CGHS Hip Replacement Rate List: Total Hip Replacement Package Rates
Medically reviewed by Dr. Nikhil Singh
Last reviewed: 14 Jun 2026
CGHS reimburses total hip replacement (THR) at a fixed package rate at empanelled hospitals, with the hip prosthesis reimbursed separately against the prosthetics ceiling.
CGHS Total Hip Replacement (THR) Package Rates
- Total Hip Replacement (THR), Non-NABH — Rs 79,000
- Total Hip Replacement (THR), NABH — Rs 90,850
- THR Revision Stage-I, Non-NABH — Rs 17,000
- THR Revision Stage-II, Non-NABH — Rs 50,000
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
What is the CGHS package rate for hip replacement?
About Rs 79,000 (non-NABH) and Rs 90,850 (NABH) for total hip replacement, with the hip prosthesis reimbursed separately against the prosthetics ceiling.
Is the hip implant covered separately?
Yes, the hip prosthesis is reimbursed against the notified prosthetics ceiling list, over and above the surgery package.
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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.
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About Rs 79,000 (non-NABH) and Rs 90,850 (NABH) for total hip replacement, with the hip prosthesis reimbursed separately against the prosthetics ceiling.
Yes, the hip prosthesis is reimbursed against the notified prosthetics ceiling list, over and above the surgery package.
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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.