CGHS Hysterectomy Rate List: Abdominal and Laparoscopic Package Rates

CGHS reimburses hysterectomy at fixed package rates that depend on the surgical approach: abdominal, total laparoscopic, or laparoscopically assisted vaginal (LAVH).

Under the Office Memorandum effective 13 October 2025, abdominal hysterectomy is Rs 36,550 at a non-NABH hospital and the laparoscopic approaches Rs 53,550.

CGHS Hysterectomy Package Rates (effective 13 October 2025)

Obstetrics and gynaecology codes carry no separate super-speciality rate. The OM sets the non-NABH rate 15% below the NABH rate for the same code. 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.

• Abdominal hysterectomy, with or without salpingo-oophorectomy, Non-NABH — Rs 36,550
• Abdominal hysterectomy, with or without salpingo-oophorectomy, NABH — Rs 43,000
• Total laparoscopic hysterectomy, with or without BSO, Non-NABH — Rs 53,550
• Total laparoscopic hysterectomy, with or without BSO, NABH — Rs 63,000
• Laparoscopically assisted vaginal hysterectomy (LAVH), with or without BSO, Non-NABH — Rs 53,550
• Laparoscopically assisted vaginal hysterectomy (LAVH), with or without BSO, NABH — Rs 63,000
• Non-descent vaginal hysterectomy (NDVH), with or without BSO, Non-NABH — Rs 36,550
• Non-descent vaginal hysterectomy (NDVH), with or without BSO, NABH — Rs 43,000
• Vaginal hysterectomy including BSO, with or without repairs, Non-NABH — Rs 36,550
• Vaginal hysterectomy including BSO, with or without repairs, NABH — Rs 43,000

Uterus-Sparing Alternatives

• Myomectomy (fibroid removal) — laparotomy, Non-NABH — Rs 29,750
• Myomectomy (fibroid removal) — laparotomy, NABH — Rs 35,000
• Myomectomy (fibroid removal) — laparoscopic, Non-NABH — Rs 36,550
• Myomectomy (fibroid removal) — laparoscopic, NABH — Rs 43,000
• Hysteroscopic transcervical resection of the endometrium (TCRE), Non-NABH — Rs 29,750
• Hysteroscopic transcervical resection of the endometrium (TCRE), NABH — Rs 35,000
• Thermal balloon endometrial ablation, Non-NABH — Rs 29,750
• Thermal balloon endometrial ablation, 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.

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 hysterectomy?

Under the rates effective 13 October 2025, abdominal hysterectomy is Rs 36,550 (non-NABH) and Rs 43,000 (NABH). Total laparoscopic hysterectomy and LAVH are both Rs 53,550 (non-NABH) and Rs 63,000 (NABH).

Does CGHS pay for a fibroid operation that keeps the uterus?

Yes. Myomectomy has its own codes — Rs 29,750 (non-NABH) by laparotomy and Rs 36,550 by the laparoscopic route, with NABH rates of Rs 35,000 and Rs 43,000.

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.