High out-of-pocket spend and outbound patient flows to India — a core Consulting Wallah market. Sized from published research with a GCC and India lens, for buyers, suppliers and investors.
High out-of-pocket spend and outbound patient flows to India — a core Consulting Wallah market. Published estimates normalised to 2025 range from USD 14.0 bn to USD 14.0 bn; the Consulting Wallah central estimate is USD 14.0 bn, growing at about 10% a year to USD 27.3 bn by 2032. Scope differences between publishers explain most of the spread — the comparison table below states each one.
Growth is driven by rising NCD burden (diabetes, cardiac, cancer) and ageing population; private sector delivering 70-80% of care with ~6,000 hospitals/clinics and 12,000 diagnostic centres; growing middle class and demand for tertiary/super-specialty care (Evercare 470-bed Chattogram, Labaid Cancer).
Context that matters for buyers and suppliers: Healthcare market ~USD 14 bn (2025), projected ~USD 23 bn by 2033 (hospitals, diagnostics, devices, pharma). Out-of-pocket spending ~73-74% of total health expenditure; insurance covers 2.5% of population. Bangladeshis spend USD 4-5 bn a year on treatment abroad; ~482,000 treated in India in 2024; 52% of Indian medical visas go to Bangladeshis. 171,635 hospital beds (private 99,975; government 71,660) - about one bed per 990 people.
The chart shows the Consulting Wallah central estimate: published figures normalised to 2025, median taken, and projected at the median published growth rate. The published range for 2025 is USD 14.0 bn–USD 14.0 bn; differences are mostly scope.
| Publisher (date) | Base value | Forecast | CAGR |
|---|---|---|---|
| United Hospital / DCCI seminar (reported by The Daily Star) (2025-12) — country; hospitals + diagnostics + devices + pharma; cited f | USD 14 bn (2025) | USD 23 bn (2033) | — |
| US International Trade Administration (Country Commercial Guide) (2026-03) — country sub-segment; pharmaceutical market; ~98% of domestic | USD ~6 bn (2025) | — () | — |
| BIDA (via Danish Trade Council / ITA) (2025) — country sub-segment; medical equipment & devices market | USD 442 m (2020) | USD 820 m (2025) | 13% |
| BRAC EPL Investments (citing IQVIA) (2026) — country sub-segment; pharmaceutical market (IQVIA FY2025) | BDT 300+ bn (2025) | — () | — |
| DCCI / United Hospital (reported by UNB) (2025-12) — country; annual outbound spend by Bangladeshis on treatment | USD ~5 bn/yr (2025) | — () | — |
| Consulting Wallah central estimate | USD 14.0 bn (2025) | USD 27.3 bn (2032) | ~10% |
Source: Publisher pages as listed under Sources; CW estimate as described in Method.
Included: public and private hospital, clinic, diagnostic and long-term care services and the associated health expenditure. Excluded: pharmaceutical and device product sales, insurance premiums and health IT (covered in separate reports). Published totals differ mainly by whether products and insurance are folded in.
Shares as reported by the named sources; ranking is more reliable than the exact percentage.
| Segment | Share | Note | |
|---|---|---|---|
| Private | 58% | ||
| Government | 42% |
Source: Health Minister / Health Bulletin 2022 via TBS (Feb 2024)
| Segment | Share | Note | |
|---|---|---|---|
| Out-of-pocket | 74% | highest in South Asia | |
| Government | 1% | Tk 1,070 per capita public spend | |
| Health insurance coverage | 2.5% |
Source: DCCI seminar via UNB / Daily Star (Dec 2025)
| Segment | Share | Note | |
|---|---|---|---|
| Square | 17.4% | ||
| Incepta | 12.8% | ||
| Beximco | 9.6% | ||
| Healthcare Pharma | 7.7% | ||
| Renata | 5.8% | ||
| Eskayef | 4.9% | ||
| Opsonin | 4.7% | ||
| Aristopharma | 4.4% | ||
| Popular | 4.1% | ||
| ACME | 3.9% | ||
| ACI | 3.8% |
Source: BRAC EPL / IQVIA
| Segment | Share | Note | |
|---|---|---|---|
| India | 52% |
Source: UNB / Daily Star (Dec 2025)
| Axis | Segment | Figure | Note |
|---|---|---|---|
| Hospital beds by sector | Total | 171,635 | one bed per ~990 people |
| Outbound medical travel destinations | Thailand | 2nd | |
| Outbound medical travel destinations | Singapore | 3rd | |
| Outbound medical travel destinations | Malaysia | 4th |
Source: As listed under Sources.
| Country / region | Figure | Year | Source |
|---|---|---|---|
| Total hospital beds | 171,635 (govt 71,660; private 99,975) | 2022/2024 | TBS News (Health Minister) |
| Private clinics/hospitals and diagnostic centres | ~6,000 clinics/hospitals; ~12,000 diagnostic centres | 2026 | US ITA Country Commercial Guide |
| Private sector share of total health expenditure | ~64% | 2026 | US ITA |
| Bangladeshi patients treated in India | ~482,000 | 2024 | UNB (DCCI seminar) |
| Annual outbound medical spend | USD ~4-5 bn | 2024-2025 | Daily Star / UNB |
| Pharma exports | ~USD 200 m to ~150 countries | 2026 | US ITA |
Source: Sources as named; see Sources and method.
Consulting Wallah works this market from both sides: hospital groups in the UAE, Saudi Arabia, India and Bangladesh as buyers, and manufacturers in India, China, Singapore, Malaysia and the US as suppliers through the Network. Our observation is that registration status, in-country stock and structured quotations decide access in the GCC, while price and distributor reach decide it in India. CW observation
Opportunities we see: repatriating part of USD 4-5 bn annual outbound spend via internationally accredited tertiary hospitals; health insurance development (2.5% coverage today); diagnostics and imaging upgrade across private facilities.
| Date | Development | Source |
|---|---|---|
| 2025-12 | DCCI seminar: healthcare market USD 14 bn, projected USD 23 bn by 2033; USD 5 bn/yr spent abroad; 482k patients treated in India in 2024 | The Daily Star / UNB |
| 2026-03 | US ITA Country Commercial Guide updated: pharma market ~USD 6 bn, 98% local supply; private sector 64% of health spend | US ITA |
| 2025 | Bangladesh Investment Summit 2025 features healthcare & pharma session (SAJIDA Foundation co-sponsor) to attract sector FDI | SAJIDA Foundation |
| 2026 | Square Pharmaceuticals FY2025 results: market leader at 17.4% share (IQVIA), turnover +8.8% | BRAC EPL |
| 2025 | Evercare Hospital Chattogram launches the city's first comprehensive cancer care centre | Evercare |
Source: Company and press announcements as named.
Key companies named across the sources; local distributors and implementation partners matter as much as the brand in the GCC and India.
Published estimates normalised to 2025 range from USD 14.0 bn to USD 14.0 bn. Consulting Wallah’s central estimate is USD 14.0 bn in 2025, rising to about USD 27.3 bn by 2032.
See the sources listed on this page.
Evercare Hospital Dhaka & Chattogram (Evercare Group), Square Hospitals, United Hospital, Labaid Group (Labaid Specialized, Labaid Cancer Hospital), Popular Diagnostic / Popular Medical College Hospital, Ibn Sina Hospital, Bangladesh Specialized Hospital, Asgar Ali Hospital among others.
The summary on this page is free to read and share with attribution. The full report is free for hospital leaders and registered Consulting Wallah Network members, and priced on request for others.
The full report (PDF, 40 pages) adds the GCC and India deep-dives, hospital-level benchmarks from the Consulting Wallah Network and the full source tables. Free for hospital leaders and registered network members; otherwise priced on request.
How to read these figures. Published market-size estimates for this market vary widely because publishers define scope differently (software only vs software + services + logistics). Where we show a Consulting Wallah estimate we state the range of published figures it is triangulated from and our scope. Figures marked as reported are quoted from the named source. Nothing here is investment advice.