CGHS Rates for Urethra, Incontinence & Genital Surgery

This page provides a detailed guide to the Central Government Health Scheme (CGHS) package rates for various surgical procedures related to the urethra, urinary incontinence, and male genital organs. These rates are applicable for treatment at CGHS-empanelled hospitals across India.

The procedures covered range from corrections of urethral strictures, such as internal urethrotomy and urethroplasty, to surgeries for urinary incontinence in both men and women. It also includes reconstructive surgeries for congenital conditions like hypospadias and epispadias, as well as procedures for testicular issues like orchidopexy for undescended testes and surgery for testicular torsion.

The rates provided in the table are fixed by the CGHS and are categorized based on the hospital's accreditation status (NABH-accredited or non-NABH). Beneficiaries should use this guide to understand the scope of coverage for their required treatment.

CGHS Urethra Surgery Rates (effective 13 October 2025)

• Internal urethrotomy, optical, Non-NABH — Rs 23,375
• Internal urethrotomy, optical, NABH — Rs 27,500
• Internal urethrotomy, optical, Super Speciality — Rs 31,625
• Internal urethrotomy, core-through urethroplasty, Non-NABH — Rs 36,550
• Internal urethrotomy, core-through urethroplasty, NABH — Rs 43,000
• Internal urethrotomy, core-through urethroplasty, Super Speciality — Rs 49,450
• Optical internal urethrotomy (OIU) with Holmium YAG laser, Non-NABH — Rs 36,550
• Optical internal urethrotomy (OIU) with Holmium YAG laser, NABH — Rs 43,000
• Optical internal urethrotomy (OIU) with Holmium YAG laser, Super Speciality — Rs 49,450
• Core-through internal urethrotomy with Holmium YAG laser, Non-NABH — Rs 45,050
• Core-through internal urethrotomy with Holmium YAG laser, NABH — Rs 53,000
• Core-through internal urethrotomy with Holmium YAG laser, Super Speciality — Rs 60,950
• Urethral reconstruction, end-to-end anastomosis, Non-NABH — Rs 36,550
• Urethral reconstruction, end-to-end anastomosis, NABH — Rs 43,000
• Urethral reconstruction, end-to-end anastomosis, Super Speciality — Rs 49,450
• Urethral reconstruction, substitution (transpubic) urethroplasty, Non-NABH — Rs 45,050
• Urethral reconstruction, substitution (transpubic) urethroplasty, NABH — Rs 53,000
• Urethral reconstruction, substitution (transpubic) urethroplasty, Super Speciality — Rs 60,950
• Abdomino-perineal urethroplasty, Non-NABH — Rs 45,050
• Abdomino-perineal urethroplasty, NABH — Rs 53,000
• Abdomino-perineal urethroplasty, Super Speciality — Rs 60,950
• Urethroplasty, 1st stage, Non-NABH — Rs 36,550
• Urethroplasty, 1st stage, NABH — Rs 43,000
• Urethroplasty, 1st stage, Super Speciality — Rs 49,450
• Perineal urethrostomy, Non-NABH — Rs 29,750
• Perineal urethrostomy, NABH — Rs 35,000
• Perineal urethrostomy, Super Speciality — Rs 40,250
• Fulguration of posterior urethral valve, Non-NABH — Rs 29,750
• Fulguration of posterior urethral valve, NABH — Rs 35,000
• Fulguration of posterior urethral valve, Super Speciality — Rs 40,250
• Cystoscopy with retrograde catheter (RGP), unilateral, Non-NABH — Rs 17,000
• Cystoscopy with retrograde catheter (RGP), unilateral, NABH — Rs 20,000
• Cystoscopy with retrograde catheter (RGP), unilateral, Super Speciality — Rs 23,000
• Cystoscopy with retrograde catheter (RGP), bilateral, Non-NABH — Rs 23,375
• Cystoscopy with retrograde catheter (RGP), bilateral, NABH — Rs 27,500
• Cystoscopy with retrograde catheter (RGP), bilateral, Super Speciality — Rs 31,625

Urinary Incontinence Surgery

• Surgery for male urinary incontinence, open, Non-NABH — Rs 36,550
• Surgery for male urinary incontinence, open, NABH — Rs 43,000
• Surgery for male urinary incontinence, open, Super Speciality — Rs 49,450
• Surgery for male urinary incontinence, sling, Non-NABH — Rs 45,050
• Surgery for male urinary incontinence, sling, NABH — Rs 53,000
• Surgery for male urinary incontinence, sling, Super Speciality — Rs 60,950
• Surgery for male urinary incontinence, bulking agent, Non-NABH — Rs 36,550
• Surgery for male urinary incontinence, bulking agent, NABH — Rs 43,000
• Surgery for male urinary incontinence, bulking agent, Super Speciality — Rs 49,450
• Surgery for female urinary incontinence, open, Non-NABH — Rs 36,550
• Surgery for female urinary incontinence, open, NABH — Rs 43,000
• Surgery for female urinary incontinence, open, Super Speciality — Rs 49,450
• Surgery for female urinary incontinence, sling, Non-NABH — Rs 45,050
• Surgery for female urinary incontinence, sling, NABH — Rs 53,000
• Surgery for female urinary incontinence, sling, Super Speciality — Rs 60,950
• Surgery for female urinary incontinence, bulking agent, Non-NABH — Rs 36,550
• Surgery for female urinary incontinence, bulking agent, NABH — Rs 43,000
• Surgery for female urinary incontinence, bulking agent, Super Speciality — Rs 49,450
• Prosthetic surgery for urinary incontinence, Non-NABH — Rs 36,550
• Prosthetic surgery for urinary incontinence, NABH — Rs 43,000
• Prosthetic surgery for urinary incontinence, Super Speciality — Rs 49,450

Hypospadias, Epispadias and Male Genital Surgery

• Hypospadias repair with chordee correction, Non-NABH — Rs 29,750
• Hypospadias repair with chordee correction, NABH — Rs 35,000
• Hypospadias repair with chordee correction, Super Speciality — Rs 40,250
• Hypospadias repair, second stage, Non-NABH — Rs 36,550
• Hypospadias repair, second stage, NABH — Rs 43,000
• Hypospadias repair, second stage, Super Speciality — Rs 49,450
• Hypospadias repair, one-stage, Non-NABH — Rs 36,550
• Hypospadias repair, one-stage, NABH — Rs 43,000
• Hypospadias repair, one-stage, Super Speciality — Rs 49,450
• Repair of crippled hypospadias, Non-NABH — Rs 36,550
• Repair of crippled hypospadias, NABH — Rs 43,000
• Repair of crippled hypospadias, Super Speciality — Rs 49,450
• Epispadias repair, primary, Non-NABH — Rs 36,550
• Epispadias repair, primary, NABH — Rs 43,000
• Epispadias repair, primary, Super Speciality — Rs 49,450
• Epispadias repair, crippled epispadias, Non-NABH — Rs 45,050
• Epispadias repair, crippled epispadias, NABH — Rs 53,000
• Epispadias repair, crippled epispadias, Super Speciality — Rs 60,950
• Partial amputation of the penis, Non-NABH — Rs 29,750
• Partial amputation of the penis, NABH — Rs 35,000
• Partial amputation of the penis, Super Speciality — Rs 40,250
• Total amputation of the penis, Non-NABH — Rs 36,550
• Total amputation of the penis, NABH — Rs 43,000
• Total amputation of the penis, Super Speciality — Rs 49,450
• Peyronie’s disease — plaque excision with grafting, Non-NABH — Rs 29,750
• Peyronie’s disease — plaque excision with grafting, NABH — Rs 35,000
• Peyronie’s disease — plaque excision with grafting, Super Speciality — Rs 40,250
• Simple orchidectomy, Non-NABH — Rs 23,375
• Simple orchidectomy, NABH — Rs 27,500
• Simple orchidectomy, Super Speciality — Rs 31,625
• Epididymectomy, Non-NABH — Rs 17,000
• Epididymectomy, NABH — Rs 20,000
• Epididymectomy, Super Speciality — Rs 23,000
• Surgery for testicular torsion, Non-NABH — Rs 23,375
• Surgery for testicular torsion, NABH — Rs 27,500
• Surgery for testicular torsion, Super Speciality — Rs 31,625
• Microsurgical vasovasostomy / vaso-epididymal anastomosis, Non-NABH — Rs 23,375
• Microsurgical vasovasostomy / vaso-epididymal anastomosis, NABH — Rs 27,500
• Microsurgical vasovasostomy / vaso-epididymal anastomosis, Super Speciality — Rs 31,625
• Excision of filarial scrotum, Non-NABH — Rs 23,375
• Excision of filarial scrotum, NABH — Rs 27,500
• Excision of filarial scrotum, Super Speciality — Rs 31,625
• Scrotal exploration, Non-NABH — Rs 23,375
• Scrotal exploration, NABH — Rs 27,500
• Scrotal exploration, Super Speciality — Rs 31,625
• Unilateral orchidopexy, open, Non-NABH — Rs 29,750
• Unilateral orchidopexy, open, NABH — Rs 35,000
• Unilateral orchidopexy, open, Super Speciality — Rs 40,250
• Unilateral orchidopexy, laparoscopic/endoscopic, Non-NABH — Rs 36,550
• Unilateral orchidopexy, laparoscopic/endoscopic, NABH — Rs 43,000
• Unilateral orchidopexy, laparoscopic/endoscopic, Super Speciality — Rs 49,450
• Bilateral orchidopexy, open, Non-NABH — Rs 36,550
• Bilateral orchidopexy, open, NABH — Rs 43,000
• Bilateral orchidopexy, open, Super Speciality — Rs 49,450
• Bilateral orchidopexy, laparoscopic/endoscopic, Non-NABH — Rs 45,050
• Bilateral orchidopexy, laparoscopic/endoscopic, NABH — Rs 53,000
• Bilateral orchidopexy, laparoscopic/endoscopic, Super Speciality — Rs 60,950

Diagnostic & Minor Urethral/Genital Procedures

These carry no separate super-speciality rate — they are billed at the NABH rate at every hospital tier.

• Urethroscopy / cystopanendoscopy, Non-NABH — Rs 11,390
• Urethroscopy / cystopanendoscopy, NABH — Rs 13,400
• Dilatation of urethral stricture under general anaesthesia, Non-NABH — Rs 4,250
• Dilatation of urethral stricture under general anaesthesia, NABH — Rs 5,000
• Meatoplasty, Non-NABH — Rs 11,390
• Meatoplasty, NABH — Rs 13,400

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 schedule of rates is applicable to all CGHS beneficiaries who have been advised to undergo specific urological or genital reconstructive surgery. The list of procedures is extensive and addresses a variety of conditions, including:

<strong>Urethral Conditions:</strong> Patients requiring treatment for urethral strictures through procedures like Optical Internal Urethrotomy (OIU), core-through urethroplasty, or more complex reconstructions (urethroplasty). It also includes diagnostic procedures like urethroscopy and cystoscopy.

<strong>Urinary Incontinence:</strong> Both male and female beneficiaries needing surgical intervention for urinary incontinence. This covers open surgeries, sling procedures, and the use of bulking agents, as well as prosthetic surgery for incontinence.

<strong>Congenital Anomalies:</strong> Individuals, often children, born with conditions like hypospadias (abnormal urethral opening on the underside of the penis) or epispadias. The rates cover single-stage, multi-stage, and revision surgeries for these conditions.

<strong>Testicular and Scrotal Conditions:</strong> Patients with conditions such as undescended testes requiring orchidopexy (open or laparoscopic), testicular torsion, or those needing an orchidectomy (removal of a testis). It also covers procedures like vasectomy reversal (microsurgical vasovasostomy) and excision of a filarial scrotum.

<strong>Other Penile and Urethral Procedures:</strong> Beneficiaries needing surgery for Peyronie's disease, partial or total amputation of the penis for medical reasons, meatoplasty, or fulguration of posterior urethral valves.

What CGHS covers vs. what you pay separately

The CGHS package rates are designed to be comprehensive, covering most expenses associated with a specific surgical procedure. The approved rate typically includes room rent according to the beneficiary's ward entitlement, surgeon and anaesthetist fees, operation theatre charges, nursing care, and standard drugs and consumables required for the surgery and immediate post-operative period.

However, beneficiaries should be aware that certain high-cost items may not be fully included in the package rate. These items are often billed separately at CGHS-approved rates or as per the hospital's policy. Examples can include specialized implants like certain types of artificial urinary sphincters, specific slings for incontinence surgery, or particular grafts used in urethroplasty or Peyronie's disease surgery. The cost of some specialized medications or disposables may also be billed separately.

To avoid any confusion regarding the final bill, it is advisable for the beneficiary or their attendant to have a detailed discussion with the hospital's billing department before admission. Request a written estimate that clearly separates the costs covered by the CGHS package from any additional expenses you may need to pay out-of-pocket.

How to use this at a CGHS-empanelled hospital

Navigating the process for cashless treatment at a CGHS-empanelled hospital involves a few standard steps. Following this process ensures a smooth experience.

First, you must have a valid referral for the specific procedure from a government specialist or a CGHS Wellness Centre medical officer. This prescription or referral letter is a mandatory document.

Once you have the referral, you can approach the CGHS help desk at any empanelled hospital that performs the required surgery. You will need to present your CGHS card, the referral letter, and any relevant medical reports. The hospital will verify your documents and initiate the pre-authorization process with CGHS for the procedure.

It is important to confirm that the procedure code and description the hospital is using for authorization exactly matches the one listed in the CGHS rate list. This helps prevent billing disputes later. The rate applicable—whether NABH or non-NABH—is determined by the hospital's own accreditation status and is not a matter of patient choice. Once the authorization is approved, the hospital can proceed with the admission and surgery on a cashless basis for all items covered under the package rate.

Frequently Asked Questions

What is the difference between open and laparoscopic orchidopexy?

Orchidopexy is surgery to correct an undescended testicle. Open surgery involves an incision in the groin to bring the testicle down into the scrotum. Laparoscopic surgery uses small incisions and a camera to perform the procedure, which is often used for testicles located higher in the abdomen. CGHS provides separate package rates for both approaches.

Does CGHS cover surgery for both male and female urinary incontinence?

Yes, the CGHS rate list includes surgical procedures for urinary incontinence for both men and women. This includes open surgeries, sling procedures, and the injection of bulking agents. The specific procedure advised depends on the cause and type of incontinence.

What is a urethroplasty, and how does it differ from an internal urethrotomy?

Both are surgeries for urethral strictures (narrowing of the urine tube). An internal urethrotomy (OIU) is a less invasive procedure where the stricture is cut open from the inside using an endoscope. A urethroplasty is a more complex open surgery that involves reconstructing the narrowed section of the urethra, sometimes using a graft. CGHS has different rates for each type of procedure.

Are diagnostic procedures like cystoscopy included in the CGHS list?

Yes, several diagnostic and minor therapeutic procedures are included. The list covers rates for Urethroscopy, Cystopanendoscopy (examination of the urethra and bladder), and Cystoscopy with retrograde catheter placement (RGP), which is used to visualize the ureters.

What is hypospadias repair?

Hypospadias is a congenital condition where the opening of the urethra is on the underside of the penis instead of at the tip. Hypospadias repair is a surgical procedure, usually performed in childhood, to correct this by repositioning the urethral opening to its proper place and straightening the penis if needed. CGHS covers one-stage, two-stage, and revision surgeries for this condition.

Do I need to pay for implants like urinary slings or prosthetics separately?

The CGHS package rate covers the surgical procedure itself. However, the cost of high-value implants, such as certain types of slings or prosthetic devices like artificial urinary sphincters, might be billed separately from the main package. You must confirm the cost-sharing details with the hospital's billing department before the procedure.

Is vasectomy reversal (vasovasostomy) covered by CGHS?

Yes, the procedure 'Microsurgical vasovasostomy / vaso-epididymal anastomosis', which is a vasectomy reversal, is included in the CGHS list. It is covered under the approved package rate, provided there is a valid medical reason and a referral from a specialist.

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.