16/09/2026
8 in 10 medical devices sold in India are imported. Which means for 8 in 10, the real cost was fixed before your dealer, your city, or your hospital even entered the picture.
The reel makes that point. Here is the part it had no room for.
Landed cost isn't the factory price plus duty. Customs duty is charged on the assessable value, which already includes freight and insurance. So the tax itself is calculated on a number that has freight baked into it, before a single rupee of Indian margin gets added on top. That is one compounding you never see on any quotation.
By the time a dealer quotes you, he is marking up a number that was already built from four layers, forex, duty, freight, clearing, at the port. Negotiating with him only moves the layer he controls. It cannot touch the three that came before him.
None of this makes him dishonest. He genuinely doesn't see the port paperwork either.
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