ASD Closure Device Cost in India: Key Factors to Consider

An Atrial Septal Defect (ASD) is a congenital heart condition where a hole exists in the wall separating the heart’s upper chambers. If left untreated, it can lead to complications such as heart failure, irregular heartbeat, or stroke.

ASD device closure is a safe, minimally invasive alternative to open-heart surgery. It allows faster recovery, minimal scarring, and excellent long-term outcomes.

Understanding the ASD closure device cost in India and the factors that influence it helps families plan both medically and financially. This guide explains everything you need to know before choosing the right treatment option.

This information is for educational purposes only and not a substitute for professional medical advice. Please consult a qualified cardiologist for personalised diagnosis, treatment, and cost estimates.

What Is ASD Device Closure?

ASD device closure is a catheter-based procedure that seals the hole in the heart using a small, umbrella-like device. It is performed by an interventional cardiologist inside a cardiac catheterisation laboratory. This technique provides a less invasive alternative to open-heart surgery, allowing patients to recover faster and resume daily life more comfortably. To understand it better, let’s look at how the procedure is carried out.

How the Procedure Works

• A thin tube (catheter) is inserted through a blood vessel in the leg.
• Using imaging guidance, the catheter is moved up to the heart.
• The device is deployed across the defect to close it permanently.
• Over time, heart tissue grows around the device, sealing the hole naturally.

This approach ensures an accurate repair with minimal trauma to the body and a much quicker recovery compared to traditional surgery, making ASD device closure in India a safe and effective treatment option for patients seeking advanced yet minimally invasive heart care.

Key Benefits of ASD Closure Over Open-Heart Surgery 

• Short hospital stay (usually 1 to 2 days)
• Quick recovery (normal activities within a few weeks)
• No chest incision
• Less pain and risk of infection

The ASD device closure cost in India includes both the price of the closure device and the hospital’s procedural charges. This modern approach makes treatment more accessible while offering excellent clinical outcomes. Understanding the cost breakdown helps patients and families plan better and choose a treatment option that suits their medical and financial needs.

ASD Closure Device Cost in India: Typical Range

The total cost of the procedure usually ranges between ₹2.5 lakh and ₹5.5 lakh, depending on the hospital, city, and the type of device used.

Cost Component	Price Range (₹)
ASD Closure Device	60,000 – 3,00,000
Complete Procedure (including hospital, doctor, and lab charges)	2.5 – 5.5 lakh

What’s Included

• Closure device
• Catheterisation lab charges
• Anaesthesia fees
• Hospital room and nursing care
• Doctor’s and cardiologist’s fees
• Medicines and consumables

Knowing what’s covered in the total package ensures there are no hidden costs or surprises later. Patients can also discuss insurance coverage or payment options with the hospital team to manage the cost of ASD closure surgery in India more comfortably. 

5 Key Factors Affecting the ASD Closure Cost in India

Several elements influence the overall ASD closure device cost in India, from the type of device used to hospital choice and patient-specific factors. Understanding these aspects can help patients and families make well-informed decisions about their care and financial planning. 

1. Type and Brand of Device

The type and brand of device selected play a major role in determining the total cost of treatment.These devices have a strong clinical track record, offer advanced design features, and come with a higher price due to their proven safety and precision.

Your cardiologist will recommend the most suitable option based on the size, shape, and location of the defect, as well as your overall health. 

2. Hospital Type and Location

The location of the procedure has a significant impact on the cost of ASD closure devices in India. Metropolitan cities generally have higher costs because they offer advanced infrastructure, specialised cath labs, and internationally accredited cardiac centres. In comparison, Tier-2 and Tier-3 cities may provide the same procedure at a more affordable price, often without compromising safety or expertise.

Metropolitan Cities (Delhi, Mumbai, Bangalore, Chennai)

• Higher costs due to advanced technology and premium facilities

Tier-2 and Tier-3 Cities

• More affordable options
• Fewer additional expenses, with comparable medical expertise

Since prices vary by location, the total cost reflects not only the device but also diagnostics, hospital facilities, and the level of technology available. Understanding this helps patients compare estimates realistically and choose a centre that fits both medical and financial needs.

3. Cardiologist’s Expertise

The skill and experience of the cardiologist play a crucial role in both the ASD closure surgery cost in India and the safety of the procedure. 

Why Experience Matters:

• Greater precision in device placement
• Lower complication rates
• Better management of complex or large defects
• Higher long-term success and patient satisfaction

At Heart Valve Experts (HVE), the cardiologists have years of specialised experience in structural heart interventions, offering patients greater confidence, safer procedures, and consistently high-quality results.

4. Complexity of the Defect and Patient Factors

No two ASDs are exactly alike, and the characteristics of the defect can significantly influence cost and treatment approach.

Factors That Affect Complexity:

Several elements determine how straightforward or challenging an ASD (Atrial Septal Defect) closure may be. Understanding these factors helps explain why some procedures are quick and simple while others require more planning or advanced techniques.

A. Defect Size

• Small defects (<10 mm):
  These are generally the easiest to close. They usually require smaller devices, the procedure time is shorter, and recovery tends to be faster.
  
• Medium defects (10 to 20 mm):
  These may need more precise imaging and device selection. The cardiologist must ensure the device fits securely without affecting nearby structures.
  
• Large defects (>20 mm):
  Larger holes require bigger devices and careful planning. The rims (edges of the defect) must be strong enough to support the device. Large defects may also cause more blood flow disturbance, making closure more technically complex.

B. Shape and Location of the Defect

• Centrally located ASDs:
  These are typically the easiest to repair because the device can be placed symmetrically with good stability.
  
• Defects near the edge of the septum:
  When the hole is close to the wall or other structures like the vena cava or valves, there may be less tissue to hold the device. This requires more advanced imaging guidance and sometimes alternative device types.

C. Number of Defects

• Single defects:
  A single, well-defined hole is usually straightforward to close.
  
• Multiple defects (fenestrated ASD or multiple holes):
  These can be more complex. The specialist may need to close each hole individually or use a larger device that covers multiple openings. This requires careful planning to ensure full closure without obstructing normal blood flow.

D. Patient Factors

• Age:
  In children, the heart is smaller, so selecting the right device size is crucial. In adults, long-standing ASDs may have caused changes in heart chambers or pressures, which need evaluation before closure.
  
• Weight:
  Very small children or underweight patients may require special device sizes or anaesthesia considerations.
  
• Overall health:
  Patients with lung disease, high pulmonary pressures, arrhythmias, or other heart conditions may need additional investigations or supportive care during the procedure.
  
• Other heart conditions:
  Issues such as valve disease, abnormal heart anatomy, or elevated lung pressures can increase procedure complexity and influence the choice of device or approach.

More complex cases may require larger or customised devices, longer procedure times, and advanced imaging techniques such as 3D echocardiography or transoesophageal echocardiography (TEE). These factors naturally increase the ASD device closure cost in India. Along with the procedure itself, the cost of pre- and post-procedure care also contributes to the total expense.

5. Pre- and Post-Procedure Care

Comprehensive cardiac care extends beyond the procedure. Proper diagnosis, preparation, and follow-up are essential for successful recovery and long-term heart health. These steps also influence the overall cost of ASD closure, because the total expense is not limited to the device alone. It includes the quality of imaging, the expertise of the cardiologist, pre-procedure evaluations, hospital care, and the aftercare needed to ensure the device remains stable and the heart adapts well.

Patients should always consider what is included in the quoted cost, whether follow-up tests are covered, and whether the hospital offers transparent, itemised pricing. A centre that prioritises thorough evaluation, safe procedure planning, and structured follow-up may have slightly higher upfront costs, but it often results in fewer complications, faster recovery, and better long-term outcomes.

Some tests before the procedure ensure the patient is well-prepared and that the cardiologist can plan the closure accurately. 

Pre-Procedure Tests:

Test	Purpose
2D Echocardiography	To assess defect size and blood flow
TEE (Transoesophageal Echo)	For detailed imaging and procedure planning
ECG	To evaluate heart rhythm
Chest X-ray	To assess heart size and lung condition
Blood Tests	To check overall health and readiness for procedure

After the procedure, follow-up visits, echocardiography, and short-term medication are necessary to ensure the device is stable and the heart is healing properly. Together, these elements form an integral part of the cost of ASD closure surgery in India and contribute to the overall safety and success of the treatment.

Post-Procedure Care: 

• Hospital stay (1-2 days)
• Follow-up echocardiography
• Regular check-ups
• Short course of blood-thinning medication

The overall cost can vary slightly based on the room category, ICU requirements, and any additional diagnostic tests that may be needed. Insurance cover usually helps manage these expenses, reducing the financial burden on families. Once recovery is underway, patients and families often need to evaluate hospital cost estimates carefully to understand what is included and ensure transparency in pricing.

Evaluating Hospital Cost Estimates

When comparing hospital quotes, focus on transparency, quality, and value rather than choosing solely based on the lowest figure. A detailed breakdown helps you understand exactly what you are paying for and ensures there are no hidden costs.

1. Request an Itemised Breakdown

Ask for clear details under:

• Device costs: type, brand, and import duties
• Procedure costs: lab, anaesthesia, and cardiologist’s fees
• Hospital costs: room, nursing, medicines, consumables
• Follow-up costs: consultations and tests for six months

2. Assess Quality Indicators

• Hospital accreditation (like NABH, JCI)
• Cardiologist’s experience and success rates
• Annual number of ASD procedures
• Patient reviews and aftercare quality

3. Choose Centres with Transparent Pricing

Before finalising your treatment choice, it helps to compare hospital estimates using simple but meaningful criteria.

Evaluating Hospital Cost Estimates

What to Check	Why It Matters	What to Look For
Itemised Cost Breakdown	Ensures transparency and avoids hidden charges	Device cost, procedure charges, hospital stay, medicines, follow-up tests
Quality Indicators	Reflects safety, expertise, and outcomes	NABH/JCI accreditation, cardiologist’s experience, annual ASD cases, patient reviews
Pricing Transparency	Helps you choose value over the lowest quote	Clear estimates, no hidden fees, insurance support, counselling
Follow-Up Inclusions	Impacts total ASD closure surgery cost in India	Post-procedure visits, echo tests, short-term medication
Care Standards	Influences long-term results and recovery	Structured evaluation, advanced imaging, experienced interventional team

By reviewing these points carefully, families can select a centre that offers both clinical excellence and fair, transparent pricing.

Why Cost Shouldn’t Be the Only Deciding Factor

While budgeting is important, choosing treatment based only on the lowest cost can compromise safety or outcomes. A slightly higher ASD closure cost in India at a reputable centre often ensures better results, advanced facilities, and a smoother recovery. Balancing cost with quality and long-term wellbeing ensures the best possible outcome for your treatment.

Insurance and Financing Options

Most health insurance plans in India cover ASD device closure when medically required. To avoid unexpected expenses, confirm three essentials with your insurer:

• Coverage for the procedure
• Any co-payments or deductibles
• Availability of cashless admission

Hospitals may also offer EMI or loan options to make the ASD closure surgery cost in India easier to manage, ensuring timely access to treatment.

Summary and Takeaway

The ASD closure device cost in India depends on multiple factors, including the device type, hospital facilities, cardiologist expertise, and individual clinical needs. Overall, patients can expect a total cost ranging from ₹2.5 to ₹5.5 lakh. As a minimally invasive treatment with a success rate above 98%, ASD device closure offers quicker recovery, fewer complications, and long-term benefits for suitable candidates.

While understanding costs is important, the focus should always remain on quality of care, medical expertise, and long-term outcomes. With wider insurance coverage and flexible payment options now available, accessing timely treatment has become far more achievable for patients across India.

For personalised guidance, transparent cost discussions, and comprehensive cardiac evaluation, you may consider consulting specialised centres with strong expertise in structural heart disease. This helps ensure safer procedures, accurate device selection, and smoother recovery.

This blog has been medically reviewed by the cardiac team at Heart Valve Experts (HVE), who routinely perform ASD device closure and other structural heart interventions. Their inputs help ensure clinical accuracy, patient clarity, and alignment with current standards of cardiac care.

Frequently Asked Questions (FAQs)

References 

• Cleveland Clinic. (2022, March 8). ASD closure. https://my.clevelandclinic.org/health/treatments/16856-asd-closure
• El-Said, H. G., Bezold, L. I., Grifka, R. G., Pignatelli, R. H., McMahon, C. J., Schutte, D. A., Smith, E. O., & Mullins, C. E. (2001). Sizing of atrial septal defects to predict successful closure with transcatheter cardioSEAL device. Texas Heart Institute Journal, 28(3), 177–182.
• Fu, Y. C., & Hijazi, Z. M. (2008). The Amplatzer Septal Occluder, a transcatheter device for atrial septal defect closure. Expert Review of Medical Devices, 5(1), 25–31. https://doi.org/10.1586/17434440.5.1.25
• Gillespie, M. J., Javois, A. J., Moore, P., Forbes, T., Paolillo, J. A., & GSO Investigator Group. (2020). Use of the GORE® CARDIOFORM Septal Occluder for percutaneous closure of secundum atrial septal defects: Results of the multicenter U.S. IDE trial. Catheterization and Cardiovascular Interventions, 95(7), 1296–1304. https://doi.org/10.1002/ccd.28814
• Rana, B. S. (2018). Echocardiography guidance of atrial septal defect closure. Journal of Thoracic Disease, 10(Suppl 24), S2899–S2908. https://doi.org/10.21037/jtd.2018.07.126
• Yang, M. C., & Wu, J. R. (2018). Recent review of transcatheter closure of atrial septal defect. The Kaohsiung journal of medical sciences, 34(7), 363–369. https://doi.org/10.1016/j.kjms.2018.05.001