Immunotherapy Cost in India

What is the Cost of Immunotherapy in India? Treatment Overview & Price Breakdown

Immunotherapy is a vital treatment option in modern cancer care. It works by strengthening the body’s immune system to recognize and destroy cancer cells more effectively. This therapy is especially beneficial for certain cancers like lung cancer, melanoma, bladder cancer, and some blood cancers.

The immunotherapy cost in India typically ranges from ₹80,000 to ₹2,00,000 per cycle. However, the total cost can vary depending on multiple factors including:

Type and stage of cancer
Overall health and immune response of the patient
Number of treatment cycles needed
Hospital and doctor’s expertise

City-wise Immunotherapy Treatment Cost in India

City	Domestic Cost (INR)	International Cost (USD)
Immunotherapy cost in Delhi	₹85,000 – ₹2,00,000	$1,280 – $3,010
Immunotherapy cost in Mumbai	₹90,000 – ₹2,00,000	$1,355 – $3,010
Immunotherapy cost in Bangalore	₹88,000 – ₹1,90,000	$1,325 – $2,870
Immunotherapy cost in Chennai	₹82,000 – ₹1,85,000	$1,235 – $2,765
Immunotherapy cost in Hyderabad	₹80,000 – ₹1,90,000	$1,200 – $2,870
Immunotherapy cost in Kolkata	₹82,000 – ₹1,80,000	$1,235 – $2,710
Immunotherapy cost in Ahmedabad	₹80,000 – ₹1,75,000	$1,200 – $2,635
Immunotherapy cost in Pune	₹85,000 – ₹1,80,000	$1,280 – $2,710
Immunotherapy cost in Gurgaon	₹90,000 – ₹2,00,000	$1,355 – $3,010
Immunotherapy cost in Noida	₹85,000 – ₹1,90,000	$1,280 – $2,870

Immunotherapy treatment costs in popular medical‑tourism destinations

The cost of immunotherapy is lowest in India as compared to other countries. The list of the cost of immunotherapy in India and different countries is given below:

Country (medical‑tourism hub)	Approx. cost (USD)
Immunotherapy cost in Turkey	$8 ,000 – $12 ,000
Immunotherapy cost in Thailand	$8 ,000 – $15 ,000
Immunotherapy cost in Mexico	$13 ,000 – $18 ,000
Immunotherapy cost in Germany	$28 ,000 – $35 ,000
Immunotherapy cost in United Kingdom	$22 ,000 – $28 ,000
Immunotherapy cost in Republic of Korea (South Korea)	$22 ,000 – $28 ,000
Immunotherapy cost in United States	$30 ,000 – $70 ,000

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Type of Immunotherapy

Immunotherapy refers to a range of treatments that harness the immune system to fight diseases, most notably cancer. Here are some major types:

Checkpoint inhibitors: Drugs that help the immune system recognize and attack cancer cells by inhibiting “checkpoint” proteins that would otherwise suppress immune responses.
CAR T-cell therapy: A treatment that involves genetically engineering a patient’s T-cells to express chimeric antigen receptors (CARs) so they can better target cancer cells.
Cytokine therapy: The use of cytokines such as interleukin-2 (IL-2) or interferons to boost immune activity.
Cancer vaccines: Vaccines designed to stimulate the immune system to attack cancer cells. These include both preventive vaccines (to prevent certain virus-related cancers) and therapeutic vaccines.
Oncolytic virus therapy: Viruses are engineered to infect and destroy cancer cells while stimulating immune responses.
Monoclonal antibodies: Laboratory-produced molecules designed to bind to specific targets on cancer cells; they can work alone or deliver toxic agents to the cancer cells (antibody-drug conjugates).

These therapies can be used alone or in combination with other treatments, depending on the disease being treated and the patient’s overall health.

In addition to the major categories already mentioned, here are some further types and approaches within immunotherapy:

Adoptive cell transfer (ACT) beyond CAR T-cell therapy: This includes other methods where immune cells (such as tumor-infiltrating lymphocytes, or TILs) are harvested from a patient, expanded or enhanced in a lab, and then re-infused to improve the body’s immune response to cancer.
Immune checkpoint modulators: Beyond checkpoint inhibitors, there are molecules designed to enhance or suppress other immune pathways (e.g., agonists that stimulate co-stimulatory receptors like OX40 or 4-1BB).
Bispecific T-cell engagers (BiTEs) and dual-affinity re-targeting (DART) antibodies: These engineered proteins can simultaneously bind to T-cells and tumor antigens, effectively bringing the immune cells into close proximity with cancer cells to facilitate their destruction.
Non-specific immunotherapy: Treatments like Bacillus Calmette-Guérin (BCG) therapy for bladder cancer, which stimulates a broad immune response rather than targeting specific antigens.
Immune modulators for autoimmune diseases: In conditions where the immune system is overactive (e.g., rheumatoid arthritis, psoriasis), immunotherapeutic agents such as biologics can suppress harmful immune responses by targeting specific cytokines or immune cells.

Together, these approaches demonstrate how immunotherapy can be tailored either to boost immune responses against diseases like cancer and infections or to dampen excessive immune activity in autoimmune disorders.

Type of Immunotherapy	Typical Cost Range (INR)	Notes
Checkpoint Inhibitors	₹2,500 – ₹1,50,000 per cycle	Used for cancers such as melanoma and lung cancer. Cost depends on drug and dosing schedule.
CAR T-Cell Therapy	₹30,00,000– ₹60,00,000	Price varies with the cancer type; this therapy involves collecting and engineering a patient’s T-cells.
Monoclonal Antibodies	₹1,50,000 – ₹4,00,000 per cycle	Includes drugs like rituximab, trastuzumab, and durvalumab.
Cancer Vaccines	₹50,000 – ₹2,00,000	Includes therapeutic vaccines; cost depends on the vaccine.
Adoptive Cell Transfer	₹3,00,000 – ₹7,00,000	Personalized treatment; cost depends on cell processing.
Cytokine Therapy	₹55,000 – ₹2,00,000 per dose	Examples include interleukin-2 and interferon-α.
Immunomodulators	₹1,00,000 – ₹3,00,000	Often used in combination with other therapies.
Targeted Antibodies (e.g., ADCs)	₹1,50,000 – ₹5,00,000	Cost depends on the specific antibody and cancer type.
Bladder Cancer Drugs (Examples)	Varies by drug	BCG: ₹1,500/vial; Pembrolizumab: ₹2–4 lakh/vial; Atezolizumab: ₹2.25 lakh/vial; Nivolumab: ₹2–2.5 lakh/vial; Cabozantinib: ₹2.7 lakh/vial

Immunotherapy Cost in India – Hospital-wise

Hospital	Immunotherapy Cost (INR)
Tata Memorial Hospital, Mumbai	₹1,50,000 – ₹3,50,000
AIIMS Hospital, Delhi	₹1,60,000 – ₹3,60,000
Apollo Hospitals, Chennai	₹1,70,000 – ₹3,80,000
Fortis Hospital, Gurgaon	₹1,80,000 – ₹4,00,000
Manipal Hospital, Bangalore	₹1,55,000 – ₹3,60,000
Medanta – The Medicity, Gurgaon	₹1,75,000 – ₹3,90,000
Max Super Speciality Hospital, Delhi	₹1,65,000 – ₹3,70,000
Kokilaben Dhirubhai Ambani Hospital, Mumbai	₹1,80,000 – ₹4,00,000
HCG Cancer Centre, Bangalore	₹1,60,000 – ₹3,50,000
CMC Hospital, Vellore	₹1,50,000 – ₹3,40,000

Factors affecting the Cost of Immunotherapy:

The cost of immunotherapy for cancer in India’s best hospitals varies depending on the patient.

The following factors mainly influence immunotherapy costs:

Cancer metastasis: The extent to which cancer has spread and the organs affected by cancer are the two most important factors in determining immunotherapy costs in India. If cancer has not spread to other organs, the cost of immunotherapy will be cheaper.
Type of Cancer: Immunotherapy is not a treatment option for all cancers. Immunotherapy costs vary depending on the type of cancer. Immunotherapy type and medications will be determined based on the type of cancer a patient has, eventually determining the cost of immunotherapy in India.
Patient’s health: Immunotherapy is a treatment in which the immune cells are modified to make them capable of fighting cancer. As a result, the cost of immunotherapy is heavily influenced by the patient’s overall health.
Time period: Another important factor in determining the cost of immunotherapy in India is the duration of the treatment. It depends upon the number of sessions required for immunotherapy. The period is determined by the following factors, such as the type and stage of cancer.
Treatment plan: Immunotherapy is not always used alone. A patient may have had chemotherapy, radiation, or surgery first, followed by immunotherapy, raising the overall cost of treatment.
Drugs used: Different types of medicines are used in immunotherapy, and their prices vary. The medications used for treatment will be decided by the doctor, which will affect the cost of immunotherapy.

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Types of Cancer Treated with Immunotherapy

Immunotherapy has been a significant aspect of the treatment of many forms of cancer in recent decades. New therapies for immunotherapy are tried and embraced, and new methods of dealing with the immune system are very soon found. In some tumors, immunotherapy performs better than in other therapies. In the treatment of certain forms of cancer, immunotherapy has proved useful.

Below is an overview of the major cancer groups for which various forms of immunotherapy have shown benefit.

Skin cancers: Melanoma is one of the first cancers in which immunotherapy showed dramatic success, and immune‑checkpoint inhibitors are widely used. Merkel cell carcinoma (a rare skin cancer) can also be treated with immunotherapy.
Lung cancers: Both non‑small cell lung cancer (NSCLC) and small‑cell lung cancer have approved immune‑checkpoint therapies, often in combination with chemotherapy or as maintenance therapy.
Kidney (renal‑cell) cancer: Drugs such as nivolumab and pembrolizumab (checkpoint inhibitors) as well as cytokine‑based therapies can be used alone or together for advanced renal‑cell carcinoma.
Bladder and urothelial cancers: Several checkpoint inhibitors (e.g., atezolizumab, pembrolizumab) are used for advanced bladder or urothelial cancers.
Head and neck cancers: Recurrent or metastatic squamous‑cell carcinoma of the head and neck can be treated with checkpoint inhibitors.
Liver cancer: Advanced hepatocellular carcinoma (HCC) may be treated with immunotherapy combinations such as atezolizumab plus bevacizumab.
Colorectal cancer: Immunotherapy is approved for metastatic colorectal cancers that have high microsatellite instability or mismatch‑repair deficiency (MSI‑H/dMMR). These biomarkers predict responsiveness to checkpoint inhibitors.
Gastric and esophageal cancers: Some advanced or metastatic gastric (stomach), gastro‑esophageal junction and esophageal cancers may be treated with checkpoint inhibitors.
Gynecologic cancers: Cervical cancer and some uterine (endometrial) cancers (particularly those with MSI‑H/dMMR) have approved immunotherapy options. Immunotherapy is also being studied for ovarian cancer.
Breast cancer: Immunotherapy combined with chemotherapy is approved for triple‑negative breast cancer that expresses PD‑L1.
Brain tumors: Certain brain tumors (e.g., glioblastoma) are under investigation, and immune‑checkpoint inhibitors or vaccines may be used in trials.
Blood cancers: Hodgkin lymphoma and some non‑Hodgkin lymphomas respond well to checkpoint inhibitors. CAR‑T cell therapies are approved for certain types of B‑cell acute lymphoblastic leukemia (ALL), diffuse large B‑cell lymphoma (DLBCL), and multiple myeloma.
Prostate cancer: A therapeutic vaccine (sipuleucel‑T) is approved for metastatic castration‑resistant prostate cancer. Other immunotherapies are under investigation.
Sarcomas and other rare tumors: Some sarcomas, such as alveolar soft‑part sarcoma, and other rare tumors may respond to immunotherapy.

Although immunotherapy is not effective for every patient or every cancer, ongoing research continues to expand its use to new tumor types and earlier stages of disease.

How Successful Is Immunotherapy?

Immunotherapy is a modern cancer treatment that trains the body’s immune system to recognize and destroy tumor cells. Unlike chemotherapy, which kills rapidly dividing cells broadly, immunotherapy targets specific pathways in the immune system, leading to fewer side effects and, in some cases, long-lasting remission.

Average Success Rates

Because there are many different types of immunotherapies—checkpoint inhibitors, CAR‑T cell therapies, monoclonal antibodies, cancer vaccines and cytokine therapies—the success of treatment can vary widely. Across multiple clinical studies, 20–50 % of patients respond positively to approved immunotherapy drugs. Certain cancers, such as melanoma and some lung cancers, have particularly high response rates, while harder‑to‑treat tumors may see response rates in the 15–20 % range.

Factors Affecting Response

Response to immunotherapy depends on several factors:

Cancer Type and Stage: Some cancers (e.g., melanoma, kidney, certain lung cancers) are more responsive than others.
Biomarkers: Expression of proteins such as PD‑L1 or a high tumor mutational burden can predict better outcomes.
Combination Therapies: Immunotherapy often works better when combined with chemotherapy, targeted therapy or radiation, which can improve response rates.
Individual Health: A patient’s overall health and immune system strength play a key role.

Continued research and clinical trials are expanding the understanding of how to optimize immunotherapy, with new combinations and biomarkers emerging.

How Immunotherapy Helps in Managing Stage 4 Cancer in India

Immunotherapy has transformed cancer care in recent years, especially for patients with advanced or stage 4 cancers. In India, where cancer treatment is guided by precision medicine and cutting-edge research, immunotherapy is integrated into multidisciplinary care plans to improve outcomes and quality of life for patients with late-stage disease. Here’s how immunotherapy plays a key role in the management of stage 4 cancer:

Boosting the Body’s Natural Defenses

Immunotherapy works by enhancing the body’s immune response to cancer cells. Unlike chemotherapy, which attacks both healthy and cancerous cells, immunotherapy stimulates or restores the immune system’s ability to identify and destroy cancer more precisely.

In India, leading cancer hospitals such as Tata Memorial, AIIMS Hospital , Apollo Hospital , Fortis Hospital , Medanta Hospital , Max Hospital , and BLK-Max Hospital use:

Checkpoint inhibitors (like pembrolizumab, nivolumab)
CAR-T cell therapy for blood cancers
Dendritic cell therapy and T-cell engineering
Targeted monoclonal antibodies
These therapies are especially beneficial for cancers such as melanoma, lung cancer, renal cell carcinoma, and some blood cancers.

Personalized Immunotherapy Based on Tumor Profile

Advanced cancer centers and Hospitals in India offer genomic profiling and biomarker testing to assess whether a patient will benefit from immunotherapy. This includes:

Testing for PD-L1 expression
Evaluating tumor mutational burden (TMB)
Genetic sequencing for actionable mutations

Based on these results, a tailored immunotherapy regimen is created, improving treatment effectiveness and reducing unnecessary toxicity.

Integration With Multimodal Treatment Plans

For stage 4 patients, immunotherapy is often used alongside other modalities:

Combined with chemotherapy to enhance response in certain solid tumors
Radiation + Immunotherapy for localized control of metastases
Alongside targeted therapy for tumors with specific mutations

This integrated approach ensures that treatment is optimized for maximum survival benefit and symptom control.

Access to Cutting-Edge Immunotherapy Trials

Germany is a global hub for clinical research and medical innovation. Stage 4 cancer patients are regularly evaluated for participation in immunotherapy-based clinical trials, including:

Next-generation CAR-T therapies
Novel immune checkpoint modulators (e.g., LAG-3, TIM-3)
Personalized cancer vaccines
Oncolytic virus therapies

These trials give eligible patients access to the latest treatments before they become widely available.

Improved Survival and Quality of Life

While stage 4 cancer remains difficult to cure, immunotherapy has led to significant improvements in progression-free survival and overall survival in many patients. German centers prioritize:

Monitoring immune-related side effects (irAEs)
Adjusting dosage to maintain quality of life
Using immunotherapy for symptom control and disease stabilization

Even in non-curative cases, immunotherapy can extend life meaningfully while preserving daily function and independence.

Multidisciplinary Immuno-Oncology Boards

In top hospitals, immunotherapy decisions are reviewed in cancer rounds (tumor boards) involving:

Medical and surgical oncologists
Immunologists
Geneticists and molecular pathologists
Palliative care teams

This ensures each patient receives a scientifically driven, team-based decision for starting or modifying immunotherapy protocols.

Advanced Immunotherapy Technologies in Indian Hospitals

German hospitals provide access to highly specialized and personalized immunotherapies not yet available in many other countries. These include:

CAR-T Cell Therapy (approved for lymphomas and leukemias)
Dendritic Cell Therapy (DCT) for personalized antigen presentation
Hyperthermic Intraperitoneal Chemotherapy (HIPEC) + Immunotherapy
Lu-177 PSMA therapy for prostate cancer
Transarterial Chemoembolization (TACE) combined with immunotherapy for liver cancer