What is the CT angiogram cost in Narayana Health?

This is the most important clinical distinction for any patient searching for CT angiogram cost at Narayana Health.

Both CT Coronary Angiography (CCTA/CTCA) and Invasive Coronary Angiography (ICA/CAG) are used to evaluate coronary artery disease (CAD), but they differ fundamentally in technique, indications, diagnostic role, and therapeutic capability.

CT Coronary Angiography (CTCA / CCTA)

(₹8,000 – ₹15,000) at Narayana Health
Non-Invasive · Outpatient Diagnostic Test

• Intravenous iodinated contrast is injected through a peripheral vein (usually antecubital vein)
• ECG-gated multidetector CT scanner acquires high-resolution images of coronary arteries
• Entire scan typically completed in 15–30 minutes; no hospital admission required
• No arterial puncture or catheterization is involved
• High negative predictive value (NPV) → excellent test to rule out obstructive CAD in low-to-intermediate risk patients
• Detects coronary plaque (calcified and non-calcified) and early atherosclerotic changes
• May be used for graft evaluation in post-CABG patients in selected cases, depending on image quality and heart rate control

Limitations:

• Purely diagnostic, no intervention possible
• If significant stenosis is detected, invasive angiography may still be required
• Image quality is affected by high heart rate, arrhythmias, or extensive coronary calcification
• Beta-blockers and nitrates may be administered for optimal image acquisition

Invasive Coronary Angiography (ICA / CAG)

(₹18,000 – ₹30,000) at Narayana Health
Invasive · Cath Lab Procedure · Daycare / Short Observation

• Arterial access obtained via radial artery (preferred) or femoral artery
• Catheter is advanced to coronary ostia under fluoroscopic guidance
• Iodinated contrast is injected directly into coronary arteries for real-time visualization
• Considered the reference standard (gold standard) for assessing coronary lumen stenosis
• Allows simultaneous diagnostic and therapeutic intervention (PCI/angioplasty and stenting)
• Advanced adjunct techniques available at tertiary centres:
  1. IVUS (Intravascular Ultrasound)
  2. OCT (Optical Coherence Tomography)
  3. FFR (Fractional Flow Reserve)

Risks and Limitations:

• Invasive procedure with low complication risk (e.g., bleeding, hematoma, vascular injury, contrast reactions)
• Requires Cath Lab and short post-procedure monitoring
• Not routinely used for low-risk screening due to invasiveness

Clinical Decision: When is CTCA vs CAG recommended?

At Narayana Health, the choice is based on pre-test probability of CAD, clinical presentation, and intended management strategy:

• CTCA is preferred in patients with low-to-intermediate probability of CAD, particularly when the goal is to rule out significant coronary stenosis non-invasively
• CAG is preferred in patients with high clinical suspicion of CAD, positive or inconclusive CTCA findings, or when revascularization (PCI/CABG) is being considered
• CAG is also indicated when hemodynamic lesion assessment (FFR) or plaque characterization (IVUS/OCT) is required

At tertiary cardiac centres such as Bangalore, including the Narayana Institute of Cardiac Sciences (NICS), the decision is typically made through a multidisciplinary review between interventional cardiology and cardiac imaging teams to ensure appropriate test selection before the procedure.

The term CT angiogram at Narayana Health refers to a family of CT-based vascular imaging tests, not a single procedure. The exact scan depends on the organ being evaluated, which determines the protocol, contrast timing, scanner settings, and cost.

CT Coronary Angiography (CCTA / CTCA)

₹8,000 – ₹15,000

A non-invasive, ECG-gated CT scan used to evaluate the coronary arteries for atherosclerotic disease.

Indications:

• Evaluation of chest pain in low-to-intermediate risk patients
• Suspected coronary artery disease (CAD)
• Pre-operative cardiac risk assessment
• Assessment of coronary bypass grafts (CABG)
• Selected evaluation of coronary stent patency

Clinical Utility:

• Detects calcified and non-calcified plaque
• Assesses luminal stenosis
• High negative predictive value for ruling out obstructive CAD

Coronary Artery Calcium Score (CAC / Cardiac CT Calcium Score)

₹5,000 – ₹9,000

A non-contrast CT scan used to quantify coronary artery calcification using the Agatston scoring method.

Indications:

• Cardiovascular risk stratification in asymptomatic individuals
• Refinement of risk in patients with diabetes, hypertension, dyslipidemia, or smoking history
• A CAC score of 0 indicates very low short-term risk in appropriate clinical settings

CT Pulmonary Angiography (CTPA)

₹8,000 – ₹16,000

A contrast-enhanced CT scan optimized to evaluate pulmonary arteries.

Indications:

• Suspected pulmonary embolism (PE)
• Sudden unexplained breathlessness
• Pleuritic chest pain
• Hypoxia or unexplained collapse

Clinical Role:

• Considered the reference imaging modality for pulmonary embolism diagnosis
• Commonly performed in emergency settings

CT Cerebral Angiography (CTA Brain)

₹8,000 – ₹16,000

A contrast CT angiography study of intracranial and extracranial cerebral vessels.

Indications:

• Suspected intracranial aneurysm
• Arteriovenous malformations (AVMs)
• Carotid or vertebral artery stenosis
• Acute ischemic stroke vascular evaluation
• Pre-neurosurgical planning

CT Peripheral Angiography (CTA Limbs)

₹6,000 – ₹14,000

A CT angiography of upper or lower limb arterial circulation.

Indications:

• Peripheral arterial disease (PAD)
• Claudication or rest pain
• Critical limb ischemia
• Aorto-iliac and femoropopliteal arterial disease
• Pre- and post-bypass graft evaluation
• Limb salvage planning

CT Renal Angiography

₹7,000 – ₹14,000

A contrast-enhanced CT scan of renal arteries and renal vascular anatomy.

Indications:

• Renal artery stenosis (secondary hypertension workup)
• Pre-renal donor evaluation for transplantation
• Suspected renal artery aneurysm
• Renal tumor vascular mapping

The reason patients choose Narayana Hrudayalaya over a standalone diagnostic centre for a CT coronary angiogram is not the scan itself, it is what happens when the scan shows something.

At NICS Bangalore, imaging results are reviewed by experienced interventional cardiologists who can immediately arrange conventional angiography, IVUS, OCT, FFR assessment, or intervention in the same facility’s Cath Lab. This diagnostic-to-treatment pathway is not available at a standalone imaging centre.

• Advanced cardiac imaging confirmed at NICS: 3D echocardiography, cardiac MRI, and cardiac CT scans, all available in-house
• 5 Digital Cath Labs (1 Hybrid): F or immediate transition from CT angiogram finding to conventional angiogram + intervention if needed; 13,000 Cath Lab procedures per year
• OCT (Optical Coherence Tomography) and IVUS (Intravascular Ultrasound): Confirmed at NICS, for plaque characterisation and stent optimisation during conventional angiography
• 64-slice CT capability: F or evaluation of smallest blockages in coronary arteries, post-stent patency assessment, and CABG graft evaluation
• Hybrid Cath Lab:  Capable of performing both interventional cardiac procedures and complex heart surgeries, supporting seamless transition from imaging to procedureJCI + NABH
• Accreditation: International and national quality standards applied to imaging protocols, radiation dose management, and contrast agent handling

HexaHealth · Cardiac Diagnostics Pathway

CT Angiogram Ordered. What Happens at Narayana Next?

When a CT angiogram is recommended, the process booking the right scan at the right NICS location, getting the pre-scan beta-blocker protocol explained, understanding the report, and knowing whether a follow-up conventional angiogram is needed can be overwhelming. HexaHealth’s Cardiac Experts coordinate directly with NICS’s imaging and cardiology teams.

We help you book the CT angiogram, read the report with you afterward, and confirm the next step whether that’s a Cath Lab angiogram, medication optimisation, or a surgical referral. We also manage TPA pre-authorisation so insurance is confirmed before you walk in.

Book a Free Consultation with HexaHealth

Free. No obligation. Talk to someone who has worked with the NICS cardiology team.

At Narayana Health, Narayana Institute of Cardiac Sciences (NICS), Bommasandra, Bangalore, a CT coronary angiogram (CTCA) is not treated as an isolated imaging report.

Instead, the scan is reviewed by an interventional cardiologist along with the cardiac imaging team, who correlate findings with symptoms, ECG, and clinical risk factors before final interpretation.

The report is explained to the patient in clinical terms, including:

• Coronary plaque (calcified and non-calcified)
• Degree of stenosis (blockage severity)
• Coronary calcification burden
• Overall cardiovascular risk interpretation
• Need for further testing or intervention

A structured clinical pathway is then recommended, which may include medical management, functional stress testing, or invasive coronary angiography if required.

Senior Cardiologists Involved in Cardiac Diagnostic Evaluation at NICS (Bangalore)

These consultants are associated with coronary artery disease evaluation, CTCA interpretation support, and interventional decision-making at NICS, Bommasandra.

Dr Uday B Khanolkar

Interventional Cardiology · 43 Years Experience
Patient Recommendation: 96%

• Expertise in coronary angiography and complex cardiac evaluation
• Involved in diagnostic and interventional decision-making for CAD cases
• Based at NICS, Bommasandra, Bangalore

Dr Sanjay Mehrotra

Interventional Cardiology · 41 Years Experience
Patient Recommendation: 100%

• Expertise in endovascular and structural heart interventions
• Experience in aortic, carotid, and TAVI procedures
• Contributes to advanced cardiac treatment planning and decision-making

Dr G G Shetty

Cardiothoracic and Vascular Surgery (CTVS) · 40 Years Experience
Patient Recommendation: 96%

• Specialist in cardiothoracic and vascular surgical procedures
• Involved in surgical planning for complex coronary and vascular disease
• Member of multidisciplinary cardiac care team at NICS

Dr Pradeep K Shetty

Cardiology · 38 Years Experience
Patient Recommendation: 97%

• Expertise in coronary artery disease diagnosis and management
• Experience in diagnostic cardiology and interventional pathways
• Involved in comprehensive cardiac evaluation and treatment planning

Dr Bijay Kumar Mahala

Cardiology · 38 Years Experience
Patient Recommendation: 96%

• Senior consultant in clinical cardiology
• Focus on coronary artery disease evaluation and management planning
• Participates in multidisciplinary cardiac decision-making

Dr Aditi Singhvi

Cardiology · 17 Years Experience
Patient Recommendation: Not publicly specified

• Expertise in advanced cardiac evaluation and high-risk case management
• Involved in diagnostic and treatment pathways across cardiac disease spectrum
• Contributes to complex cardiac care decisions at NICS

Body Part Scanned

CT coronary angiography requires ECG-gated scanning (synchronised to the heartbeat) and typically uses more contrast agent and scanner time than pulmonary or peripheral CT angiography. Cardiac CT protocols are generally priced slightly higher than pulmonary or cerebral CT angiograms.

Slice Technology

NICS uses advanced multi-slice CT capability including 64-slice and dual-source CT technology for cardiac imaging. Higher-slice scanners provide better temporal and spatial resolution for coronary imaging but may carry a higher scan fee. For post-stent and CABG graft evaluation, the specific scanner protocol matters.

Contrast Agent

All CT angiograms use iodine-based contrast dye. The volume and specific contrast agent used affects consumable costs. Patients with borderline renal function may need a pre-scan creatinine check and hydration protocol, adding to the pre-test workup cost.

Consultation Included or Separate

Some Narayana CT angiogram packages include a cardiologist consultation for report interpretation — the HexaHealth NICS-specific data notes cost varies based on inclusions like consultation or reports. A standalone scan without consultation is cheaper; a bundled scan + consultation + report is higher but clinically more valuable.

Package vs Walk-In

Narayana Multispeciality Hospital Mysore confirmed a ₹4,999 CT Angiogram health package (including the CT angiogram plus a full body checkup panel) for pre-registered patients. Walk-in CT angiogram pricing is higher. Check with your nearest NH facility for current package availability.

Narayana Facility Location

Pricing varies between NH facilities. NICS Bangalore (JCI + NABH super-specialty cardiac hospital) prices at a premium reflecting institutional infrastructure. Narayana Multispeciality Hospitals in Tier 2 cities (Mysore, Shimoga, Hubli) typically price lower. All follow the same clinical protocols but infrastructure costs differ.

CT Coronary Angiography (non-invasive, outpatient): Coverage depends on the policy. Most comprehensive health insurance plans cover CTCA when it is medically indicated (doctor’s referral with a clinical indication such as chest pain or known risk factors). Narayana Health accepts both cashless and reimbursement claims.

However, since CTCA is typically an outpatient procedure (no 24-hour admission), some older policies may not cover it as a standalone outpatient test. Check your policy’s OPD investigation coverage or day procedure coverage clause.

Conventional Coronary Angiography (Cath Lab, requires minimum 24-hour stay): Almost universally covered under comprehensive hospitalisation plans. The typical Narayana angiogram package includes doctor’s consultation fees, Cath Lab usage, monitoring charges, and short in-hospital stay. Cashless pre-authorisation is available through NICS’s TPA desk for major insurers.

Common insurance providers (subject to policy terms) include:

• Star Health and Allied Insurance
• HDFC ERGO General Insurance
• ICICI Lombard General Insurance
• Bajaj Allianz General Insurance
• Care Health Insurance
• Niva Bupa Health Insurance
• Aditya Birla Health Insurance

Government scheme coverage: Narayana Health is empanelled under Ayushman Bharat PM-JAY (Pradhan Mantri Jan Arogya Yojana). Eligible beneficiaries can access coronary angiography and other cardiac diagnostic procedures under the scheme at Narayana facilities across India, subject to eligibility and package guidelines.

Disclaimer: CT angiogram cost figures in this article are derived from HexaHealth’s NICS Bangalore hospital page (₹5,000–₹12,000), Star Health’s Narayana-specific data (₹12,489 for CTCA), HexaHealth’s Bangalore coronary angiography page (conventional CAG ₹18,000–₹30,000, avg ₹24,000), and India market benchmarks for NABH private hospitals. The Narayana Mysore ₹4,999 package is confirmed by Star of Mysore (May 2023) for pre-registered patients only. Narayana Health does not publish a public tariff. Actual costs depend on the specific scan type, location, consultant, and package inclusions. Always confirm pricing with the relevant NH facility or through HexaHealth before attending. Clinical information is for patient education only and does not constitute medical advice.

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