CGHS Rates for Pinna Surgery and Neck Mass Excision

This page provides a detailed guide to the Central Government Health Scheme (CGHS) approved rates for various surgical procedures involving the outer ear (pinna) and the excision of neck masses. These procedures are performed to address a range of conditions, from non-cancerous growths and injuries to congenital abnormalities and tumours.

The scope of this guide includes surgeries such as the excision of growths from the pinna, partial or total amputation of the ear due to injury or disease, and complex procedures for removing neck masses. Specific conditions covered include cystic hygroma, branchial cysts and sinuses, pharyngeal diverticulum, carotid body tumours, and symptomatic cervical ribs.

For CGHS beneficiaries, understanding these rates is crucial for planning treatment at an empanelled private hospital. The rates are fixed by the government and differ based on whether the hospital holds NABH accreditation. The table above lists the specific rates for each procedure, helping beneficiaries anticipate the costs covered by the scheme.

CGHS Pinna & Neck Mass Surgery Rates (effective 13 October 2025)

ENT codes carry no separate super-speciality rate.

• Excision of Pinna for non-cancerous Growth/Injuries - Skin Only, Non-NABH — Rs 7,820
• Excision of Pinna for non-cancerous Growth/Injuries - Skin Only, NABH — Rs 9,200
• Excision of Pinna for non-cancerous/ Injuries - Skin and Cartilage, Non-NABH — Rs 11,390
• Excision of Pinna for non-cancerous/ Injuries - Skin and Cartilage, NABH — Rs 13,400
• Partial Amputation of Pinna, Non-NABH — Rs 11,390
• Partial Amputation of Pinna, NABH — Rs 13,400
• Total Amputation of Pinna, Non-NABH — Rs 17,000
• Total Amputation of Pinna, NABH — Rs 20,000
• Total Amputation & Excision of External Auditory Meatus, Non-NABH — Rs 17,000
• Total Amputation & Excision of External Auditory Meatus, NABH — Rs 20,000
• Excision of Cystic Hygroma, Non-NABH — Rs 17,000
• Excision of Cystic Hygroma, NABH — Rs 20,000
• Excision of Cystic Hygroma Extensive, Non-NABH — Rs 23,375
• Excision of Cystic Hygroma Extensive, NABH — Rs 27,500
• Excision of Branchial Cyst, Non-NABH — Rs 23,375
• Excision of Branchial Cyst, NABH — Rs 27,500
• Excision of Branchial Sinus, Non-NABH — Rs 23,375
• Excision of Branchial Sinus, NABH — Rs 27,500
• Excision of Pharyngeal Diverticulum, Non-NABH — Rs 23,375
• Excision of Pharyngeal Diverticulum, NABH — Rs 27,500
• Excision of Carotid Body / Carotid Body Tumours, Non-NABH — Rs 36,550
• Excision of Carotid Body / Carotid Body Tumours, NABH — Rs 43,000
• Operation for Cervical Rib, Non-NABH — Rs 29,750
• Operation for Cervical Rib, NABH — Rs 35,000

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.

Who This Covers

This information is intended for all CGHS beneficiaries who have been advised by a qualified medical professional to undergo surgery for specific conditions of the pinna or neck. This includes central government employees, pensioners, and their dependents who are enrolled in the scheme.

The procedures listed are for conditions such as non-cancerous growths or injuries of the outer ear requiring excision or amputation, as well as congenital or developed masses in the neck. These include cystic hygroma, branchial cysts, branchial sinuses, pharyngeal diverticulum, carotid body tumours, and complications arising from a cervical rib that necessitate surgical intervention.

What CGHS Covers vs. What You Pay Separately

The CGHS package rate for a given surgical procedure is comprehensive. It generally includes the surgeon's and anaesthetist's fees, operation theatre charges, instruments, standard drugs and consumables, and inpatient stay costs according to the beneficiary's ward entitlement (General, Semi-Private, or Private).

However, it is important to note that the package may not cover all expenses. High-cost consumables, specialised grafts, or certain implants might be billed separately. The cost of these items is often reimbursed by the CGHS at approved rates, but the patient may need to pay the amount upfront. It is advisable for beneficiaries to have a detailed discussion with the hospital's billing department before admission to get a clear estimate of any potential out-of-pocket expenses.

How to Use This at a CGHS-Empanelled Hospital

To avail of treatment using CGHS rates, you must first obtain a referral for the specific procedure from a specialist at a government hospital or a CGHS Wellness Centre. Once you have the referral, you can choose any private hospital that is empanelled under CGHS for that particular specialty or procedure.

Upon arriving at the hospital, present your CGHS card and the referral letter at the dedicated CGHS help desk or admissions counter. It is crucial to confirm the exact procedure code and the corresponding rate with the hospital staff before initiating the admission process. This ensures transparency and prevents billing disputes later.

Remember that the rate applicable to your procedure depends on the hospital's accreditation status. Hospitals with National Accreditation Board for Hospitals & Healthcare Providers (NABH) certification are eligible for higher rates than non-NABH accredited facilities. This distinction is based on the hospital's quality standards and is not a choice available to the patient.

Frequently Asked Questions

What is a branchial cyst and why is surgery required?

A branchial cyst is a congenital lump that typically develops on the side of the neck. It forms from embryonic tissues that did not properly develop. Surgical excision is the standard treatment to prevent recurrent infections, manage discomfort, and confirm the diagnosis by ruling out other types of masses.

What is a carotid body tumour?

A carotid body tumour is a rare growth that develops from a small cluster of cells located at the fork of the carotid artery in the neck. While usually benign, these tumours can grow and press on nearby nerves and blood vessels. Surgical excision is a complex procedure due to the tumour's proximity to major vascular structures.

What does an operation for a cervical rib involve?

A cervical rib is an extra rib that grows from the seventh cervical vertebra. In some individuals, it can compress nerves and blood vessels, a condition known as Thoracic Outlet Syndrome. The operation involves the surgical removal of this extra rib to relieve the pressure and alleviate symptoms like pain, numbness, or poor circulation in the arm.

What is a cystic hygroma?

A cystic hygroma is a fluid-filled sac, often present at birth, resulting from a blockage in the lymphatic system. It commonly appears as a soft lump in the neck or armpit. Surgical excision may be recommended if it grows large, causes symptoms like difficulty breathing or swallowing, or becomes infected.

Are post-operative consultations included in the CGHS package rate?

The CGHS surgical package rate typically includes post-operative care for a specified duration, which covers follow-up consultations. Beneficiaries should confirm the exact period of included follow-up care with the hospital administration before the procedure.

Does the CGHS rate cover the entire hospital stay?

Yes, the package rate includes room and board for the inpatient stay as per the beneficiary's ward entitlement (General, Semi-Private, or Private). The duration of the stay is determined by the standard medical protocol for the specific procedure.

How can I find a list of CGHS-empanelled hospitals for these surgeries?

The most current list of empanelled healthcare organizations (HCOs) is available on the official CGHS website. Beneficiaries can use the portal to search for hospitals by city, state, and specialty to find a suitable facility for their procedure.

Related

• How to apply for a CGHS card
• CGHS rate list for common procedures
• CGHS vs Ayushman Bharat: what's the difference

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.