CGHS Piles, Fistula and Fissure Surgery Rate List

CGHS reimburses surgery for piles, anal fistula and anal fissure at fixed package rates.

Under the Office Memorandum effective 13 October 2025, haemorrhoidectomy is Rs 28,050 at a non-NABH hospital and Rs 33,000 at a NABH hospital. Fissure and fistula operations sit under abdominal surgery codes, which additionally carry a higher super-speciality rate.

CGHS Piles (Haemorrhoid) Treatment Rates (effective 13 October 2025)

Haemorrhoid codes sit under general surgery and 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.

• Haemorrhoidectomy (piles surgery), Non-NABH — Rs 28,050
• Haemorrhoidectomy (piles surgery), NABH — Rs 33,000
• Stapler haemorrhoidectomy (excluding the cost of the stapler), Non-NABH — Rs 29,750
• Stapler haemorrhoidectomy (excluding the cost of the stapler), NABH — Rs 35,000
• Sclerotherapy injection or banding of haemorrhoids (cost of the drug, sclerosant or band extra), Non-NABH — Rs 595
• Sclerotherapy injection or banding of haemorrhoids (cost of the drug, sclerosant or band extra), NABH — Rs 700
• Endoscopic piles banding, Non-NABH — Rs 4,250
• Endoscopic piles banding, NABH — Rs 5,000

Anal Fissure, Fistula and Pilonidal Sinus Surgery

These codes sit under abdominal / GI surgery and carry a third, higher super-speciality rate.

• Fissure in ano — fissurectomy with internal sphincterotomy, Non-NABH — Rs 29,750
• Fissure in ano — fissurectomy with internal sphincterotomy, NABH — Rs 35,000
• Fissure in ano — fissurectomy with internal sphincterotomy, Super Speciality — Rs 40,250
• Fissure in ano — fissurectomy alone, Non-NABH — Rs 23,375
• Fissure in ano — fissurectomy alone, NABH — Rs 27,500
• Fissure in ano — fissurectomy alone, Super Speciality — Rs 31,625
• Fistula in ano — high fistulectomy, Non-NABH — Rs 29,750
• Fistula in ano — high fistulectomy, NABH — Rs 35,000
• Fistula in ano — high fistulectomy, Super Speciality — Rs 40,250
• Fistula in ano — low fistulectomy, Non-NABH — Rs 21,505
• Fistula in ano — low fistulectomy, NABH — Rs 25,300
• Fistula in ano — low fistulectomy, Super Speciality — Rs 29,095
• Excision of a pilonidal sinus (open), Non-NABH — Rs 20,570
• Excision of a pilonidal sinus (open), NABH — Rs 24,200
• Excision of a pilonidal sinus (open), Super Speciality — Rs 27,830
• Excision of a pilonidal sinus with closure, Non-NABH — Rs 23,375
• Excision of a pilonidal sinus with closure, NABH — Rs 27,500
• Excision of a pilonidal sinus with closure, Super Speciality — Rs 31,625
• Rectal polyp — excision, Non-NABH — Rs 12,810
• Rectal polyp — excision, NABH — Rs 15,070
• Rectal polyp — excision, Super Speciality — Rs 17,331

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 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 piles surgery?

Under the rates effective 13 October 2025, haemorrhoidectomy is Rs 28,050 (non-NABH) and Rs 33,000 (NABH). Stapler haemorrhoidectomy is Rs 29,750 and Rs 35,000, excluding the cost of the stapler. For early piles, sclerotherapy or banding is Rs 595 and Rs 700, with the drug, sclerosant or band charged extra.

What is the CGHS rate for fistula and fissure surgery?

High fistulectomy is Rs 29,750 (non-NABH), Rs 35,000 (NABH) and Rs 40,250 (super-speciality); low fistulectomy is Rs 21,505, Rs 25,300 and Rs 29,095. Fissurectomy with internal sphincterotomy is Rs 29,750, Rs 35,000 and Rs 40,250.

Related

• Piles (hemorrhoids): symptoms and treatment
• Piles surgery cost in India (private)

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.