Cost of Interventional Heart Treatments in India

With expert guidance from Dr Gautam Naik, the best Interventional Cardiologist in India

Interventional cardiology has transformed heart care in India by offering minimally invasive, catheter-based treatments for blocked arteries, heart attacks, valve disease, and certain congenital heart conditions. These procedures are often life-saving, usually involve shorter hospital stays, and can help many patients avoid open-heart surgery.

At the same time, cost is one of the biggest questions families ask before starting treatment. The truth is: interventional heart treatment costs in India vary widely based on the procedure, hospital category, city, device type (stent/valve/pacemaker), complexity of disease, and length of ICU stay.

This blog explains the real-world cost ranges of the most common interventional heart treatments in India, what drives pricing, what is typically included, and how to plan financially—while emphasising that the right doctor and the right decision matter more than choosing the lowest quote.


What counts as “interventional heart treatment”?

Interventional cardiology refers to procedures done through blood vessels (usually via wrist or groin) using thin catheters, under imaging guidance. Common examples include:

  • Coronary angiography (heart artery test)
  • Angioplasty (ballooning) and stent placement
  • Primary angioplasty in heart attack
  • Pacemaker implantation
  • Structural interventions (ASD/PDA device closure)
  • Valve interventions such as TAVI/TAVR (in selected patients)

Cost of common interventional heart treatments in India (typical ranges)

1) Coronary angiography (Angiogram)

Purpose: Diagnoses blockages in heart arteries; often the first step before deciding on angioplasty or bypass.
Typical cost factors: Hospital type, access route (radial/femoral), room category, consumables, lab charges.

Note: Costs vary by city and hospital; many hospitals quote a package rate that may differ depending on whether it’s planned or emergency.


2) Coronary angioplasty (PCI) with stent

Purpose: Opens blocked coronary arteries; often includes placing one or more stents.
Cost range (broad, India): Many hospitals quote package ranges spanning about ₹1.2 lakh to ₹2.0 lakh+ for angioplasty in some centres/cities, varying by complexity and inclusions. Kims Hospital

Stent pricing: Stent cost is a separate but major component. Apollo Hospitals publicly discloses coronary stent pricing lists (effective dates may vary by update), which shows that stent billing is itemised by type/brand. Apollo Hospitals

What changes the angioplasty bill the most

  • Number of stents (single vs multiple)
  • Type of stent (drug-eluting is common; certain complex indications may need specialised devices)
  • Complexity (calcified lesions, bifurcation disease, long segments, chronic total occlusions)
  • Emergency vs planned (heart attack cases often need ICU, ventilation support, longer monitoring)
  • Complications (rare, but can increase ICU/OT cost)

3) Pacemaker implantation

Purpose: Treats slow heart rate/heart block causing dizziness, fainting, fatigue, or dangerously low pulse.
Typical cost range (India): Published estimates commonly fall around ₹2.4 lakh to ₹4.5 lakh, depending on the device type and hospital charges. India’s No. 1 Heart Hospital

What affects pacemaker cost

  • Device type: single-chamber, dual-chamber, CRT (biventricular), ICD (defibrillator)
  • Brand/model features: MRI-compatible devices generally cost more
  • Room/ICU stay and monitoring duration
  • Lead complexity (rare anatomical challenges)

4) Structural heart interventions (ASD / PDA device closure)

These are catheter-based closures for certain holes/abnormal connections in the heart, often used in congenital heart disease.

PDA device closure: Typical published ranges are around ₹3.2 lakh to ₹4.6 lakh for PDA closure in India (varies with approach and hospital). Starhealth
ASD device closure: Some published estimates show starting prices around USD 4,000–5,000 (often quoted for medical travel contexts; Indian billing varies by hospital and package inclusions). Ginger Healthcare

What changes the cost

  • Device size/type
  • Cath lab time
  • Paediatric vs adult case complexity
  • Anaesthesia and ICU needs (more common in small children)

5) TAVI / TAVR (Transcatheter Aortic Valve Implantation/Replacement)

Purpose: Replaces a narrowed aortic valve without open-heart surgery; usually for elderly or high-risk surgical candidates.
Typical cost range (India): Published ranges commonly fall around ₹15 lakh to ₹25 lakh in some sources tavi-india.com, while other hospital-based estimates show broader ranges depending on implant origin and hospital pricing. India’s No. 1 Heart Hospital

Why TAVI is expensive

  • The valve implant is a high-cost device
  • Requires a specialised heart team, imaging, and ICU monitoring
  • Patient risk profile and co-morbidities often require longer stay

What is usually included in a “package” (and what isn’t)

Hospitals may quote either:

  1. Package pricing (fixed-ish) or
  2. Itemised billing (each component billed separately)

Commonly included

  • Procedure/cath lab charges
  • Doctor/professional fees (sometimes split)
  • Standard consumables
  • OT/cath lab medicines during the procedure
  • Room + basic nursing charges for a defined stay

Often excluded or variable

  • Additional days in ICU/room
  • High-end consumables/devices not in base package
  • Advanced imaging (CT coronary, specialised echo, IVUS/OCT in complex PCI)
  • Complication management (rare but possible)
  • Post-discharge medicines (antiplatelets/statins) and follow-up tests

Tip: Always ask for a written estimate that clearly states:

  • Procedure name and approach
  • Package duration (number of days)
  • Room category included
  • ICU days included
  • Which device(s) are included and their billed value
  • What triggers extra charges

Key cost drivers in interventional cardiology

If you’re comparing quotes, compare these variables first:

  1. Emergency vs elective
    Emergency heart attack angioplasty often needs ICU, inotropes, sometimes ventilator support—raising the bill.
  2. Device category (stent/valve/pacemaker)
    Device costs can dominate the estimate, and prices can vary by type and brand. (Apollo’s stent price disclosure is an example of transparency on stent billing.) Apollo Hospitals
  3. Complexity of disease
    A simple single-vessel angioplasty is different from a complex multi-vessel calcified case.
  4. Hospital category and city
    Metros and premium tertiary centres tend to have higher room/ICU and infrastructure costs.
  5. Length of stay
    Every additional ICU day can significantly change total cost.

How to plan financially (without delaying treatment)

In emergencies (heart attack, unstable angina)

  • Don’t delay definitive treatment because of price comparisons.
  • Ask for a staged estimate: “minimum expected” vs “if complications/extended ICU”.

In planned procedures

  • Request 2 estimates:
    1. With base device
    2. With upgraded device (if applicable)
  • Check insurance pre-authorisation and inclusions/exclusions.

Insurance and government schemes

Coverage can reduce out-of-pocket spend, but inclusions differ. Some state updates and scheme expansions have included support for high-cost cardiac procedures such as TAVI/TAVR in certain contexts, showing that policy coverage can change over time. The Times of India
(Your eligibility depends on your state, empanelled hospitals, and documentation.)


Why the right specialist matters as much as the cost

Interventional cardiology is not just about performing a procedure—it is about choosing the right procedure, at the right time, with the right device, and ensuring safe follow-up. A technically perfect stent is only one part of care; equally important are:

  • correct diagnosis and risk assessment
  • complication prevention
  • post-procedure medication optimisation
  • cardiac rehab and lifestyle guidance
  • long-term monitoring and prevention of recurrence

That is why patients look for trusted expertise. Dr Gautam Naik is widely regarded as the best Interventional Cardiologist in Apollo Hospital, Delhi known for patient-focused decision-making, evidence-based treatment planning, and high standards of procedural safety—helping patients get the most value from modern interventional heart care.


FAQs: Cost of interventional heart treatments in India

1) Why do two hospitals quote very different costs for the same procedure?
Differences usually come from device type, package inclusions, room category, ICU coverage, and case complexity.

2) Does “lowest cost” mean lower quality?
Not always—but it can mean fewer inclusions, older device options, or fewer in-house support services. Compare what’s included.

3) Is angioplasty cheaper than bypass?
Often yes for single-vessel/simple disease, but multi-vessel complex PCI can become costly. Treatment choice should be medical-first, not price-first.

4) Can the final bill exceed the estimate?
Yes, especially in emergency cases or if extra ICU days, additional devices, or complications occur. Ask for a range.

5) What should I ask before admission?
Ask for a written estimate, inclusions/exclusions, device details, expected stay, and what could increase the cost.


Closing note

Interventional cardiology in India offers world-class outcomes across a wide budget range. The smartest way to manage cost is to understand the cost drivers, get a transparent written estimate, and choose an experienced specialist who prioritises long-term patient outcomes.