Medically verified by: Dr. Arun Rathi, MS, MCh (Urology) & Dr. Surya Prakash B, MS, MCh (Urology)
Senior Consultants Urology & Andrology, Vivekananda Hospital, Begumpet | 35+ years combined experience | 2,000+ stone procedures

📍 Serving patients from Begumpet, Ameerpet, Somajiguda, Punjagutta, Secunderabad, Banjara Hills, and Khairathabad

PCNL Cost in Hyderabad: Complete Guide 2026

Name: Vivekananda Hospital Medical Services
Brand: Vivekananda Hospital
Rating: 4.8 (2200 reviews)

Percutaneous Nephrolithotomy (PCNL) is the gold standard treatment for large kidney stones (> 2 cm) and staghorn calculi. It involves making a small incision in the back to insert a nephroscope directly into the kidney, allowing the surgeon to break and remove stones under direct vision. PCNL offers high stone‑free rates even for complex stones, with a single procedure often achieving complete clearance. At Vivekananda Hospital, Dr. Arun Rathi and Dr. Surya Prakash B perform PCNL using advanced equipment, ensuring safety and optimal outcomes. This guide provides a transparent breakdown of PCNL costs in Hyderabad, what to expect, and how to prepare.

📌 Quick Facts: PCNL cost in Hyderabad ranges from ₹80,000 to ₹1,50,000 at Vivekananda Hospital (all‑inclusive). Hospital stay is 3‑5 days, with a temporary nephrostomy tube and/or double‑J stent placed. Stone‑free rates exceed 90% for large stones.

What is PCNL and When is it Used?

PCNL is a minimally invasive procedure performed under general anaesthesia. A small incision (about 1 cm) is made in the back, and a tract is created into the kidney. A nephroscope is inserted, and the stone is fragmented using ultrasonic, pneumatic, or laser energy, then removed. A nephrostomy tube is often left temporarily to drain the kidney, and a double‑J stent may also be placed.

Ideal for:

Stones larger than 2 cm
Staghorn calculi (stones filling the kidney)
Stones that have failed ESWL or RIRS
Stones associated with obstruction or infection

Not suitable for:

Patients with bleeding disorders (risk of bleeding)
Patients with untreated urinary tract infections
Very small stones (< 1.5 cm) better treated with ESWL or RIRS

Your urologist will determine if PCNL is the best option based on stone size, location, and your overall health.

How PCNL Costs Compare in Hyderabad

In Hyderabad, PCNL costs typically range from ₹90,000 to ₹1,80,000 across most private hospitals, depending on the complexity, use of advanced technology, and hospital stay. At Vivekananda Hospital, our all inclusive PCNL package starts at ₹80,000 offering experienced urologists, modern equipment, and comprehensive care at a more affordable price. No hidden charges, no surprise bills.

PCNL Cost at Vivekananda Hospital

We offer all‑inclusive packages for PCNL. The cost includes surgeon fee, anaesthesia, OT charges, nephroscope and instruments, laser/ultrasonic energy, nephrostomy tube, double‑J stent, room rent, nursing, medications, and basic post‑operative care. Below are our starting prices:

Room Type	PCNL (All‑Inclusive)
General Ward	₹80,000 – ₹1,20,000
Semi‑Private / Twin Sharing	₹1,00,000 – ₹1,40,000
Single Room	₹1,20,000 – ₹1,50,000

For a personalised quote based on your stone size and room preference, call us at +91 7207904418.

Factors Affecting PCNL Cost

Stone size & complexity
Staghorn stones or multiple stones require more operative time and energy.

Need for multiple tracts
Large stones may need more than one entry point, increasing complexity and cost.

Nephrostomy tube & stent
Usually included in the package; extended stay if complications arise may add cost.

Room category
Higher room categories increase the package cost as shown.

PCNL vs Other Stone Procedures: A Quick Comparison

Factor	PCNL	RIRS	URS	ESWL
Incision	Small incision in back	Through urethra (no cut)	Through urethra	None
Anaesthesia	General	Spinal / General	Spinal / General	Mild sedation
Hospital stay	3‑5 days	1‑2 days	1‑2 days	Same day
Recovery time	4‑6 weeks	3‑5 days	3‑5 days	1‑2 days
Best for	Stones > 2 cm, staghorn	Kidney stones 1‑2 cm	Ureteric stones < 2 cm	Kidney stones < 1.5 cm

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 6‑8 hours before the procedure.
Bowel preparation: A mild laxative may be prescribed to clear the colon.
Arrival: Bring your insurance card and a family member to drive you home.

Recovery After PCNL

Day 1‑2: Hospital stay, nephrostomy tube and/or stent in place. Pain controlled with medication.

Day 3‑5: Nephrostomy tube removed (usually before discharge). Stent remains for 1‑2 weeks.

Week 1‑2: Return to desk work. Stent removed in clinic after 1‑2 weeks.

Week 4‑6: Full recovery. Avoid heavy lifting for 4 weeks.

Most patients resume normal activities within 4‑6 weeks. Follow‑up imaging (X‑ray or CT) is done to confirm stone‑free status.

Post‑Procedure Care & Stone Prevention

Hydration: Aim for 2.5‑3 litres of urine output per day.
Diet: Reduce salt, animal protein, and oxalate‑rich foods (spinach, nuts, tea). Increase citrus fruits.
Medication: Your urologist may prescribe potassium citrate or thiazide diuretics if needed.
Follow‑up: Regular ultrasound or CT at 3‑6 months to check for recurrence.

Insurance & Cashless Coverage for PCNL

PCNL 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 PCNL?

Expert urologists: Dr. Arun Rathi and Dr. Surya Prakash B with extensive experience in PCNL and complex stone management.
Advanced technology: State‑of‑the‑art nephroscopes, laser/ultrasonic lithotripters, and imaging.
Transparent pricing: All‑inclusive packages with no hidden charges – ₹80,000 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

View Full Profile →

Dr. Surya Prakash B

MS, MCh (Urology)

Consultant – Urology & Kidney Transplant Surgery | 17 years experience (10 years as urologist) | Specialises in endourology, uro‑oncology, and andrology

OPD: Tuesday, Thursday & Saturday (evening)

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Frequently Asked Questions About PCNL Cost

1. What is the cost of PCNL in Hyderabad?+

At Vivekananda Hospital, PCNL costs between ₹80,000 and ₹1,50,000 (all‑inclusive). The package includes the procedure, anaesthesia, nephroscope, laser/ultrasonic, nephrostomy tube, stent, and 3‑5 day hospital stay. In many other hospitals, costs range from ₹90,000 to ₹1,80,000.

2. Does insurance cover PCNL?+

Yes, most health insurance policies cover PCNL when medically indicated. We offer cashless facility with all major insurers.

3. How long does it take to recover after PCNL?+

Hospital stay is 3‑5 days. Most patients return to desk work in 2‑3 weeks and full activities in 4‑6 weeks. Stent removal is done in clinic at 1‑2 weeks.

4. Will I have a nephrostomy tube and stent?+

Yes, a temporary nephrostomy tube is often left to drain the kidney and is removed before discharge. A double‑J stent is usually placed and removed after 1‑2 weeks.

5. Is PCNL painful?+

The procedure is done under general anaesthesia, so you feel no pain. Afterward, mild to moderate discomfort is managed with medication. Most patients find it tolerable.

6. What size stones can be treated with PCNL?+

PCNL is the standard for stones larger than 2 cm, staghorn calculi, and complex stones that are not suitable for ESWL or RIRS.

7. What is the success rate of PCNL?+

Success rates for PCNL are above 90% for large stones. It offers the highest stone‑free rate among all kidney stone treatments.

8. Can I get an EMI option for PCNL?+

Yes, we offer 0% EMI through GMoney and Bajaj Finserv for self‑paying patients.