CGHS Rates for Surgical Fracture Fixation & Bone Surgery

Surgical interventions are often required to treat complex bone fractures, correct deformities, or manage bone infections. These procedures aim to restore function, stabilize the skeletal structure, and promote proper healing. The Central Government Health Scheme (CGHS) provides a defined schedule of rates for beneficiaries undergoing such orthopedic surgeries at empanelled hospitals.

This guide covers a range of procedures from internal fixation using plates and screws, like those for a femur fracture, to external fixation methods like the Ilizarov apparatus. It also includes rates for corrective procedures such as osteotomy and supportive surgeries like bone grafting. The approved rates for these procedures vary depending on the specific surgery performed and the accreditation status (NABH or non-NABH) of the hospital.

CGHS Fracture Fixation & Bone Surgery Rates (effective 13 October 2025)

These orthopaedic codes carry no separate super-speciality rate.

• Tension Band Wirings, Non-NABH — Rs 23,375
• Tension Band Wirings, NABH — Rs 27,500
• Bone Grafting, Non-NABH — Rs 23,375
• Bone Grafting, NABH — Rs 27,500
• Excision or other Operations for Scaphoid Fractures, Non-NABH — Rs 29,750
• Excision or other Operations for Scaphoid Fractures, NABH — Rs 35,000
• Sequestrectomy & Saucerisation, Non-NABH — Rs 29,750
• Sequestrectomy & Saucerisation, NABH — Rs 35,000
• Sequestrectomy & Saucerizations -Arthrotomy, Non-NABH — Rs 29,750
• Sequestrectomy & Saucerizations -Arthrotomy, NABH — Rs 35,000
• Plate Fixations for Fracture Neck Femur, Non-NABH — Rs 45,050
• Plate Fixations for Fracture Neck Femur, NABH — Rs 53,000
• AO Compression Procedures for Fracture Neck Femur, Non-NABH — Rs 45,050
• AO Compression Procedures for Fracture Neck Femur, NABH — Rs 53,000
• Close Reduction of Dislocations, Non-NABH — Rs 17,000
• Close Reduction of Dislocations, NABH — Rs 20,000
• Open Reduction of Dislocations, Non-NABH — Rs 29,750
• Open Reduction of Dislocations, NABH — Rs 35,000
• Split Osteotomy and Internal Fixations, Non-NABH — Rs 45,050
• Split Osteotomy and Internal Fixations, NABH — Rs 53,000
• Corrective Osteotomy & Internal Fixation- short bones, Non-NABH — Rs 29,750
• Corrective Osteotomy & Internal Fixation- short bones, NABH — Rs 35,000
• Corrective Osteotomy & Internal Fixation- long bones, Non-NABH — Rs 36,550
• Corrective Osteotomy & Internal Fixation- long bones, NABH — Rs 43,000
• Removal of Wires & Screw, Non-NABH — Rs 11,390
• Removal of Wires & Screw, NABH — Rs 13,400
• Removal of Plates, Non-NABH — Rs 23,375
• Removal of Plates, NABH — Rs 27,500
• Tubular external fixator, Non-NABH — Rs 29,750
• Tubular external fixator, NABH — Rs 35,000
• Ilizarov's External Fixator, Non-NABH — Rs 45,050
• Ilizarov's External Fixator, NABH — Rs 53,000
• Illizarov/ external fixation for limb lengthening/deformity correction, Non-NABH — Rs 53,550
• Illizarov/ external fixation for limb lengthening/deformity correction, NABH — Rs 63,000
• Illizarov’s / External Fixation for Trauma, Non-NABH — Rs 45,050
• Illizarov’s / External Fixation for Trauma, NABH — Rs 53,000
• Mini Fixator for Hand/Foot, Non-NABH — Rs 29,750
• Mini Fixator for Hand/Foot, NABH — Rs 35,000

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 rate schedule is applicable to CGHS beneficiaries who have been advised to undergo specific surgical procedures related to bone and joint repair. The page is relevant for individuals with conditions requiring:

• Fracture Fixation: Patients with fractures, particularly of the scaphoid or neck of the femur, that require internal fixation with plates, screws, or tension band wiring for stabilization.

• Bone Infection or Necrosis: Individuals needing surgery to remove dead or infected bone tissue, a procedure known as sequestrectomy.

• Bone Defects: Patients requiring bone grafting to fill gaps or promote healing in areas with bone loss.

• Bone Deformity Correction: Individuals undergoing corrective osteotomy, where a bone is surgically cut and realigned to correct a deformity.

• Complex Trauma or Limb Lengthening: Patients needing external fixation devices, such as tubular fixators, mini fixators for hands/feet, or the Ilizarov apparatus for complex trauma, deformity correction, or limb lengthening.

• Implant Removal: Beneficiaries who need a follow-up procedure to remove previously placed plates, screws, or wires after the bone has healed.

What CGHS Covers vs. What You Pay Separately

The CGHS package rates listed are designed to be comprehensive, covering the cost of the surgical procedure itself. This typically includes the surgeon's fee, anaesthetist's fee, operation theatre charges, and a specified number of days of inpatient stay with standard nursing care and room charges.

However, it is crucial to understand what is generally excluded from these package rates. The cost of high-value consumables and surgical implants is often billed separately. For the procedures on this page, this means items like orthopedic plates, screws, wires, the Ilizarov apparatus, other external fixators, and specialized bone graft materials are usually not part of the package. The cost of these items must be paid by the beneficiary as per the prevailing CGHS guidelines for implants.

Beneficiaries should always ask for a detailed cost breakdown from the hospital before the procedure. This helps clarify which costs are covered under the CGHS package and which will be billed separately.

How to Use This at a CGHS-Empanelled Hospital

To avail of these benefits for bone and fracture surgery, CGHS beneficiaries should follow a clear process:

1. Get a Referral: First, you must obtain a valid referral for the specific surgical procedure from a specialist at a government hospital or a CGHS Wellness Centre.

2. Approach the Hospital: Visit the CGHS help desk at your chosen empanelled hospital. Present your CGHS card and the specialist's referral letter.

3. Confirm the Procedure Code: Before admission, it is important to have a discussion with the hospital's billing department. Show them the doctor's recommendation and ask them to confirm the exact procedure code from the CGHS rate list that will be applied to your surgery. This proactive step can prevent confusion and billing disputes later.

4. Understand the Applicable Rate: The CGHS provides two sets of rates: one for NABH-accredited hospitals and a different one for non-NABH accredited hospitals. The rate you are charged depends entirely on the hospital's accreditation status, not on any choice you make. The hospital is required to charge the rate that corresponds to its accreditation.

Frequently Asked Questions

What is a corrective osteotomy?

A corrective osteotomy is a surgical procedure in which a bone is intentionally cut to shorten, lengthen, or change its alignment. This is often performed to correct a deformity that may have resulted from a previous fracture healing improperly, a congenital condition, or arthritis. Internal fixation with plates and screws is commonly used to hold the bone in its corrected position while it heals.

What is sequestrectomy?

Sequestrectomy is the surgical removal of a sequestrum, which is a piece of dead bone that has become separated from healthy bone tissue. This condition is most often a complication of osteomyelitis (bone infection). Removing the dead bone is essential for treating the infection and allowing the area to heal properly. It is often performed with a procedure called saucerisation, which shapes the bone cavity to facilitate healing.

Is the cost of implants like plates and screws included in the CGHS package rate?

Typically, the cost of surgical implants such as plates, screws, wires, and external fixator devices is not included in the standard CGHS surgical package rate. These items are billed separately, and the beneficiary is responsible for this cost as per the specific CGHS rules regarding implants. Always confirm this with the hospital's billing department beforehand.

What is an Ilizarov external fixator used for?

The Ilizarov apparatus is a versatile external fixation device used to manage complex orthopedic problems. It consists of rings connected by rods that are attached to the bone with wires or pins. It is used for limb lengthening, correcting severe bone deformities, and treating complex fractures or non-unions (fractures that have not healed).

Does CGHS provide rates for the removal of implants after a fracture has healed?

Yes, the CGHS rate list includes separate, specific codes and approved rates for the removal of orthopedic implants. Procedures such as 'Removal of Wires & Screw' and 'Removal of Plates' are listed as distinct surgical events. This surgery is performed once the bone has fully healed and the implant is no longer needed.

What is Tension Band Wiring?

Tension band wiring is a surgical technique used to fix fractures where muscle pull tends to separate the bone fragments. It involves using surgical wires in a figure-of-eight pattern to convert the distracting tensile forces into compressive forces at the fracture site, promoting stability and healing. It is commonly used for fractures of the patella (kneecap) or olecranon (elbow).

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.