Bypass Surgery Cost in Mumbai

What is Bypass Surgery?

Coronary artery bypass grafting (CABG) is a surgical procedure used to improve blood flow to the heart by bypassing blocked coronary arteries (caused by plaque build-up). It is recommended for patients with significant blockages, unmanageable chest pain, or those who have not responded to other treatments like angioplasty.

The bypass surgery procedure involves taking a healthy blood vessel from the leg, chest, or wrist and grafting it below the blocked artery to bypass the blockage. The surgery typically lasts for 3 to 6 hours and may use a heart-lung machine to circulate blood. CABG carries risks like infection, bleeding, and heart attack, but successful operations can significantly reduce symptoms and improve quality of life.

What is the Cost of Bypass Surgery in Mumbai?

The cost of bypass surgery in Mumbai can vary widely depending on several factors, ranging from the choice of hospital to the complexity of the procedure. Below is an overview of traditional bypass surgery costs in Mumbai:

• Minimum Bypass Surgery Cost in Mumbai: ₹3,35,000 to ₹5,00,000
• Maximum Bypass Surgery Cost in Mumbai: ₹5,50,000 to ₹7,00,000

Disclaimer: The price mentioned above is not precise. It may vary for different types of bypass surgery and from one hospital in Mumbai to another.

What is the Cost of Different Components of Bypass Surgery in Mumbai?

The bypass surgery cost in Mumbai comprises of multiple components, right from the surgeon's fees to pre-operative tests. Here is a breakdown of the cost of various components of a bypass surgery in Mumbai:

Disclaimer: The prices mentioned above are not precise. It may vary for different types of bypass surgery and from one hospital in Mumbai to another.

What are the Types of Bypass Surgery in Mumbai?

In Mumbai, patients have access to various types of bypass surgeries, ranging from traditional open-heart procedures to minimally invasive techniques. The costs of different types of bypass surgery are as follows:

Disclaimer: The prices mentioned above are not precise. It may vary for different types of bypass surgery and from one hospital in Mumbai to another.

Why Does Bypass Surgery Cost Vary for Different Patients in Mumbai?

The price of bypass surgery in Mumbai varies from one patient to another due to several critical considerations with respect to the choice of procedure, hospitals, rooms, and more. The various factors affecting the cost of bypass surgery in Mumbai are explained in depth below:

1. Severity of the Condition

   The extent of blockages in the coronary arteries is a significant determining factor of the cost of bypass surgery. Patients with several blockages spread across large arteries can expect to incur higher costs than those with minor blockages. For example, a patient who has three blocked arteries and needs several grafts will incur higher costs than one who only requires a single bypass.

2. Type of Bypass Surgery

   Bypass surgeries range from the more extensive open-heart surgery to minimally invasive techniques. The more invasive and lengthy procedures like the open heart surgery will often cost more than less invasive procedures like the robotic bypass surgery. This is because patients undergoing minimally invasive surgery will heal faster and stay at the hospital for fewer days as compared to patients undergoing open heart surgery.

3. Hospital Choice

   Another factor that has cost implications for bypass surgery is the type of hospital. Private hospitals generally have modern facilities and offer more personal care, which makes them more expensive than government hospitals. For instance, if patients opt for a topmost cardiac centre in Mumbai, they will pay more for the bypass surgery than a government-run hospital, which can be less advanced in its services.

4. Surgeon's Expertise

   The bypass surgery cost is directly dependent on the surgeon's experience and expertise. Charges of highly experienced cardiac surgeons are higher because they have specialised skills and offer better success records than a lesser-known surgeon. For example, a patient opting for surgery from a highly reputed and experienced cardiac surgeon will be charged more than the one choosing a less experienced doctor.

5. Use of Advanced Technology

   The technology used during the bypass surgery also impacts its cost. Hospitals that provide more advanced surgical options, such as robot-assisted bypass surgery, will be more expensive due to the state-of-the-art technology used. For instance, a patient opting for robot-assisted bypass surgery must be prepared to pay more for the surgery compared to traditional bypass surgery, even though he may recover sooner.

6. Patient's Health and Comorbidities

   The patient's health condition also affects the cost of the bypass surgery. The bypass surgery costs are higher for patients who have existing medical conditions like diabetes or hypertension compared to those without any significant illness. This is because the hypertensive patient may require additional pre-operative testing and constant monitoring during and after the surgery.

7. Pre and Post-Surgery Care

   Bypass surgery itself is not the only cost involved. The overall surgery costs also include testing and imaging before surgery, follow-ups, and rehabilitation after surgery. For example, a patient requiring extended periods of cardiac rehab following the bypass surgery will have to pay more compared to the one requiring no cardiac rehab.

Does Health Insurance Cover Bypass Surgery in Mumbai?

Yes, bypass surgery is covered under health insurance policies in Mumbai. They cover hospitalisation expenses, surgery costs, diagnostic tests, ambulance charges, ICU charges and post-operative care. However, the coverage may vary from plan to plan. Hence, patients need to read their policy documents carefully to know what part is covered and not covered by the policy.

Insurers also offer heart insurance plans that cover a wider range of cardiac conditions, right from treatment for cardiovascular diseases to bypass surgery costs. These policies also pay for the pre-operative diagnosis along with the post-operative rehabilitation.

Critical illness insurance, on the other hand, offers a one-time lump sum payment on the diagnosis of severe conditions, including heart attacks or if the patient is advised to undergo CABG for the treatment of coronary artery disease. The lump sum payment not only covers the surgery expenses but also helps with rehabilitation expenses.

Mediclaim policies have waiting periods before a policy can be claimed for the benefits. Regular health insurance policies generally have a 30-day waiting period, while critical illness plans may have a maximum of 90-day waiting period. For cases related to pre-existing diseases (PEDs), like previously diagnosed heart-related diseases, the waiting period may be as long as 3 years. Thus, the treatment costs of existing diseases will only be covered after this waiting period is over.