TAVR (Transcatheter Aortic Valve Replacement) Cost in India

TAVR (Transcatheter Aortic Valve Replacement) is a cutting-edge, minimally invasive procedure that has transformed the treatment of severe aortic stenosis. Unlike traditional open-heart surgery, TAVR allows doctors to replace a faulty aortic valve without making a large incision, which means quicker recovery and less risk for patients. However, the TAVR (Transcatheter Aortic Valve Replacement) cost in India can vary significantly based on factors such as the type of valve used, the hospital chosen, and the patient’s unique medical needs. This blog explores the costs associated with TAVR in India and a list of top hospitals offering this advanced treatment.

About TAVR (Transcatheter Aortic Valve Replacement) Cost In India

Transcatheter Aortic Valve Replacement (TAVR) is a minimally invasive procedure used to replace a narrowed aortic valve that fails to open properly, a condition known as aortic stenosis. In India, the cost of TAVR varies significantly based on factors such as the type of valve used (imported or indigenous), the hospital’s location, and whether the institution is private or government-run. On average, the cost of TAVR in India ranges from ₹16 to ₹30 lakh. This cost includes pre-operative assessments, the procedure, hospital stay, and follow-up care.

Read More: Impactguru hospital finder tool India

The total expenditure for TAVR encompasses several components:

1. Valve Prosthesis Cost

• The valve itself is the most expensive component of the procedure.
• Imported Valves: These valves, predominantly manufactured by international companies like Edwards Lifesciences and Medtronic, significantly increase the overall cost. A procedure involving imported valves typically costs ₹25–30 lakh.
• Indigenous Valves: Indian-made valves have brought significant cost reductions. These locally manufactured valves reduce the overall cost of the procedure by up to 40%, making it more affordable at around ₹16–18 lakh.

2. Hospital Charges

• Hospitals play a crucial role in determining costs based on their infrastructure, services, and location.
• Private Hospitals typically charge between ₹20 and 30 lakh due to their advanced facilities, experienced surgeons, and premium services.
• Government Hospitals: Facilities like AIIMS or Safdarjung Hospital offer the procedure at reduced rates, with total costs dropping below ₹18 lakh because of waived consultancy or procedural fees.

3. Medical Team Fees

• The team of specialists involved in the procedure includes:
  • Interventional cardiologists
  • Cardiac surgeons
  • Anesthesiologists
  • Nurses and supporting staff
• In private settings, their fees are typically bundled into the hospital’s package. Government hospitals, however, subsidize or eliminate these fees, providing a more economical option for patients.

4. Pre-Procedure Diagnostic Costs

• Before the TAVR procedure, patients undergo a series of diagnostic tests, including:
  • Echocardiography
  • CT angiography
  • Blood tests
• The cost for these diagnostics ranges between ₹50,000 to ₹1 lakh, depending on the hospital.

5. Post-Procedure Care

• After the procedure, patients require:
  • ICU observation
  • Medications (anticoagulants and pain management)
  • Follow-up consultations
• These expenses can add an additional ₹50,000–₹2 lakh, depending on recovery requirements and hospital policies.

6. Health Insurance Coverage

• Several Indian health insurance policies now cover TAVR due to its critical nature.
• However, the extent of coverage depends on the insurer and the policy. Most plans cover 50–75% of the total cost, leaving the patient responsible for the remainder.

For a broader understanding of how surgery costs are structured across different medical procedures, you can explore our Comprehensive Guide to Treatment & Surgery Costs In India.

Types Of TAVR (Transcatheter Aortic Valve Replacement) Cost In India

access routes, deployment techniques, and indications/technology.

1. Types Based on Valve Type

a. Balloon-Expandable Valves

• Example: Edwards SAPIEN series
• Mechanism: Valve mounted on a balloon catheter, deployed via balloon inflation.
• Best Suited For: Patients with calcified or narrowed aortic valves.
• Cost Range: ₹25–35 lakh (private hospitals), ₹18–25 lakh (government hospitals).
• Details: These valves are commonly used in high-end hospitals like Apollo and Fortis.

b. Self-Expanding Valves

• Example: Medtronic CoreValve series
• Mechanism: Made from nitinol (a shape-memory alloy), it self-expands at body temperature, eliminating the need for a balloon.
• Best Suited For: Patients with a wider or irregular aortic annulus.
• Cost Range: ₹20–30 lakh (private hospitals), ₹15–22 lakh (government hospitals).
• Details: Preferred for patients requiring a minimally invasive approach.

2. Types Based on Access Routes

a. Transfemoral Access

• Description: Valve delivered via the femoral artery in the groin.
• Advantages: Least invasive and most commonly used route.
• Best Suited For: Patients with healthy femoral arteries.
• Cost Range: ₹20–30 lakh (private hospitals), ₹12–20 lakh (government hospitals).
• Details: Commonly performed due to its low complication rate and quick recovery.

b. Transapical Access

• Description: Valve delivered through a small incision in the chest to the apex of the heart.
• Advantages: Suitable for patients with poor vascular access.
• Best Suited For: Patients with calcified or diseased peripheral arteries.
• Cost Range: ₹25–35 lakh (private hospitals), ₹18–25 lakh (government hospitals).
• Details: Requires a specialized surgical team.

c. Transaortic Access

• Description: Valve delivered through an incision in the chest and ascending aorta.
• Advantages: Direct access for patients with minor or diseased femoral arteries.
• Best Suited For: Patients unsuitable for transfemoral or transapical access.
• Cost Range: ₹22–32 lakh (private hospitals), ₹15–22 lakh (government hospitals).

d. Subclavian/Transaxillary Access

• Description: Valve delivered via the subclavian or axillary artery near the shoulder.
• Advantages: Suitable for patients with inaccessible femoral arteries.
• Best Suited For: Patients with extensive peripheral artery disease.
• Cost Range: ₹20–28 lakh (private hospitals), ₹14–20 lakh (government hospitals).

3. Types Based on Valve Deployment Techniques

a. Balloon-Inflated Deployment

• Description: A balloon expands the valve at the target location.
• Cost Range: ₹25–35 lakh (private hospitals), ₹18–25 lakh (government hospitals).

b. Self-Expanding Deployment

• Description: Relies on the valve’s material (e.g., nitinol) to expand and conform to the aortic annulus.
• Cost Range: ₹20–30 lakh (private hospitals), ₹15–22 lakh (government hospitals).

c. Mechanically-Expanded Deployment

• Description: Uses a specialized mechanism to expand the valve gradually.
• Cost Range: ₹22–32 lakh (private hospitals), ₹16–24 lakh (government hospitals).

4. Types Based on Indications and Technology

a. Next-Generation TAVR Valves

• Examples: Evolut PRO+, LOTUS Edge
• Designed For: Reducing complications like paravalvular leaks and improving durability.
• Cost Range: ₹25–40 lakh (private hospitals), ₹20–30 lakh (government hospitals).

b. Bicuspid Aortic Valve TAVR

• Designed For: Patients with bicuspid aortic valves requiring specific valve designs.
• Cost Range: ₹25–35 lakh (private hospitals), ₹18–25 lakh (government hospitals).

c. Valve-in-Valve TAVR

• Designed For: Patients with failing surgically implanted bioprosthetic valves.
• Cost Range: ₹22–35 lakh (private hospitals), ₹15–22 lakh (government hospitals).

5. Based on Valve Type

• Imported Valves:
  • Imported valves manufactured by international brands like Medtronic or Edwards Lifesciences are widely used for their high quality and long-term efficacy.
  • These valves significantly increase the overall cost of the procedure.
  • Cost Range: ₹25–30 lakh.
  • Most private hospitals use these valves due to their better compatibility and durability.
• Indigenous (Indian-Made) Valves:
  • With advancements in local manufacturing, indigenous valves have been introduced to reduce costs.
  • These valves offer similar effectiveness at a lower price, making TAVR more accessible to a broader population.
  • Cost Range: ₹16–18 lakh.
  • Indigenous valves can reduce the cost by 30–40%.

6. Based on Hospital Type

• Private Hospitals:
  • Premium private hospitals with advanced facilities charge higher prices due to comprehensive packages, experienced staff, and modern infrastructure.
  • Cost Range: ₹20–30 lakh.
  • Hospitals like Apollo, Fortis, and Max Healthcare fall into this category.
• Government Hospitals:
  • Government or semi-government hospitals, such as AIIMS and Safdarjung Hospital, offer TAVR at significantly lower costs due to subsidies or waived fees.
  • Cost Range: ₹10–18 lakh.
  • Reduced costs are achieved by eliminating consultancy and surgery fees.

Summary Table: TAVR Cost in India

Type	Example	Cost Range (₹)	Best Suited For
Balloon-Expandable Valves	Edwards SAPIEN	25–35 lakh (Pvt), 18–25 lakh (Govt)	Patients with calcified/narrowed valves.
Self-Expanding Valves	Medtronic CoreValve	20–30 lakh (Pvt), 15–22 lakh (Govt)	Patients with wider/irregular aortic annulus.
Transfemoral Access	N/A	20–30 lakh (Pvt), 12–20 lakh (Govt)	Patients with healthy femoral arteries.
Transapical Access	N/A	25–35 lakh (Pvt), 18–25 lakh (Govt)	Patients with poor vascular access.
Mechanically-Expanded Valves	Evolut PRO+	25–40 lakh (Pvt), 20–30 lakh (Govt)	Advanced valves for durability and safety.
Valve-in-Valve TAVR	N/A	22–35 lakh (Pvt), 15–22 lakh (Govt)	Patients with failing bioprosthetic valves.

Cost Of TAVR (Transcatheter Aortic Valve Replacement) In Different Cities In India

The cost of TAVR in India can vary widely based on the hospital and the city. Here is a breakdown of the average cost in different cities:

City	Cost Range (₹)
New Delhi	21,00,000 – 35,00,000
Mumbai	22,00,000 – 36,00,000
Chennai	21,00,000 – 37,00,000
Bangalore	22,00,000 – 37,00,000
Hyderabad	22,00,000 – 37,00,000
Kolkata	22,00,000 – 37,00,000
Pune	22,00,000 – 36,00,000
Noida	22,00,000 – 37,00,000
Kerala	20,00,000 – 35,00,000
Goa	22,00,000 – 37,00,000

Factors Influencing The TAVR (Transcatheter Aortic Valve Replacement) Cost In India

Several factors can influence the cost of TAVR in India:

1. Hospital Choice: The reputation and location of the hospital can significantly impact the cost.
2. Geographic Location: Healthcare costs can vary by region, with metropolitan cities generally being more expensive.
3. Type of Valve: The choice of the aortic valve used during the procedure can affect the overall cost.
4. Doctor’s Expertise: Experienced doctors and surgeons may charge higher fees.
5. Patient’s Health Condition: Patients with underlying health conditions may require additional care and tests, increasing the overall cost.

To learn more about how surgery costs are calculated in India, refer to our Comprehensive Guide to Treatment & Surgery Costs In India for detailed information.

10 Best Hospitals For TAVR (Transcatheter Aortic Valve Replacement) Cost In India

1) Fortis Escorts Heart Institute, New Delhi

• Location: New Delhi
• Established: 1988
• Achievements: Renowned for cardiovascular care, numerous successful TAVR procedures
• Awards & Recognition: Multiple national and international awards
• Success Rate: High
• Volume of Procedures: High
• Accreditation: NABH, JCI

Achievements:

• Pioneering heart care for over 35 years.
• Renowned for advanced cardiac treatments and compassionate patient care.
• Home to Padma Shri and Padma Bhushan awardees.

Awards & Recognition:

• Best Hospital in Cardiology by ICICI Lombard & CNBC TV 18 (2015-2017).
• Best Cardiology Hospital in India by The Week (2014-2022).
• Best Hospital in Cardiology by Times Healthcare Achievers Awards (2018).
• Gold award in Healthcare Delivery Brand by IHW Awards (2020).
• Best Hospital in Cardiology – National by Economic Times Healthcare Awards (2021, 2022).
• AHPI Award for Excellence in Healthcare (2021).
• Best Interventional Cardiology & Cardiac Surgery Award by Medical Value Travels (2019).
• Excellence in Cardiac Sciences by ABP Healthcare Leadership (2019).
• Featured in Newsweek Best Hospitals for Cardiology Specialty (2021)

2) Medanta – The Medicity, Gurugram

• Location: Gurugram
• Established: 2009
• Achievements: Advanced cardiac care, high success rate in TAVR
• Awards & Recognition: Numerous accolades for healthcare excellence
• Success Rate: High
• Volume of Procedures: High
• Accreditation: NABH, JCI

Achievements:

• Founded by Dr. Naresh Trehan, a world-renowned cardiovascular and cardiothoracic surgeon.
• Ranked as the best private hospital in India for four consecutive years (2020-2023).
• Featured in the list of top 250 global hospitals by Newsweek (2023).

Awards & Recognition:

• Best Multi-Speciality Hospital in India by Times Health Survey (2021).
• Best Hospital for Medical Tourism by India Healthcare Awards (2020).
• Best Hospital for Neurosurgery, Neurology by India Today Awards (2018).
• Best Private Hospital in India by Newsweek (2024).
• Best Cardiology Multi-Speciality Hospital by The Times of India (2022).

3) Apollo Hospitals, Chennai

• Location: Chennai
• Established: 1983
• Achievements: Pioneer in healthcare, numerous successful TAVR procedures
• Awards & Recognition: Multiple national and international awards
• Success Rate: High
• Volume of Procedures: High
• Accreditation: NABH, JCI

Achievements:

• A pioneer in healthcare with numerous successful TAVR procedures.
• First and the world’s largest Artificial Pulmonary Valve implantation without surgery.
• First ever Transfemoral Pulmonary Valve Implantation using an Indian-made valve.

Awards & Recognition:

• Excellence in Holistic Sleep Health by South Indian Talent Awards (2024).
• Early Adoption of Technology for Enhanced Patient Safety by CAHOTECH Award (2023).
• Quality Improvement Programme by WHO (2023).
• Best Cardiology Specialty Hospital by SICCI MedTech Conference and Healthcare Awards (2023).
• Best Multi-Speciality Hospital in India by All India Multi-Speciality Hospitals Ranking Survey (2023).

4) Asian Heart Institute, Mumbai

• Location: Mumbai
• Established: 2002
• Achievements: Specialized in cardiac care, high success rate in TAVR
• Awards & Recognition: Numerous accolades for healthcare excellence
• Success Rate: High
• Volume of Procedures: High
• Accreditation: NABH, JCI

Achievements:

• It was founded by Dr. Ramakanta Panda, known as “the man with the safest hands.”
• Performed over 28,000 successful cardiac surgeries.
• Introduced “total arterial revascularization” and “off-pump” bypass surgery in India.

Awards & Recognition:

• Padma Bhushan awarded to Dr. Ramakanta Panda (2010).
• Recognized as the No.1 cardiac surgeon and one of the 25 living legends in Indian healthcare by Medgate Today.
• Official Medical Partner for the Mumbai Marathon since 2004.

5) Artemis Hospitals, Gurugram

• Location: Gurugram
• Established: 2007
• Achievements: Advanced cardiac care, high success rate in TAVR
• Awards & Recognition: Numerous accolades for healthcare excellence
• Success Rate: High
• Volume of Procedures: High
• Accreditation: NABH, JCI

Achievements:

• First hospital in the region to receive JCI accreditation (2013).
• First hospital in Haryana to achieve NABH accreditation within three years of inception.

Awards & Recognition:

• Kayakalp Award for Excellence in promoting cleanliness, hygiene, and infection control by the Quality Council of India (2019).
• Best Bone Marrow Transplant Centre in North India by India’s Most Trusted Healthcare Awards (2019).
• Best Multi Super Specialty Hospital in Delhi NCR by Health Care Awards (2018).
• Best Super Specialty Hospital in Gurgaon by ET NOW & BIG RESEARCH (2013).

6) Aster Medcity, Kochi

• Location: Kochi
• Established: 2014
• Achievements: State-of-the-art facilities, high success rate in TAVR
• Awards & Recognition: Multiple national and international awards
• Success Rate: High
• Volume of Procedures: High
• Accreditation: NABH, JCI

Achievements:

• First quaternary care hospital in Kerala to win JCI Accreditation.
• Recognized for exceptional standards in healthcare and patient safety.

Awards & Recognition:

• National rankings in Times Health Survey for various departments (2024).
• JCI Accreditation for exceptional standards in healthcare (2015).
• NABH Accreditation and Green OT Certification by Bureau Veritas (2015).

7) Metro Hospitals, Noida

• Location: Noida
• Established: 1997
• Achievements: Renowned for cardiovascular care, numerous successful TAVR procedures
• Awards & Recognition: Multiple national and international awards
• Success Rate: High
• Volume of Procedures: High
• Accreditation: NABH, JCI

Achievements:

• Known for advanced cardiac care and numerous successful TAVR procedures.
• Recognized for excellence in diabetes healthcare and interventional radiology.

Awards & Recognition:

• Best Multi Super Specialty Hospital Award by Healthcare Innovation Summit & Awards (2024).
• Swasthya Ratan Award by Governor of Haryana (2023).
• Iconic National Award by Indian Medical Association, Delhi (2023).
• Lifetime Achievement Award by HIPE 3.0 (2023).
• Best Hospital of Delhi NCR (2022).

8) Marengo CIMS Hospital, Ahmedabad

• Location: Ahmedabad
• Established: 2009
• Achievements: Advanced cardiac care, high success rate in TAVR
• Awards & Recognition: Numerous accolades for healthcare excellence
• Success Rate: High
• Volume of Procedures: High
• Accreditation: NABH, JCI

Achievements:

• Known for pioneering medical advancements and exceptional patient care.
• First successful heart transplant in Gujarat.

Awards & Recognition:

• Accredited by JCI, NABH, and NABL for quality healthcare and patient safety.
• Recognized as one of the world’s best hospitals by Newsweek (2023).
• Leading hospital in cardiac care and minimally invasive procedures

9) Max Super Speciality Hospital, New Delhi

• Location: New Delhi
• Established: 2000
• Achievements: Specialized in cardiac care, high success rate in TAVR
• Awards & Recognition: Multiple national and international awards
• Success Rate: High
• Volume of Procedures: High
• Accreditation: NABH, JCI

Achievements:

• Renowned for advanced cardiac care and high success rate in TAVR.
• Known for its state-of-the-art infrastructure and medical technology.

Awards & Recognition:

• Best Hospital Mother & Child Care by ET Healthworld Hospital Awards.
• Best Private Hospital Combating COVID-19 by India Today Healthgiri Award.
• WSO Angles awards for Comprehensive Stroke Care by the World Stroke Organisation.
• Best IVF Clinic in India by ET World National Fertility.

10) Narayana Health, Bengaluru

• Location: Bengaluru
• Established: 2000
• Achievements: Renowned for cardiovascular care, numerous successful TAVR procedures
• Awards & Recognition: Multiple national and international awards
• Success Rate: High
• Volume of Procedures: High
• Accreditation: NABH, JCI

Achievements:

• It was founded by Dr. Devi Shetty, known for providing world-class treatment to the poor.
• Operates several hospitals and heart centers across India and internationally.

Awards & Recognition:

• Recognized for setting up a 6,000-bed multi-specialty hospital chain.
• Featured in Forbes India for providing world-class treatment based on a cross-subsidized model.
• JCI Accreditation for Narayana Institute of Cardiac Sciences and Health City Cayman Islands.

Conclusion

TAVR (Transcatheter Aortic Valve Replacement) is a life-changing procedure for patients with severe aortic stenosis who are unsuitable for traditional surgery. With the growing availability of this treatment in India, patients now have access to world-class care at competitive costs. While the procedure can be expensive, the availability of indigenous valves and advanced techniques has made it more affordable for many. By choosing the right hospital and understanding all cost factors, patients can make informed decisions about their care.

For many families, the high cost of TAVR (Transcatheter Aortic Valve Replacement) in India can feel overwhelming. This is where crowdfunding platforms come in, offering a way to bridge the financial gap. Fundraising platforms like ImpactGuru allow patients to share their stories, raise funds from well-wishers, and make this life-saving treatment accessible. 

For a comprehensive overview of surgery and treatment costs in India, refer to our Comprehensive Guide to Treatment & Surgery Costs In India.

Frequently Asked Questions (FAQs) About TAVR (Transcatheter Aortic Valve Replacement)

1. What is TAVR (Transcatheter Aortic Valve Replacement)?

TAVR is a minimally invasive procedure to replace a narrowed aortic valve, a condition known as aortic stenosis. It involves inserting a catheter through a blood vessel to deliver a new valve without the need for open-heart surgery. TAVR is typically used for patients who are at high risk for traditional heart surgery.

2. What is the cost of TAVR (Transcatheter Aortic Valve Replacement) in India?

The cost of TAVR in India can range from ₹16 lakh to ₹30 lakh, depending on factors such as the type of valve used, the hospital’s reputation, and the patient’s condition. Indigenous valves reduce the cost compared to imported valves, and government hospitals often offer the procedure at a lower price.

3. Is TAVR (Transcatheter Aortic Valve Replacement) covered by insurance in India?

Yes, many health insurance plans in India cover TAVR. However, the coverage percentage may vary depending on the insurance provider and the specific policy. It is recommended that you check with your insurance company to understand the exact coverage and out-of-pocket expenses.

4. What types of valves are used in TAVR?

There are two main types of valves used in TAVR:

• Balloon-Expandable Valves: These valves are mounted on a balloon catheter and are inflated at the target site.
• Self-Expanding Valves: Made from nitinol, these valves self-expand at body temperature and do not require balloon inflation.

The choice of valve affects the overall cost of the procedure, with imported valves being more expensive than indigenous ones.

5. What are the different access routes for TAVR?

TAVR can be performed through various access points depending on the patient’s anatomy:

• Transfemoral Access: The most common and least invasive method, where the valve is delivered via the femoral artery.
• Transapical Access: The valve is delivered through a small incision in the chest, suitable for patients with poor vascular access.
• Transaortic Access: Involves delivering the valve through the ascending aorta.
• Subclavian/Transaxillary Access: The valve is delivered via the subclavian or axillary artery, making it suitable for patients with inaccessible femoral arteries.

6. What is the recovery time after TAVR?

Most patients experience a significantly shorter recovery period with TAVR than traditional open-heart surgery. Hospital stays are typically shorter (around 3–5 days), and patients can resume most of their daily activities within 2–6 weeks, depending on their health condition.

7. What are the risks associated with TAVR?

Like any medical procedure, TAVR comes with some risks, including:

• Blood vessel complications (especially if the catheter is inserted through the femoral artery)
• Stroke
• Paravalvular leaks (where blood leaks around the valve)
• Infection at the insertion site: While the risks are generally low, they vary depending on the patient’s age and health condition.

8. Can crowdfunding help with the cost of TAVR in India?

Yes, crowdfunding platforms like ImpactGuru can help raise funds for the TAVR procedure. Many patients have successfully raised money to cover their medical expenses by sharing their stories and seeking donations from well-wishers.