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Availability and cost of TORS in India: what builds the bill | CION Cancer Clinics

TORS is offered at a limited number of larger Indian hospitals, mostly in the big cities, and it usually costs more than the same operation done without a robot. The robot charge, neck surgery, the stay and any radiotherapy all change the total. Your scheme or insurance then changes what you pay more than any of those. This page explains each part of the bill as of 2026 and what to ask. CION Cancer Clinics’ surgical oncologists in Hyderabad can talk this through with you.

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Medically reviewed by Dr. Muralidhar MuddusettyConsultant Surgical Oncologist · MBBS (AIIMS), MS (Surgery, AIIMS), DNB (Surgical Oncology), MRCS (Edinburgh) · last reviewed September 2026, next review due September 2027
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The short answer

Is TORS available in India, and what does it cost?

TORS is available in India, but only at a limited number of larger hospitals, mostly in the big cities, because the robotic system is costly to buy and run. It usually costs more than the same operation done without a robot. What you finally pay depends far more on your scheme or insurance than on the headline figure.

Availability keeps changing

Hospitals across India have been adding surgical robots, but owning a robot is not the same as offering TORS. Operating on the throat with it needs a head and neck surgeon trained on the system, an anaesthesia team used to shared airway work, and swallowing support afterwards. A centre can have the machine and still not perform this operation.

Why there is no single price

A TORS bill brings together the robot and its instruments, theatre time, the surgeon and anaesthetist, the hospital stay, and often a neck operation done in the same admission. Any of these can change the total. Radiotherapy afterwards, if needed, is a separate cost again. A figure quoted over the phone, before anyone has seen your scans, is a rough guide at best.

How to read any figure you are given

Treat every number as indicative and dated to the day you received it. This page describes costs as of 2026 in words rather than rupees, because they vary widely between cities and hospitals and change with your own treatment plan.

Aarogyasri, CGHS, ECHS, EHS and cashless insurance can change your out-of-pocket amount far more than the choice of technique.

Inside the estimate

What builds the bill for TORS?

Ask for an estimate that lists each of these separately, so you can see what is and is not included.

The robot and its instruments

Robotic instruments can be used only a limited number of times, and hospitals usually add a charge for using the robot. This is the part that makes TORS costlier than surgery done another way.

Theatre, surgeon and anaesthesia

Theatre time, the surgical team's fees and anaesthesia charges. A longer or more complex operation adds to each of them. Setting up the robot also takes theatre time before the operation itself begins.

Neck surgery and the stay

Removing the neck glands in the same admission adds theatre time and days in hospital. Room category matters too, because many other charges are linked to it.

What comes afterwards

These are easy to forget when comparing estimates.

Often billed separately

  • Pathology on the removed tissue
  • Swallowing therapy and feeding supplies
  • Radiotherapy, if it is needed
  • Follow-up scans and visits

Side by side

How does TORS compare with other options on cost?

TORS Other ways to treat the same cancer
Robot and instrument charges add to the bill Surgery without a robot carries no robot charge
Offered at fewer centres, which can add travel and stay costs Radiotherapy is available at many more centres
If radiotherapy is not needed afterwards, that cost is avoided Radiotherapy with chemotherapy is itself a long, costly course
Scheme and policy cover for robotic surgery varies Standard surgery and radiotherapy are more widely covered

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Who pays

How do schemes and insurance treat robotic surgery?

Government schemes and insurance can reduce what you pay a great deal, but robotic surgery is where the rules differ most. Ask before you assume anything is covered.

Government schemes

Aarogyasri, CGHS, ECHS and EHS cover cancer surgery through listed packages at empanelled hospitals. A package usually covers a defined operation rather than a technique, so the robot charge may not be included. Ask the hospital's scheme desk which package applies and whether any part is payable by you.

Private insurance

Many Indian health policies list robotic surgery among newer treatments that are covered, often with a sub-limit, which is a cap on how much will be paid for it. Look in your policy for "modern treatment" or "robotic surgery", and ask for the pre-authorisation amount in writing before admission.

If the approved amount is lower than the estimate

This is common, and it is better found out before surgery than at discharge. Ask the hospital's insurance desk to explain which items fall outside the approval. Ask whether an enhancement request can be sent once the final bill is known. Keep copies of every letter, and ask the family member handling payments to be present when the estimate is explained.

Before you commit

How do you get a written estimate you can rely on?

Share your reports

Send the biopsy report and scans. Without them, no centre can say whether TORS suits you, let alone what it will cost.

Ask for it itemised

Ask for the robot charge, theatre, stay, room category and neck surgery listed separately, and what happens if the stay runs longer.

Check your cover

Take the estimate to your scheme desk or insurer. Ask what is covered, whether a sub-limit applies, and what you will pay yourself.

Ask what is left out

Pathology, radiotherapy, feeding supplies and follow-up are often outside the package. Ask for those to be estimated too.

Commonly assumed

What do families often assume about TORS and cost?

"The costliest option must work better."

The price reflects the equipment, not whether it suits your cancer. For many throat cancers, radiotherapy or surgery without a robot are equally standard. The right choice depends on the tumour.

"If a hospital has a robot, it does TORS."

Many hospitals use a robot for other operations but do not operate on throat cancers with it. Ask specifically whether they perform TORS, and how often.

"Our insurance will pay for robotic surgery in full."

Many policies cover it only up to a sub-limit, and you pay the difference. Get the pre-authorisation amount in writing before admission, not at discharge.

Take this list

What should you ask a centre about TORS?

  • Do you perform TORS for throat cancer, and how often?
  • Who operates, and who else is in the team?
  • Is my tumour suitable, and what are the alternatives?
  • Can I have the estimate itemised, in writing?
  • Which schemes and insurers accept robotic surgery here?
  • What support is there for swallowing and follow-up?

Questions we are asked

Common questions about TORS availability and cost

Where in India is TORS available?

Mainly at larger hospitals in the metro cities that have a surgical robot and a head and neck team trained to use it. The list changes as hospitals buy systems. Ask any centre directly whether it performs TORS for throat cancer, rather than relying on a general mention of robotic surgery.

Is TORS covered under Aarogyasri?

Aarogyasri covers cancer surgery through listed packages at empanelled hospitals. Whether the robotic part is included depends on the package and the hospital. Ask the scheme desk at the centre, with your card and reports, what is covered and what you would pay yourself.

Why does TORS cost more than regular surgery?

Mainly because of the robot. The system is costly to buy and maintain, the instruments can be used only a limited number of times, and theatre set-up takes longer. The surgeon's skill and the hospital stay are costs shared with other kinds of throat surgery.

Can TORS save money if radiotherapy is not needed?

It can, for some people, but no one can promise it beforehand. Whether radiotherapy is needed is decided after the removed tissue has been examined. Ask your team how likely further treatment is in your case before weighing the total cost of each path.

Can we get an estimate before the biopsy is done?

Only a very rough one. Until the biopsy and scans show the type, size and spread of the cancer, no one knows whether TORS is suitable or what else is needed. An estimate given without reports may change a great deal once they are available.

Is there a less costly alternative to TORS?

For many throat cancers, transoral surgery without a robot, open surgery or radiotherapy are also standard options, each with different costs and effects. Which is right depends on the cancer, not on price alone. Ask your team to explain every option they considered and why.

Does the room category change the bill?

Often, yes. Many hospital charges and some insurance limits are linked to the room category. A higher room can raise other charges on the bill, not just the room rent. Check your policy's room limit and ask the hospital how room choice affects the estimate.

Should we travel to another city for TORS?

That depends on whether TORS suits the cancer and what the alternatives near home offer. Think about travel and stay costs, follow-up visits, and how far you would be from the operating team if a bleed happened after discharge. Discuss all of this with your treating team.

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
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Medical Oncologist

Dr. Naresh Gundu

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

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Dr. C. Raghavendra Reddy
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Dr. Owais Mohammed
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Dr. T. Raghavender Reddy
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MBBS, DM (Medical Oncology), MD (Radiation Oncology)

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Dr. N. Kiranmayee
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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. Raghavendra Naik
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MBBS, MS (General Surgery), M.Ch (Surgical Oncology)

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Dr. Mohammed  Imaduddin
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Dr. Vinay Mamidala
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Dr. Paila Gowri Naidu
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Dr. Venkata Sushma P
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Dr. Kirti Ranjan Mohanty
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Dr. Gangadhar Vajrala
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Dr. Basudev Pokhrel
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Dr. Vajja Sandeep Kumar
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Dr. Sridhar Kamani
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Where to find us

Our centres in and around Hyderabad

Addressed by landmark, because that is how this city navigates. A surgical consultation can be booked at any of these centres through one helpline, and your team will tell you where the operation itself 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. American Cancer Society — Surgery for Oral Cavity and Oropharyngeal Cancer
  2. National Cancer Institute — Oropharyngeal Cancer Treatment (PDQ) - Patient Version
  3. Cancer.Net — Financial considerations
  4. Macmillan Cancer Support — Head and neck cancer

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.

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