A College that charges you 30-40 lakhs per annum is a Private Medical College that offers a Management Quota seat. In India NEE is the entrance examination for admission to MBBS, BDS, Ayush and Veterinary Courses across India. And these courses are taught in Government Medical Colleges, Private Medical Colleges and Deemed/Central Universities. Admissions to these Institutions is done through All India Counselling and State Counselling. Private Medical Colleges do not participate in All India Counselling and the seats are filled through State Counselling alone. And for appearing for State Counselling you need to hold the domicile of that particular State. Or else the only other option is through Management Quota. Under All India Quota, All the 15% of All India Quota Seats except for Jammu and Kashmir, 100% Seats at Deemed and Central Universities, IP Quota seats in ESIC Colleges, Seats at AFMC, AIIMS and JIPMER are filled by DGHS. Here the fees is highest for Deemed/central Universities. The Management Quota seats here might cost anywhere between Rs.5,00,000-25,00,000Rs.  The 85% State Quota and Private Colleges are filled by the respective State Authorities. And there are 3 Categories in Private Medical Colleges. Category A is the Government Quota Seats.  The fees is less than 10 lakhs under this Category.  And only candidates of the home State are eligible to apply for these seats. B Category seats are also called Management Quota Seats and they are filled through State Counselling and the remaining seats are filled through direct Admissions by contacting the College directly provided the Candidate has registered for the respective State Counselling and has not been able to secure a seat in the Counselling. Here the fees is usually nothing less than 40 lakhs. The last Category is NRI seats Category and you cannot apply for that. So for a seat that costs you less than 30 lakhs, you should aim at Management Quota in Deemed/Central Universities and for that you should participate in All India Counselling. For a seat anywhere from 30-40,00,000Rs, you should participate in Management Quota of State Counselling.