The Central Government Health Scheme (CGHS) underwent a significant revision in 2025, the biggest in 15 years, effective from October 13, 2025. The revision updated the package rates for nearly 2,000 medical procedures across empanelled CGHS hospitals. These updates aim to provide improved cashless treatment options, ensure better reimbursements, and address financial hardships experienced by government employees and pensioners due to outdated rates.
Key Points of CGHS Revision 2025:
- Effective Date: October 13, 2025
- Scope: Revision of package rates for about 2,000 treatments
- Differentiated rates based on hospital accreditation and city tier:
- Base rates for NABH-accredited hospitals
- 15% lower for non-NABH hospitals
- 19-20% lower for Tier-II and III cities respectively
- 15% higher for super-specialty hospitals with more than 200 beds
- Extended validity of empanelled hospitals till April 2026
- Additional modernization of CGHS services, including improved online portals, expanded cashless treatment, and broader coverage for dependents
This revision focuses on enhancing the accessibility and affordability of healthcare for CGHS beneficiaries, including serving government employees, pensioners, and their families.
| Procedure | Old Rate (NABH Accredited Hospitals) | New Rate (NABH Accredited Hospitals) | Approximate Change |
|---|---|---|---|
| Dressings of wounds | ₹300 | ₹350 | +16.7% |
| Aspiration Pleural Effusion | ₹700 | ₹800 | +14.3% |
| Phimosis Correction / Circumcision | ₹6,000 | ₹6,900 | +15% |
| Hemorrhoidectomy | ₹30,000 | ₹34,500 | +15% |
| Appendicectomy | ₹19,000 | ₹22,000 | +15.8% |
| Cholecystectomy | ₹24,000 | ₹27,600 | +15% |
| Hiatus Hernia Repair | ₹33,000 | ₹37,950 | +15% |
| Exploratory Laparotomy | ₹25,000 | ₹28,750 | +15% |
| Laparoscopic Cholecystectomy | ₹33,000 | ₹37,950 | +15% |
Note: The rates above are indicative for NABH-accredited hospitals in Tier-I cities. Rates may vary based on hospital accreditation, city tier, and hospital type with non-NABH hospitals receiving roughly 15% lower rates and super-specialty hospitals possibly charged 15% higher.
This revision marks a significant increase in CGHS reimbursement rates after 15 years, aiming to ease financial burden on beneficiaries and improve cashless treatment availability.