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Hospital Tenders in India: Active Contracts & Leads

Projects India tracks 2,686 upcoming hospital projects across India with a combined recorded cost of about Rs 2.69 lakh crore. Maharashtra, Karnataka and Uttar Pradesh hold the highest concentrations of active work.

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Nitisha ShindeResearch Desk, Projects India

9 min read · 1,692 words
Hospital Tenders in India: Active Contracts & Leads

Projects India currently tracks 2,686 upcoming hospital projects across the country, of which 202 are fully verified with primary-source documentation and a combined recorded project cost of about Rs 2.69 lakh crore. Four new projects were added to our database in the 90 days before 18 October 2026, double the rate of the prior 90-day period, pointing to a steady acceleration in fresh hospital tenders in India across both government and private promoters.

Hospital projects in India at a glance

MetricFigure
Upcoming projects tracked2,686
Verified projects202
Combined recorded cost~Rs 2.69 lakh crore
Added in last 90 days4
Projects under construction723
Projects under approvals1,502
Top state by project countMaharashtra (358)
Most active government promoterMinistry of Health and Family (100 projects, ~Rs 21,400 crore)

Largest hospital tenders in India by recorded cost

The table below lists the highest-value upcoming hospital projects in our database as of 18 October 2026. These represent EPC, civil and specialist-fit-out packages that are either already tendered or approaching the market shortly.

ProjectPromoterLocationCostStage
Hospitals Project, AmaravatiBRS Medicity Healthcare and Research Pvt LtdGuntur, Andhra PradeshRs 5,450 croreUnder Approvals
Hospital Project, AIIMS CrossingGovernment of India, Ministry of Health and FamilyDelhiRs 4,000 croreConstruction Started
Hospitals Project, RajnagarAll India Institute of Medical SciencesDelhiRs 3,000 croreUnder Approvals
Hospitals Project, KarnalDept of Medical Education and Research, HaryanaKarnal, HaryanaRs 3,000 crorePlanning
Cancer Centre, SarangpurPost Graduate Institute of Medical Education and ResearchChandigarhRs 2,500 crorePlanning
Hospitals Project, JhajjarAll India Institute of Medical SciencesJhajjar, HaryanaRs 2,035 croreConstruction Started
Hospitals Project, AwantiporaAll India Institute of Medical SciencesPulwama, J&KRs 1,810 croreUnder Approvals
Campus Project, KalyaniAll India Institute of Medical SciencesNadia, West BengalRs 1,754 croreConstruction Started
Medical College & Hospital, Jadavpur (Expansion)KPC Medical College & HospitalKolkata, West BengalRs 1,650 croreUnder Approvals
Hospitals Project, Tamil NaduDept of Health and Family Welfare, Tamil NaduTamil NaduRs 1,634 croreUnder Approvals
Hospitals Project, MangalagiriAll India Institute of Medical SciencesGuntur, Andhra PradeshRs 1,618 croreConstruction Started
Campus & Hospital, Nagpur AirportAll India Institute of Medical SciencesNagpur, MaharashtraRs 1,577 croreConstruction Started

Several patterns emerge from these figures. AIIMS alone accounts for multiple entries across Haryana, Delhi, West Bengal, Jammu & Kashmir, Andhra Pradesh and Maharashtra, making the institution one of the single largest generators of hospital construction value in the country. Private-sector investment is visible too: BRS Medicity's Rs 5,450 crore Amaravati project and KPC Medical College's Rs 1,650 crore Kolkata expansion both sit under approvals, signalling imminent tendering activity. The Mangalagiri AIIMS project carries a completion date of December 2026, which means remaining packages — MEP, medical-gas, finishing — are likely to be in the market immediately. Contractors and suppliers tracking hospital projects in India should treat these as priority accounts.

Where hospital tenders are concentrated: a state-by-state view

As the chart below shows, Maharashtra and Karnataka together account for nearly 700 of the 2,686 upcoming projects our database tracks in this scope — a share that reflects both population size and the relatively mature private hospital investment climate in both states.

Upcoming projects by state — Hospitals in India
Upcoming projects by state — Hospitals in India — Maharashtra: 358; Karnataka: 324; Uttar Pradesh: 190; Odisha: 166; West Bengal: 149; Assam: 135; Bihar: 123; Andhra Pradesh: 119; Telangana: 113; Jharkhand: 112Maharashtra358Karnataka324Uttar Pradesh190Odisha166West Bengal149Assam135Bihar123Andhra Pradesh119Telangana113Jharkhand112
Source: Projects India database, October 2026

For teams targeting hospital tenders in Maharashtra, the Public Works Department is the dominant government client with 105 projects and a combined recorded cost of about Rs 3,423 crore. Activity spans district hospitals, primary health centres and medical college upgrades; sub-Rs 50 crore packages are common, making this market accessible to mid-tier civil contractors as well as large EPC firms.

Karnataka is led by the Health and Family Welfare Department, which carries 219 projects — the highest count of any single promoter in the entire scope — at a combined recorded cost of about Rs 4,030 crore. West Bengal (149 projects) is notable for the AIIMS Kalyani campus already under construction at Rs 1,754 crore, alongside the Rs 1,650 crore KPC Medical College expansion in Kolkata, giving the state outsized value relative to its project count. Suppliers looking at upcoming hospital projects in Kolkata should monitor both sites for specialist subcontracts in medical imaging, HVAC, modular operation theatres and waste-treatment systems.

Uttar Pradesh (190 projects) is anchored by government agencies including UP Projects Corporation Limited and Uttar Pradesh Rajkiya Nirman Nigam, the latter carrying about Rs 7,437 crore across 48 projects — the highest cost-per-project ratio among the most active promoters. Odisha (166), Assam (135) and Bihar (123) represent strong pipeline states for contractors willing to operate in Tier-2 and Tier-3 geographies. The Ministry of Ayush's 58 projects at a combined cost of about Rs 2,715 crore add a distinct segment — Ayurveda and wellness facilities — that calls for different procurement and fitout suppliers than a conventional acute-care hospital.

Our database does not currently show a dedicated Kerala state breakdown in the top-ten counts, but teams targeting hospital tenders in Kerala and hospital tenders in Rajasthan will find relevant listings by using the state filter on our upcoming projects database.

Project stages: what the pipeline means for buyers and sellers

The stage distribution matters because it determines what suppliers and contractors can actually sell right now, as the chart below shows.

Projects by stage — Hospitals in India
Projects by stage — Hospitals in India — Under Approvals: 1,502; Construction Started: 723; Planning: 361; Completed: 96; Early / Announced: 36; Hold: 23; Nearly Completion: 23; Approvals Received: 18; Cancelled: 9Under Approvals1,502Construction Started723Planning361Completed96Early / Announced36Hold23Nearly Completion23Approvals Received18Cancelled9
Source: Projects India database, October 2026

With 1,502 projects Under Approvals and 361 in Planning, the majority of the pipeline is pre-tender. These are the accounts for business-development teams to map now: consultants, project-management firms, structural engineers and medical planners are the right entry point at this stage. Equipment vendors — imaging, CSSD, modular OT, building automation — can begin specification conversations with architects and hospital planners long before formal tenders are issued.

The 723 projects already under construction represent the most immediate commercial opportunity. At this stage the main civil contract is typically awarded, but MEP, medical-gas pipelines, elevators, HVAC, flooring, fire-fighting, CCTV, nurse-call and furniture packages are actively being procured. Suppliers with the right approvals on architects' or consultants' preferred-vendor lists are best placed to convert these leads quickly. The 23 projects nearly complete and 18 with approvals received represent a transitional segment — final fitout, commissioning services, biomedical equipment and facility-management contracts are the relevant categories here.

Most active promoters — Hospitals in India (projects)
Most active promoters — Hospitals in India (projects) — Health and Family Welfare Department, Karnataka: 219; Public Works Department, Maharashtra: 105; Government of India, Ministry of Health and Family: 100; Public Works Department, Madhya Pradesh: 67; Department of Health and Family Welfare, Odisha: 64; Telangana State Medical Services and Infrastructur: 62; National Rural Health Mission, Assam: 62; Public Works Department, Odisha: 60; Government of India, Ministry of Ayush: 58; Public Works Department, Tamil Nadu: 54Health and Family Welfare Departm…219Public Works Department, Maharash…105Government of India, Ministry of …100Public Works Department, Madhya P…67Department of Health and Family W…64Telangana State Medical Services …62National Rural Health Mission, As…62Public Works Department, Odisha60Government of India, Ministry of …58Public Works Department, Tamil Na…54
Source: Projects India database, October 2026

Recently added hospital projects worth watching

Four hospital projects entered our database in the 90 days before 18 October 2026, two of them carrying substantial recorded costs:

These four projects illustrate the range of hospital tender activity: a Rs 1,400 crore greenfield from a listed private-hospital chain, a Rs 1,000 crore government medical-institution project, a private-college expansion, and an Rs 90 crore urban hospital already breaking ground. Contractors and suppliers who spotted these early — before the formal tender notices appeared — had time to qualify with the promoter, identify the PMC and position proposals. Our free sample project report shows the level of detail available for each tracked project.

What this means for suppliers and contractors

The Rs 2.69 lakh crore pipeline is not a single market — it is several overlapping procurement cycles running simultaneously, each requiring a different go-to-market posture.

The Ministry of Ayush's 58 projects at about Rs 2,715 crore are a distinct and often overlooked niche: they call for Ayurvedic pharmacy equipment, panchakarma fitouts and specialised HVAC rather than conventional acute-care procurement. Suppliers in that sub-segment will find less competition than in mainstream hospital tenders.

How to track hospital tenders in India

Monitoring 2,686 projects manually across dozens of state PWD portals, central health ministry notifications and private-company announcements is not practical. Projects India aggregates verified project intelligence — promoter contacts, project stage, estimated cost, PMC details and procurement timeline — in one searchable database. Teams can filter by state, stage, cost band and promoter type to build a shortlist relevant to their geography and capacity.

The full hospital projects listing is updated continuously; the live government tenders section carries active tender notices with deadlines and issuing authorities. For teams that want to understand the platform before subscribing, a projects intelligence overview and a free sample project report are available. Contractors already in the sector may also find the contractor and supplier directory (VendorConnect) useful for identifying potential consortium partners or sub-vendors on larger hospital packages.

Frequently asked questions

How many hospital tenders and projects are active in India right now?

Projects India tracks 2,686 upcoming hospital projects across India as of 18 October 2026, of which 202 are verified. The combined recorded cost of projects with a known value is about Rs 2.69 lakh crore. Of these, 723 are already under construction and 1,502 are under approvals.

Which states have the most hospital tenders in India?

Maharashtra leads with 358 projects, followed by Karnataka (324), Uttar Pradesh (190), Odisha (166) and West Bengal (149). Assam, Bihar, Andhra Pradesh, Telangana and Jharkhand each have over 100 projects tracked in our database.

What are the largest upcoming hospital projects in India?

The highest-recorded-cost upcoming project is the BRS Medicity hospital at Amaravati, Andhra Pradesh at Rs 5,450 crore, followed by the Ministry of Health's Rs 4,000 crore hospital in Delhi already under construction, and two Rs 3,000 crore projects — an AIIMS Delhi campus and a Haryana government medical facility in Karnal.

Are there upcoming hospital projects in Kolkata or West Bengal?

Yes. West Bengal has 149 projects in our database. The most significant are the AIIMS Kalyani campus in Nadia district (Rs 1,754 crore, construction started) and the KPC Medical College and Hospital expansion in Jadavpur, Kolkata (Rs 1,650 crore, under approvals).

Which government agencies issue the most hospital tenders in India?

The Government of India's Ministry of Health and Family is the highest-value promoter with 100 projects at about Rs 21,400 crore. By project count, Karnataka's Health and Family Welfare Department leads with 219 projects. Maharashtra's Public Works Department and Uttar Pradesh Rajkiya Nirman Nigam are also among the most active issuers.

What types of contracts are available in the hospital construction pipeline?

The pipeline spans civil and EPC contracts, MEP packages, medical-gas systems, HVAC, modular operation theatres, medical imaging, CSSD, elevators, fire-fighting, IT and nurse-call systems. Consulting, project-management and biomedical-commissioning contracts are active at every stage from Planning through to Near Completion.

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About the authorNitisha Shinde · Research Desk, Projects India

Nitisha Shinde leads the research desk at Projects India, which tracks upcoming private and government projects, tenders and awarded contracts across 51 sectors in India.

This article was drafted with AI assistance from Projects India's own project and tender records, then reviewed and approved by our research desk before publication.

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