CGHS Approved Rates for Amputation and Disarticulation Surgery

Amputation is a surgical procedure to remove all or part of a limb or extremity such as an arm, leg, foot, hand, toe, or finger. It is a necessary intervention when a limb is severely damaged by trauma, affected by disease, or poses a threat to the patient's life due to conditions like advanced peripheral artery disease, severe infection (like gangrene), tumors, or uncontrolled diabetes.

A related procedure, disarticulation, is an amputation performed through a joint, removing the limb without cutting through bone. These are life-altering surgeries performed to improve a patient's overall health and quality of life by removing a source of pain, infection, or disease.

For Central Government Health Scheme (CGHS) beneficiaries, understanding the financial aspects of such significant procedures is important. This page provides a detailed guide to the approved CGHS package rates for various types of amputation and disarticulation surgeries performed at empanelled private hospitals. The rates vary based on the specific procedure and the accreditation status of the hospital.

CGHS Amputation & Disarticulation Surgery Rates (effective 13 October 2025)

These orthopaedic codes carry no separate super-speciality rate.

• Amputations - Below Knee, Non-NABH — Rs 36,550
• Amputations - Below Knee, NABH — Rs 43,000
• Amputations - Below Elbow, Non-NABH — Rs 29,750
• Amputations - Below Elbow, NABH — Rs 35,000
• Amputations - Above Knee, Non-NABH — Rs 45,050
• Amputations - Above Knee, NABH — Rs 53,000
• Amputations - Above Elbow, Non-NABH — Rs 36,550
• Amputations - Above Elbow, NABH — Rs 43,000
• Amputations - Forequarter, Non-NABH — Rs 53,550
• Amputations - Forequarter, NABH — Rs 63,000
• Amputations -Hind Quarter and Hemipelvectomy, Non-NABH — Rs 64,600
• Amputations -Hind Quarter and Hemipelvectomy, NABH — Rs 76,000
• Disarticulations - Major joint, Non-NABH — Rs 36,550
• Disarticulations - Major joint, NABH — Rs 43,000
• Disarticulations - Minor joint, Non-NABH — Rs 29,750
• Disarticulations - Minor joint, NABH — Rs 35,000

Rates shown are as per the CGHS approved package rates (Office Memorandum F.No.5-16/CGHS(HQ)/HEC/2024(PartI) dated 03.10.2025, effective 2025-10-13) (2025 (effective 13.10.2025)) and are subject to periodic revision. Always verify the latest approved rates on the official source.

Who this covers

This rate guide is intended for all CGHS beneficiaries (both serving and retired) who have been advised to undergo an amputation or disarticulation surgery.

The rates listed in the rate table apply to the following specific surgical procedures:

Amputations - Below Knee

Amputations - Below Elbow

Amputations - Above Knee

Amputations - Above Elbow

Amputations - Forequarter (removal of the entire arm, shoulder blade, and clavicle)

Amputations - Hind Quarter and Hemipelvectomy (removal of the entire leg and a portion of the pelvis)

Disarticulations - Major joint (e.g., hip, knee, shoulder)

Disarticulations - Minor joint (e.g., wrist, ankle, finger)

What CGHS covers vs. what you pay separately

The CGHS package rates for amputation and disarticulation are comprehensive and designed to cover the main components of the hospital stay. This typically includes the surgeon's fee, operation theatre charges, anaesthesia, standard drugs and consumables, and bed charges according to the beneficiary's ward entitlement.

However, it is important to note that certain high-cost items may not be fully included in the package rate. Costs for specialized implants, prosthetics (if applicable during the initial stay), certain high-value drugs, or specific consumables might be billed separately. The rules for these items are defined in CGHS guidelines. Patients should clarify with the hospital administration which items are included in the package and which will incur separate charges.

How to use this at a CGHS-empanelled hospital

To avail of these rates, you must present your valid CGHS card at the empanelled hospital. For planned surgeries, a referral from a CGHS Medical Officer or a government hospital specialist is required. In emergency situations, you may be admitted directly, but the necessary paperwork must be completed as soon as possible.

Before admission, confirm the exact procedure and its corresponding code with the hospital's billing or CGHS desk. This ensures that the billing aligns with the approved CGHS rates and prevents confusion later.

The rate table shows different prices for NABH-accredited and non-NABH-accredited hospitals. The rate you are charged depends on the accreditation status of the hospital where you receive treatment, not on any personal choice. NABH-accredited hospitals are permitted to charge a slightly higher rate as specified in the CGHS list.

Frequently Asked Questions

What is the difference between an amputation and a disarticulation?

An amputation is a surgical procedure that cuts through a bone to remove a limb. A disarticulation is a specific type of amputation where the limb is removed by separating it at the joint, without cutting any bone. For example, a knee disarticulation separates the tibia from the femur.

Do the CGHS package rates for amputation include the cost of a prosthetic limb?

The surgical package rate typically does not include the cost of a permanent prosthetic limb. The package covers the surgery and immediate post-operative care. The provision and cost of prosthetics are handled separately under different CGHS guidelines and may require a separate approval process.

What are Forequarter and Hindquarter amputations?

These are extensive and complex procedures. A Forequarter amputation involves the removal of the entire arm, scapula (shoulder blade), and clavicle (collarbone). A Hindquarter amputation (or hemipelvectomy) involves the removal of the entire leg along with a part of the pelvic bone on the same side. These are typically performed for certain types of cancers or severe trauma.

Why are the CGHS rates different for NABH and non-NABH hospitals?

The rates are structured to reflect the quality standards of hospitals. NABH (National Accreditation Board for Hospitals & Healthcare Providers) is a quality certification. Hospitals that have achieved this accreditation are permitted to charge a higher rate (as defined by CGHS) compared to non-accredited hospitals.

Is prior authorization required for amputation surgery under CGHS?

For elective or planned amputations, you will need a referral from a CGHS wellness center or a government specialist recommending the procedure. In a life-threatening emergency, you can get admitted to an empanelled hospital directly, and the hospital will handle the ex-post-facto approval process. It is advisable to understand the hospital's specific process for CGHS admissions.

Related

• How to apply for a CGHS card
• CGHS rate list for common procedures
• CGHS vs Ayushman Bharat: what's the difference

Medical Disclaimer

The information provided in this article is for general informational and educational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read in this article.