CGHS Spine Surgery Rate List: Laminectomy and Discectomy Package Rates

CGHS reimburses common spine procedures at fixed package rates. Spinal implants such as cages and screws are reimbursed separately against the prosthetics ceiling.

Under the Office Memorandum effective 13 October 2025, laminectomy is Rs 45,050 at a non-NABH hospital and lumbar discectomy Rs 53,550, and both carry a third, higher super-speciality rate.

CGHS Spine Surgery Package Rates (effective 13 October 2025)

Spine codes sit under neuro-surgery and carry three rates — non-NABH, NABH and a higher super-speciality rate. Cages, screws and other spinal implants are reimbursed separately. 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.

• Laminectomy — cervical, dorsal or lumbar, Non-NABH — Rs 45,050
• Laminectomy — cervical, dorsal or lumbar, NABH — Rs 53,000
• Laminectomy — cervical, dorsal or lumbar, Super Speciality — Rs 60,950
• Lumbar discectomy, Non-NABH — Rs 53,550
• Lumbar discectomy, NABH — Rs 63,000
• Lumbar discectomy, Super Speciality — Rs 72,450
• Anterior cervical discectomy, Non-NABH — Rs 53,550
• Anterior cervical discectomy, NABH — Rs 63,000
• Anterior cervical discectomy, Super Speciality — Rs 72,450
• Endoscopic discectomy (lumbar or cervical), Non-NABH — Rs 53,550
• Endoscopic discectomy (lumbar or cervical), NABH — Rs 63,000
• Endoscopic discectomy (lumbar or cervical), Super Speciality — Rs 72,450
• Surgery for recurrent disc prolapse or epidural fibrosis, Non-NABH — Rs 53,550
• Surgery for recurrent disc prolapse or epidural fibrosis, NABH — Rs 63,000
• Surgery for recurrent disc prolapse or epidural fibrosis, Super Speciality — Rs 72,450

Spinal Fusion, Decompression and Disc Replacement

• Anterior cervical spine surgery with fusion (excluding implants), Non-NABH — Rs 64,600
• Anterior cervical spine surgery with fusion (excluding implants), NABH — Rs 76,000
• Anterior cervical spine surgery with fusion (excluding implants), Super Speciality — Rs 87,400
• Spinal fusion procedure (excluding implants), Non-NABH — Rs 64,600
• Spinal fusion procedure (excluding implants), NABH — Rs 76,000
• Spinal fusion procedure (excluding implants), Super Speciality — Rs 87,400
• Anterolateral decompression of the spine, Non-NABH — Rs 69,700
• Anterolateral decompression of the spine, NABH — Rs 82,000
• Anterolateral decompression of the spine, Super Speciality — Rs 94,300
• Cervical laminoplasty, Non-NABH — Rs 64,600
• Cervical laminoplasty, NABH — Rs 76,000
• Cervical laminoplasty, Super Speciality — Rs 87,400
• Cervical disc arthroplasty (excluding the disc prosthesis), Non-NABH — Rs 53,550
• Cervical disc arthroplasty (excluding the disc prosthesis), NABH — Rs 63,000
• Cervical disc arthroplasty (excluding the disc prosthesis), Super Speciality — Rs 72,450
• Lumbar disc arthroplasty (excluding the disc prosthesis), Non-NABH — Rs 45,050
• Lumbar disc arthroplasty (excluding the disc prosthesis), NABH — Rs 53,000
• Lumbar disc arthroplasty (excluding the disc prosthesis), Super Speciality — Rs 60,950
• Kyphoplasty (excluding the cost of implants), Non-NABH — Rs 45,050
• Kyphoplasty (excluding the cost of implants), NABH — Rs 53,000
• Kyphoplasty (excluding the cost of implants), 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.

Spinal Implants

Cages, screws and other spinal implants are reimbursed separately against the notified prosthetics ceiling, over and above the surgery package.

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.

High-value implants such as knee and hip prostheses, coronary stents, meshes, spinal cages and heart valves are not part of the package and are reimbursed separately against notified implant ceiling rates.

Under the Office Memorandum effective 13 October 2025, 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 the NABH rate.

The published rate is the semi-private ward figure: a general-ward entitlement is 5% lower and a private-ward entitlement 5% higher. Hospitals in Tier II cities are paid 10% less and in Tier III cities 20% less than Tier I. Consultations, investigations, radiotherapy, day-care and minor procedures are the same for every ward entitlement.

Referral and Prior Permission

For planned (non-emergency) major 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

What is the CGHS rate for spine surgery?

Under the rates effective 13 October 2025, laminectomy is Rs 45,050 (non-NABH), Rs 53,000 (NABH) and Rs 60,950 (super-speciality). Lumbar discectomy, anterior cervical discectomy and endoscopic discectomy are each Rs 53,550, Rs 63,000 and Rs 72,450. Spinal implants are reimbursed separately.

What does CGHS pay for spinal fusion?

A spinal fusion procedure is Rs 64,600 (non-NABH), Rs 76,000 (NABH) and Rs 87,400 (super-speciality), excluding cages and screws. Anterior cervical spine surgery with fusion is at the same figures.

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.