If you have started researching shockwave therapy for erectile dysfunction abroad, you will have noticed something odd: almost nobody publishes a price. You get "packages from", "enquire for a quote", or a WhatsApp button. That is not an accident, and it makes honest comparison almost impossible.
This page compares five countries. If you are in the Philippines and want the local answer — what a session costs here, what a full course costs, and what changes the number — go straight to how much ED shockwave therapy costs in Manila. It is the more useful page for you, and it is shorter.
So we did the work. In August 2026 we reviewed around thirty clinics and hospitals across Thailand, Singapore, Malaysia, India, the Philippines, Vietnam, Indonesia, Korea and Japan, together with the medical-tourism platforms that route patients to them. What follows is what they actually charge, where the published figures came from, and what the number does not tell you.
We should be upfront about our position. We are a clinic in Makati and we treat this condition, so we have an interest here. We have published our own price in the tables below alongside everyone else's, including where competitors are cheaper than us. You can check every figure against the sources at the end.
Why this comparison is so hard to find
Of roughly thirty operators we reviewed, only about five published full pricing on their own website. The rest — including several of the best-known names in the region and every hospital urology department we looked at — show nothing until you make contact.
There is a commercial logic to that. Shockwave is often not the product. It is the entry point. Once you are in a consultation, the conversation can move to platelet-rich plasma, botulinum toxin injections, or stem-cell therapy, where the numbers are considerably larger. One Bangkok clinic lists shockwave at about US$145 a session and stem-cell packages at up to US$4,280. Another sells a bundled programme at roughly US$1,750. Neither is doing anything improper, but if you are comparing on the shockwave price alone you are not comparing the thing you will actually be sold.
Per-session prices across Asia are closer together than the marketing suggests. The real differences are in how many sessions you get, what gets added on afterwards, and whether the price you were shown is the price you are charged.
Per-session prices across Asia
These are prices published on clinic websites or on aggregator listings, as at August 2026.
| Country / city | Published per-session price | Approx. US$ | Published openly? |
|---|---|---|---|
| India (Delhi) — domestic rate | ₹4,000 | ≈ US$46 | Yes |
| Philippines (Makati) | ₱5,000 | ≈ US$90 | Yes |
| Thailand (Bangkok) — lower end | ฿3,590–3,900 | ≈ US$100–110 | Yes |
| Thailand (Bangkok) — typical | ฿5,000 | ≈ US$145 | Yes |
| Singapore — lower end | S$180 | ≈ US$138 | Yes |
| Malaysia (Kuala Lumpur) | ≈ RM750 within a package | ≈ US$160 | Partly |
| India — international patient rate | US$200 | ≈ US$200 | Yes |
| Singapore — market rate | S$436 | ≈ US$335 | Yes |
Prices as published on clinic websites and aggregator listings, August 2026. Conversions are approximate (₱56, ฿34.5, S$1.30, RM4.70, ₹87 to US$1) and move with exchange rates.
The spread is real but narrower than most medical-tourism marketing implies. Excluding Singapore's market rate and India's domestic rate, most of Asia sits between roughly US$90 and US$160 a session. If a site tells you a country is "up to 90% cheaper", check whether it is comparing against the United States rather than against the region.
The number that actually matters: the full course
Focused shockwave is not a single treatment. Published protocols generally use six or more sessions, so a per-session price on its own is close to meaningless. This is where the real differences appear.
| Country | Typical full course | Approx. US$ | What it usually includes |
|---|---|---|---|
| Philippines (us) | ₱25,000 — 6 sessions | ≈ US$446 | Six focused sessions, sixth free when five are bought |
| Thailand | ฿17,500–25,000 — 5 to 8 sessions | ≈ US$500–715 | Sessions only; consults and extras priced separately |
| Thailand — bundled programme | ฿61,250 | ≈ US$1,750 | Consult, bloods, medication, six shockwave and three PRP sessions |
| Malaysia | RM4,500 — 6 sessions | ≈ US$957 | Sessions only |
| India — international rate | US$1,000 — 5 sessions | ≈ US$1,000 | Sessions only |
| Singapore | S$2,180–2,616 — 6 sessions | ≈ US$1,677–2,012 | Sessions only; consultation extra |
Course composition varies. Always confirm how many sessions a quoted package actually contains.
Two things are worth noticing. First, the Singapore course costs roughly three to four times the Manila course for the same number of sessions — that is the single widest gap in the region. Second, the Thai bundled programme at about US$1,750 is not really a shockwave price at all; it includes PRP, medication and a work-up. Comparing it against a sessions-only price is comparing different products.
Why anyone travels for this in the first place
| Country | Per session | Full course | Covered by insurance? |
|---|---|---|---|
| United States | US$400–600 | US$3,000–7,200 (2023 study average US$3,338) | No |
| United Kingdom | £99–600 (London ≈ £300) | ≈ £1,500 for six sessions | Not routinely on the NHS |
| Australia | A$200–300 | Up to A$3,600 | No |
Western pricing is the reason medical tourism for this treatment exists at all.
A course in the United States averaged US$3,338 in a 2023 study of major metropolitan areas, and it is not covered by insurance. Against that, a US$450 to US$700 course in Southeast Asia is a genuine saving even after flights — which is precisely why this market exists.
What actually changes the price
Focused or radial device
This is the most important technical distinction and the one most often blurred. Focused shockwave delivers energy to a targeted depth; radial devices disperse it near the surface and are cheaper to buy and run. The evidence base for erectile dysfunction is built mainly on focused devices. A cheap "shockwave" price sometimes means a radial machine. Ask which is being used, and ask for the device name.
How many sessions the price covers
A four-session course will always look cheaper than a six-session course. It is not the same treatment. When comparing quotes, divide by the number of sessions and compare like with like.
Who performs it, and who assessed you first
Erectile dysfunction is sometimes the first visible sign of cardiovascular or metabolic disease. A price that includes a proper clinical assessment is not the same as a price for a technician applying a probe. If nobody has reviewed your history before treatment begins, part of what you are saving is the assessment.
What is bundled — and what gets added later
Consultations, blood work and follow-up may or may not be included. Ask for the total, itemised, in writing.
The upsell ladder
Across the Bangkok clinics we reviewed, a consistent commercial pattern appears. Shockwave sits at the bottom of a tiered menu, with published add-ons in the range of roughly US$570 to US$4,280 for PRP, botulinum toxin and stem-cell options.
To be clear: PRP and other regenerative treatments are legitimate procedures that some clinicians recommend for some patients. The issue is not that they exist. It is that if you budget for a US$500 shockwave course and arrive somewhere structured to sell a US$2,000 programme, the number you planned around was never the real number. Ask before you travel what will be recommended and what it will cost.
The foreign-patient markup
One andrology practice in Delhi publishes, openly and on its own website, two prices for the same five-session course: about ₹20,000 — roughly US$230 — for domestic patients, and US$1,000 for international patients. That is a difference of more than four times for identical treatment.
We are not suggesting this is dishonest; it is disclosed, and tiered pricing is common in medical tourism worldwide. But it does mean that a price you find in a search result may not be the price offered to you. It is a fair and reasonable question to ask any clinic: is this the same price your local patients pay?
Our ₱5,000 per session is the same rate we publish to our Manila patients on our shockwave therapy page. The US dollar figures on this site are a currency conversion for convenience, not a separate international price. You are welcome to compare the two pages.
Cheapest is not the objective
If the only thing that mattered were the per-session number, India's domestic rate would win and the conversation would end. It does not, for the same reason nobody chooses surgery purely on price.
What is worth comparing instead:
- Whether you are assessed before you travel. Flying somewhere and being told on arrival that you are not a suitable candidate is the most expensive outcome available. Ask whether a clinician will review your case before you book flights.
- Whether the price is complete. Consultation, blood work, the full course, follow-up — all of it, in writing.
- Whether you can understand your clinician, and they you. This is a consultation about sexual function. Nuance matters, and a translator changes the conversation.
- How many patients pass through in a day. High-volume clinics are not worse clinically, but they are a different experience for something this private.
- What happens if it does not work. A clinic willing to tell you in advance that a minority of patients do not respond is more trustworthy than one promising a cure. Nobody can honestly promise a cure.
Questions to ask before you book anything
- Is the device focused or radial, and what is the make and model?
- How many sessions does the quoted price include, and what does one extra session cost?
- Will a doctor review my case before I book flights, or only after I arrive?
- What is the complete cost — consultation, blood work, course, follow-up?
- What else is likely to be recommended once I am there, and what does it cost?
- Is this the same price your local patients pay?
- What proportion of patients do not respond, and what happens then?
A clinic that answers all seven plainly is telling you something useful about how it operates. One that will not answer the first or the sixth is telling you something too.
A closing note on honesty
We publish our prices because we think the alternative is worse for patients, and because in a market where almost nobody does, it is a reasonable way to earn trust. It also means we cannot quietly move the number, which is rather the point.
It also means being straight when the comparison does not flatter us. On per-session price we are among the lowest published in Asia, but we are not dramatically cheaper than Bangkok — the gap is perhaps ten to twenty percent, not a multiple. Where the difference is genuinely large is against Singapore, and in what happens after the first session: we sell a course of shockwave, not an entry point to a longer menu.
If you want to know whether this treatment is likely to suit you before you spend anything at all, our free confidential self-assessment uses the same validated questionnaires a specialist would, and our clinical team reviews the result.