CGHS Paediatric Surgery Rate List: Hernia, Hydrocele and Newborn Operations

Paediatric surgery has its own section in the CGHS memorandum, separate from the adult codes, and its own three-column rate structure: non-NABH, NABH and a higher super-speciality rate.

The tables below cover the day-case operations most children need, the newborn operations done in the first weeks of life, and bowel, anorectal and tumour surgery.

CGHS Paediatric Hernia, Hydrocele and Day-Case Surgery Rates (effective 13 October 2025)

Paediatric surgery codes carry three rates — non-NABH, NABH and a higher super-speciality rate. Most of these operations are done in the newborn or early childhood period and need prior permission unless the child is admitted as an emergency.

• Inguinal herniotomy, Non-NABH — Rs 29,750
• Inguinal herniotomy, NABH — Rs 35,000
• Inguinal herniotomy, Super Speciality — Rs 40,250
• Congenital hydrocele, Non-NABH — Rs 29,750
• Congenital hydrocele, NABH — Rs 35,000
• Congenital hydrocele, Super Speciality — Rs 40,250
• Hydrocele of the cord, Non-NABH — Rs 23,375
• Hydrocele of the cord, NABH — Rs 27,500
• Hydrocele of the cord, Super Speciality — Rs 31,625
• Torsion testis operation, Non-NABH — Rs 29,750
• Torsion testis operation, NABH — Rs 35,000
• Torsion testis operation, Super Speciality — Rs 40,250
• Rectal biopsy for megacolon, Non-NABH — Rs 17,000
• Rectal biopsy for megacolon, NABH — Rs 20,000
• Rectal biopsy for megacolon, Super Speciality — Rs 23,000

Newborn and Congenital Surgery

• Diaphragmatic hernia repair (thoracic or abdominal approach), Non-NABH — Rs 45,050
• Diaphragmatic hernia repair (thoracic or abdominal approach), NABH — Rs 53,000
• Diaphragmatic hernia repair (thoracic or abdominal approach), Super Speciality — Rs 60,950
• Tracheoesophageal fistula correction, Non-NABH — Rs 45,050
• Tracheoesophageal fistula correction, NABH — Rs 53,000
• Tracheoesophageal fistula correction, Super Speciality — Rs 60,950
• Omphalocele, first stage (hernia repair), Non-NABH — Rs 29,750
• Omphalocele, first stage (hernia repair), NABH — Rs 35,000
• Omphalocele, first stage (hernia repair), Super Speciality — Rs 40,250
• Omphalocele, second stage (hernia repair), Non-NABH — Rs 29,750
• Omphalocele, second stage (hernia repair), NABH — Rs 35,000
• Omphalocele, second stage (hernia repair), Super Speciality — Rs 40,250
• Gastroschisis repair, Non-NABH — Rs 36,550
• Gastroschisis repair, NABH — Rs 43,000
• Gastroschisis repair, Super Speciality — Rs 49,450
• Congenital pyloric stenosis operation, Non-NABH — Rs 29,750
• Congenital pyloric stenosis operation, NABH — Rs 35,000
• Congenital pyloric stenosis operation, Super Speciality — Rs 40,250
• Duodenal atresia operation, Non-NABH — Rs 36,550
• Duodenal atresia operation, NABH — Rs 43,000
• Duodenal atresia operation, Super Speciality — Rs 49,450
• Congenital atresia and stenosis of the small intestine, Non-NABH — Rs 45,050
• Congenital atresia and stenosis of the small intestine, NABH — Rs 53,000
• Congenital atresia and stenosis of the small intestine, Super Speciality — Rs 60,950

Bowel and Anorectal Surgery

• Meconium ileus operation, Non-NABH — Rs 36,550
• Meconium ileus operation, NABH — Rs 43,000
• Meconium ileus operation, Super Speciality — Rs 49,450
• Malrotation of the intestines operation, Non-NABH — Rs 36,550
• Malrotation of the intestines operation, NABH — Rs 43,000
• Malrotation of the intestines operation, Super Speciality — Rs 49,450
• Intussusception operation, Non-NABH — Rs 36,550
• Intussusception operation, NABH — Rs 43,000
• Intussusception operation, Super Speciality — Rs 49,450
• Excision of Meckel's diverticulum, Non-NABH — Rs 36,550
• Excision of Meckel's diverticulum, NABH — Rs 43,000
• Excision of Meckel's diverticulum, Super Speciality — Rs 49,450
• Abdominoperineal pull-through for Hirschsprung's disease, Non-NABH — Rs 45,050
• Abdominoperineal pull-through for Hirschsprung's disease, NABH — Rs 53,000
• Abdominoperineal pull-through for Hirschsprung's disease, Super Speciality — Rs 60,950
• Transverse colostomy, Non-NABH — Rs 36,550
• Transverse colostomy, NABH — Rs 43,000
• Transverse colostomy, Super Speciality — Rs 49,450
• Imperforate anus, low anomaly — cut-back operation, Non-NABH — Rs 23,375
• Imperforate anus, low anomaly — cut-back operation, NABH — Rs 27,500
• Imperforate anus, low anomaly — cut-back operation, Super Speciality — Rs 31,625
• Imperforate anus, low anomaly — perineal anoplasty, Non-NABH — Rs 29,750
• Imperforate anus, low anomaly — perineal anoplasty, NABH — Rs 35,000
• Imperforate anus, low anomaly — perineal anoplasty, Super Speciality — Rs 40,250
• Imperforate anus, high anomaly — sacroabdominoperineal pull-through, Non-NABH — Rs 45,050
• Imperforate anus, high anomaly — sacroabdominoperineal pull-through, NABH — Rs 53,000
• Imperforate anus, high anomaly — sacroabdominoperineal pull-through, Super Speciality — Rs 60,950
• Imperforate anus, high anomaly — closure of colostomy, Non-NABH — Rs 29,750
• Imperforate anus, high anomaly — closure of colostomy, NABH — Rs 35,000
• Imperforate anus, high anomaly — closure of colostomy, Super Speciality — Rs 40,250

Liver, Kidney and Tumour Surgery in Children

• Choledochoduodenostomy for atresia of the extrahepatic biliary duct, Non-NABH — Rs 45,050
• Choledochoduodenostomy for atresia of the extrahepatic biliary duct, NABH — Rs 53,000
• Choledochoduodenostomy for atresia of the extrahepatic biliary duct, Super Speciality — Rs 60,950
• Operation for a choledochal cyst, Non-NABH — Rs 45,050
• Operation for a choledochal cyst, NABH — Rs 53,000
• Operation for a choledochal cyst, Super Speciality — Rs 60,950
• Nephrectomy for pyonephrosis, Non-NABH — Rs 36,550
• Nephrectomy for pyonephrosis, NABH — Rs 43,000
• Nephrectomy for pyonephrosis, Super Speciality — Rs 49,450
• Nephrectomy for hydronephrosis, Non-NABH — Rs 36,550
• Nephrectomy for hydronephrosis, NABH — Rs 43,000
• Nephrectomy for hydronephrosis, Super Speciality — Rs 49,450
• Sacrococcygeal teratoma excision, Non-NABH — Rs 36,550
• Sacrococcygeal teratoma excision, NABH — Rs 43,000
• Sacrococcygeal teratoma excision, Super Speciality — Rs 49,450

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.

A Child Is Not Billed on the Adult Code

Paediatric herniotomy is its own code at Rs 29,750 (non-NABH), distinct from the adult hernia repair codes. If a bill for a child quotes an adult code, ask the hospital why, because the rate and what the package covers can differ.

Staged Operations Are Billed by Stage

Several congenital conditions are corrected in stages, and the memorandum prices each stage. Omphalocele repair has a first stage and a second stage code, and imperforate anus with a high anomaly has a pull-through code and a separate colostomy closure code. Each stage carries its own rate and, if planned, its own permission.

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 a childs hernia operation?

Inguinal herniotomy is Rs 29,750 at a non-NABH hospital, Rs 35,000 at a NABH hospital and Rs 40,250 at a super-speciality hospital, under the rates effective 13 October 2025.

Is congenital hydrocele surgery covered under CGHS?

Yes. Congenital hydrocele is Rs 29,750 (non-NABH), Rs 35,000 (NABH) and Rs 40,250 (super speciality). Hydrocele of the cord is a separate, lower code.

Does CGHS cover newborn surgery such as a tracheoesophageal fistula repair?

Yes. Tracheoesophageal fistula correction is Rs 45,050 (non-NABH), Rs 53,000 (NABH) and Rs 60,950 (super speciality). Newborn emergencies are treated without prior permission at an empanelled hospital.

Why are there three rates for paediatric surgery?

The 2025 memorandum sets a non-NABH rate, a NABH rate about 15% higher, and a further super-speciality rate for paediatric surgery codes. Which one applies depends on the accreditation and empanelment category of the hospital treating the child.

Related

• CGHS hernia repair rate list
• CGHS ICU and ventilator charges
• CGHS maternity and delivery 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.