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Kidney Stone Surgery Cost in India: Complete Guide (2026) – URS, PCNL, RIRS

Kidney Stone Surgery Cost in India: Complete Guide (2026)

📅 Medically reviewed: April 9, 2026 | ⏱️ 10 min read | 🏥 Vivekananda Hospital, Hyderabad

Cost breakdown by procedure (URS, RIRS, PCNL, ESWL, open)

All costs are approximate and include surgeon fees, anaesthesia, operation theatre, and a standard hospital stay (1‑3 days). Excludes pre‑op tests, medications, and stent removal (where applicable).

ProcedureTypical cost range (₹)Hospital stayIncisionSuccess rate (single session)
ESWL (Shock wave lithotripsy)25,000 – 40,000Outpatient / 1 dayNone50‑70%
URS (Ureteroscopy with laser)45,000 – 70,0001 dayNone (via urethra)95‑98%
RIRS (Flexible ureteroscopy)60,000 – 90,0001‑2 daysNone85‑90%
PCNL (Percutaneous nephrolithotomy)55,000 – 85,0002‑3 days1cm back incision95‑98%
Open stone surgery (rare)50,000 – 80,0004‑7 daysLarge flank incision>95%
📌 Note: Prices at Vivekananda Hospital, Hyderabad, are at the lower end of these ranges. Corporate hospitals in metros charge 30‑50% more.

Factors affecting cost (hospital type, city, surgeon, insurance)

Several variables influence the final bill:

  • Hospital type: Government hospitals (AIIMS, SGPGI) charge ₹10,000‑25,000 for URS/PCNL. Private corporate hospitals (Apollo, Fortis, Max) charge ₹80,000‑1,50,000. Mid‑range private hospitals (like Vivekananda Hospital) offer quality at lower cost.
  • City: Metro cities (Mumbai, Delhi, Bangalore) are 20‑40% more expensive than tier‑2 cities (Hyderabad, Pune, Ahmedabad).
  • Surgeon’s experience: Senior endourologists with fellowship training may charge higher fees (₹20,000‑50,000 vs ₹10,000‑20,000).
  • Stone complexity: Multiple stones, impacted stones, or staghorn calculi require longer operating time and may cost 20‑30% more.
  • Hospital stay duration: Uncomplicated URS may be day‑care; PCNL often requires 2‑3 days.
  • Stent placement: A double‑J stent adds ₹5,000‑10,000 for the device plus removal cost.
  • Insurance coverage: Cashless reduces out‑of‑pocket expenses.

Additional costs (pre‑op tests, medications, stent removal, follow‑up)

Do not forget these extras – they can add ₹5,000‑15,000 to the total:

  • Pre‑operative tests: CBC, kidney function, coagulation profile, urine culture, ECG – ₹2,000‑5,000.
  • Imaging: Non‑contrast CT scan (if not already done) – ₹3,000‑5,000.
  • Anaesthesia fees: Usually included in package, but itemised bills may show ₹5,000‑10,000.
  • Medications (post‑op): Antibiotics, painkillers, tamsulosin – ₹1,000‑2,000.
  • Stent removal: Office cystoscopy – ₹2,000‑5,000.
  • Follow‑up imaging: Ultrasound or X‑ray at 4‑6 weeks – ₹500‑1,500.
  • Stone analysis: ₹500‑1,000 (highly recommended).
Tip: Ask for a package deal that includes hospital stay, surgeon fee, anaesthesia, OT, basic medications, and stent removal. Many hospitals offer all‑inclusive packages.

Cost comparison across Indian cities (URS with laser)

Approximate URS costs (with laser, 1 day stay) in major cities (private hospitals, mid‑range):

  • Hyderabad: ₹45,000 – 65,000 (Vivekananda Hospital, Yashoda, Apollo)
  • Chennai: ₹50,000 – 75,000 (Apollo, MGM Healthcare)
  • Bangalore: ₹55,000 – 85,000 (Manipal, Fortis, Columbia Asia)
  • Pune: ₹50,000 – 80,000 (Deenanath Mangeshkar, Ruby Hall)
  • Delhi/NCR: ₹60,000 – 1,00,000 (Apollo, Max, Fortis)
  • Mumbai: ₹70,000 – 1,20,000 (Kokilaben, Lilavati, Hinduja)
  • Kolkata: ₹45,000 – 70,000 (Apollo, Peerless)
  • Ahmedabad: ₹45,000 – 65,000 (Apollo, Zydus)

Government hospitals (AIIMS Delhi, PGI Chandigarh, Osmania Hyderabad) charge ₹10,000‑25,000 but have long waiting lists.

Insurance coverage and cashless facility

Most health insurance policies in India cover kidney stone surgery as a standard medical procedure. Key points:

  • Waiting period: Usually 2‑4 years for pre‑existing conditions, but for newly diagnosed stones, coverage may apply after 30 days (check policy).
  • Cashless facility: Available at network hospitals (Vivekananda Hospital is empanelled with most insurers – Star Health, Niva Bupa, HDFC Ergo, ICICI Lombard, etc.).
  • Room rent limits: Policies often cap room rent (e.g., ₹5,000/day). Choosing a higher room may lead to proportionate deductions on other charges.
  • Co‑pay: Some policies have a 10‑20% co‑pay for senior citizens.
  • Sub‑limits: Check if your policy has sub‑limits for surgeon fees or OT charges – newer IRDAI guidelines have removed many, but older policies may still have them.
  • Day‑care procedures: ESWL and some URS may be covered under day‑care (no room rent deduction).

Before surgery, get pre‑authorisation from your insurer. At Vivekananda Hospital, our insurance desk will assist with paperwork.

Cost for international patients (medical tourism)

India is a leading destination for medical tourism due to low costs and high‑quality care. For international patients (without Indian insurance), all‑inclusive packages are available:

  • URS with laser: ₹65,000 – 90,000 ($780‑1,080 USD)
  • RIRS (flexible ureteroscopy): ₹80,000 – 1,20,000 ($960‑1,440 USD)
  • PCNL: ₹75,000 – 1,10,000 ($900‑1,320 USD)
  • ESWL: ₹35,000 – 50,000 ($420‑600 USD)

Packages usually include surgery, hospital stay, basic medications, follow‑up, and airport transfers. International patients should contact the hospital’s international patient department for a customised quote.

⚠️ Note: Costs in USD are approximate (1 USD = ₹83 INR). Prices may vary with exchange rates.

Interactive FAQ – Kidney stone surgery cost in India

Is kidney stone surgery covered by health insurance in India?

Yes – most policies cover stone surgery. Check waiting periods (typically 2‑4 years for pre‑existing conditions) and whether your hospital is in the network for cashless.

Which is cheaper – ESWL or URS?

ESWL is cheaper (₹25k‑40k vs ₹45k‑70k for URS). However, ESWL often requires multiple sessions and has lower success, so the total cost may be similar or higher. URS is more cost‑effective for definitive treatment.

Does the cost include the double‑J stent?

Often yes, but not always. Confirm with your hospital. Stent removal (office cystoscopy) is usually an additional ₹2,000‑5,000.

How much does a CT scan cost before surgery?

A non‑contrast CT KUB costs ₹3,000‑5,000 in private centres. Government hospitals may charge ₹500‑1,500.

Can I get a package deal for PCNL?

Yes – many hospitals offer all‑inclusive packages for PCNL covering surgery, 3 days stay, medications, and basic follow‑up. At Vivekananda Hospital, PCNL packages start at ₹65,000.

Is there a difference in cost between day‑care and inpatient URS?

Day‑care URS (no overnight stay) is about ₹5,000‑10,000 cheaper because room rent is saved. However, not all patients are suitable for day‑care (e.g., complex stones, comorbidities).

What is the cheapest city for kidney stone surgery in India?

Hyderabad, Kolkata, and Ahmedabad offer the lowest private hospital rates (₹45k‑65k for URS). Government hospitals in any city are cheaper but have waiting lists.

Do I have to pay extra for the laser fibre used in URS?

Usually included in the package. Some hospitals may charge an additional ₹5,000‑10,000 for the disposable laser fibre – clarify beforehand.

Can international patients get a discount?

Many hospitals offer medical tourism packages that are 20‑30% lower than standard rates. Negotiate a package that includes surgery, stay, and follow‑up. Vivekananda Hospital offers such packages.

🩺
Dr. Surya Prakash B
MS, MCh (Urology) | Consultant Urologist
Vivekananda Hospital, Begumpet, Hyderabad
Medical reviewer for 247healthcare.blog | Review date: April 9, 2026

Disclaimer: Costs are approximate and subject to change. Final bills depend on individual factors, complications, and hospital policies. Always get a written estimate before surgery. For accurate pricing, contact Vivekananda Hospital directly.

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