CGHS Neurosurgery Rate List: Aneurysm, Stroke, Epilepsy Surgery and DBS

Neuro-surgery is one of the categories where the CGHS memorandum sets three rates, not two: a non-NABH rate, a NABH rate and a higher super-speciality rate. On a large operation the gap between the first and the third column runs into tens of thousands of rupees, so the column matters.

The tables below cover the operations that the existing craniotomy and shunt pages do not: aneurysm and vascular surgery, stroke procedures, epilepsy surgery, deep brain stimulation and nerve decompression.

CGHS Rates for Brain Haemorrhage and Stroke Surgery (effective 13 October 2025)

Neuro-surgery codes carry three rates — non-NABH, NABH and a higher super-speciality rate. Implants and devices are reimbursed separately where the code says the rate excludes them.

• Decompressive craniotomy for acute subdural haematoma, brain swelling or large infarct, Non-NABH — Rs 69,700
• Decompressive craniotomy for acute subdural haematoma, brain swelling or large infarct, NABH — Rs 82,000
• Decompressive craniotomy for acute subdural haematoma, brain swelling or large infarct, Super Speciality — Rs 94,300
• Burr hole evacuation of chronic subdural haematoma, Non-NABH — Rs 53,550
• Burr hole evacuation of chronic subdural haematoma, NABH — Rs 63,000
• Burr hole evacuation of chronic subdural haematoma, Super Speciality — Rs 72,450
• Stereotactic aspiration of intracerebral haematoma, Non-NABH — Rs 64,600
• Stereotactic aspiration of intracerebral haematoma, NABH — Rs 76,000
• Stereotactic aspiration of intracerebral haematoma, Super Speciality — Rs 87,400
• Intra-arterial thrombolysis with TPA for ischaemic stroke, Non-NABH — Rs 29,750
• Intra-arterial thrombolysis with TPA for ischaemic stroke, NABH — Rs 35,000
• Intra-arterial thrombolysis with TPA for ischaemic stroke, Super Speciality — Rs 40,250
• External ventricular drainage (EVD), Non-NABH — Rs 23,375
• External ventricular drainage (EVD), NABH — Rs 27,500
• External ventricular drainage (EVD), Super Speciality — Rs 31,625
• Carotid endarterectomy, Non-NABH — Rs 53,550
• Carotid endarterectomy, NABH — Rs 63,000
• Carotid endarterectomy, Super Speciality — Rs 72,450
• Carotid stenting, excluding the cost of the stent, Non-NABH — Rs 53,550
• Carotid stenting, excluding the cost of the stent, NABH — Rs 63,000
• Carotid stenting, excluding the cost of the stent, Super Speciality — Rs 72,450

Aneurysm and Vascular Malformation Surgery

• Clipping of an intracranial aneurysm, Non-NABH — Rs 69,700
• Clipping of an intracranial aneurysm, NABH — Rs 82,000
• Clipping of an intracranial aneurysm, Super Speciality — Rs 94,300
• Aneurysm coiling (endovascular), Non-NABH — Rs 53,550
• Aneurysm coiling (endovascular), NABH — Rs 63,000
• Aneurysm coiling (endovascular), Super Speciality — Rs 72,450
• Surgery for an intracranial arteriovenous malformation (AVM), Non-NABH — Rs 82,450
• Surgery for an intracranial arteriovenous malformation (AVM), NABH — Rs 97,000
• Surgery for an intracranial arteriovenous malformation (AVM), Super Speciality — Rs 1,11,550
• Surgery for scalp arteriovenous malformations, Non-NABH — Rs 53,550
• Surgery for scalp arteriovenous malformations, NABH — Rs 63,000
• Surgery for scalp arteriovenous malformations, Super Speciality — Rs 72,450

Hydrocephalus, Pituitary and Skull Base Surgery

• Ventriculoatrial or ventriculoperitoneal (VP) shunt, Non-NABH — Rs 45,050
• Ventriculoatrial or ventriculoperitoneal (VP) shunt, NABH — Rs 53,000
• Ventriculoatrial or ventriculoperitoneal (VP) shunt, Super Speciality — Rs 60,950
• Programmable VP shunt, excluding the cost of the device, Non-NABH — Rs 53,550
• Programmable VP shunt, excluding the cost of the device, NABH — Rs 63,000
• Programmable VP shunt, excluding the cost of the device, Super Speciality — Rs 72,450
• Endoscopic third ventriculostomy, Non-NABH — Rs 45,050
• Endoscopic third ventriculostomy, NABH — Rs 53,000
• Endoscopic third ventriculostomy, Super Speciality — Rs 60,950
• Trans-sphenoidal surgery (pituitary), Non-NABH — Rs 45,050
• Trans-sphenoidal surgery (pituitary), NABH — Rs 53,000
• Trans-sphenoidal surgery (pituitary), Super Speciality — Rs 60,950
• Foramen magnum decompression for Chiari malformation, Non-NABH — Rs 1,09,650
• Foramen magnum decompression for Chiari malformation, NABH — Rs 1,29,000
• Foramen magnum decompression for Chiari malformation, Super Speciality — Rs 1,48,350

Epilepsy, Movement Disorder and Radiosurgery

• Corpus callosotomy for epilepsy, Non-NABH — Rs 69,700
• Corpus callosotomy for epilepsy, NABH — Rs 82,000
• Corpus callosotomy for epilepsy, Super Speciality — Rs 94,300
• Hemispherotomy for epilepsy, Non-NABH — Rs 69,700
• Hemispherotomy for epilepsy, NABH — Rs 82,000
• Hemispherotomy for epilepsy, Super Speciality — Rs 94,300
• Epilepsy surgery other than corpus callosotomy or hemispherotomy, Non-NABH — Rs 82,450
• Epilepsy surgery other than corpus callosotomy or hemispherotomy, NABH — Rs 97,000
• Epilepsy surgery other than corpus callosotomy or hemispherotomy, Super Speciality — Rs 1,11,550
• Deep brain stimulation (DBS) implantation — one electrode, Non-NABH — Rs 53,550
• Deep brain stimulation (DBS) implantation — one electrode, NABH — Rs 63,000
• Deep brain stimulation (DBS) implantation — one electrode, Super Speciality — Rs 72,450
• Deep brain stimulation (DBS) implantation — two electrodes, Non-NABH — Rs 64,600
• Deep brain stimulation (DBS) implantation — two electrodes, NABH — Rs 76,000
• Deep brain stimulation (DBS) implantation — two electrodes, Super Speciality — Rs 87,400
• Battery placement for deep brain stimulation, Non-NABH — Rs 29,750
• Battery placement for deep brain stimulation, NABH — Rs 35,000
• Battery placement for deep brain stimulation, Super Speciality — Rs 40,250
• Stereotactic radiosurgery for brain pathology (X-knife or Gamma) — one session, Non-NABH — Rs 45,050
• Stereotactic radiosurgery for brain pathology (X-knife or Gamma) — one session, NABH — Rs 53,000
• Stereotactic radiosurgery for brain pathology (X-knife or Gamma) — one session, Super Speciality — Rs 60,950
• Stereotactic radiosurgery for brain pathology — two or more sessions, Non-NABH — Rs 64,600
• Stereotactic radiosurgery for brain pathology — two or more sessions, NABH — Rs 76,000
• Stereotactic radiosurgery for brain pathology — two or more sessions, Super Speciality — Rs 87,400

Nerve and Facial Pain Surgery

• Radiofrequency lesion for trigeminal neuralgia, Non-NABH — Rs 45,050
• Radiofrequency lesion for trigeminal neuralgia, NABH — Rs 53,000
• Radiofrequency lesion for trigeminal neuralgia, Super Speciality — Rs 60,950
• Microsurgical decompression for the trigeminal nerve, Non-NABH — Rs 53,550
• Microsurgical decompression for the trigeminal nerve, NABH — Rs 63,000
• Microsurgical decompression for the trigeminal nerve, Super Speciality — Rs 72,450
• Microsurgical decompression for hemifacial spasm, Non-NABH — Rs 53,550
• Microsurgical decompression for hemifacial spasm, NABH — Rs 63,000
• Microsurgical decompression for hemifacial spasm, Super Speciality — Rs 72,450
• Carpal tunnel decompression, Non-NABH — Rs 36,550
• Carpal tunnel decompression, NABH — Rs 43,000
• Carpal tunnel decompression, Super Speciality — Rs 49,450
• Median nerve decompression, Non-NABH — Rs 36,550
• Median nerve decompression, NABH — Rs 43,000
• Median nerve decompression, Super Speciality — Rs 49,450
• Peripheral nerve surgery — major, Non-NABH — Rs 53,550
• Peripheral nerve surgery — major, NABH — Rs 63,000
• Peripheral nerve surgery — major, Super Speciality — Rs 72,450
• Peripheral nerve surgery — minor, Non-NABH — Rs 45,050
• Peripheral nerve surgery — minor, NABH — Rs 53,000
• Peripheral nerve surgery — minor, Super Speciality — Rs 60,950

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.

Which of the Three Rates Applies to You

The column is decided by the hospital, not by the patient. A non-accredited empanelled hospital bills the first column, a NABH-accredited hospital the second, and a hospital empanelled in the super-speciality category the third. Clipping an intracranial aneurysm is Rs 69,700, Rs 82,000 or Rs 94,300 depending on which of the three applies.

Devices and Stents Are Reimbursed Separately

Where a code says the rate excludes a device, the device is dealt with separately against its own ceiling. Carotid stenting at Rs 53,550 (non-NABH) excludes the stent, and a programmable VP shunt at Rs 53,550 excludes the shunt device. For deep brain stimulation the electrode implantation, the second electrode and the battery placement are three separate codes.

Emergency Neurosurgery and Permission

A brain haemorrhage or an acute stroke is an emergency, and emergency treatment at an empanelled hospital is reimbursed up to CGHS rates without prior permission. Planned neurosurgery — an aneurysm found on a scan, epilepsy surgery, deep brain stimulation — needs a referral and prior permission from the competent authority.

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. For an investigation, the rate is the whole charge for that test at an empanelled facility.

The 2025 memorandum lists three columns for every code: a non-NABH rate, a NABH rate that is about 15% higher, and for some categories a further super-speciality rate. Which column applies depends on the accreditation status of the hospital or laboratory you are treated at, not on your ward entitlement.

High-value implants, stents, lenses and devices are not part of the package. Where a code says the rate excludes an implant or a drug, that item is reimbursed separately against its own notified ceiling.

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.

For investigations, the test has to be prescribed by a CGHS medical officer or by a specialist at a government or empanelled hospital for the empanelled laboratory to bill it as a cashless CGHS test.

• Carry a valid CGHS card and follow your ward entitlement (based on pay or pension)
• Use an empanelled hospital or laboratory for cashless treatment up to CGHS rates
• Obtain prior permission and a referral for planned surgery
• Ask for the OM code the hospital is billing against, and check it against the rate list

These Rates Are Revised

CGHS revises its package rates periodically, and the memorandum in force on the date of your treatment is the one that applies. The figures on this page are from the memorandum effective 13 October 2025. Before you plan a procedure, confirm the current figure for your code on the official memorandum linked above.

Frequently Asked Questions

What is the CGHS rate for aneurysm clipping?

Clipping of an intracranial aneurysm is Rs 69,700 at a non-NABH hospital, Rs 82,000 at a NABH hospital and Rs 94,300 at a super-speciality hospital, under the rates effective 13 October 2025. Endovascular coiling is a separate code at Rs 53,550, Rs 63,000 and Rs 72,450.

Is deep brain stimulation covered under CGHS?

Yes. DBS implantation with one electrode is Rs 53,550 (non-NABH), Rs 63,000 (NABH) and Rs 72,450 (super speciality), and two electrodes is a higher code. Battery placement is billed separately. The memorandum ties DBS to the conditions in the separate DBS guidelines, so check eligibility before applying for permission.

What does CGHS pay for a VP shunt?

A ventriculoatrial or ventriculoperitoneal shunt is Rs 45,050 (non-NABH), Rs 53,000 (NABH) and Rs 60,950 (super speciality). A programmable VP shunt is a higher code and its rate excludes the cost of the device.

Is epilepsy surgery covered?

Yes. Corpus callosotomy and hemispherotomy are each Rs 69,700 (non-NABH), Rs 82,000 (NABH) and Rs 94,300 (super speciality), and other epilepsy surgery is a higher code at Rs 82,450, Rs 97,000 and Rs 1,11,550.

Does CGHS cover carpal tunnel surgery?

Yes. Carpal tunnel decompression is listed at Rs 36,550 (non-NABH), Rs 43,000 (NABH) and Rs 49,450 (super speciality). It is planned surgery, so it needs a referral and prior permission.

Related

• CGHS brain surgery rate list
• CGHS spine surgery rate list
• CGHS neurology test rates
• 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.