The difference was also visible in childbirth-related expenses. The average out-of-pocket expenditure for childbirth in a private hospital stood at ₹37,630, compared with just ₹2,299 in a public facility.
High treatment and test costs remain major concerns
The LocalCircles survey sought to understand the experiences of families that had used private hospital services during the previous three years. It received 23,084 responses from citizens across 306 districts of India.
The findings showed that high costs were a major concern for families. 68% of respondents said they had faced excessively high treatment prices, making it the most commonly reported issue in the survey. Another 63% reported excessively high prices for diagnostic tests.
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High facility charges were another concern, with 56% of respondents citing excessive charges for facilities such as ICU or rooms. Meanwhile, 51% reported excessively high prices for medicines and consumables.
The survey also highlighted concerns around billing practices. 49% of respondents said unnecessary doctor consultation charges had been included in their bills, while 43% reported excessively high doctor consultation charges.
Further, 40% reported overbilling of the quantity of medicines and consumables used, while another 40% said they faced unexpected or unknown charges.
| Healthcare Cost / Billing Issue |
Private Hospital |
Government Hospital |
|---|
| Average hospitalisation cost |
₹50,508 |
₹6,631 |
| Average childbirth out-of-pocket expenditure |
₹37,630 |
₹2,299 |
| Private hospitalisation cost vs government |
~7.6 times higher |
— |
Source: 80th round National Sample Survey (January–December 2025)
Only 14% reported no such billing issues
Overall, more than six in 10 families surveyed said they had experienced issues with private hospital bills, with a majority specifically flagging the high cost of treatments and tests. Only 14% said they had not experienced any of the listed billing issues.
The survey findings therefore highlight the financial pressure associated with private healthcare, particularly when patients require hospitalisation, diagnostic tests, ICU or room facilities, medicines and other services.
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The survey was conducted among validated LocalCircles users, with 69% of respondents being men and 31% women. Of the respondents, 46% were from tier-1 locations, 30% from tier-2 cities and 24% from tier-3, tier-4 and tier-5 districts.
The findings provide a snapshot of patient experiences and reported billing concerns, while the NSS data cited in the survey illustrates the substantial difference in average healthcare expenditure between private and government hospitals.