Epigastric Hernia Surgery Cost in India

Epigastric hernia surgery in India involves various additional costs that can impact the overall financial planning for patients. Here is a detailed outline of these costs, including diagnostics and post-operative care:

• Preoperative Diagnostic Tests: Before undergoing epigastric hernia surgery, several diagnostic tests are necessary to evaluate the patient’s health and the specifics of the hernia. These include:
  • Blood tests (Complete Blood Count, Liver Function Tests, Kidney Function Tests): These are critical for assessing the overall health of the patient. The cost ranges approximately from ₹300 for a CBC up to ₹1,000 for more comprehensive liver and kidney function tests​.
  • Ultrasound: Often used to get a clear image of the hernia, costing between ₹2,000 and ₹3,000​.
  • CT scans and MRI: These provide detailed images of the hernia’s size and location, crucial for surgical planning. The costs for a CT scan range from ₹5,000 to ₹8,000, and an MRI can cost between ₹8,000 and ₹12,000​.
• Anaesthesia Fees: These vary significantly based on whether general or local anaesthesia is used. General anaesthesia tends to be more expensive due to its complexity. Costs can range from ₹2,500 to ₹60,000 depending on the specific procedure and type of anaesthesia required​.
• Hospital and Surgical Facility Fees:These fees can vary widely based on the hospital’s level of facilities and location. Top hospitals typically charge between ₹50,000 to ₹2,00,000, depending on the duration of stay and whether the surgery is open or laparoscopic. Facilities in metropolitan areas generally have higher costs compared to those in smaller cities or rural areas.
• Surgeon’s Fees: The fees for surgeons can vary significantly based on their expertise and the complexity of the surgery. For routine epigastric hernia surgeries, fees might range from ₹25,000 to ₹1,00,000. Surgeons with high expertise or those performing more complex procedures generally command higher fees​.
• Post-operative Care: Includes the cost of medications, dressing materials, and follow-up visits. This can range from ₹5,000 to ₹20,000, depending on individual recovery needs and complications​.

While India offers affordable hernia surgery prices compared to many other countries, the total cost can still vary widely based on these factors. Patients are advised to consult healthcare providers for detailed and personalised cost assessments to ensure they are financially prepared for the surgery and its associated expenses.

The coverage of epigastric hernia surgery cost in India under insurance depends primarily on the policy terms and the medical necessity of the procedure. Most insurance policies cover hernia surgery if deemed medically necessary, which typically involves symptoms that limit daily activities or potential complications like pain and discomfort. 

However, surgeries performed purely for cosmetic reasons are often not covered. To ensure coverage, it is crucial to obtain pre-authorisation from the insurance company before the surgery. This process involves submitting medical records and a surgeon’s report to demonstrate the necessity of the surgery. 

Patients should carefully review their insurance policy’s terms and consult with their insurer to understand the specifics of what is covered and the documentation required for claim approval.