CGHS Hydrocele, Circumcision and Varicocele Rate List (Minor Urology Surgery)

Hydrocele, circumcision and varicocele operations are among the most common minor urology surgeries, and each has a fixed CGHS package rate at empanelled hospitals.

The figures below are from the Office Memorandum effective 13 October 2025, which supersedes the 2014 rate list. Hydrocele and varicocele surgery carry a third, higher super-speciality rate; circumcision and the day-care procedures do not.

CGHS Hydrocele and Varicocele Surgery Rates (effective 13 October 2025)

These urology codes carry three rates — non-NABH, NABH and a higher super-speciality rate. 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.

• Hydrocele operation — unilateral, Non-NABH — Rs 23,375
• Hydrocele operation — unilateral, NABH — Rs 27,500
• Hydrocele operation — unilateral, Super Speciality — Rs 31,625
• Hydrocele operation — bilateral, Non-NABH — Rs 29,750
• Hydrocele operation — bilateral, NABH — Rs 35,000
• Hydrocele operation — bilateral, Super Speciality — Rs 40,250
• Varicocele — unilateral, microsurgical, Non-NABH — Rs 29,750
• Varicocele — unilateral, microsurgical, NABH — Rs 35,000
• Varicocele — unilateral, microsurgical, Super Speciality — Rs 40,250
• Varicocele — bilateral, microsurgical, Non-NABH — Rs 36,550
• Varicocele — bilateral, microsurgical, NABH — Rs 43,000
• Varicocele — bilateral, microsurgical, Super Speciality — Rs 49,450
• Varicocele — unilateral, laparoscopic (Palomo's), Non-NABH — Rs 29,750
• Varicocele — unilateral, laparoscopic (Palomo's), NABH — Rs 35,000
• Varicocele — unilateral, laparoscopic (Palomo's), Super Speciality — Rs 40,250
• Varicocele — bilateral, laparoscopic (Palomo's), Non-NABH — Rs 36,550
• Varicocele — bilateral, laparoscopic (Palomo's), NABH — Rs 43,000
• Varicocele — bilateral, laparoscopic (Palomo's), Super Speciality — Rs 49,450

Circumcision and Other Day-Care Urology Procedures

These codes carry no separate super-speciality rate — a super-speciality hospital is billed the NABH figure.

• Circumcision, Non-NABH — Rs 11,390
• Circumcision, NABH — Rs 13,400
• Phimosis under local anaesthesia, Non-NABH — Rs 5,100
• Phimosis under local anaesthesia, NABH — Rs 6,000
• Reduction of paraphimosis, Non-NABH — Rs 5,100
• Reduction of paraphimosis, NABH — Rs 6,000
• Meatotomy, Non-NABH — Rs 7,225
• Meatotomy, NABH — Rs 8,500
• Diagnostic cystoscopy, Non-NABH — Rs 7,225
• Diagnostic cystoscopy, NABH — Rs 8,500
• Testicular biopsy, Non-NABH — Rs 11,390
• Testicular biopsy, 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.

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.

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 in Tier I, with the North-East and the Union Territories of Jammu & Kashmir and Ladakh at Tier II rates.

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.

• 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

Is hydrocele surgery a day-care procedure under CGHS?

Hydrocele repair is commonly done as a short-stay or day-care procedure. Under the rates effective 13 October 2025 the unilateral package is Rs 23,375 (non-NABH), Rs 27,500 (NABH) and Rs 31,625 (super-speciality), covering the operation and the standard stay the hospital plans for you.

Does CGHS cover laparoscopic varicocele surgery?

Yes — the schedule carries separate codes for microsurgical and laparoscopic (Palomo's) varicocele operations. Under the rates effective 13 October 2025 both unilateral routes are Rs 29,750 (non-NABH), Rs 35,000 (NABH) and Rs 40,250 (super-speciality), and both bilateral routes are Rs 36,550, Rs 43,000 and Rs 49,450.

Related

• CGHS kidney stone rate list
• CGHS prostate (TURP) rate list

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.

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