CGHS Cataract Surgery Rate List: Phaco and IOL Package Rates
Medically reviewed by Dr. Nikhil Singh
Last reviewed: 14 Jun 2026
CGHS covers surgery with a standard intraocular lens (IOL) at a fixed package rate. The package is inclusive of a standard IOL; premium lenses beyond the package are not separately covered.
CGHS Cataract Surgery Package Rates
- Phacoemulsification with foldable IOL, Non-NABH — Rs 10,781
- Phacoemulsification with foldable IOL, NABH — Rs 12,398
- Small Incision Cataract Surgery (SICS) with IOL, Non-NABH — Rs 5,000
- SICS with IOL, NABH — Rs 5,750
- ECCE with IOL, Non-NABH — Rs 3,450
- ECCE with IOL, NABH — Rs 3,968
Rates shown are as per the CGHS approved package rates (Office Memorandum No. S.11045/36/2012-CGHS (HEC) dated 01.10.2014, as updated by city rate lists) (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.
High-value implants such as knee and hip prostheses, coronary stents and spinal cages are not part of the package and are reimbursed separately against notified implant ceiling rates.
Rates for NABH-accredited hospitals are set 15% higher than the non-NABH rate. The same procedure code can show slightly 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) 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
Does CGHS cover cataract surgery?
Yes. Phacoemulsification with a foldable IOL is covered at about Rs 10,781 (non-NABH) / Rs 12,398 (NABH); the package includes a standard IOL.
Are premium (multifocal/toric) lenses covered by CGHS?
The package covers a standard IOL. Premium lenses cost more than the package and are generally not reimbursed beyond the package amount.
Related
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.
Top articles doctors on Zospital
Verified specialists you can book in minutes.
Have More Questions?
Find quick answers to common questions about our services, appointments, and patient care.
Yes. Phacoemulsification with a foldable IOL is covered at about Rs 10,781 (non-NABH) / Rs 12,398 (NABH); the package includes a standard IOL.
The package covers a standard IOL. Premium lenses cost more than the package and are generally not reimbursed beyond the package amount.
Related Articles
Health Conditions Guide: Symptoms, Causes and Treatment
A hub of plain-language guides to common health conditions: symptoms, causes and treatment options.
Government Health Schemes in India: CGHS, Ayushman Bharat, ESIC & ECHS
A complete hub on India’s government health schemes (CGHS, Ayushman Bharat, ESIC, ECHS): eligibility, rates and how they work.
Treatment Cost in India: Complete Price Guide
A complete hub of treatment cost guides and cost comparisons for major procedures in India.
Written by Dr. Nikhil Singh
Last reviewed: 14 June 2026
Medical Disclaimer
The content provided on Zospital 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 on this website. If you think you may have a medical emergency, call your doctor or emergency services immediately.