CGHS Kidney Stone Rate List: PCNL and Lithotripsy (ESWL) Package Rates

CGHS reimburses kidney stone procedures such as PCNL (percutaneous nephrolithotomy) and ESWL (shock wave lithotripsy) at fixed package rates. Under the Office Memorandum effective 13 October 2025, unilateral PCNL is Rs 45,050 at a non-NABH hospital and ESWL Rs 36,550.

CGHS Kidney Stone Surgery Package Rates (effective 13 October 2025)

Urology surgical codes carry three rates — non-NABH, NABH and a higher super-speciality rate. 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.

• Percutaneous nephrolithotomy (PCNL) — unilateral, Non-NABH — Rs 45,050
• Percutaneous nephrolithotomy (PCNL) — unilateral, NABH — Rs 53,000
• Percutaneous nephrolithotomy (PCNL) — unilateral, Super Speciality — Rs 60,950
• Percutaneous nephrolithotomy (PCNL) — bilateral, Non-NABH — Rs 53,550
• Percutaneous nephrolithotomy (PCNL) — bilateral, NABH — Rs 63,000
• Percutaneous nephrolithotomy (PCNL) — bilateral, Super Speciality — Rs 72,450
• Extracorporeal shock wave lithotripsy (ESWL), Non-NABH — Rs 36,550
• Extracorporeal shock wave lithotripsy (ESWL), NABH — Rs 43,000
• Extracorporeal shock wave lithotripsy (ESWL), Super Speciality — Rs 49,450
• Retrograde intrarenal surgery (RIRS) / flexible ureteroscopy, Non-NABH — Rs 53,550
• Retrograde intrarenal surgery (RIRS) / flexible ureteroscopy, NABH — Rs 63,000
• Retrograde intrarenal surgery (RIRS) / flexible ureteroscopy, Super Speciality — Rs 72,450
• Holmium YAG laser stone lithotripsy, Non-NABH — Rs 64,600
• Holmium YAG laser stone lithotripsy, NABH — Rs 76,000
• Holmium YAG laser stone lithotripsy, Super Speciality — Rs 87,400
• Ureteroscopic stone surgery (URS), Non-NABH — Rs 29,750
• Ureteroscopic stone surgery (URS), NABH — Rs 35,000
• Ureteroscopic stone surgery (URS), Super Speciality — Rs 40,250
• Nephrolithotomy — open, Non-NABH — Rs 36,550
• Nephrolithotomy — open, NABH — Rs 43,000
• Nephrolithotomy — open, Super Speciality — Rs 49,450
• Ureterolithotomy — open, Non-NABH — Rs 36,550
• Ureterolithotomy — open, NABH — Rs 43,000
• Ureterolithotomy — open, Super Speciality — Rs 49,450
• Ureteric catheterisation / DJ stenting, Non-NABH — Rs 17,000
• Ureteric catheterisation / DJ stenting, NABH — Rs 20,000
• Ureteric catheterisation / DJ stenting, Super Speciality — Rs 23,000

Stone Tests and Follow-Up Procedures

• DJ stent removal, Non-NABH — Rs 8,135
• DJ stent removal, NABH — Rs 9,570
• Ultrasound-guided percutaneous nephrostomy (PCN), Non-NABH — Rs 17,000
• Ultrasound-guided percutaneous nephrostomy (PCN), NABH — Rs 20,000
• CT KUB / CT lower abdomen and pelvis, without contrast, Non-NABH — Rs 2,975
• CT KUB / CT lower abdomen and pelvis, without contrast, NABH — Rs 3,500
• USG whole abdomen including pelvis and post-void urine, Non-NABH — Rs 680
• USG whole abdomen including pelvis and post-void urine, NABH — Rs 800

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 length of 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

What is the CGHS rate for kidney stone surgery?

Under the rates effective 13 October 2025, unilateral PCNL is Rs 45,050 (non-NABH), Rs 53,000 (NABH) and Rs 60,950 (super-speciality); bilateral PCNL is Rs 53,550, Rs 63,000 and Rs 72,450. ESWL lithotripsy is Rs 36,550, Rs 43,000 and Rs 49,450.

Is RIRS or laser stone surgery covered?

Yes. Retrograde intrarenal surgery (RIRS) with flexible ureteroscopy is Rs 53,550 (non-NABH), and Holmium YAG laser stone lithotripsy is Rs 64,600 (non-NABH), each with NABH and super-speciality rates 15% and 30% above that.

Does CGHS pay for the DJ stent?

Ureteric catheterisation or DJ stenting is a separate code at Rs 17,000 (non-NABH), Rs 20,000 (NABH) and Rs 23,000 (super-speciality). Removing the stent later is Rs 8,135 (non-NABH) and Rs 9,570 (NABH).

Related

• CGHS prostate (TURP) rate list

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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