Medically verified by: Dr. Arun Rathi, MS, MCh (Urology) & Dr. Surya Prakash B, MS, MCh (Urology)
Senior Consultants – Urology & Andrology, Vivekananda Hospital, Begumpet | 45+ years combined experience | 2,000+ stone procedures
📍 Serving patients from Begumpet, Ameerpet, Somajiguda, Punjagutta, Secunderabad, Banjara Hills, and Khairathabad
ESWL Cost in Hyderabad: Complete Guide 2026
Extracorporeal Shock Wave Lithotripsy (ESWL) is a non‑invasive treatment for kidney stones. It uses high‑energy shock waves focused on the stone to break it into tiny fragments that can pass naturally in the urine. ESWL is ideal for small to medium‑sized stones (usually < 1.5 cm) located in the kidney or upper ureter. At Vivekananda Hospital, we offer state‑of‑the‑art ESWL machines and expert urologists to ensure safe and effective stone fragmentation with minimal downtime. This guide provides a transparent breakdown of ESWL costs in Hyderabad, what to expect, and how to prepare.
📌 Quick Facts: ESWL cost in Hyderabad ranges from ₹20,000 to ₹35,000 at Vivekananda Hospital (all‑inclusive). It is a day‑care procedure you go home the same day. Success rates are 70‑90% for appropriately selected stones. No incisions, no anaesthesia (mild sedation may be used).
What is ESWL and When is it Used?
ESWL is a non‑invasive technique that uses shock waves generated outside the body to break kidney stones. The procedure is performed under mild sedation or local anaesthesia. The shock waves are focused precisely on the stone using X‑ray or ultrasound guidance. The fragments then pass naturally in the urine over the following days to weeks.
Ideal for:
- Stones in the kidney or upper ureter
- Stone size < 1.5 cm (often up to 2 cm, but larger stones may need multiple sessions)
- Stones that are not too hard (cystine or calcium oxalate monohydrate may be resistant)
Not suitable for:
- Very large stones (> 2 cm)
- Stones in the lower pole of the kidney (may not clear well)
- Pregnant women
- Patients with bleeding disorders or uncontrolled hypertension
Your urologist will evaluate whether ESWL is the best option based on stone location, size, and composition.
How ESWL Costs Compare in Hyderabad
In Hyderabad, ESWL costs typically range from ₹25,000 to ₹50,000 across most private hospitals, depending on the facility, technology, and whether the package includes follow‑up. At Vivekananda Hospital, our all‑inclusive ESWL package starts at ₹20,000 offering the same advanced lithotripter technology, expert urologists, and day‑care convenience at a significantly more affordable price. No hidden charges, no surprise bills.
ESWL Cost at Vivekananda Hospital
We offer all‑inclusive packages for ESWL. The cost includes the procedure, anaesthesia (if used), ESWL machine charges, room rent (day care), nursing, and routine medications. Below are our starting prices:
| Room Type | ESWL (All‑Inclusive) |
|---|---|
| Day Care (No overnight stay) | ₹20,000 – ₹35,000 |
| General Ward (if observation needed) | ₹25,000 – ₹40,000 |
| Semi‑Private / Twin Sharing | ₹30,000 – ₹45,000 |
| Single Room | ₹35,000 – ₹50,000 |
For a personalised quote based on your stone size and room preference, call us at +91 7207904418.
Factors Affecting ESWL Cost
Larger or multiple stones may require more shock waves or a repeat session, increasing cost.
Most ESWL is done with mild sedation; complex cases may need general anaesthesia, adding to cost.
If you choose to stay overnight, higher room categories increase cost.
Some stones may require a second session if fragments remain after 2‑3 weeks. Additional sessions are charged separately.
ESWL vs Other Stone Procedures: A Quick Comparison
| Factor | ESWL | URS / RIRS | PCNL |
|---|---|---|---|
| Incision | None (non‑invasive) | Through urethra (no cut) | Small incision in back |
| Anaesthesia | Mild sedation | Spinal / General | General |
| Hospital stay | Same day | 1‑2 days | 3‑5 days |
| Recovery time | 1‑2 days | 3‑5 days | 4‑6 weeks |
| Best for | Stones < 1.5 cm, kidney/upper ureter | Stones in ureter or lower pole | Stones > 2 cm, staghorn |
Your urologist will help you choose the most appropriate and cost‑effective option based on your stone characteristics.
Stone Composition & Success Rates
Not all stones respond equally to ESWL. Understanding the stone type helps predict success:
- Excellent response: Uric acid, calcium oxalate dihydrate, struvite 80‑90% fragmentation rate.
- Moderate response: Calcium oxalate monohydrate, brushite 50‑70% success; may require multiple sessions.
- Poor response: Cystine, some large calcium oxalate monohydrate stones often better treated with endourology (URS/PCNL).
At Vivekananda Hospital, we use advanced imaging and stone analysis to tailor the treatment plan for the highest chance of success.
Pre‑Procedure Preparation
- Hydration: Drink plenty of water the day before to ensure your kidneys are well‑hydrated.
- Medications: Stop blood thinners (aspirin, clopidogrel, warfarin) 5‑7 days before as advised.
- Fasting: No food or drink for 6 hours before the procedure (if sedation/anaesthesia is used).
- Bowel preparation: Sometimes a light laxative is given to reduce intestinal gas, which can interfere with targeting.
- Arrival: Bring your insurance card and a family member to drive you home.
Recovery After ESWL
Most patients resume normal activities the next day. If you experience severe pain, fever, or inability to pass urine, contact your doctor immediately.
Post‑Procedure Care & Stone Prevention
- Diet: Reduce salt, animal protein, and oxalate‑rich foods (spinach, nuts, tea). Increase citrus fruits (lemons, oranges).
- Hydration: Aim for 2.5‑3 litres of urine output per day drink enough to keep urine clear.
- Medication: Your urologist may prescribe potassium citrate or thiazide diuretics if you are at high risk of recurrence.
- Follow‑up: Regular ultrasound or X‑ray every 6‑12 months to detect early regrowth.
Insurance & Cashless Coverage for ESWL
ESWL is covered by most health insurance policies when medically indicated. At Vivekananda Hospital, we offer cashless facility with:
- CGHS, ESI, Arogyabhadratha (with proper referral/approval)
- All major private insurers (Star Health, HDFC Ergo, ICICI Lombard, etc.)
- Corporate TPAs
Our dedicated insurance desk verifies your coverage before the procedure. For detailed cashless admission steps, see our Cashless Treatment Guide. For self‑paying patients, we offer 0% EMI options through GMoney and Bajaj Finserv.
Why Choose Vivekananda Hospital for ESWL?
- Expert urologists: Dr. Arun Rathi and Dr. Surya Prakash B with extensive experience in stone management.
- Advanced ESWL machine: Latest generation lithotripter for precise targeting with minimal tissue damage.
- Transparent pricing: All‑inclusive packages with no hidden charges ₹20,000 starting price.
- Dedicated insurance desk: Cashless approvals for eligible patients.
- Central location: Easy access from all parts of Hyderabad.
Meet Our Urology Specialists
Dr. Arun Rathi
MS, MCh (Urology)
Senior Consultant Urology & Andrology | 18 years experience | Specialises in endourology, uro‑oncology, and laparoscopic urology
OPD: Monday–Saturday, 7:00 PM – 8:00 PM
Dr. Surya Prakash B
MS, MCh (Urology)
Consultant – Urology & Kidney Transplant Surgery | 30 years experience (10 years as urologist) | Specialises in endourology, uro‑oncology, and andrology
OPD: Tuesday, Thursday & Saturday (evening)
Frequently Asked Questions About ESWL Cost
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Considering ESWL for your kidney stone? Consult Dr. Arun Rathi or Dr. Surya Prakash B for a clear cost estimate.
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