The short answer: One PIPAC session usually costs about Rs 1.5–3 lakh in Ahmedabad. Many patients have about 3 sessions, roughly 6 weeks apart, and each session is billed separately, so a course of 3 sessions comes to roughly Rs 4.5–9 lakh. These are indicative ranges, not a quote: the written estimate comes from the hospital where PIPAC is done (Sterling Hospitals or KD Hospital).
PIPAC (Pressurised Intraperitoneal Aerosol Chemotherapy) is a newer keyhole (laparoscopic) procedure that sprays chemotherapy as a fine mist inside the tummy, onto cancer on its lining (peritoneal carcinomatosis). It is used for selected patients, mainly to control disease that cannot be removed by surgery, and the evidence is still developing, so it is not right for everyone. Because each session is short and keyhole, it costs less per session than open surgery with HIPEC; see how PIPAC and HIPEC differ. People also search for this as “PIPAC ka kharcha” (पिपैक का खर्च).
On this page
PIPAC (per cycle) — current range
Indian patients (INR): Rs 1,50,000 – Rs 3,00,000
International patients (USD equivalent): approx $1,800 – $3,600
Indicative range, updated for 2026, for one PIPAC session, including the procedure, anaesthesia and a short hospital stay. PIPAC is done at Sterling Hospitals and KD Hospital in Ahmedabad. This is not a quote: you receive a written estimate from the hospital where your procedure is done, after report review and consultation.
What changes the cost of PIPAC
Number of cycles needed
Most patients receive 3 PIPAC cycles. Some respond after 2; others may continue for 4-5. Each cycle is billed separately.
Whether biopsy is done at the same session
A PIPAC session may include peritoneal biopsy for staging or response assessment, adding Rs 8,000-15,000 in pathology costs per session.
Hospital admission length
PIPAC typically requires 1-2 nights of admission. Day-care models may reduce this.
Chemotherapy drug used
Doxorubicin and cisplatin are the standard. Newer agents (oxaliplatin, paclitaxel) cost more.
Insurance pre-authorisation
PIPAC is sometimes flagged as experimental by insurers. Pre-authorisation can take longer than for standard surgeries; we assist patients with submission letters and supporting literature.
How to get a personal quote
For an honest personalised cost estimate:
- Share your reports on WhatsApp at +91 76988 00333 (or via second opinion request).
- Dr. Nishtha reviews stage, complexity and any complicating factors.
- A written quote is prepared by the admissions team of the hospital where the procedure will be done (Sterling Hospitals or KD Hospital), based on the proposed plan.
- If insurance is available, pre-authorisation is initiated at this stage.
For broader information see understanding PIPAC (what it is, who it may suit and its limits) and ovarian cancer diagnosis and treatment. External reference: Tempfer et al. 2018, systematic review of PIPAC with special emphasis on ovarian cancer (PubMed).
PIPAC cost: common questions
Is the PIPAC price on this page all-inclusive?
The range covers the surgical or medical procedure plus standard hospital stay, anaesthesia, and routine pre-op investigations. It does NOT typically include: PET-CT (Rs 18,000-25,000), genetic/biomarker testing (Rs 25,000-60,000), maintenance therapy, or out-of-pocket travel and accommodation.
Will my insurance or Ayushman card cover PIPAC?
Most cashless cancer-care policies in India cover surgical procedures for diagnosed cancers under their standard benefits. Pre-authorisation is required and we assist with the documentation. Newer therapies (HIPEC, PIPAC, PARP maintenance) may need additional supporting letters. The Pradhan Mantri Jan Arogya Yojana (PMJAY, Ayushman Bharat) covers eligible families up to Rs 5 lakh per family per year; ask the hospital whether your treatment is covered under the scheme there.
Can PIPAC cost less at smaller hospitals?
Yes — tier-2 hospitals or government cancer centres charge less than tier-1 corporate facilities. However, complex cancer surgery outcomes are strongly tied to surgeon experience and centre volume. A 10-20% cost saving at a low-volume centre may compromise surgical completeness, which directly affects survival in cancers like ovarian and cervical.
Can I get a written cost estimate before deciding?
Yes. After Dr. Nishtha reviews your reports (which you can share on WhatsApp on +91 76988 00333), the hospital admissions team prepares a written estimate with itemised line-items. This is provided before you commit to surgery.
Do you offer payment plans?
Most cashless insurance policies require no upfront payment beyond a small admission deposit. For self-pay patients, ask the billing team at the hospital where your procedure is done (Sterling Hospitals or KD Hospital) whether loan or instalment options are available.
Medical content reviewed by Dr. Nishtha Tripathi Patel, MBBS, DGO, DNB, Fellowship Gynaecological Oncology, ESGO-certified.
Disclaimer: All cost figures are approximate ranges current as of 2026. Cancer treatment is individualised; final cost depends on stage, complications, and treatment response. The figures above are not a price commitment — a written estimate is provided after consultation and report review.