imperforate Anus High Anomaly -Sacroabdomino Perineal Pull Through 45050 53000 60950 Paediatric Surgery Procedure
1472
PS025 Imperforate Anus High Anomaly - Closure of Colostomy 29750 35000 40250 Paediatric Surgery Procedure
1473
PS026 Intussusception Operation 36550 43000 49450 Paediatric Surgery Procedure
1474
PS027 Choledochoduodenostomy for Atresia of Extra Hepatic Biliary Duct 45050 53000 60950 Paediatric Surgery Procedure
1475
PS028 Operation of Choledochal Cyst 45050 53000 60950 Paediatric Surgery Procedure
1476
PS029 Nephrectomy for -Pyonephrosis 36550 43000 49450 Paediatric Surgery Procedure
1477
PS030 Nephrectomy for - Hydronephrosis 36550 43000 49450 Paediatric Surgery Procedure
1478
PS031 Sacro-Coccygeal Teratoma Excision 36550 43000 49450 Paediatric Surgery Procedure

77

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1479
PS032 Congenital Atresia & Stenosis of Small Intestine 45050 53000 60950 Paediatric Surgery Procedure
1480
PS033 Malrotation & Volvulus of the Midgut 36550 43000 49450 Paediatric Surgery Procedure
1481
PS034 Excision of Meckel’s Diverticulum 36550 43000 49450 Paediatric Surgery Procedure
1482
OG001
Non Stress Test 1275 1500 1500 Obstetrics Investigation
1483
OG002
Normal delivery with or without Episiotomy & P.
repair/ forceps delivery /Vacuum delivery/assisted breech delivery including Routine New Born Care 		29750 35000 35000Obstetrics And Gynaecology Procedure
1484
OG003
Normal Delivery of High Risk
Pregnancy(Preeclampsia/Eclapsia/GDM/Cardiac/Vascular/Renal/Pulmonary/Twin Pregnancy/RA/SLE/IVF Conception/Severe Anaemia,) 		36550 43000 43000Obstetrics And Gynaecology Procedure
1485
OG004
Caesarean Section(CS) with or without Sterilization including Routine New Born Care 45050 53000 53000Obstetrics And Gynaecology Procedure
1486
OG005
Caesarian Delivery of High Risk
Pregnancy(Preeclampsia/Eclapsia/GDM/Cardiac/Vascular/Renal/Pulmonary/Twin Pregnancy/RA/SLE/IVF Conception/Severe Anaemia) 		53550 63000 63000Obstetrics And Gynaecology Procedure
1487
OG006
Rupture Uterus Closure & Repair with Tubal Ligation 36550 43000 43000Obstetrics And Gynaecology Procedure
1488
OG007
Perforation of Uterus after D/E Laparotomy & Closure 17000 20000 20000Obstetrics And Gynaecology Procedure
1489
OG008
Laparotomy for Ectopic Pregnancy 29750 35000 35000Obstetrics And Gynaecology Procedure
1490
OG009
Laparotomy peritonitis Lavage and Drainage 29750 35000 35000Obstetrics And Gynaecology Procedure
1491
OG010
Ovarian Cystectomy - Laparoscopic. 36550 43000 43000Obstetrics And Gynaecology Procedure

78

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1492
OG011
Ovarian Cystectomy - Laparotomy. 29750 35000 35000Obstetrics And Gynaecology Procedure
1493
OG012
Laparoscopic Broad Ligament Hematoma Drainage
with repair 		11390 13400 13400Obstetrics And Gynaecology Procedure
1494
OG013
Exploration of perineal Haematoma & Repair 11390 13400 13400Obstetrics And Gynaecology Procedure
1495
OG014
Exploration of abdominal Haematoma (after laparotomy/ LSCS) 23375 27500 27500Obstetrics And Gynaecology Procedure
1496
OG015
Manual Removal of Placenta 7820 9200 9200Obstetrics And Gynaecology Procedure
1497
OG016
Examination under anaesthesia (EUA) 4250 5000 5000Obstetrics And Gynaecology Procedure
1498
OG017
Burst-Abdomen Repair 29750 35000 35000Obstetrics And Gynaecology Procedure
1499
OG018
Gaping Perineal Wound Secondary Suturing 4250 5000 5000Obstetrics And Gynaecology Procedure
1500
OG019
Gaping Abdominal Wound Secondary Suturing 7225 8500 8500Obstetrics And Gynaecology Procedure
1501
OG020
Complete Perineal Tear-Repair 7820 9200 9200Obstetrics And Gynaecology Procedure
1502
OG021
Pelvic Floor Repair(Rectocele +/- Cystocele +/- Enterocele) 29750 35000 35000Obstetrics And Gynaecology Procedure
1503
OG022
Suction Evacuation Vesicular Mole 23375 27500 27500Obstetrics And Gynaecology Procedure
1504
OG023
Colpotomy/Post-Coital Tear Repair 7820 9200 9200Obstetrics And Gynaecology Procedure
1505
OG024
Excision of urethral carbuncle 11390 13400 13400Obstetrics And Gynaecology Procedure

79

5-16/CGHS(HQ)/HEC/2024(PartI) I/3807087/2025

CGHS rates for Tier I (X City)

Sr.
No
CGHS
Code
CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rates for Semi-Private Ward
Speciality Classification
   
Non
NABH
NABH
Super
Speciality		 
1506
OG025
Shirodkar/ McDonald stitch//Cervical Stitch(Cerclage) 11390 13400 13400Obstetrics And Gynaecology Procedure
1507
OG026
Abdominal Hysterectomy with or without salpingo
oophorectomy 		36550 43000 43000Obstetrics And Gynaecology Procedure
1508
OG027
Non-descent Vaginal Hysterectomy (NDVH) with or without BSO 36550 43000 43000Obstetrics And Gynaecology Procedure
1509
OG028
Vaginal Hysterectomy ( including of BSO) with or without repairs 36550 43000 43000Obstetrics And Gynaecology Procedure
1510
OG029
Myomectomy -laparotomy 29750 35000 35000Obstetrics And Gynaecology Procedure
1511
OG030
Myomectomy -laparoscopic 36550 43000 43000Obstetrics And Gynaecology Procedure
1512
OG031
Vaginoplasty 36550 43000 43000Obstetrics And Gynaecology Procedure
1513
OG032
Vulvectomy -Simple 29750 35000 35000Obstetrics And Gynaecology Procedure
1514
OG033
Rectovaginal Fistula (RVF) Repair 36550 43000 43000Obstetrics And Gynaecology Procedure
1515
OG034
Manchester/Fothergill’s operation 29750 35000 35000Obstetrics And Gynaecology Procedure
1516
OG035
Shirodkar’s sling Operation or other sling operations
for prolapse uterus 		17000 20000 20000Obstetrics And Gynaecology Procedure
1517
OG036
Laparoscopic sling operations for prolapse uterus 36550 43000 43000Obstetrics And Gynaecology Procedure
1518
OG037
Dilatation and Curettage(diagnostic/therapeutic) with or without Polypectomy 11390 13400 13400Obstetrics And Gynaecology Procedure
1519
OG038
Cervical Biopsy 7820 9200 9200Obstetrics And Gynaecology Procedure

80

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