This depends on the State that you are enquring about. The State Government decides an upper slab for fees collected by the Medical Colleges regarding the fees structure for Management and NRI Quotas and the College abides by that. Now the Management quota seats are filled through State Counselling and the remaining unfilled seats are filled through Direct admission by contacting the administration. Now the fees is majorly dependant on the reputation of the college. Few Colleges charge as much as 13 lakhs for the entire duration while few Colleges charge 40-60 lakhs for the entire course. Now for NRI quota, the fees is as high as upto 1 crore.