CGHS Angioplasty Rate List: PTCA Package Rates and Stent Ceiling

CGHS reimburses coronary angioplasty (PTCA) at a fixed package rate that covers the procedure only. The coronary stent is reimbursed separately at the price ceiling notified by the government.

CGHS Coronary Angioplasty (PTCA) Package Rates (effective 13 October 2025)

Rates exclude the cost of the stent, which CGHS reimburses separately against its own ceiling rates. A drug-eluting balloon is allowed in lieu of a stent.

• Balloon angioplasty / PTCA / PCI with vascular closure device (excluding stent), Non-NABH — Rs 82,450
• Balloon angioplasty / PTCA / PCI with vascular closure device (excluding stent), NABH — Rs 97,000
• Balloon angioplasty / PTCA / PCI with vascular closure device (excluding stent), Super Speciality — Rs 1,11,550
• Balloon angioplasty / PTCA / PCI without vascular closure device (excluding stent), Non-NABH — Rs 71,166
• Balloon angioplasty / PTCA / PCI without vascular closure device (excluding stent), NABH — Rs 83,725
• Balloon angioplasty / PTCA / PCI without vascular closure device (excluding stent), Super Speciality — Rs 96,284

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.

Coronary Stent Reimbursement

The angioplasty package does not include the stent. Drug-eluting and bare-metal stents are reimbursed separately at the price ceiling notified by the National Pharmaceutical Pricing Authority (NPPA), which is revised independently. VCD refers to a vascular closure device.

How CGHS Package Rates Work

A CGHS "package rate" is an all-inclusive amount covering admission, surgeon and anaesthetist charges, operation theatre, nursing, routine investigations, medicines and accommodation for the standard length of stay.

High-value implants such as knee and hip prostheses, coronary stents, meshes, spinal cages and heart valves are not part of the package and are reimbursed separately against notified implant ceiling rates.

Under the Office Memorandum effective 13 October 2025, a non-NABH hospital is paid 15% below the NABH rate, and for the specialities the memorandum names, a super-speciality hospital is paid 15% above the NABH rate.

The published rate is the semi-private ward figure: a general-ward entitlement is 5% lower and a private-ward entitlement 5% higher. Hospitals in Tier II cities are paid 10% less and in Tier III cities 20% less than Tier I. Consultations, investigations, radiotherapy, day-care and minor procedures are the same for every ward entitlement.

Referral and Prior Permission

For planned (non-emergency) major procedures, a CGHS beneficiary needs a referral from the CGHS wellness centre and prior permission from the competent authority. Emergency treatment at an empanelled hospital is reimbursed up to CGHS rates without prior permission.

• Carry a valid CGHS card and follow your ward entitlement (based on pay/pension)
• Use an empanelled hospital for cashless treatment up to CGHS rates
• Obtain prior permission and referral for planned surgery

Frequently Asked Questions

Does the CGHS angioplasty rate include the stent?

No. The PTCA package (Rs 71,166 without a vascular closure device, Rs 82,450 with one, both non-NABH, effective 13 October 2025) covers the procedure only; the stent is reimbursed separately at the NPPA-notified ceiling price.

Is angioplasty covered in an emergency under CGHS?

Yes. Emergency cardiac procedures at empanelled hospitals are reimbursed up to CGHS rates without prior permission.

Related

• Coronary angioplasty (stent) cost in India
• What is coronary artery disease?
• CGHS CABG (bypass) rate list

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.