CGHS Fracture Surgery Rate List: ORIF and Implant Fixation

CGHS reimburses fracture fixation surgery (open reduction and internal fixation, ORIF) at fixed package rates. Orthopaedic implants such as plates, nails and screws are reimbursed separately against CGHS ceilings.

CGHS Fracture Surgery (ORIF) Package Rates (effective 13 October 2025)

Rates exclude implants such as plates, nails and screws, which CGHS reimburses separately against its own ceiling rates.

• Open reduction of long-bone fracture — nailing and external fixation, Non-NABH — Rs 36,550
• Open reduction of long-bone fracture — nailing and external fixation, NABH — Rs 43,000
• Open reduction of long-bone fracture — AO procedures, Non-NABH — Rs 36,550
• Open reduction of long-bone fracture — AO procedures, NABH — Rs 43,000
• Open reduction, fracture neck of femur, with internal fixation, Non-NABH — Rs 45,050
• Open reduction, fracture neck of femur, with internal fixation, NABH — Rs 53,000
• ORIF of fingers and toes, Non-NABH — Rs 17,000
• ORIF of fingers and toes, NABH — Rs 20,000
• ORIF of fracture dislocation, Non-NABH — Rs 36,550
• ORIF of fracture dislocation, NABH — Rs 43,000

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.

How CGHS Package Rates Work

A CGHS package rate is all-inclusive of admission, surgeon and anaesthetist charges, operation theatre, nursing, routine investigations, medicines and accommodation for the standard stay. 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 it.

The figures on this page come from the Office Memorandum effective 13 October 2025. The published rate is the semi-private ward figure: a general-ward entitlement is 5% lower and a private-ward entitlement 5% higher, and hospitals in Tier II and Tier III cities are paid 10% and 20% less than in Tier I.

Referral and Prior Permission

Planned major procedures need a referral from the CGHS wellness centre and prior permission. Emergency treatment at an empanelled hospital is reimbursed up to CGHS rates without prior permission.

Frequently Asked Questions

Are orthopaedic implants covered by CGHS for fractures?

Yes. The surgery package covers the procedure; plates, nails and screws are reimbursed separately at CGHS implant ceiling rates.

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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.