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The full cost of a colon cancer journey, step by step | CION Cancer Clinics

The total cost of colon cancer treatment depends mostly on the stage. Early cancer may need tests and one operation; advanced cancer can need treatment for months or longer. This page lists indicative 2026 Hyderabad ranges for each step, shows which steps apply at each stage, and explains how to get a written estimate before you pay. At CION Cancer Clinics, we explain costs in writing and help families from across Telangana and Andhra Pradesh plan treatment in Hyderabad.

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Medically reviewed by Dr. Naresh GunduConsultant Medical Oncologist · MBBS, DNB (Internal Medicine), DM (Medical Oncology, AIIMS) · last reviewed October 2026, next review due October 2027
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15,000+patients treated
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The short answer

What does colon cancer cost from the first test to the last check-up?

There is no single figure, because the bill depends far more on the stage than on the hospital. Someone whose cancer is found early may pay for tests and one operation. Someone with stage 4 disease may pay for treatment every few weeks for a long time. The ranges below help you see which parts of the journey cost the most, so you can plan before the first bill arrives.

Where the money actually goes

Almost every colon cancer journey has the same first steps: a colonoscopy with a biopsy, a staging scan and, for most people, an operation to remove the affected part of the colon. After that the paths split. Chemotherapy after surgery, called adjuvant chemotherapy, is added for many people with stage 3 and some with stage 2. Newer drugs come in mainly when the cancer has spread.

Why families get caught out

Most families budget for the operation and are then surprised by what comes after it. The chemotherapy course, the follow-up scans, the travel from the district and the months of lost income often add up to more than the surgery itself. Our page on hidden costs across the journey lists the ones people miss.

Ask for the cost of the whole plan, stage by stage, not just the cost of admission.

Indicative cost

What each step usually costs in Hyderabad

These are 2026 Hyderabad estimates, listed in the order most people meet them. They are ranges, not quotes.

₹6,000 – ₹15,000

Colonoscopy and biopsy

The test that finds the tumour and takes a small sample of it.

₹5,000 – ₹12,000

Staging CT scan

Chest, abdomen and pelvis, to see whether the cancer has spread.

₹15,000 – ₹25,000

PET-CT, when needed

Used selectively, not for everyone.

₹15,000 – ₹60,000

Molecular profiling

Tests on the tumour such as MSI, MMR, RAS and BRAF that guide drug choices.

₹1,80,000 – ₹3,50,000

Laparoscopic colectomy

Keyhole removal of the right, left or sigmoid colon.

₹3,50,000 – ₹6,00,000

Robotic colectomy

Done at a partner hospital where it suits the case.

₹1,80,000 – ₹4,50,000

Adjuvant chemotherapy, full course

FOLFOX or CAPOX after surgery, when it is advised.

₹35,000 – ₹1,20,000

Targeted therapy, per cycle

Cetuximab or bevacizumab, mainly for advanced disease.

₹1,20,000 – ₹2,75,000

Immunotherapy, per cycle

Pembrolizumab, only for MSI-high or MMR-deficient tumours.

Indicative 2026 Hyderabad ranges only. Surgery, scans and colonoscopy are carried out at accredited partner hospitals and diagnostic centres and are billed by them. Insurance and government schemes can change your out-of-pocket cost a great deal. Call the helpline for a written estimate against your own plan and cover.

Stage by stage

Which of these steps will be on your bill?

Stage What the bill usually includes
Stage 1 Tests, staging scan and the operation, then follow-up
Stage 2 The same, plus chemotherapy only if high-risk features are found
Stage 3 Tests, operation and a course of adjuvant chemotherapy
Stage 4 Ongoing treatment, often with molecular tests and newer drugs

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What changes the total

Why two families with the same diagnosis pay very different amounts

Four things move the final figure more than anything else. You can ask about each of them before treatment starts.

The operation and where it happens

Keyhole, open and robotic surgery are priced differently, and so are room categories. An emergency operation for a blocked colon usually costs more than a planned one. See the colectomy cost page for the detail.

Whether chemotherapy is needed, and for how long

Some people need none. Others are offered three or six months after surgery, and the shorter course costs less. Your tumour board decides this from the final pathology report, which counts the lymph nodes, the small glands that show whether cancer has started to spread.

What the tumour's markers show

Targeted therapy and immunotherapy are priced per cycle and can run for months. Molecular tests decide whether they would help at all, so they are worth their cost.

Costs that never appear on a hospital bill

Bus or train fares from the district, a room near the hospital, food for the person staying with the patient, and wages lost by both.

  • Stoma bags and skin care, if a stoma is made
  • Follow-up CT scans and CEA blood tests
  • Medicines bought for home between visits

Before you pay anything

How do you get a written estimate for the whole journey?

Bring every report you have

The colonoscopy report, biopsy result and any scans. A cost can only be estimated once the stage is roughly known.

Ask for the plan in stages

Surgery, chemotherapy and follow-up are quoted separately. Ask for each one in writing, with the room category stated.

Ask what is left out

Pathology, blood transfusions, an extra night in hospital and drugs given at home are often outside a package figure.

Check your cover before admission

Your insurer or scheme desk needs the estimate first. Read what insurance usually covers before you sign anything.

Being straight with you

What this page cannot tell you

It cannot tell you what your own treatment will cost. That depends on the stage, the final pathology report, the operation chosen and your cover. A written estimate from the team planning your care is the only figure worth budgeting on. Figures you hear from relatives or read on forums are usually for a different stage, a different year or a different cancer.

It cannot predict how long stage 4 treatment will last

When the cancer has spread, treatment is planned in rounds and reviewed with each scan. Nobody can honestly give you a total at the start. Ask instead what one month of the current plan costs, and plan from there.

Who this does not apply to

These ranges are for colon cancer. Rectal cancer often needs radiation as well, and its costs are different; see the rectal cancer pages. If you are fully covered by Aarogyasri, Ayushman Bharat or CGHS, your scheme desk will tell you what you still pay, which may be little or nothing.

No loan or instalment scheme is offered for treatment. If money is tight, say so early and ask about scheme eligibility.

Questions we are asked

Common questions about the total cost

Is the operation the most expensive part?

For stage 1 and many stage 2 cancers, yes. When chemotherapy follows surgery, the full course can cost as much as the operation or more. In stage 4, ongoing drug treatment usually becomes the largest part of the bill over time.

Why is targeted therapy priced per cycle?

Because nobody knows at the start how many cycles you will need. Treatment continues while it is working and you are coping with it. Ask for the per-cycle figure and how often a cycle is given, then work out a monthly cost.

Do I pay for molecular tests if they may not change anything?

They usually do change something. MSI and MMR results decide whether immunotherapy is an option. RAS and BRAF results decide whether some targeted drugs would work at all, which can save you from paying for one that would not help.

Does robotic surgery give a better result for the extra cost?

Not necessarily. For most colon operations, a skilled laparoscopic operation and a robotic one aim for the same result. The surgeon chooses based on the tumour and your body. Ask why one is advised over the other before paying the difference.

Are follow-up visits expensive?

Each visit is modest, but they continue for several years. Expect regular consultations, CEA blood tests, periodic CT scans and colonoscopies. Ask for a written follow-up schedule so you can spread the cost and plan travel from the district.

Is treatment cheaper in a government hospital?

Usually, though waiting times can be longer and not every drug is always stocked. Many families combine routes, using a scheme for surgery and paying for a second opinion. The page on financial help explains the options.

Will the estimate change once treatment starts?

It can. The stage is often confirmed only after surgery, when the removed lymph nodes are examined. A complication, an extra scan or a change of plan can also add to the bill. Ask to be told before any change in cost, not after.

Who can help me work out a budget?

Call the CION helpline with your reports. The team can explain the likely plan for your stage, give written estimates for the parts CION provides, and tell you what to ask the partner hospital and your insurer or scheme desk.

What moves the figure

What affects the cost

Four things change the total more than anything else.

The technique used

A shaped or image-guided delivery costs more than a conventional one, and is chosen on clinical grounds rather than preference.

How many sessions

The total is driven by the number of sittings or cycles, not by a single per-visit figure.

Supporting tests

Scans, blood work and pathology done alongside treatment are billed separately.

Your cover

Aarogyasri, CGHS, ECHS, EHS or cashless insurance usually change the out-of-pocket figure substantially.

Paying for it

Insurance, schemes and payment

What you actually pay usually differs a great deal from the sticker figure.

AarogyasriEmpanelled. Bring the card and a referral where you have one.
CGHS / ECHS / EHSAccepted at CION centres for eligible treatment.
Cashless insuranceMost major insurers are empanelled. Pre-authorisation is handled by our desk.
Self-payItemised estimate given before treatment starts. No EMI scheme exists.

Accreditation and empanelment

  • NABH
  • NABL
  • ISO 9001:2015
  • ArogyaSri empanelled
  • CGHS accepted
  • ECHS accepted
  • EHS accepted
  • Major cashless insurers
Your Specialists

Meet CION's colon cancer specialists. Bring your colonoscopy, scan or biopsy report.

Our surgical and medical oncologists plan colon cancer care together: which operation, whether chemotherapy is needed, and the follow-up that comes after.

Dr. Naresh Gundu
Medical Oncologist

Dr. Naresh Gundu

MBBS, DNB (Internal Medicine), DM (Medical Oncology)

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Dr. C. Raghavendra Reddy
Medical Oncologist

Dr. C. Raghavendra Reddy

MBBS(Gold Medal), DNB(General Medicine), DM(Medical Oncology)(Gold Medal)

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Dr. Bharati Devi Gorantla
Medical Oncologist

Dr. Bharati Devi Gorantla

MBBS, MD(General Medicine), DM(Medical Oncology)(Adyar,Chennai), ECMO, MRCP SCE(UK)

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Dr. Owais Mohammed
Medical Oncologist

Dr. Owais Mohammed

MBBS, MD (General Medicine), DrNB (Medical Oncology), ECMO, MRCP SCE (Medical Oncology) (UK)

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Dr. T. Raghavender Reddy
Medical Oncologist

Dr. T. Raghavender Reddy

MBBS, DM (Medical Oncology), MD (Radiation Oncology)

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Dr. N. Kiranmayee
Medical Oncologist

Dr. N. Kiranmayee

MBBS, DM (Medical Oncology), MD (Internal Medicine)

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Dr. Muralidhar Muddusetty
Surgical Oncologist

Dr. Muralidhar Muddusetty

MBBS (AIIMS), MS (Surgery) (AIIMS), DNB (Surgical Oncology), MRCS (Edinburgh)

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Dr. Mohammed  Imaduddin
Surgical Oncologist

Dr. Mohammed Imaduddin

M.B.B.S, MS (General Surgery), M.Ch (Surgical Oncology)

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Want a specific doctor for your case? Mention them when booking.

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Where to find us

Our centres in and around Hyderabad

Addressed by landmark, because that is how this city navigates. One helpline books a consultation at any of these centres, and your team will tell you where each test and operation takes place.

CION Ameerpet

Beside Blue Fox Hotel, Satyam Theatre Road

Begumpet SR Nagar Punjagutta
CION Kukatpally

Opposite Big Bazaar, Mumbai Highway

KPHB JNTU Bharat Nagar
CION L.B. Nagar

Anu Arcade, next to L.B. Nagar Metro station

Vanasthalipuram Nagole Hayathnagar
CION Tolichowki

Inside Premier Hospital, Khader Bagh Road

Mehdipatnam Attapur Rethibowli
CION Masab Tank

Mahavir Hospital, AC Guards, Lakdikapul

Lakdikapul Khairatabad Basheer Bagh
CION Banjara Hills

Road No. 12

Jubilee Hills Madhapur Film Nagar
CION Kompally

Suchitra Circle, NH-44

Suchitra Circle Alwal Dundigal
CION Balanagar

Balanagar Main Road

Balanagar Fatehnagar Moosapet
CION Siddipet

Lohith Sai Hospital, Shivaji Nagar

Gajwel Husnabad Dubbaka
CION Sangareddy

X Roads, Pothreddipalle

Narayankhed Zaheerabad Patancheru

Sources

  1. National Cancer Institute — Managing Cancer Costs and Medical Information
  2. American Cancer Society — Colon Cancer Treatment, by Stage
  3. American Cancer Society — Colorectal Cancer Chemotherapy
  4. National Cancer Institute — Colon Cancer Treatment

This page is general information, not a prescription. Do not change or stop any treatment based on what you read here. If anything is worrying you, contact your own treating team — or call our helpline and we will help you reach the right specialist.

Talk to us

Want an estimate for your own treatment plan?

Share your reports and we will explain the likely plan for your stage and what each part may cost. We will also tell you what to ask your insurer or scheme desk. One helpline serves every CION centre.

Call 1800 202 8726

Speak to an oncologist

Explore more

Colon Cancer Topics

Browse CION’s colon cancer guide — symptoms and screening, tests and staging, treatment decisions, diet and daily life, cost and care in Hyderabad. Tap any topic to read more.

Symptoms and early signs

Colon cancer symptoms: the complete list, and what usually causes them Early signs of colon cancer, and what usually explains them Do I have colon cancer? How to think about your symptoms Blood in stool: what it usually means, and when to get it checked Bright red or dark blood in the stool: what the colour tells you Is blood in the stool always piles? Piles vs colon cancer: how doctors tell them apart Fissure, fistula or something else: the benign causes of bleeding Blood only on the toilet paper: what it usually means Blood mixed into the stool: what it usually means and what to do Black, tarry stools: what melena means and when to act Mucus in stool: what it usually means and when it matters Change in bowel habit: when is it a warning sign? New constipation in an adult: what causes it and when to worry Diarrhoea that will not settle: could it be colon cancer? Alternating constipation and diarrhoea: what it usually means Narrow or pencil-thin stools: what they usually mean Feeling you have not emptied fully: is it tenesmus, and is it serious? Abdominal pain and colon cancer: where is it felt, and when does it matter? Bloating and gas: when they point to the colon A lump you can feel in the abdomen: what it usually is Unexplained weight loss: when is colon cancer the reason? Tiredness and iron-deficiency anaemia: could the colon be the cause? Why low haemoglobin in a man needs investigating Nausea, vomiting and bowel obstruction: what the symptoms mean When bowel symptoms are an emergency, and when they can wait How long should you wait before seeing a doctor about bowel symptoms? Which doctor should you see for bowel symptoms? What will the doctor ask and examine for a bowel symptom? Does a normal examination rule out colon cancer? Colon cancer symptoms in young adults, and why they get missed Colon cancer symptoms with no bleeding at all Can colon cancer be silent, with no symptoms at all? Symptoms that can suggest colon cancer has spread A bowel symptom diary to take to your appointment

Causes and risk factors

What causes colon cancer, and why there is rarely one answer Colon cancer risk factors you can change, and what each one is worth Colon cancer risk factors you cannot change, and what to do about them Red meat and colon cancer: how much does it really raise the risk? Does processed meat raise your risk of colon cancer? Does a low-fibre diet cause colon cancer? Alcohol and colon cancer: how much does drinking raise the risk? Smoking and colon cancer: how the risk works and what stopping changes Obesity, belly fat and colon cancer: what the link really means Does sitting all day and not exercising raise colon cancer risk? Does type 2 diabetes raise your risk of colon cancer? Inflammatory bowel disease and colon cancer risk: what it really means Colonoscopy surveillance in long-standing colitis: how often, and why Previous polyps: what they mean for your future colon cancer risk A previous cancer and your risk of a second colon cancer Age and colon cancer: how your risk changes over a lifetime Is colon cancer hereditary, and what does it mean for your family? Family history of colon cancer: what it means for your risk Gut bacteria and colon cancer: what is known and what is not Does antibiotic use raise the risk of colon cancer? Radiation to the abdomen and the risk of bowel cancer later Does the Indian diet raise or lower colorectal cancer risk? Does spicy food cause colon cancer? Does constipation cause colon cancer, or is it a warning sign? Can piles turn into colon cancer, or raise your risk? Reducing your own colon cancer risk: what actually works Does aspirin prevent colon cancer, and should you take it? Do calcium and vitamin D really prevent colon cancer?

Screening

Colon cancer screening: who needs it, when, and how it is done Why screening works for colon cancer, and who it is for At what age should colon cancer screening start? Should colon cancer screening start at 45 or 50? Colon cancer screening tests compared: which one should you choose? FIT test explained: what the home stool test can and cannot tell you How to do a FIT stool test at home, step by step A positive FIT result: what happens next A negative FIT result: what it does not rule out FOBT vs FIT: how the two stool blood tests differ, and which to choose Stool DNA testing: what it finds and whether it suits you in India Screening colonoscopy: what happens, step by step How often should you have a screening colonoscopy? Sigmoidoscopy as a screening test: what it checks and what it misses CT colonography: what a virtual colonoscopy can and cannot do Colon capsule endoscopy: the camera pill, explained Can a blood test screen for colon cancer? Is a CEA blood test a screening test for colon cancer? Average-risk vs high-risk colon cancer screening: which pathway are you on? Screening when a parent or sibling had colon cancer: when to start Screening in Lynch syndrome and polyposis families Colon cancer screening with inflammatory bowel disease When should colon cancer screening stop? What does colon cancer screening cost in Hyderabad? Is colon cancer screening covered by insurance or Aarogyasri? Why so few Indians get screened for colon cancer Overcoming embarrassment about bowel screening and colonoscopy Colon cancer screening for women and men: what is different? Health check packages: do they include bowel screening? How to convince a parent to get screened for colon cancer

Treatment by stage

Colon cancer treatment options, explained stage by stage How your colon cancer treatment plan is decided Treatment for stage 1 colon cancer: what to expect Treatment for stage 2 colon cancer: surgery first, then a careful decision Treatment for stage 3 colon cancer: surgery, then chemotherapy Treatment for stage 4 colon cancer: how the plan is decided The tumour board: who decides your colon cancer treatment? Does surgery always come first for colon cancer? When is chemotherapy given before colon cancer surgery? Do you need chemotherapy after colon cancer surgery? The stage 2 dilemma: do you need chemotherapy after surgery? Three months or six months of chemotherapy after colon cancer surgery? How soon after colon cancer surgery should chemotherapy start? ctDNA testing after colon cancer surgery: can a blood test guide chemotherapy? Which chemotherapy regimen for which situation in colon cancer? When is targeted therapy added for colon cancer? Why does tumour side change the drug choice in colon cancer? When is immunotherapy an option for colon cancer? Is radiation ever used for colon cancer? Treatment when you are not fit for colon cancer surgery Colon cancer treatment in elderly patients: why age alone does not decide Colon cancer treatment alongside diabetes, heart or kidney disease Refusing or delaying colon cancer treatment: what happens How quickly does colon cancer treatment need to start? Clinical trials for colon cancer in India: how they work and how to find one Getting a second opinion on your colon cancer treatment plan Questions to ask before starting colon cancer treatment

Metastatic and advanced disease

Metastatic colon cancer: what it means and what can still be done Colon cancer that has spread to the liver: what it means When colon cancer in the liver is curable by surgery Who is eligible for liver surgery when colon cancer has spread? Conversion chemotherapy: shrinking liver spread so surgery becomes possible Ablation for colon cancer that has spread to the liver Colon cancer that has spread to the lungs: what it means and what can be done Peritoneal spread in colon cancer: what it means Colon cancer that has spread to the bones: what it means and what is done Colon cancer that has spread to the brain In what order is stage 4 colon cancer treated? First-line, second-line and third-line treatment for colon cancer When colon cancer treatment stops working: what comes next Maintenance treatment and chemotherapy breaks in stage 4 colon cancer Chemotherapy rechallenge in colon cancer: going back to a drug that worked Managing bowel obstruction in advanced colon cancer: the options and how to choose Fluid in the abdomen with colon cancer: what ascites means Liver failure and jaundice in advanced colon cancer How pain is controlled in advanced colon cancer Living well with stage 4 colon cancer: what it looks like day to day Deciding when to stop active treatment for colon cancer Palliative care alongside colon cancer treatment: what it is and when to ask Advance care planning in colon cancer: putting your wishes on record End of life with colon cancer: what to expect and how to help
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