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Data & insights

The Real Cost of Treatment: India vs the US, Canada and the UK (2026)

Published prices for knee, hip, spine and heart surgery, transplants and IVF, waiting times in Canada and England, and the cost of the trip — with every source linked.

Surgeons operating with live imaging in a modern hospitalPexels

How much does treatment in India really cost compared with the United States, Canada and the United Kingdom? We gathered the latest published prices and waiting times, converted everything to US dollars, and added the cost of the trip. Here is what we found, how we found it, and what the numbers cannot tell you.

How We Compared

Joint, Spine and Heart Surgery

Average US cash price vs the top of the India price range (US$)
Knee replacement
US$23,157US average cash price
US$6,316India, top of range
Hip replacement
US$23,962US average cash price
US$6,316India, top of range
Spinal fusion
US$48,691US average cash price
US$6,316India, top of range
Heart bypass
US$104,751US average cash price
US$6,316India, top of range

Sources: Turquoise Health (US average cash prices, 2026); CARE Hospitals and PACE Hospitals (India published ranges). Rupees converted at ₹95 = US$1. India prices exclude flights and stay.

TreatmentUnited StatesIndia (published range)Saving before travel
Knee replacement (one knee)US$23,157₹1,50,000–6,00,000
≈ US$1,600–6,300
73%–93%
Hip replacementUS$23,962₹1,50,000–6,00,000
≈ US$1,600–6,300
74%–93%
Spinal fusion (lower back)US$48,691₹2,30,000–6,00,000
≈ US$2,400–6,300
87%–95%
Heart bypass (CABG)US$104,751₹2,00,000–6,00,000
≈ US$2,100–6,300
94%–98%
Kidney transplantUS$446,800*₹6,20,000–12,00,000
≈ US$6,500–12,600
97%–99%
Liver transplantUS$1,017,800*₹14,50,000–22,50,000
≈ US$15,300–23,700
98%–99%
IVF (one cycle)Varies widely by clinic — use your own quote₹1,00,000–2,50,000
≈ US$1,100–2,600
Depends on your quote

US: average cash prices (Turquoise Health, 2026). *Transplants: Milliman's estimated total billed charges from 30 days before to 180 days after the transplant, including medicines — list prices, which insurers usually negotiate down, so this comparison is not like for like. India: published price ranges from CARE Hospitals (knee, hip, heart bypass, transplants, IVF) and PACE Hospitals (spinal fusion), converted at ₹95 = US$1. International patient packages can cost more than these ranges.

Even at the top of the India range, the saving before travel is between 73% (knee) and 94% (heart bypass).

ਟ੍ਰਾਂਸਪਲਾਂਟ

The gap looks enormous, and it is real, but read it with care. Milliman's US figures are billed charges for the whole episode, from 30 days before the transplant to 180 days after, including medicines. Insurers usually pay less. The India ranges cover the transplant itself.

Transplants for international patients in India need a living donor, usually a close relative, approved by a hospital authorisation committee under Indian law. The donor travels with you, so add their flights and stay.

IVF

One IVF cycle in India costs ₹1–2.5 lakh, about US$1,100–2,600 (CARE Hospitals). US prices vary too widely between clinics for one fair average, so use your own clinic's quote in our savings calculator.

Canada: the Price Is Time

Care is publicly funded, but in 2025 the median wait from a GP referral to treatment was 28.6 weeks. For orthopaedic surgery it was 48.6 weeks, and for neurosurgery 49.9 weeks (Fraser Institute).

Some Canadians now pay privately at home. CBC reported a Toronto patient who paid C$33,000 for a knee replacement in 2025 (CBC).

The UK: Waiting Lists and Self-Pay

In July 2026, 7.33 million cases were waiting for NHS treatment in England. The median wait was 12 weeks, and 65.3% were seen within 18 weeks, against a standard of 92% (NHS England data via Cover; latest official figures: NHS England).

Paying privately is fast but expensive: one private hospital's self-pay guide price for a knee replacement is £17,445 (Nuffield Health Leeds).

Europe

Most European countries fund surgery publicly, so the saving is mainly in time, and in treatments your system does not fully cover, such as some dental work and IVF. Type your own quote into the calculator to see your figure.

Weeks of waiting before treatment
Canada · neurosurgery
49.9 weeks
Canada · orthopaedics
48.6 weeks
Canada · all (median)
28.6 weeks
England · NHS median
12 weeks

Sources: Fraser Institute, Waiting Your Turn 2025 (median wait from GP referral to treatment); NHS England referral-to-treatment data for July 2026, via Cover. In India, a specialist video consultation within days and a surgery date within weeks are common once your reports are reviewed.

Why Some Prices Are Low by Law

India's drug-price regulator, the NPPA, sets a ceiling price for heart stents. From 1 April 2026 a drug-eluting stent may not cost more than ₹39,186, about US$410, before tax (Medical Dialogues). Knee implants have also been price-controlled since 2017; in November 2025 the cap was under review (Medical Dialogues).

Adding the Trip

A fair comparison includes flights, a stay, food and visas. Here is a knee replacement for a US patient with one companion and three weeks in India.

ItemCost
Knee replacement in India (published range)US$1,579–US$6,316
Return flights, 2 people × US$1,300 (assumption)US$2,600
Stay, 21 nights × US$60 (assumption)US$1,260
Food and local travel, 2 people × 21 days × US$25 (assumption)US$1,050
Visas and other costs (assumption)US$150
Total in IndiaUS$6,639–US$11,376
Average US cash price for the same operationUS$23,157
Your savingUS$11,781–US$16,518 (51%–71%)

What These Numbers Don't Tell You

  • Flying after surgery raises the risk of blood clots. Your surgeon decides when it is safe to fly home.
  • Complications can add days and money. Ask what the written estimate says happens then.
  • Your insurance at home may not pay for treatment abroad, or for problems that follow it. Ask your insurer in writing first.
  • Follow-up at home still matters: stitches, scans, medicines and physiotherapy. Line up a doctor before you go.
  • Legal routes differ. Complaints and compensation work differently from your home country.
  • These are indicative prices. Published ranges are a guide; international packages can cost more. Only your written estimate counts.

Work out your own saving →

Independent research. Figures are quoted from the published sources below, as they stood when we checked them (October 2026). Prices are averages and published ranges, not quotes, and can change. BookMedTrip is not affiliated with any organisation named here and receives no commission from them. Our CARE Community is BookMedTrip's own programme and is not connected with CARE Hospitals. If anything is out of date, write to care@bookmedtrip.com and we will correct it.

ਸਵਾਲ

Where do the US prices come from?

Joint, spine and heart surgery: average cash prices published by Turquoise Health, which collects hospital price-transparency data. Transplants: Milliman's 2025 cost estimates, which are billed charges and include care before and after the operation.

Where do the India prices come from?

Published price ranges from CARE Hospitals and PACE Hospitals, two accredited private hospital groups. They are general ranges, not quotes, and international packages can cost more.

Are the comparisons like for like?

Close for joint, spine and heart surgery. Not for transplants: the US figures include six months of care and medicines and are list prices. We show them because they are the best public figures, and we say so plainly.

Why do you use the top of the India range?

To be cautious. If the saving holds at the top of the range, it holds for most patients.

ਸਰੋਤ

  1. Turquoise Health — Total knee replacement, average cash price (accessed Oct 2026)
  2. Turquoise Health — Total hip replacement, average cash price (accessed Oct 2026)
  3. Turquoise Health — Spinal fusion (non-cervical), average cash price (accessed Oct 2026)
  4. Turquoise Health — Coronary bypass with cardiac catheterisation, average cash price (accessed Oct 2026)
  5. Milliman — 2025 U.S. organ and tissue transplants: cost estimates (Feb 2025)
  6. CARE Hospitals — Knee replacement cost in India
  7. CARE Hospitals — Hip replacement cost in India
  8. CARE Hospitals — Heart bypass surgery cost in India
  9. CARE Hospitals — Kidney transplant cost in India
  10. CARE Hospitals — Liver transplant cost in India
  11. CARE Hospitals — IVF cost in India
  12. PACE Hospitals — Spinal fusion surgery cost in India (2026)
  13. Nuffield Health Leeds Hospital — Knee replacement self-pay guide price
  14. CBC News — Why some Canadians are using their savings, GoFundMe to pay for private surgeries (8 Sep 2025)
  15. Fraser Institute — Waiting Your Turn: Wait Times for Health Care in Canada, 2025
  16. Cover — NHS waiting list increases to 7.33m (NHS England data for July 2026, 10 Sep 2026)
  17. NHS England — Referral to treatment statistical press notice, August 2026 data
  18. Medical Dialogues — NPPA revises coronary stent ceiling prices from April 2026 (7 Apr 2026)
  19. Medical Dialogues — Knee implant prices under fresh review (5 Nov 2025)
  20. HDFC Sky — Rupee closes at 95.46 against the US dollar (25 Aug 2026)
  21. Consulate General of India, San Francisco — e-Visa
  22. Indian e-Visa portal, Government of India
  23. National Accreditation Board for Hospitals & Healthcare Providers (NABH)

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