CGHS Rates for Plaster Casts, Splints, Traction & Fracture Care

When dealing with a fracture, dislocation, or severe joint pain, surgery is not always the first or only option. Conservative management, which involves non-surgical techniques, plays a crucial role in orthopedic care. These methods aim to stabilize the injured area, manage pain, and allow the body to heal naturally. Common procedures include setting bones without an incision (closed reduction), immobilizing limbs with plaster casts or splints, and applying traction to align bones correctly.

For CGHS beneficiaries, understanding the costs associated with these treatments is important for managing healthcare expenses. The Central Government Health Scheme has established fixed rates for a wide array of non-operative orthopedic procedures. These rates ensure that beneficiaries receive standardized care at predictable costs in empanelled healthcare facilities.

This guide provides details on the CGHS-approved rates for various types of plaster work, strappings, tractions, joint aspirations, and related conservative treatments. The rates listed in the table vary depending on the specific procedure and the accreditation status of the hospital (NABH-accredited or non-NABH-accredited). Refer to the detailed table to understand the specific rates for each service.

CGHS Cast, Splint & Conservative Fracture Care Rates (effective 13 October 2025)

These orthopaedic codes carry no separate super-speciality rate.

• Joints Aspiration, Non-NABH — Rs 1,360
• Joints Aspiration, NABH — Rs 1,600
• Plaster Work, Non-NABH — Rs 4,250
• Plaster Work, NABH — Rs 5,000
• Fingers (post slab), Non-NABH — Rs 850
• Fingers (post slab), NABH — Rs 1,000
• Fingers full plaster, Non-NABH — Rs 1,275
• Fingers full plaster, NABH — Rs 1,500
• Colles Fracture - Below elbow, Non-NABH — Rs 5,100
• Colles Fracture - Below elbow, NABH — Rs 6,000
• Colles Fracture - Full plaster, Non-NABH — Rs 3,825
• Colles Fracture - Full plaster, NABH — Rs 4,500
• Colles fracture Ant. Or post. slab, Non-NABH — Rs 2,550
• Colles fracture Ant. Or post. slab, NABH — Rs 3,000
• Above elbow full plaster, Non-NABH — Rs 3,400
• Above elbow full plaster, NABH — Rs 4,000
• Above Knee post-slab, Non-NABH — Rs 2,550
• Above Knee post-slab, NABH — Rs 3,000
• Below Knee full plaster, Non-NABH — Rs 3,400
• Below Knee full plaster, NABH — Rs 4,000
• Below Knee post-slab, Non-NABH — Rs 4,250
• Below Knee post-slab, NABH — Rs 5,000
• Tube Plaster (or plaster cylinder), Non-NABH — Rs 4,250
• Tube Plaster (or plaster cylinder), NABH — Rs 5,000
• Above knee full plaster, Non-NABH — Rs 4,250
• Above knee full plaster, NABH — Rs 5,000
• Above knee full slab, Non-NABH — Rs 2,975
• Above knee full slab, NABH — Rs 3,500
• Minerva Jacket, Non-NABH — Rs 7,820
• Minerva Jacket, NABH — Rs 9,200
• Plaster Jacket, Non-NABH — Rs 5,100
• Plaster Jacket, NABH — Rs 6,000
• Shoulder spica, Non-NABH — Rs 7,225
• Shoulder spica, NABH — Rs 8,500
• Single Hip spica, Non-NABH — Rs 5,950
• Single Hip spica, NABH — Rs 7,000
• Double Hip spica, Non-NABH — Rs 7,225
• Double Hip spica, NABH — Rs 8,500
• Strapping of Finger, Non-NABH — Rs 425
• Strapping of Finger, NABH — Rs 500
• Strapping of Toes, Non-NABH — Rs 510
• Strapping of Toes, NABH — Rs 600
• Strapping of Wrist, Non-NABH — Rs 638
• Strapping of Wrist, NABH — Rs 750
• Strapping of Elbow, Non-NABH — Rs 1,275
• Strapping of Elbow, NABH — Rs 1,500
• Strapping of Knee, Non-NABH — Rs 850
• Strapping of Knee, NABH — Rs 1,000
• Strapping of Ankle, Non-NABH — Rs 680
• Strapping of Ankle, NABH — Rs 800
• Strapping of Chest, Non-NABH — Rs 1,275
• Strapping of Chest, NABH — Rs 1,500
• Strapping of Shoulder, Non-NABH — Rs 1,275
• Strapping of Shoulder, NABH — Rs 1,500
• Figure of 8 bandage, Non-NABH — Rs 850
• Figure of 8 bandage, NABH — Rs 1,000
• Collar and cuff sling, Non-NABH — Rs 425
• Collar and cuff sling, NABH — Rs 500
• Ball bandage, Non-NABH — Rs 680
• Ball bandage, NABH — Rs 800
• Application of POP Casts for Upper & Lower Limbs, Non-NABH — Rs 5,100
• Application of POP Casts for Upper & Lower Limbs, NABH — Rs 6,000
• Application of Functional Cast Brace, Non-NABH — Rs 3,400
• Application of Functional Cast Brace, NABH — Rs 4,000
• Application of Skin Traction, Non-NABH — Rs 2,125
• Application of Skin Traction, NABH — Rs 2,500
• Application of Skeletal Tractions, Non-NABH — Rs 5,100
• Application of Skeletal Tractions, NABH — Rs 6,000
• Bandage & Strappings for Fractures, Non-NABH — Rs 1,700
• Bandage & Strappings for Fractures, NABH — Rs 2,000
• Aspiration & Intra Articular Injections, Non-NABH — Rs 4,250
• Aspiration & Intra Articular Injections, NABH — Rs 5,000
• Application of POP Spices & Jackets, Non-NABH — Rs 5,100
• Application of POP Spices & Jackets, NABH — Rs 6,000
• Close Reduction of Fractures of Limb & POP, Non-NABH — Rs 11,390
• Close Reduction of Fractures of Limb & POP, NABH — Rs 13,400
• Conservative Plaster of Paris (POP), Non-NABH — Rs 3,400
• Conservative Plaster of Paris (POP), NABH — Rs 4,000
• Application for CTEV per sitting, Non-NABH — Rs 7,225
• Application for CTEV per sitting, NABH — Rs 8,500
• Spinal Injections, Non-NABH — Rs 4,250
• Spinal Injections, NABH — Rs 5,000

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 page is intended for CGHS beneficiaries requiring non-surgical treatment for bone and joint injuries. The procedures covered are for individuals who have sustained fractures, sprains, or dislocations that can be managed conservatively, either as a definitive treatment or as a temporary measure before a scheduled surgery.

This includes patients with common injuries such as a Colles' fracture of the wrist, finger or toe fractures, and other limb injuries requiring immobilization. It also covers those who need specialized casts like a Minerva Jacket for neck and upper back injuries, a Shoulder or Hip Spica for complex joint stabilization, or functional cast braces.

Furthermore, individuals with joint conditions requiring diagnostic or therapeutic procedures like joint aspiration (drawing fluid from a joint) or intra-articular injections fall under the scope of these rates. The list also includes various forms of strapping, bandaging, and the application of skin or skeletal traction to treat fractures and deformities like Clubfoot (CTEV).

What CGHS covers vs. what you pay separately

The CGHS package rate for procedures like plaster cast application or closed reduction typically includes the doctor's fees, the procedure itself, and the standard materials used, such as Plaster of Paris (POP). The rates are comprehensive for the service described in the official list.

However, beneficiaries should be aware that certain items may be billed separately. The cost of specific medications, specialized consumables, or premium materials might not be part of the package rate. For example, if a patient opts for a synthetic fibreglass cast instead of a standard POP cast for its lighter weight and water-resistant properties, the hospital may charge an additional amount for the material difference.

Similarly, while the rate for an intra-articular injection is covered, the cost of the specific drug being injected may be billed separately. It is advisable to have a clear discussion with the hospital's billing department or CGHS counter before the procedure to understand the full cost breakdown and identify any potential out-of-pocket expenses.

How to use this at a CGHS-empanelled hospital

To avail of these services at CGHS rates, you must follow the proper procedure. First, obtain a valid referral from a medical officer at a CGHS Wellness Centre or a government hospital specialist. This referral should specify the required treatment.

Upon visiting a CGHS-empanelled private hospital, present your CGHS card, the referral letter, and any relevant medical documents at the admissions or CGHS desk. It is important to confirm the exact procedure code from the CGHS list that the hospital will be using for billing. For instance, clarify whether you are receiving a 'Below Knee full plaster' or a 'Below Knee post-slab', as the rates differ.

The final bill will be based on the hospital's accreditation status. Hospitals with NABH (National Accreditation Board for Hospitals & Healthcare Providers) accreditation are entitled to charge the NABH rates, while others use the non-NABH rates. This is determined by the hospital's status and is not a choice available to the patient. Always verify all details at the counter before treatment begins to ensure a smooth, cashless process for the covered amount.

Frequently Asked Questions

What is 'closed reduction of a fracture'?

Closed reduction is a non-surgical procedure to set or realign a broken bone. The orthopedic specialist manipulates the bone fragments back into their correct position from outside the body, without making an incision. A plaster cast or splint is then applied to hold the bones in place while they heal.

Does the CGHS rate for a plaster cast also include its removal?

The application of a plaster cast and its removal are generally considered separate procedures. The rates listed are for the application. Cast removal is a different, less expensive procedure that may be billed separately. Confirm with the hospital's CGHS desk whether the removal cost is included or will be an additional charge.

What is the difference between a plaster slab and a full plaster cast?

A plaster slab (or posterior slab) is a partial cast that covers only one side of the limb and is secured with a bandage. It is often used initially after an injury to allow for swelling. A full plaster cast is circumferential, enclosing the entire limb for more rigid support once the initial swelling has subsided.

Are modern synthetic or fibreglass casts covered under these CGHS rates?

The standard CGHS rates are based on the use of Plaster of Paris (POP). Synthetic or fibreglass casts, which are lighter and more durable, are often considered premium materials. Patients may opt for them, but this usually involves an additional out-of-pocket payment for the cost difference. Inquire at the hospital about the additional expense.

What is a Shoulder Spica or Minerva Jacket?

These are large, specialized types of casts used for complex injuries. A Shoulder Spica immobilizes the shoulder, arm, and part of the torso. A Minerva Jacket is used to stabilize the neck and upper spine after certain fractures or surgeries. Their application is more complex, which is reflected in the rate structure.

Is a referral required for a simple procedure like finger strapping?

Yes, to avail treatment at CGHS rates in a private empanelled hospital, a referral from a CGHS Wellness Centre or government hospital is required for any listed procedure, regardless of how minor it may seem. This is necessary for the hospital to process the claim.

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.