CGHS CABG Rate List: Coronary Bypass Surgery Package Rates

CGHS reimburses coronary artery bypass grafting (CABG) at a fixed package rate at empanelled hospitals, with higher package rates for combined procedures.

The Office Memorandum effective 13 October 2025 raised the CABG package to Rs 1,53,000 at a non-NABH hospital, Rs 1,80,000 at a NABH hospital and Rs 2,07,000 at a super-speciality hospital.

CGHS CABG (Bypass Surgery) Package Rates (effective 13 October 2025)

These codes carry three rates — non-NABH, NABH and a higher super-speciality rate. 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.

• Coronary artery bypass graft surgery (CABG), Non-NABH — Rs 1,53,000
• Coronary artery bypass graft surgery (CABG), NABH — Rs 1,80,000
• Coronary artery bypass graft surgery (CABG), Super Speciality — Rs 2,07,000
• CABG without bypass (off-pump / beating-heart), Non-NABH — Rs 2,00,600
• CABG without bypass (off-pump / beating-heart), NABH — Rs 2,36,000
• CABG without bypass (off-pump / beating-heart), Super Speciality — Rs 2,71,400
• CABG with intra-aortic balloon pump (IABP), Non-NABH — Rs 2,00,600
• CABG with intra-aortic balloon pump (IABP), NABH — Rs 2,36,000
• CABG with intra-aortic balloon pump (IABP), Super Speciality — Rs 2,71,400
• CABG with valve replacement (excluding the cost of the valve), Non-NABH — Rs 2,32,900
• CABG with valve replacement (excluding the cost of the valve), NABH — Rs 2,74,000
• CABG with valve replacement (excluding the cost of the valve), Super Speciality — Rs 3,15,100

Tests Done Before Bypass Surgery

• Coronary angiography, Non-NABH — Rs 11,390
• Coronary angiography, NABH — Rs 13,400
• CT coronary angiography including calcium score, Non-NABH — Rs 7,820
• CT coronary angiography including calcium score, NABH — Rs 9,200
• Cardiac catheterisation (CATH), Non-NABH — Rs 12,665
• Cardiac catheterisation (CATH), NABH — Rs 14,900
• 2D echocardiography, Non-NABH — Rs 1,254
• 2D echocardiography, NABH — Rs 1,475
• Treadmill test (TMT), Non-NABH — Rs 952
• Treadmill test (TMT), NABH — Rs 1,120

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 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

What is the CGHS package rate for bypass surgery?

Under the rates effective 13 October 2025, CABG is Rs 1,53,000 (non-NABH), Rs 1,80,000 (NABH) and Rs 2,07,000 (super-speciality). Combined procedures such as CABG with an intra-aortic balloon pump (Rs 2,00,600 non-NABH) or with valve replacement (Rs 2,32,900 non-NABH) are higher.

Does the figure vary by city?

Yes. The Office Memorandum sets the rate for Tier I cities; a hospital in a Tier II city is paid 10% less and in a Tier III city 20% less. North-East states and the Union Territories of Jammu & Kashmir and Ladakh are paid at Tier II rates.

Is off-pump bypass paid at the same rate?

No. CABG without bypass (off-pump or beating-heart surgery) is a separate code at Rs 2,00,600 (non-NABH), Rs 2,36,000 (NABH) and Rs 2,71,400 (super-speciality).

Related

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

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.