CGHS Brain Surgery Rate List: Craniotomy, VP Shunt and Brain Biopsy

Neurosurgical operations — craniotomy for bleeds or abscesses, shunt surgery for hydrocephalus, and brain biopsy — all carry notified CGHS package rates at empanelled hospitals.

The figures below are from the Delhi/NCR rate list.

CGHS Neurosurgery Package Rates

• Craniotomy and evacuation of haematoma — subdural, Non-NABH / NABH — Rs 50,715 / Rs 58,322
• Craniotomy and evacuation of haematoma — extradural, Non-NABH / NABH — Rs 50,000 / Rs 57,500
• Excision of brain abscess by craniotomy, Non-NABH / NABH — Rs 40,000 / Rs 46,000
• Ventriculo-atrial / ventriculoperitoneal (VP) shunt, Non-NABH / NABH — Rs 11,615 / Rs 13,357
• Brain biopsy, Non-NABH / NABH — Rs 5,808 / Rs 6,679

Rates shown are as per the CGHS approved package rates, Delhi & NCR 2014 rate list (updated 25.05.2021) (2014, periodically revised) 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 an all-inclusive amount covering admission, surgeon and anaesthetist charges, operation theatre, nursing, routine investigations, medicines and accommodation for the standard length of stay.

Rates for NABH-accredited hospitals are set higher (generally 15%) than the non-NABH rate. The same procedure code can show different figures across city rate lists and revision dates, so always check the list for your CGHS city.

Referral and Prior Permission

For planned (non-emergency) 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 VP shunt package include the shunt device?

Implants and devices are generally reimbursed separately from the surgical package under CGHS, against notified ceilings. Confirm the shunt hardware billing with the empanelled hospital at the time of permission.

Are brain tumour operations covered?

Yes — the CGHS list carries craniotomy and excision codes for intracranial lesions; the applicable code and rate depend on the specific operation planned. Ask the hospital for the code quoted in your permission letter.

Related

• CGHS spine surgery rate list
• CGHS MRI and CT scan rates

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.