CGHS Kidney Transplant Rate List: Package Rates for Related and Unrelated Donors

Kidney transplantation is covered under CGHS with substantial fixed packages that differ by donor type (related vs spousal/unrelated).

The figures below are from the Delhi/NCR rate list.

CGHS Kidney Transplant Package Rates

• Kidney transplantation (related donor), Non-NABH / NABH — Rs 2,00,000 / Rs 2,30,000
• Kidney transplantation (spousal/unrelated donor), Non-NABH / NABH — Rs 3,00,000 / Rs 3,45,000
• Kidney transplant graft nephrectomy, Non-NABH / NABH — Rs 59,500 / Rs 70,000

Rates shown are as per the CGHS approved package rates, Delhi & NCR 2014 rate list (updated 25.05.2021) (2014, periodically revised) and are subject to periodic revision. Always verify the latest approved rates on the official source.

Dialysis While You Wait

Most transplant candidates need maintenance dialysis before surgery — haemodialysis has its own CGHS session rate. See our CGHS dialysis rate guide for those figures.

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.

Rates for NABH-accredited hospitals are set higher (generally 15%) than the non-NABH rate. The same procedure code can show 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) 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

Does CGHS cover lifelong immunosuppressant medicines after transplant?

Post-transplant immunosuppressants for CGHS beneficiaries are provided through CGHS as per scheme rules — they are separate from the surgical package. Confirm the supply process at your wellness centre.

Is transplant permission different from normal surgery permission?

Organ transplantation additionally requires clearances under the Transplantation of Human Organs Act (authorisation committee for the donor) along with CGHS prior permission.

Related

• CGHS dialysis rate list
• 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.