Pacemaker Cost in India: Surgery, Lifespan, and FAQs

In India, where heart conditions are becoming more common by the day, pacemakers have quietly become lifesavers. These small but powerful devices can literally restart lives — and yet, many people still don’t know what they are, how much they cost, or what the surgery involves. And honestly? That’s not surprising. Medical information can be dry or full of jargon.

So if you’re wondering, how much does a pacemaker cost, or asking is pacemaker a major surgery, you’re in the right place. This article will give you the full picture — prices, types, what happens during surgery, and what life looks like afterward. We’ll keep it simple, practical, and tailored for Indian patients and families who just want answers that actually make sense.

Introduction to Pacemakers

What is a pacemaker and why is it needed?

A pacemaker is a tiny electronic device implanted under the skin to help regulate abnormal heart rhythms, especially when the heart beats too slowly. It sends electrical impulses to prompt the heart to beat at a normal pace. Sounds pretty technical, but in real terms? It helps you breathe better, feel less tired, and live longer.

People with conditions like bradycardia (slow heartbeat), heart block, or certain types of arrhythmias often need one. Without it, their quality of life — and sometimes even survival — is at risk.

Who typically needs a pacemaker in India?

In India, a rising number of elderly individuals and even some younger adults with cardiac issues are getting pacemakers. With increasing access to diagnostic tools in Tier 2 and Tier 3 cities, more doctors are recommending pacemakers not just in metros like Mumbai or Delhi, but also in places like Kanpur, Nashik, or Guwahati.

It’s not just for people with severe symptoms — sometimes, even those with mild but persistent heart issues might be advised to get one to prevent sudden complications.

Types of Pacemakers Available

There are mainly three types:

• Single-chamber pacemakers: Stimulate one chamber of the heart (usually the right ventricle).

• Dual-chamber pacemakers: Stimulate both the right atrium and right ventricle for better coordination.

• Biventricular pacemakers (CRT): Used in patients with heart failure to improve pumping efficiency.

The type you need affects the cost of pacemaker quite a bit.

How Much Does a Pacemaker Cost in India?

Average Pacemaker Cost in India (2025)

So, let’s talk money — because let’s be honest, that’s what most people are worried about.

The average pacemaker cost in India ranges between ₹45,000 to ₹2.5 lakhs. That’s a huge gap, right? But it makes sense when you consider the factors involved. A basic single-chamber device in a government hospital might cost less than ₹50,000. Meanwhile, a dual-chamber or CRT pacemaker from a top private hospital in a metro city could easily cross ₹2,00,000.

And that’s just for the device. The pacemaker surgery cost adds more, with procedure charges, tests, and hospital stay.

Also, be aware — the cost can sometimes include "hidden" expenses. Like medication, post-op care, or even extended hospital stays if there’s complications (it happens, unfortunately).

Cost of Pacemaker Surgery in Indian Cities

Now, depending on where you get the surgery, prices can fluctuate. In major cities like Delhi, Mumbai, Bangalore, and Chennai, costs tend to be higher because of advanced infrastructure, experienced cardiac surgeons, and premium hospital services.

Here’s a rough breakdown:

• Delhi – ₹1.2 to ₹2.5 lakhs

• Mumbai – ₹1.4 to ₹2.8 lakhs

• Bangalore – ₹1.1 to ₹2.2 lakhs

• Chennai – ₹1 to ₹2 lakhs

• Kolkata & Hyderabad – ₹90,000 to ₹2 lakhs

If you’re in a smaller town or getting the procedure at a government hospital, the cost may drop significantly. But there could be waiting lists, fewer options in pacemaker brands, and limited post-op support. So... you gotta weigh the pros and cons.

Factors Affecting Pacemaker Cost

1. Type of Device: A basic pacemaker is cheaper than a dual-chamber or biventricular one.

2. Hospital Type: Government hospitals cost less, but private ones offer more comfort and speed.

3. Doctor’s Experience: Highly reputed cardiologists may charge more for their expertise.

4. Brand & Model: US or EU-manufactured pacemakers (like Medtronic or Boston Scientific) can be pricier.

5. Length of Stay: Complications or additional tests can increase the hospital bill.

6. Insurance Coverage: Some private insurers cover it partially. If you’re eligible under Ayushman Bharat, a large chunk could be covered (more on that in a bit).

Cardiac Pacemaker Surgery Explained

Is Pacemaker a Major Surgery?

Technically? Yes, it’s considered a minor-to-moderate surgery. But it’s not like open-heart surgery, so don’t panic. The whole thing usually takes 1 to 2 hours, and it’s done under local anesthesia in most cases. That means you're awake but won’t feel any pain in the chest area. Kinda weird, but it works.

They make a small cut under your collarbone and insert the device, attaching wires (called leads) to your heart. The device then sits just under your skin. Neat and clean — well, mostly.

What to Expect Before, During, and After Surgery

Before: You’ll undergo ECG, blood tests, X-rays, and maybe an echocardiogram. The doctor will explain the risks and get your consent. You’ll be asked to fast the night before.

During: The procedure is done in a sterile operation room. You’ll have IV lines, a monitor for vitals, and the team will talk you through it if you’re nervous (which most people are, by the way).

After: You’ll be moved to a recovery room. Most patients stay 1–3 days, unless there's an issue like infection or bleeding. You might feel a little sore or tired — totally normal.

Recovery Time and Aftercare

The healing takes about 4 to 6 weeks, during which time you should:

• Avoid heavy lifting

• Not raise your arm above shoulder level (on the side of the pacemaker)

• Follow up with your doctor for regular checkups

Many people are surprised how quickly they get back to normal. Some even return to work in just a couple weeks — though that really depends on the job type.

Long-Term Costs and Maintenance

Getting a pacemaker isn’t a one-time expense — not really. While the initial cost of pacemaker is the biggest chunk, there are recurring or occasional costs to be aware of.

Battery Life and Replacement Costs

Most pacemakers last between 5 to 15 years, depending on the model and usage. Once the battery runs low, the device needs to be replaced. Battery replacement isn’t as expensive as the original surgery, but it still costs between ₹40,000 to ₹1 lakh, depending on the device type.

Follow-Ups and Check-Ups

Regular follow-ups are crucial — usually once every 6 to 12 months. These check-ups involve monitoring the pacemaker’s function, checking for complications, and adjusting settings if needed.

Most check-ups cost between ₹500 to ₹2,000, depending on the hospital and tests involved.

Insurance and Government Schemes in India

Here’s some good news — pacemaker surgery cost may be partially or fully covered under:

• Ayushman Bharat PM-JAY (for low-income families)

• CGHS (for central government employees)

• ESIC (for salaried employees under ESI)

• Private medical insurance — some cover up to ₹1–2 lakh, but read the fine print!

Make sure you check eligibility before surgery. Sometimes, people find out too late that they could’ve saved a LOT of money.

Life After Getting a Pacemaker

Can You Live 20 Years with a Pacemaker?

Short answer? Yes, absolutely.

In fact, many patients live well beyond 20 years after getting a pacemaker, especially if they manage other health issues well. The device itself might need replacement once or twice, but that doesn’t mean your life stops.

Lifestyle Tips for Pacemaker Patients

• Stick to your follow-up schedule

• Avoid close contact with magnetic devices or strong electrical fields

• Don’t skip meds prescribed for underlying heart conditions

• Eat healthy, stay active — but don’t overdo it, especially in the first few months

Activities to Avoid

You can live a pretty normal life, but:

• Avoid MRI scans (unless your pacemaker is MRI-compatible)

• Stay cautious around airport security gates and high-voltage lines

• Heavy sports like rugby or wrestling? Best to skip those...

Frequently Asked Questions (FAQs)

What is the price of a pacemaker in India?

The price of a pacemaker ranges from ₹45,000 to ₹2.5 lakh, depending on the type and brand.

Can you live 20 years with a pacemaker?

Yes, with regular check-ups and a healthy lifestyle, many patients live 20 years or more.

Is pacemaker a major surgery?

It's a relatively minor procedure, done under local anesthesia. Hospital stay is usually 1–3 days.

How much is the average pacemaker?

On average, it costs around ₹1.2 to ₹1.8 lakh in private hospitals and ₹50,000–₹80,000 in government hospitals.

Does insurance cover pacemaker cost in India?

Many health insurance policies cover pacemaker procedures, either fully or partly. Government schemes like Ayushman Bharat can also help.

Conclusion

A pacemaker is more than just a medical device — it’s a second chance at life. And in India, thanks to advancing healthcare and increasing access, it’s becoming more affordable and available to people who truly need it.

Still, the cost of pacemaker surgery can vary wildly. Whether you’re in Delhi or a small town in Bihar, it’s important to ask the right questions, explore your options, and prepare ahead — financially and emotionally.

Got a loved one considering a pacemaker? Share this article. It might just help someone make an informed (and less scary) decision. 😊