Thoracic oncology · 2026
Lung cancer treatment,
robotic surgery + NMPA targeted therapy.
VATS / robotic lobectomy from $9,500. NMPA-approved EGFR / ALK / ROS1 / RET / KRAS-G12C / MET targeted therapy. PD-1 / PD-L1 immunotherapy combinations. Proton therapy available. MDT review at flagship centres.
$9,500–18k
VATS / robotic lobectomy
vs $30,000–80,000 in the US
Partner clinic quotes 2024
NMPA
Targeted approvals
Osimertinib, alectinib, lorlatinib, sotorasib, capmatinib, selpercatinib
NMPA approvals
PD-1 / PD-L1
Domestic + imports
Tislelizumab, sintilimab, pembrolizumab, atezolizumab
NMPA listings
Proton therapy
Available
Cancer Hospital of CAMS + Shanghai Proton Heavy Ion Center
Centre programs
MDT
Standard pathway
Thoracic surgery + medical onc + radiation onc + pulmonology
Standard at Class A
Bilingual
Pathology + NGS
Comprehensive panel with germline + tumour profiling
Service standard
Tiers & pricing
Six tiers, transparent pricing.
Diagnostic + staging
PET-CT, brain MRI, EBUS / mediastinoscopy, biopsy with NGS panel.
$2,500–4,500
VATS lobectomy
Video-assisted lobectomy + mediastinal lymph node dissection. 5–7 day stay.
$9,500–14,500
Robotic lobectomy
da Vinci platform. Outcomes equivalent to VATS in routine cases.
$13,500–18,500
Targeted therapy
EGFR / ALK / ROS1 / BRAF / MET / RET / KRAS-G12C / NTRK at NMPA pricing.
$280–2,800 / month
Immunotherapy
Mono- or in combination with chemotherapy or targeted therapy.
$650–2,400 / cycle
Proton therapy
For specific anatomies (apical, mediastinal, re-irradiation). Limited availability.
$45,000–80,000 / course
Top hospitals
Six centres
open to international patients.
Shanghai Chest Hospital 上海市胸科医院
China's leading thoracic specialty hospital · MDT lung cancer · large surgery volume
Cancer Hospital of CAMS Thoracic 中国医学科学院肿瘤医院
National cancer reference · proton therapy · MDT thoracic oncology
Fudan Shanghai Cancer Center 复旦大学附属肿瘤医院
Class A · MDT lung cancer · large adjuvant volume · trial site
Guangdong Lung Cancer Institute 广东省肺癌研究所
Specialty institute · trial leadership · EGFR + ALK research depth
Shanghai Proton Heavy Ion Center 上海质子重离子医院
Proton + heavy-ion therapy · for specific lung cancer indications
Tianjin Medical University Cancer Hospital 天津医科大学肿瘤医院
Class A specialty · large thoracic oncology · trial site
Cost comparison
China vs US vs UK,
real pricing.
Sources: NCCN-aligned pricing, CMS HCUP 2023, NHS specialist commissioning 2024, NMPA-listed pricing, partner-hospital itemized quotes 2024–2025. Indicative; oncology pricing is highly case-specific.
FAQ
Frequently asked questions.
- Why China for lung cancer?
- Three reasons: (1) Volume — China has the world's largest lung cancer patient population (~750,000 new diagnoses per year) and Class A thoracic centres operate at scale unmatched globally; (2) Drug access and cost — NMPA-approved targeted therapy (osimertinib, alectinib, lorlatinib, sotorasib, capmatinib, selpercatinib, repotrectinib) and immunotherapy (tislelizumab, sintilimab, pembrolizumab) at 30–60% off US prices, with deep generic and biosimilar availability; (3) Trial access — China leads globally on next-generation EGFR inhibitors, novel ALK/ROS1 agents, KRAS-G12C combinations and bispecific antibodies.
- What does the standard pathway look like?
- Diagnostic — biopsy with comprehensive NGS panel (EGFR, ALK, ROS1, RET, BRAF, MET, KRAS, NTRK, ERBB2 minimum); imaging staging (chest CT, PET-CT, brain MRI); EBUS / mediastinoscopy for nodal staging if appropriate. Treatment — driver-mutation-positive disease starts targeted therapy; oligometastatic disease gets local treatment + systemic; resectable stage I–IIIA undergoes neoadjuvant + surgery + adjuvant; advanced disease gets IO + chemo or IO + targeted combinations. Top centres run weekly MDT.
- What about driver-mutation-specific care?
- EGFR: 1L osimertinib (Tagrisso) is NMPA-approved and listed at substantially lower cost than US; first-gen and second-gen TKIs widely available. ALK: alectinib (Alecensa), lorlatinib (Lorbrena), brigatinib widely available; first-line ensartinib also approved. ROS1: entrectinib, repotrectinib, lorlatinib. RET: selpercatinib (Retsevmo), pralsetinib. KRAS-G12C: sotorasib (Lumakras), divarasib in trials. MET exon 14: capmatinib (Tabrecta), tepotinib. NTRK: larotrectinib, entrectinib. NMPA-listed pricing 30–60% below US for most.
- What about proton therapy for lung cancer?
- Proton therapy reduces normal-tissue dose for selected lung cancer geometries (apical, mediastinal, re-irradiation) where conventional photon radiation has dose-volume constraint issues. Available at Cancer Hospital of CAMS (Beijing) and Shanghai Proton Heavy Ion Center. Indicative cost $45,000–$80,000 per course in China vs $120,000–$250,000 in the US. Patient selection is case-specific — proton is not better for all lung cancers and routine treatment with photon IMRT remains the standard for most.
- Will my home oncologist accept the report?
- We design the bilingual MDT report to be acceptable to Western oncology teams: explicit reference to NCCN / ESMO guidelines, clear staging by AJCC 8, comprehensive NGS results presented in standard format, named regimen with cycle / day-of breakdown, named clinical-trial-pipeline alternatives. We have not had a US, UK, EU, Australian or Canadian oncologist decline to review such a report. Peer-to-peer call between operating surgeon / treating medical oncologist and your home team is offered free.
- What if I need long-term targeted therapy?
- Long-term targeted therapy and immunotherapy continuity requires home-physician handover. Options: (1) get the prescription continued at home with the same agent (most are globally approved); (2) maintain prescription via Chinese partner and import to home country (varies by jurisdiction — confirm with home regulator); (3) shift to NMPA-only-approved agent and continue medical tourism via 3–6 month return visits. We coordinate the handover and discuss long-term continuity before treatment commences.
Related guides
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All oncology pathways in China.
Read the guideProton Therapy
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Read the guideSecond Opinion
Independent thoracic oncology second opinion from $250.
Read the guideClinical Trials
Lung cancer trial screening — NGS-driven trial matching.
Read the guideRecords Translation
Bilingual NGS, pathology and imaging.
Read the guideMedical Companion
Bilingual companions for chemotherapy infusions and clinic visits.
Read the guideSend your records
for an MDT lung review.
Upload pathology, NGS, imaging and treatment history. We coordinate a written MDT review at a partner thoracic centre with treatment plan, indicative cost and trial-eligibility shortlist within 7 business days.
This page is for general information only and does not constitute medical advice. Lung cancer treatment depends on histology, stage, biomarkers and individual factors. We do not guarantee outcomes.