TMVR Procedure Cost at Narayana Health Kolkata (2026)

The TMVR procedure package generally covers hospital services associated with catheter-based valve implantation. However, the replacement valve and high-value equipment may be billed separately.

Package inclusions vary according to the hospital's written treatment estimate.

Important Expenses to Check Before Admission

• Replacement valve and delivery system: The implant, catheter and specialised accessories can contribute substantially to the final bill.

• Diagnostic investigations: Echocardiography, transoesophageal echocardiography, cardiac CT and laboratory tests may be required.

• Hospital stay: The number of covered ICU and ward days influences the treatment expense.

• Additional medical care: Complications, prolonged monitoring or further procedures may increase charges.

An itemised treatment estimate helps patients understand the hospital procedure component, implant cost and expected additional expenses.

Types of Mitral Valves Used in TMVR and Their Costs

The replacement mitral valve is one of the largest cost components of TMVR. Device selection depends on whether the patient has a failing surgical biological valve or requires treatment involving the native mitral valve.

Estimated TMVR Valve Implant Cost in India

These are indicative device-price ranges, not fixed hospital selling prices. The use of any device depends on clinical suitability, approved indications, regulatory status and availability.

Indian-Made Valves for Mitral Valve-in-Valve Replacement

Indian-made transcatheter valves, such as suitable models from the Meril Myval family, may be used in selected patients with a failing biological mitral valve. The new valve is implanted inside the existing surgical tissue valve using a catheter.

• Indicative implant cost: ₹3.5–₹5.5 lakh

• Procedure: Catheter-based valve-in-valve replacement

• Suitable for: Selected patients with a deteriorated surgical biological mitral valve

Imported Valves for Mitral Valve-in-Valve Replacement

Imported transcatheter valves, including the Edwards SAPIEN 3 family, may be considered for patients requiring replacement of a failing surgical biological mitral valve.

• Indicative implant cost: ₹8–₹12 lakh

• Procedure: Catheter-based valve-in-valve replacement

• Valve selection: Based on existing valve dimensions, heart anatomy and procedural suitability

Dedicated Native-Valve TMVR Systems

Dedicated systems, such as Abbott Tendyne and Edwards SAPIEN M3, are designed to replace the patient's original mitral valve using specialised delivery and anchoring mechanisms.

• Indicative device cost: ₹13–₹16 lakh+

• Procedure: Native mitral valve replacement

• Suitable for: Carefully selected patients meeting anatomical and clinical criteria

The final implant selection depends on the patient's heart anatomy, medical condition and device suitability. The costs above represent implant charges; hospital procedure and associated medical expenses are additional.

Total TMVR Treatment Cost by Procedure Type

The overall treatment cost differs between valve-in-valve and native-valve TMVR because of variations in device selection, anatomical complexity and procedural requirements.

Note: The estimated total expense may include the replacement valve, catheterisation laboratory services, specialist fees, anaesthesia, investigations, hospitalisation and recovery-related care.

The final TMVR treatment cost at NH, Kolkata depends on the procedure type, replacement valve, patient's medical condition and hospital services required. The key factors include:

• Type of TMVR procedure: Valve-in-valve and native-valve TMVR involve different techniques, implants and procedural requirements, affecting the overall cost.

• Replacement valve: The manufacturer, valve model, size and delivery system influence implant charges.

• Patient's medical condition: Kidney disease, lung disease, reduced heart function or other health conditions may require additional treatment and monitoring.

• Diagnostic investigations: Echocardiography, transoesophageal echocardiography (TEE), cardiac CT and blood tests contribute to pre-procedure expenses.

• Hospital and room category: Charges vary according to the selected hospital, accommodation type and associated services.

• Procedure complexity: Complex valve anatomy or additional heart conditions may require specialised equipment and multidisciplinary care.

• ICU and hospital stay: Extended critical care monitoring or prolonged hospitalisation can increase the final bill.

• Post-procedure care: Prescribed medicines, follow-up consultations and repeat echocardiography add to recovery expenses.

• Health insurance coverage: Policy limits, valve implant coverage and insurer approval influence the patient's out-of-pocket expenses.

The replacement valve and procedure complexity are among the major factors determining the total TMVR treatment cost.

Additional Costs Before and After TMVR Surgery

Patients undergoing TMVR may incur expenses for diagnostic investigations, medicines and follow-up care beyond the main procedure package.

Pre-Procedure Investigation Costs

Cardiac imaging helps doctors assess valve anatomy, heart function and the suitability of catheter-based replacement.

The listed tariff ranges cover different billing categories. TEE with anaesthesia is a separate service option rather than an additional mandatory test.

Cardiac CT can be particularly important for TMVR planning because it helps assess valve dimensions, surrounding structures, calcification and the potential risk of left ventricular outflow tract obstruction.

Post-Procedure Expenses

After TMVR, patients require follow-up care to assess recovery and replacement valve function.

• Medicines: Antithrombotic medicines and other cardiac treatments may be prescribed according to the patient's condition.

• Follow-up consultations: Cardiologist reviews help monitor symptoms and recovery.

• Repeat echocardiography: Imaging helps assess valve position, leakage and blood flow.

• Additional medical care: Associated heart conditions or complications may require further treatment or monitoring.

Transcatheter mitral valve replacement is a catheter-based procedure used to replace a severely diseased mitral valve in selected patients. The mitral valve controls blood flow between the left atrium and left ventricle. When it becomes severely narrowed, known as mitral stenosis, or leaks significantly, known as mitral regurgitation, the heart may struggle to maintain efficient blood circulation.

TMVR delivers a replacement biological valve through a specialised catheter system without conventional open-heart surgery.

Who May Need TMVR Surgery?

TMVR may be considered for selected patients with:

• A failing biological mitral valve: A previously implanted tissue valve that has become narrowed or leaky may be suitable for valve-in-valve replacement.

• Severe mitral valve disease: Patients with significant valve dysfunction who are unsuitable for conventional surgery may be evaluated for TMVR.

• High surgical risk: Previous heart operations, advanced age or serious associated medical conditions may increase the risks of conventional surgery.

• Suitable valve anatomy: The procedure requires appropriate valve dimensions and surrounding heart structures for safe implant positioning.

Not everyone with mitral valve disease requires TMVR. Some patients may benefit more from medicines, mitral valve repair, balloon mitral valvotomy or conventional surgical replacement.

A multidisciplinary heart team determines the appropriate treatment based on symptoms, cardiac function, valve anatomy and surgical risk.

TMVR vs Conventional Mitral Valve Replacement: What's the Difference?

TMVR and conventional mitral valve replacement both aim to restore appropriate blood flow through the mitral valve. However, their techniques, implants and recovery requirements differ.

TMVR may offer a less invasive treatment option for selected patients with increased surgical risk. Conventional surgery remains an important option, particularly when valve repair or durable surgical replacement is appropriate.

TMVR vs Conventional Mitral Valve Replacement Cost

The procedure-component figures are indicative and are not directly comparable confirmed hospital packages.

Conventional mitral valve replacement generally costs less than TMVR because transcatheter replacement involves specialised valves, delivery systems and advanced imaging.

How is TMVR Performed and How Long is the Hospital Stay?

TMVR uses a catheter-based technique to position a replacement biological valve within the mitral valve area.

How is TMVR Performed?

• Pre-procedure planning: Doctors use echocardiography, transoesophageal echocardiography and cardiac CT to evaluate valve anatomy, heart function and implant suitability.

• Anaesthesia: The procedure is generally performed under general anaesthesia with continuous cardiac monitoring.

• Valve implantation: In many valve-in-valve procedures, the replacement valve is delivered through a catheter inserted via a blood vessel in the groin. Certain native-valve systems require a small chest incision and a different access route.

• Valve positioning: The replacement valve is positioned and deployed using specialised imaging guidance.

• Final assessment: Echocardiography helps confirm valve position, blood flow and the presence of any leakage or obstruction.

Hospital Stay and Recovery After TMVR

Recovery depends on the procedure, access route and patient's medical condition. Additional monitoring or treatment may extend the hospital stay.

TMVR vs MitraClip and Conventional Mitral Valve Surgery

TMVR, MitraClip and conventional mitral valve surgery treat different forms of mitral valve disease.

TMVR replaces the valve using a catheter-delivered prosthesis. MitraClip, a form of transcatheter edge-to-edge repair (TEER), reduces mitral regurgitation by bringing the valve leaflets closer together. Conventional surgery may repair the natural valve or replace it with a mechanical or biological prosthesis.

How Do These Treatments Differ?

Cost Comparison of TMVR and Other Mitral Valve Treatments

These are indicative total treatment-cost ranges rather than fixed hospital-approved packages. Patients with selected forms of rheumatic mitral stenosis may also be suitable for balloon mitral commissurotomy, also called balloon mitral valvotomy. This procedure widens the narrowed valve without replacing it.

The most appropriate treatment depends on valve anatomy, disease severity, surgical risk and expected long-term outcomes.

Narayana Health provides cardiac care across Kolkata, Howrah and Barasat, with services covering interventional cardiology, cardiothoracic surgery, diagnostic imaging and critical care. Its cardiac teams evaluate patients with complex valve disorders to determine whether surgical repair, conventional valve replacement or catheter-based treatment is appropriate.

Rabindranath Tagore International Institute of Cardiac Sciences, Mukundapur

Rabindranath Tagore International Institute of Cardiac Sciences, popularly known as RN Tagore Hospital, is a 681-bed, JCI- and NABH-accredited quaternary care hospital in Mukundapur, Kolkata. Established in 2000, it provides advanced cardiac services alongside multiple medical and surgical specialities.

The hospital's infrastructure includes:

• 5 catheterisation laboratories supporting catheter-based cardiac interventions.

• 16 advanced operation theatres for complex surgical procedures.

• 24/7 emergency services.

• Interventional cardiology, adult cardiac surgery and advanced diagnostic imaging.

• Specialist cardiac and critical care services for complex cardiovascular conditions.

These facilities support the assessment and management of patients with severe mitral valve disorders.

Narayana Superspeciality Hospital, Howrah

Narayana Superspeciality Hospital, Howrah, is located on Andul Road near Nabanna. The hospital provides interventional cardiology, cardiac surgery, diagnostic investigations and critical care.

Its cardiac facilities include:

• 2 cardiac catheterisation laboratories for interventional procedures.

• 2 dedicated cardiac operation theatres, 4 modular operation theatres and 1 trauma operation theatre.

• 71 critical care beds across intensive care and high-dependency services.

• Diagnostic facilities like CT, MRI, echocardiography, ECG, Holter monitoring and treadmill testing.

• Cardiac services covering valve repair and replacement, coronary interventions and heart failure management.

The hospital also provides advanced cardiac interventions, including TAVI, and evaluates patients for minimally invasive and conventional cardiac surgery.

Narayana Multispeciality Hospital, Barasat

Narayana Multispeciality Hospital, Barasat, serves patients from North 24 Parganas and surrounding areas. Its cardiac services include specialist consultations, diagnostic investigations, interventional cardiology and cardiac surgery.

The hospital's facilities include:

• 3 operation theatres, including one dedicated to cardiac surgery.

• A cardiac catheterisation laboratory.

• Echocardiography, ECG, Holter monitoring, treadmill testing and CT imaging.

• 24-hour trauma and critical care services.

• Cardiac treatment services covering valve repair and replacement, coronary interventions and heart failure management.

Patients with severe mitral valve disease can undergo cardiac evaluation to determine the appropriate treatment and whether assessment at a specialised structural heart centre is required.

Multidisciplinary Heart Team for TMVR Treatment

Complex mitral valve disease requires coordinated assessment by specialists with different areas of expertise.

• Interventional cardiologists assess catheter-based valve interventions and procedural suitability.

• Cardiac surgeons evaluate conventional and minimally invasive surgical repair or replacement.

• Cardiac imaging specialists assess valve anatomy and heart function using echocardiography and advanced imaging.

• Cardiac anaesthesiologists and critical care specialists support procedural monitoring and recovery.

The heart team's evaluation helps determine whether TMVR, surgical repair or conventional replacement is appropriate.

Cardiac Specialists for Transcatheter Mitral Valve Treatment at Narayana Health, Kolkata

Patients with severe mitral valve disease may require evaluation by both interventional cardiologists and cardiac surgeons.

Interventional Cardiologists at RN Tagore Hospital, Mukundapur

• Dr Debdatta Bhattacharyya is Clinical Director, Senior Consultant and Chief of Cathlab Services in Adult Cardiology. His expertise includes structural heart disease and interventional cardiology, making his clinical practice relevant to the evaluation of complex catheter-based valve treatments.

• Dr Anup Khetan is a senior adult cardiology specialist associated with interventional cardiac procedures, including catheter-based treatment of cardiovascular conditions.

• Dr Kuntal Bhattacharyya is a senior interventional cardiologist whose clinical practice includes complex coronary interventions and advanced cardiac device therapies.

• Dr Ayan Kar is an interventional cardiologist associated with advanced heart failure management and cardiac interventions. His clinical expertise is relevant to patients with valve disease and associated heart dysfunction.

Cardiac Surgeons at RN Tagore Hospital, Mukundapur

• Dr Lalit Kapoor focuses on adult and minimally invasive cardiac surgery, along with complex aortic procedures. His surgical experience covers a range of cardiovascular conditions requiring specialised operative care.

• Dr Mrinalendu Das has experience in heart valve surgery, complex repeat cardiac operations and advanced heart failure surgery. His work includes managing patients who require surgical intervention for valvular heart disease.

• Dr Arup Kumar Ghosh performs adult cardiac procedures, with a focus on mitral and tricuspid valve conditions. Surgical valve repair and replacement are among the treatment areas associated with his practice.

• Dr Atanu Saha provides surgical care for adults with cardiovascular diseases, including heart valve disorders. His areas of practice include valve replacement and other cardiac surgical procedures.

These specialists provide surgical assessment and treatment options for patients with mitral valve disease.

Cardiac Specialists at Narayana Superspeciality Hospital, Howrah

• Dr Debasis Das is Clinical Lead and Senior Consultant in cardiac surgery. His expertise includes adult cardiac surgery, minimally invasive cardiac surgery and complex cardiac procedures.

• Dr Anton Prem Thilak is associated with adult cardiac surgery and cardiothoracic surgical care.

The cardiac team evaluates patients with mitral valve disorders for surgical repair, replacement and other appropriate treatment pathways.

Cardiac Specialist at Narayana Multispeciality Hospital, Barasat

• Dr Neeraj Kumar Jha is a consultant in adult cardiac surgery. His expertise includes adult cardiac surgical procedures and minimally invasive cardiac surgery.

The treating cardiac team determines whether patients require conventional surgical treatment or further assessment for a specialised catheter-based intervention.

TMVR surgery may be covered by health insurance, depending on the policy terms, medical necessity and insurer approval. Narayana Health works with multiple insurance companies and third-party administrators to facilitate eligible cashless hospitalisation.

Coverage may include procedure charges, hospitalisation, ICU care and eligible implant expenses, subject to the policy's limits and conditions.

How to Apply for Cashless TMVR Treatment

Patients can contact the hospital's insurance desk and provide their insurance card, policy details, identity proof, medical reports and proposed treatment estimate. The hospital can submit a pre-authorisation request specifying the recommended procedure, valve implant and expected hospital charges.

The insurer assesses the request according to policy terms, medical necessity and coverage limits. Patients should confirm the approved amount, implant coverage, co-payment requirements and expected out-of-pocket expenses before admission.

Are Government Health Schemes Accepted?

Eligible patients may explore coverage under the Central Government Health Scheme (CGHS), West Bengal Health Scheme (WBHS), Swasthya Sathi and Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY).

Benefits depend on patient eligibility, hospital empanelment, approved treatment packages and authorisation requirements. TMVR coverage is subject to the scheme's specific provisions, including eligibility of the procedure and replacement valve.

How to Plan TMVR Treatment at NH, Kolkata Through HexaHealth?

Planning TMVR treatment involves specialist consultations, cardiac investigations, treatment selection and financial preparation. HexaHealth can assist patients in coordinating these requirements and navigating the treatment process at Narayana Health Kolkata.

• Consult a cardiac specialist: Schedule a consultation with an interventional cardiologist or cardiac surgeon to review symptoms, medical history, previous valve procedures and cardiac reports.

• Complete diagnostic investigations: Undergo recommended tests, such as echocardiography, TEE, cardiac CT, ECG and blood tests, to assess mitral valve anatomy and heart function.

• Get a heart team evaluation: A multidisciplinary cardiac team assesses whether TMVR, surgical valve repair or conventional replacement is the most suitable treatment.

• Finalise the treatment and valve implant: The treating team selects the appropriate procedure and replacement valve based on the patient's anatomy, clinical condition and treatment requirements.

• Review treatment costs: Obtain an itemised estimate covering procedure charges, valve implant, investigations, hospitalisation and additional medical expenses.

• Verify insurance coverage: Check policy benefits, implant coverage and cashless eligibility. Complete pre-authorisation requirements before admission, where applicable.

• Coordinate admission and follow-up: Plan hospital admission, pre-procedure preparation, discharge and follow-up consultations through HexaHealth.

Choosing TMVR requires careful evaluation of treatment options and costs. Patients should understand valve selection, package inclusions and insurance coverage. This helps them prepare financially and avoid unexpected expenses.

A cardiac specialist can assess suitability and recommend appropriate treatment. HexaHealth can assist with consultations, cost estimates and insurance coordination. Patients can also receive support with admission and treatment planning.