CGHS Rates for Bladder Surgery (Cystectomy, VVF Repair & More)

Bladder surgery encompasses a range of procedures to address conditions affecting the urinary bladder, from common issues like stones to complex structural problems. These surgeries are crucial for restoring urinary function, treating diseases, and improving quality of life. CGHS beneficiaries requiring such treatments can avail them at empanelled hospitals across India.

This guide provides an overview of the approved rates for various bladder surgeries under the Central Government Health Scheme (CGHS). The rates listed in the table above are fixed by the CGHS and apply to empanelled healthcare facilities.

The procedures covered include stone removal (cystolitholapaxy, cystolithotomy), bladder repair for injuries, cystectomy (simple or partial), repair of fistulas (VVF repair), and complex reconstructions for congenital conditions like bladder exstrophy. The rates vary depending on the specific procedure and the accreditation status (NABH or non-NABH) of the hospital.

CGHS Bladder Surgery Rates (effective 13 October 2025)

• Cysto-litholapaxy, Non-NABH — Rs 29,750
• Cysto-litholapaxy, NABH — Rs 35,000
• Cysto-litholapaxy, Super Speciality — Rs 40,250
• Suprapubic cystolithotomy, Non-NABH — Rs 23,375
• Suprapubic cystolithotomy, NABH — Rs 27,500
• Suprapubic cystolithotomy, Super Speciality — Rs 31,625
• Endoscopic removal of bladder stone, Non-NABH — Rs 29,750
• Endoscopic removal of bladder stone, NABH — Rs 35,000
• Endoscopic removal of bladder stone, Super Speciality — Rs 40,250
• Surgery for bladder injuries, Non-NABH — Rs 36,550
• Surgery for bladder injuries, NABH — Rs 43,000
• Surgery for bladder injuries, Super Speciality — Rs 49,450
• Suprapubic drainage (cystostomy/vesicostomy), Non-NABH — Rs 17,000
• Suprapubic drainage (cystostomy/vesicostomy), NABH — Rs 20,000
• Suprapubic drainage (cystostomy/vesicostomy), Super Speciality — Rs 23,000
• Simple cystectomy, Non-NABH — Rs 36,550
• Simple cystectomy, NABH — Rs 43,000
• Simple cystectomy, Super Speciality — Rs 49,450
• Partial cystectomy, Non-NABH — Rs 45,050
• Partial cystectomy, NABH — Rs 53,000
• Partial cystectomy, Super Speciality — Rs 60,950
• Bladder diverticulectomy, open, Non-NABH — Rs 36,550
• Bladder diverticulectomy, open, NABH — Rs 43,000
• Bladder diverticulectomy, open, Super Speciality — Rs 49,450
• Bladder diverticulectomy, laparoscopic/endoscopic, Non-NABH — Rs 45,050
• Bladder diverticulectomy, laparoscopic/endoscopic, NABH — Rs 53,000
• Bladder diverticulectomy, laparoscopic/endoscopic, Super Speciality — Rs 60,950
• Bladder diverticulectomy, endoscopic incision of neck, Non-NABH — Rs 29,750
• Bladder diverticulectomy, endoscopic incision of neck, NABH — Rs 35,000
• Bladder diverticulectomy, endoscopic incision of neck, Super Speciality — Rs 40,250
• Augmentation cystoplasty, Non-NABH — Rs 45,050
• Augmentation cystoplasty, NABH — Rs 53,000
• Augmentation cystoplasty, Super Speciality — Rs 60,950
• Bladder exstrophy repair, single stage, Non-NABH — Rs 36,550
• Bladder exstrophy repair, single stage, NABH — Rs 43,000
• Bladder exstrophy repair, single stage, Super Speciality — Rs 49,450
• Bladder exstrophy repair, multistage, Non-NABH — Rs 36,550
• Bladder exstrophy repair, multistage, NABH — Rs 43,000
• Bladder exstrophy repair, multistage, Super Speciality — Rs 49,450
• Bladder exstrophy — simple cystectomy with urinary diversion, Non-NABH — Rs 53,550
• Bladder exstrophy — simple cystectomy with urinary diversion, NABH — Rs 63,000
• Bladder exstrophy — simple cystectomy with urinary diversion, Super Speciality — Rs 72,450
• Vesicovaginal fistula (VVF) repair, open, Non-NABH — Rs 36,550
• Vesicovaginal fistula (VVF) repair, open, NABH — Rs 43,000
• Vesicovaginal fistula (VVF) repair, open, Super Speciality — Rs 49,450
• Vesicovaginal fistula (VVF) repair, laparoscopic, Non-NABH — Rs 45,050
• Vesicovaginal fistula (VVF) repair, laparoscopic, NABH — Rs 53,000
• Vesicovaginal fistula (VVF) repair, laparoscopic, Super Speciality — Rs 60,950
• Closure of urethral fistula, Non-NABH — Rs 29,750
• Closure of urethral fistula, NABH — Rs 35,000
• Closure of urethral fistula, Super Speciality — Rs 40,250
• Endoscopic bulking-agent injection (including cost of agent), Non-NABH — Rs 29,750
• Endoscopic bulking-agent injection (including cost of agent), NABH — Rs 35,000
• Endoscopic bulking-agent injection (including cost of agent), Super Speciality — Rs 40,250

Bladder Diagnostic & Minor Procedures

These carry no separate super-speciality rate — they are billed at the NABH rate at every hospital tier.

• Cystoscopic bladder biopsy (including cold cup biopsy), Non-NABH — Rs 11,390
• Cystoscopic bladder biopsy (including cold cup biopsy), NABH — Rs 13,400
• Cystoscopic botulinum toxin injection for overactive/neurogenic bladder (excluding cost of drug), Non-NABH — Rs 11,390
• Cystoscopic botulinum toxin injection for overactive/neurogenic bladder (excluding cost of drug), NABH — Rs 13,400

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 Central Government Health Scheme (CGHS) beneficiaries—including serving employees, pensioners, and their dependents—who have been advised to undergo surgery on the urinary bladder.

The procedures detailed here range from minimally invasive endoscopic treatments to major open surgeries. This includes patients diagnosed with bladder stones, bladder injuries, bladder diverticulum, bladder cancer requiring partial or simple cystectomy, vesicovaginal fistula (VVF), and congenital anomalies like bladder exstrophy. It also covers diagnostic procedures like cystoscopic biopsy and therapeutic injections for overactive bladder.

What CGHS Covers vs. What You Pay Separately

The CGHS package rate for a specific surgery is designed to be comprehensive. It typically includes the cost of the operation, anaesthesia, surgeon's fees, room rent according to your ward entitlement (General, Semi-Private, or Private), and routine post-operative care.

However, it is important to understand that certain items may be billed separately. The cost of high-value consumables, specialised implants, or specific medications are often not included in the package rate. For instance, the rate for Cystoscopic Botulinum Toxin Injection explicitly excludes the cost of the drug itself, which must be paid for by the patient. Conversely, the package for Endoscopic Bulking-Agent Injection includes the cost of the agent.

Always clarify with the hospital's billing department before admission about any potential out-of-pocket expenses for implants, prosthetics, or specific drugs required for your procedure.

How to Use This at a CGHS-Empanelled Hospital

To avail treatment, you must first obtain a referral for the specific surgery from a medical officer at a CGHS Wellness Centre or a government hospital specialist.

Upon visiting a CGHS-empanelled hospital, present your CGHS card and the valid referral letter. The hospital staff will initiate the pre-authorisation process for the cashless facility.

It is a good practice to confirm the exact procedure code and the corresponding CGHS rate with the hospital's billing or CGHS desk before your admission. This ensures there are no discrepancies later.

The applicable rate is determined by the hospital's accreditation status. Hospitals with NABH (National Accreditation Board for Hospitals & Healthcare Providers) accreditation are reimbursed at a different rate than non-NABH accredited facilities. This is not a choice for the patient but is based on the hospital's own certification.

Frequently Asked Questions

What are the different methods for bladder stone removal covered by CGHS?

CGHS covers several methods for removing bladder stones. These include Cysto-litholapaxy (an endoscopic procedure to crush stones), Suprapubic cystolithotomy (an open surgery to remove stones), and Endoscopic removal of bladder stone. The choice of procedure depends on the stone's size, number, and the patient's overall condition.

What is a vesicovaginal fistula (VVF) and how is it repaired?

A vesicovaginal fistula (VVF) is an abnormal connection between the bladder and the vagina, which leads to continuous, uncontrollable leakage of urine. CGHS covers its repair through both open abdominal surgery and minimally invasive laparoscopic surgery.

Does the CGHS rate for botulinum toxin bladder injections include the cost of the medicine?

No. The official CGHS rate for 'Cystoscopic botulinum toxin injection for overactive/neurogenic bladder' covers the procedure cost only. The cost of the botulinum toxin drug itself is excluded and must be borne by the patient separately.

What is bladder exstrophy repair?

Bladder exstrophy is a rare and complex birth defect where the bladder develops outside the fetus. The CGHS list includes rates for several corrective procedures, such as single-stage repair, multi-stage repair, and simple cystectomy with urinary diversion for cases where the bladder cannot be saved.

Is prior permission required from CGHS for these bladder surgeries?

Yes, for all elective surgeries listed here, you will need to obtain prior permission from the relevant CGHS authorities. The empanelled hospital will typically guide you through this process after you provide a valid referral from a CGHS or government doctor. In case of an emergency, like a bladder injury, treatment can be started immediately, and the paperwork can be processed post-admission.

What is the difference between a simple cystectomy and a partial cystectomy?

A partial cystectomy involves the removal of only a part of the bladder, typically a section containing a tumor, while preserving the rest of the organ. A simple cystectomy involves the removal of the entire bladder, often performed for conditions like bladder cancer or severe dysfunction, and requires a separate procedure to create a new way for urine to exit the body (urinary diversion).

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.