CGHS Hernia Repair Rate List: Open and Laparoscopic Package Rates

CGHS reimburses inguinal hernia repair at fixed package rates that depend on the technique (open herniorrhaphy, mesh hernioplasty, or laparoscopic repair).

Under the Office Memorandum effective 13 October 2025, open mesh hernioplasty is Rs 29,750 at a non-NABH hospital and laparoscopic repair Rs 32,725. Every hernia rate excludes the mesh and tacker, which are reimbursed separately.

CGHS Hernia Repair Package Rates (effective 13 October 2025)

Every hernia rate below EXCLUDES the mesh and tacker, which are reimbursed separately. The OM sets these rates for the semi-private ward: a general-ward entitlement is 5% lower and a private-ward entitlement 5% higher. Tier II cities are 10% lower and Tier III cities 20% lower than Tier I.

• Inguinal hernia — herniorrhaphy (tissue repair, no mesh), Non-NABH — Rs 24,310
• Inguinal hernia — herniorrhaphy (tissue repair, no mesh), NABH — Rs 28,600
• Inguinal hernia — herniorrhaphy (tissue repair, no mesh), Super Speciality — Rs 32,890
• Inguinal hernia — open hernioplasty (excluding the cost of mesh and tacker), Non-NABH — Rs 29,750
• Inguinal hernia — open hernioplasty (excluding the cost of mesh and tacker), NABH — Rs 35,000
• Inguinal hernia — open hernioplasty (excluding the cost of mesh and tacker), Super Speciality — Rs 40,250
• Laparoscopic inguinal hernia repair / inguinoplasty (excluding the cost of mesh and tacker), Non-NABH — Rs 32,725
• Laparoscopic inguinal hernia repair / inguinoplasty (excluding the cost of mesh and tacker), NABH — Rs 38,500
• Laparoscopic inguinal hernia repair / inguinoplasty (excluding the cost of mesh and tacker), Super Speciality — Rs 44,275
• Femoral hernia repair (excluding the cost of mesh and tacker), Non-NABH — Rs 29,750
• Femoral hernia repair (excluding the cost of mesh and tacker), NABH — Rs 35,000
• Femoral hernia repair (excluding the cost of mesh and tacker), Super Speciality — Rs 40,250
• Umbilical hernia repair (excluding the cost of mesh and tacker), Non-NABH — Rs 29,750
• Umbilical hernia repair (excluding the cost of mesh and tacker), NABH — Rs 35,000
• Umbilical hernia repair (excluding the cost of mesh and tacker), Super Speciality — Rs 40,250
• Ventral or incisional hernia repair (excluding the cost of mesh and tacker), Non-NABH — Rs 29,750
• Ventral or incisional hernia repair (excluding the cost of mesh and tacker), NABH — Rs 35,000
• Ventral or incisional hernia repair (excluding the cost of mesh and tacker), Super Speciality — Rs 40,250
• Laparoscopic ventral hernia repair (excluding the cost of mesh and tacker), Non-NABH — Rs 32,725
• Laparoscopic ventral hernia repair (excluding the cost of mesh and tacker), NABH — Rs 38,500
• Laparoscopic ventral hernia repair (excluding the cost of mesh and tacker), Super Speciality — Rs 44,275
• Epigastric hernia repair (excluding the cost of mesh and tacker), Non-NABH — Rs 23,375
• Epigastric hernia repair (excluding the cost of mesh and tacker), NABH — Rs 27,500
• Epigastric hernia repair (excluding the cost of mesh and tacker), Super Speciality — Rs 31,625
• Hiatus hernia repair — abdominal approach (excluding the cost of mesh and tacker), Non-NABH — Rs 30,855
• Hiatus hernia repair — abdominal approach (excluding the cost of mesh and tacker), NABH — Rs 36,300
• Hiatus hernia repair — abdominal approach (excluding the cost of mesh and tacker), Super Speciality — Rs 41,745

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.

The Mesh Is Not in the Package

Every hernia code in the rate schedule effective 13 October 2025 that involves a mesh is written "excluding the cost of mesh and tacker". The package pays for the operation and the standard stay; the mesh and any tacker are reimbursed in addition, against CGHS ceiling rates. Ask the hospital to bill them as separate line items so you can check them against the ceiling.

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, meshes, spinal cages and heart valves are not part of the package and are reimbursed separately against notified implant ceiling rates.

Under the Office Memorandum effective 13 October 2025, 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 the NABH rate.

The published rate is the semi-private ward figure: a general-ward entitlement is 5% lower and a private-ward entitlement 5% higher. Hospitals in Tier II cities are paid 10% less and in Tier III cities 20% less than Tier I. Consultations, investigations, radiotherapy, day-care and minor procedures are the same for every ward entitlement.

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

What is the CGHS rate for hernia surgery?

Under the rates effective 13 October 2025, open mesh hernioplasty is Rs 29,750 (non-NABH), Rs 35,000 (NABH) and Rs 40,250 (super-speciality). Laparoscopic inguinal repair is Rs 32,725 (non-NABH), Rs 38,500 (NABH) and Rs 44,275 (super-speciality). Both exclude the mesh and tacker.

Is a tissue repair without mesh paid differently?

Yes. Inguinal herniorrhaphy, which is a tissue repair without mesh, is a separate code at Rs 24,310 (non-NABH) and Rs 28,600 (NABH).

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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.