CGHS Hearing Test and Ear Surgery Rates: Audiometry, BERA, Tympanoplasty

Hearing loss, a discharging ear and vertigo are among the commonest ENT complaints, and the CGHS list prices both the tests that diagnose them and the operations that treat them.

The tables below cover hearing and balance testing, eardrum and middle ear surgery, and inner ear and outer ear procedures.

CGHS Hearing and Balance Test Rates (effective 13 October 2025)

Super-speciality hospitals are billed at the NABH rate for these codes. The OM sets the non-NABH rate 15% below the NABH rate for the same code.

• Pure tone audiometry (PTA), Non-NABH — Rs 383
• Pure tone audiometry (PTA), NABH — Rs 450
• Impedance audiometry with stapedial reflex, Non-NABH — Rs 510
• Impedance audiometry with stapedial reflex, NABH — Rs 600
• Short increment sensitivity index (SISI) tone decay, Non-NABH — Rs 340
• Short increment sensitivity index (SISI) tone decay, NABH — Rs 400
• Speech assessment, Non-NABH — Rs 340
• Speech assessment, NABH — Rs 400
• Speech discrimination score, Non-NABH — Rs 340
• Speech discrimination score, NABH — Rs 400
• BERA (brainstem evoked response audiometry), Non-NABH — Rs 2,125
• BERA (brainstem evoked response audiometry), NABH — Rs 2,500
• OAE (otoacoustic emission test), Non-NABH — Rs 1,071
• OAE (otoacoustic emission test), NABH — Rs 1,260
• Hearing aid trial, Non-NABH — Rs 170
• Hearing aid trial, NABH — Rs 200
• Vestibular evoked myogenic potential (VEMP), Non-NABH — Rs 2,338
• Vestibular evoked myogenic potential (VEMP), NABH — Rs 2,750
• Cold calorie test for vestibular function, Non-NABH — Rs 510
• Cold calorie test for vestibular function, NABH — Rs 600
• Electronystagmography (ENG), Non-NABH — Rs 1,275
• Electronystagmography (ENG), NABH — Rs 1,500
• Videonystagmography (VNG), Non-NABH — Rs 2,125
• Videonystagmography (VNG), NABH — Rs 2,500

Eardrum and Middle Ear Surgery

• Myringotomy with grommet insertion, Non-NABH — Rs 11,390
• Myringotomy with grommet insertion, NABH — Rs 13,400
• Myringoplasty, Non-NABH — Rs 23,375
• Myringoplasty, NABH — Rs 27,500
• Tympanoplasty, Non-NABH — Rs 29,750
• Tympanoplasty, NABH — Rs 35,000
• Tympanotomy, Non-NABH — Rs 23,375
• Tympanotomy, NABH — Rs 27,500
• Stapedectomy, Non-NABH — Rs 23,375
• Stapedectomy, NABH — Rs 27,500
• Mastoidectomy, Non-NABH — Rs 29,750
• Mastoidectomy, NABH — Rs 35,000
• Mastoidectomy with ossiculoplasty, including TORP or PORP, Non-NABH — Rs 29,750
• Mastoidectomy with ossiculoplasty, including TORP or PORP, NABH — Rs 35,000

Inner Ear, Facial Nerve and Outer Ear Procedures

• Labyrinthectomy, Non-NABH — Rs 29,750
• Labyrinthectomy, NABH — Rs 35,000
• Endolymphatic sac decompression, Non-NABH — Rs 36,550
• Endolymphatic sac decompression, NABH — Rs 43,000
• Facial nerve decompression, Non-NABH — Rs 36,550
• Facial nerve decompression, NABH — Rs 43,000
• Otoplasty, Non-NABH — Rs 29,750
• Otoplasty, NABH — Rs 35,000
• Removal of a foreign body from the ear / diagnostic or therapeutic otoscopy, Non-NABH — Rs 595
• Removal of a foreign body from the ear / diagnostic or therapeutic otoscopy, NABH — Rs 700
• Ear syringing, Non-NABH — Rs 425
• Ear syringing, NABH — Rs 500
• Polyp removal from the ear, Non-NABH — Rs 4,250
• Polyp removal from the ear, NABH — Rs 5,000
• Ear lobe repair, one side, Non-NABH — Rs 3,400
• Ear lobe repair, one side, NABH — Rs 4,000

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.

Newborn and Childhood Hearing Tests

OAE at Rs 1,071 (non-NABH) and BERA at Rs 2,125 are the tests used when a child cannot cooperate with pure tone audiometry, including newborn screening. Both are separately listed codes, so a hospital doing both bills both.

Hearing Aids Are Not the Same as a Hearing Test

A hearing aid trial is listed at Rs 170 (non-NABH), but that is the trial, not the device. Hearing aids themselves are dealt with under separate CGHS rules and ceilings, so confirm the current entitlement with your wellness centre.

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. For an investigation, the rate is the whole charge for that test at an empanelled facility.

The 2025 memorandum lists three columns for every code: a non-NABH rate, a NABH rate that is about 15% higher, and for some categories a further super-speciality rate. Which column applies depends on the accreditation status of the hospital or laboratory you are treated at, not on your ward entitlement.

High-value implants, stents, lenses and devices are not part of the package. Where a code says the rate excludes an implant or a drug, that item is reimbursed separately against its own notified ceiling.

Referral and Prior Permission

For planned (non-emergency) 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.

For investigations, the test has to be prescribed by a CGHS medical officer or by a specialist at a government or empanelled hospital for the empanelled laboratory to bill it as a cashless CGHS test.

• Carry a valid CGHS card and follow your ward entitlement (based on pay or pension)
• Use an empanelled hospital or laboratory for cashless treatment up to CGHS rates
• Obtain prior permission and a referral for planned surgery
• Ask for the OM code the hospital is billing against, and check it against the rate list

These Rates Are Revised

CGHS revises its package rates periodically, and the memorandum in force on the date of your treatment is the one that applies. The figures on this page are from the memorandum effective 13 October 2025. Before you plan a procedure, confirm the current figure for your code on the official memorandum linked above.

Frequently Asked Questions

What is the CGHS rate for an audiometry test?

Pure tone audiometry is Rs 383 (non-NABH) and Rs 450 (NABH) under the rates effective 13 October 2025. Impedance audiometry with stapedial reflex is a separate code at Rs 510 and Rs 600.

What does CGHS pay for a BERA test?

BERA, brainstem evoked response audiometry, is Rs 2,125 (non-NABH) and Rs 2,500 (NABH). OAE, the otoacoustic emission test, is Rs 1,071 and Rs 1,260.

What is the CGHS package rate for tympanoplasty?

Tympanoplasty is Rs 29,750 at a non-NABH hospital and Rs 35,000 at a NABH hospital. Myringoplasty is a separate, lower code at Rs 23,375 and Rs 27,500.

Is grommet insertion for a child covered?

Yes. Myringotomy with grommet insertion is listed at Rs 11,390 (non-NABH) and Rs 13,400 (NABH). Planned surgery needs a referral and prior permission.

Related

• CGHS ENT surgery rate list
• CGHS tonsillectomy rate
• CGHS rate list for common procedures

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.