CGHS Appendix Surgery Rate: Appendicectomy Package Rate

CGHS reimburses appendix removal (appendicectomy) at a fixed package rate. The Office Memorandum effective 13 October 2025 prices open and laparoscopic appendicectomy under separate codes, at Rs 17,765 and Rs 28,050 respectively at a non-NABH hospital.

CGHS Appendicectomy Package Rates (effective 13 October 2025)

The 2025 OM prices open and laparoscopic appendicectomy under separate codes. The OM sets these rates for the semi-private ward: a general-ward entitlement is 5% lower and a private-ward entitlement 5% higher. Tier II cities are 10% lower and Tier III cities 20% lower than Tier I.

• Appendicectomy (open), Non-NABH — Rs 17,765
• Appendicectomy (open), NABH — Rs 20,900
• Appendicectomy (open), Super Speciality — Rs 24,035
• Laparoscopic appendicectomy, Non-NABH — Rs 28,050
• Laparoscopic appendicectomy, NABH — Rs 33,000
• Laparoscopic appendicectomy, Super Speciality — Rs 37,950
• Appendicular abscess — drainage, Non-NABH — Rs 29,750
• Appendicular abscess — drainage, NABH — Rs 35,000
• Appendicular abscess — drainage, Super Speciality — Rs 40,250

Tests Used to Confirm Appendicitis

• USG whole abdomen including pelvis and post-void urine, Non-NABH — Rs 680
• USG whole abdomen including pelvis and post-void urine, NABH — Rs 800
• CT scan whole abdomen without contrast, Non-NABH — Rs 2,933
• CT scan whole abdomen without contrast, NABH — Rs 3,450
• Complete haemogram / CBC, Non-NABH — Rs 255
• Complete haemogram / CBC, NABH — Rs 300

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.

How CGHS Package Rates Work

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

The figures on this page come from the Office Memorandum effective 13 October 2025. The published rate is the semi-private ward figure: a general-ward entitlement is 5% lower and a private-ward entitlement 5% higher, and hospitals in Tier II and Tier III cities are paid 10% and 20% less than in Tier I.

Referral and Prior Permission

Planned major procedures need a referral from the CGHS wellness centre and prior permission. Emergency treatment at an empanelled hospital is reimbursed up to CGHS rates without prior permission.

Frequently Asked Questions

What is the CGHS rate for appendix surgery?

Under the rates effective 13 October 2025, open appendicectomy is Rs 17,765 (non-NABH), Rs 20,900 (NABH) and Rs 24,035 (super-speciality). Laparoscopic appendicectomy is a separate, higher code at Rs 28,050, Rs 33,000 and Rs 37,950.

Is a burst appendix paid at the same rate?

Drainage of an appendicular abscess has its own code at Rs 29,750 (non-NABH), Rs 35,000 (NABH) and Rs 40,250 (super-speciality). An emergency admission at an empanelled hospital does not need prior permission.

Related

• CGHS gallbladder (cholecystectomy) rate list
• CGHS hernia repair 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.