private healthcare costs in the uk
Knowledge Hub · Treatment Costs

Private Healthcare Costs UK: What You Pay Without Insurance

Updated July 2026 8 minute read By Darren Lewis, Health Insurance Specialist

If you are paying for private treatment yourself, the quoted price is rarely the final bill. This guide sets out what consultations, scans and common procedures actually cost in 2026, and explains the parts of the bill that catch people out.

Most self-pay patients receive three separate invoices, and the package price for surgery almost never includes the consultation that got you there. Knowing that in advance is the difference between a budget and a surprise.

A private doctor discussing treatment options with a patient

We compare cover from leading UK insurers, including

Aviva
AXA Health
Bupa
Freedom Health Insurance
National Friendly
The Exeter
Vitality
WPA
The Short Answer

Private treatment in the UK costs £150 to £300 for a specialist consultation, £249 to £730 for a single-area MRI scan and £11,500 to £15,000 for a knee replacement, based on 2026 pricing published by PHIN, the government-mandated body for private healthcare data, and by major UK hospital groups. Prices in London usually run 20% to 30% higher, and the initial consultation is always charged separately from any procedure that follows.

£150-£300
First specialist consultation
£249-£730
MRI scan, single area
£11.5k-£15k
Knee replacement package
2026 Prices

What Does Private Treatment Cost In 2026?

Private treatment is priced in three stages: the consultation that gets you a diagnosis, the diagnostics that confirm it, and the procedure itself. Each is billed separately, so it helps to budget for them separately.

A patient recovering after a private knee replacement

Consultations and diagnostics

ServiceTypical CostWorth Knowing
Initial specialist consultation£150 to £300Charged separately and paid on the day. Almost never included in a surgery package.
Follow-up consultation£120 to £200Usually shorter and cheaper than the first appointment.
MRI scan, single area£249 to £730Complex or multi-area scans can pass £995. Check whether the radiologist's report is included.
CT scan£445 to £890Varies by area scanned and whether contrast dye is needed.
Ultrasound scan£160 to £500Depends on the type of scan and the body area.

Common procedures, package prices

ProcedureTypical Package PriceWorth Knowing
Hip replacement£12,000 to £15,000Package usually bundles surgeon, anaesthetist and hospital costs.
Knee replacement£11,500 to £15,000Aftercare and physiotherapy limits vary considerably.
Cataract surgery£2,000 to £5,000 per eyePriced per eye. The upper end has risen noticeably since 2025.

Sources: Private Healthcare Information Network guidance on hospital and consultant pricing, and published guide prices from major UK hospital groups, checked July 2026. Prices are indicative and vary by provider, location and individual circumstances. Always ask for a written quotation.

Paying for one procedure can cost more than a decade of cover. See what a policy would cost you.

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The Part That Catches People Out

Why You Get Three Separate Bills

Most people expect one invoice from the hospital. In practice your surgeon and anaesthetist are usually independent professionals who use the hospital's facilities rather than employees of it, so they bill you directly.

1
The hospital

Your room, nursing care, theatre time and standard medication during your stay.

2
The consultant

The surgeon's own fee for performing the procedure, set independently of the hospital.

3
The anaesthetist

A separate professional fee, and the one people are least likely to have budgeted for.

Ask this before you commit

Will all fees be combined into a single bill, or should I expect separate invoices? It is a short question that prevents most self-pay billing surprises.

Read The Package

What A Package Price Usually Leaves Out

A package price is the most predictable way to budget for planned surgery, because one fee bundles the surgeon, the anaesthetist and the hospital. What matters is knowing what sits outside it. Cataract surgery is a good example, because it is priced per eye rather than as one procedure.

Private cataract surgery being carried out in an operating theatre

Your initial consultation

The appointment that led to the recommendation is charged separately, and is paid before the package price is even quoted.

Diagnostics and pathology

Scans, blood work and lab tests are frequently billed on their own, and are one of the most common sources of unexpected cost.

Complications

A fixed price applies to the planned treatment. If something unexpected happens, additional costs can follow.

Extra nights in hospital

Packages assume a standard length of stay. Staying longer than planned can fall outside the quoted fee.

Take-home medication

There are often limits on the drugs included when you are discharged.

Aftercare

Physiotherapy and follow-up appointments once you have left hospital may be capped or excluded entirely.

The Everyday Stuff

What Do GP Appointments, Physio And Therapy Cost?

Major surgery is the headline figure, but it is not what most people pay for. The appointments below are the everyday side of private healthcare, and they are the ones you are most likely to use.

A patient having a private digital GP appointment by video call

Private GP appointments

Type Of AppointmentTypical CostWorth Knowing
Online, written consultationFrom £25The cheapest route, suitable for straightforward issues.
Video or telephone consultation£29 to £105Usually includes a private prescription and referral letter.
Face to face, outside London£60 to £130Bupa from £75, Nuffield Health from £80, Spire from £89.
Face to face, London£120 to £250Some central London clinics charge £310 or more.
Home visit£200 to £600Varies considerably by location.

A private GP can refer you back into NHS care, so paying for one appointment does not take you out of the NHS system. The fee rarely covers blood tests, prescriptions or referral letters, and a private prescription means paying the full cost of the medicine rather than the NHS charge.

Physiotherapy and therapies

TherapyInitial AssessmentFollow-Up Session
Physiotherapy£45 to £120, median £74£35 to £85, median £63
ChiropracticAround £69Around £47
PodiatryAround £81Varies by practice

London initial fees average around 21% above the national figure. A typical course of physiotherapy runs six to ten sessions, so £300 to £800 in total. Many clinics discount block bookings.

Counselling and talking therapy

PractitionerCost Per 50 Minute Session
Counsellor£40 to £80
CBT therapist£50 to £120
Psychotherapist£60 to £150
Clinical psychologist£100 to £180

More than half of BACP directory listings advertise £40 to £60 a session. London runs roughly 15% to 25% higher and online sessions are often cheaper. A course of six to twenty sessions commonly totals £600 to £2,000. NHS Talking Therapies is free and you can refer yourself without going through your GP, so cost does not have to be the barrier to getting support.

Dentistry

Dentistry sits outside private medical insurance almost entirely, and NHS charges are fixed rather than set by each practice. In England from April 2026 these are £27.90 for Band 1, £76.60 for Band 2 and £332.10 for Band 3. Privately, a check-up runs £50 to £120, a composite filling £140 to £300, a crown £500 to £1,200 and a single implant £1,800 to £5,500. If dental cover matters to you, our guide to dental cover explains how it is usually bought.

Prescriptions are not covered

This is the most common misunderstanding about private health insurance. Policies cover drugs administered as part of treatment you are claiming for, but not outpatient or take-home prescriptions. A private prescription also means paying the full cost of the medicine rather than the NHS charge, so it can work out more expensive than an NHS prescription for the same drug.

What Insurance Actually Covers

Four Very Different Answers

People often assume health insurance either covers something or it does not. In practice these everyday costs fall into four groups, and knowing which is which avoids most claim disappointments.

1
Included as standard

A digital or virtual GP is now included on almost every policy from the major insurers, so the everyday appointment is usually already covered.

2
Included with limits

Therapies such as physiotherapy are included from mid-level cover upwards, though most policies cap the number of sessions per year.

3
Usually an add-on

Mental health cover is standard with some insurers and a paid extra with others. Dental and optical are almost always bought separately.

4
Never covered

Outpatient and take-home prescriptions, routine GP care beyond the digital benefit, and emergency treatment, which stays with the NHS.

Where this matters most

Mental health cover varies more between insurers than almost any other benefit, and dental is rarely part of a medical policy at all. Both are worth checking in the wording rather than assuming, which is where comparing properly earns its keep.

If You Are Insured

Excess And Shortfall Are Not The Same Thing

Having cover does not always mean paying nothing. There are two gaps to understand, and only one of them is predictable.

Your excess is a known quantity

  • A fixed amount you agreed to pay towards a claim when you took the policy out
  • Commonly £100 to £500, paid once per claim or once per policy year
  • You choose it, and a higher excess reduces your monthly premium
  • See our full guide to policy excess

A shortfall is not

  • The gap between what your consultant charges and what your insurer will reimburse
  • Consultants set their own fees, so the gap is unpredictable
  • It arrives as an unexpected bill rather than an agreed contribution
  • Choosing a fee-assured consultant is the most effective way to avoid it
What fee-assured means

A fee-assured consultant has an agreement with your insurer to charge only within their approved rates. Every major insurer publishes a directory of the specialists it works with, and choosing from it removes most shortfall risk. This is one of the details an FCA-regulated broker will check for you, and one of the easiest things to miss when buying direct on price alone.

Our FCA-regulated broker partners can talk you through hospital lists, fee assurance and where shortfalls tend to appear, free of charge.

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Being Straight With You

If You Already Have The Condition, Insurance Will Not Cover It

Most people reading a page about treatment costs are researching something they already have. It is worth saying plainly that private health insurance is designed to cover new conditions that arise after your policy starts, so anything you already have symptoms, advice or treatment for will normally be excluded.

For the condition you have now

Self-pay is usually the realistic route. Get a written quotation, confirm whether it is a package price, and ask how many separate bills to expect.

For everything that comes later

Cover taken out while you are well is the cheapest it will ever be, and it protects you against the next thing rather than this one.

Underwriting is not all or nothing

How a condition is treated depends on the underwriting type. Our guide to pre-existing conditions explains where the lines fall.

Where Self-Pay Costs Stop Being Predictable

Private Cancer Treatment Costs

Everything above has a package price or a published range. Cancer treatment does not work that way, because the cost depends on the type, the stage and the drugs involved, and the treatment plan can change as it progresses. It is the clearest example of a cost that cannot be budgeted for in advance.

Stage Of TreatmentIndicative Self-Pay Cost
Oncology consultationAround £300
Diagnostics and staging£500 to £1,500
Surgery, where required£10,000 to £15,000
Chemotherapy, per session£500 to £2,500
Chemotherapy, full course£15,000 to £28,000
Radiotherapy course£3,000 to £6,000

Indicative 2026 figures for a self-funded pathway. Actual costs depend on cancer type, stage, drug protocol and clinic, and London treatment typically runs 20% to 30% above these figures. Cancer treatment is free on the NHS to everyone ordinarily resident in the UK, and many people choose a hybrid approach, paying privately for rapid diagnosis and then continuing treatment on the NHS.

What this means for cover

Cancer cover is included on most private health insurance policies, but the level varies more between insurers than almost any other benefit. Some pay for ongoing and biological drug treatment in full, others apply limits once active treatment ends. If cancer cover matters to you, it is worth comparing the wording rather than the premium.

Broker Insight

When Self-Pay Makes Sense, And When It Does Not

Self-pay is a genuine option, not a fallback. It works best when the cost is knowable in advance.

Self-pay works well when

  • You have a confirmed diagnosis and a named procedure
  • The hospital offers a fixed package price
  • You have asked what the package excludes and budgeted for it
  • You could absorb the cost without it causing hardship
  • The condition is already excluded from any policy you could buy

Self-pay works badly when

  • You have symptoms but no diagnosis, so nobody can quote you
  • The investigation could lead anywhere, including cancer
  • Treatment is likely to be ongoing rather than a single procedure
  • You are relying on the quote being the final bill
  • Paying would mean borrowing or drawing down savings you need
Related Guides

Explore More Health Insurance Guides

Whether you are weighing up the cost of cover, looking at cheaper options or working out how a condition you already have will be treated.

Cost Of Cover

See how much private health insurance costs and get a guide price in under a minute.

Pre-Existing Conditions

How underwriting treats a condition you already have, and what the different types mean.

Policy Excess

How choosing your excess changes what you pay each month and at claim time.

FAQs

Common Questions About Private Treatment Costs

How much does a private MRI scan cost in the UK?

A single-area private MRI typically costs between £249 and £730 in 2026, with complex or multi-area scans passing £995. Prices in London usually run 20% to 30% higher. Check whether the quoted price includes the radiologist's written report, as some providers charge for this separately.

Why did I receive three bills for one procedure?

Because your surgeon and anaesthetist are usually independent professionals rather than hospital employees. The hospital invoices for your room, nursing care and theatre time, while the consultant and anaesthetist bill you directly for their own fees. Asking whether fees will be combined into one bill is the simplest way to avoid the surprise.

What does a private surgery package price include?

A package price normally bundles the surgeon's fee, the anaesthetist's fee and hospital costs such as your room, nursing care and standard medication. It does not include your initial consultation, and there are often limits on diagnostics, take-home drugs, extra nights in hospital and aftercare. It also usually applies only to the planned treatment, so complications can add cost.

What is a shortfall on a health insurance claim?

A shortfall is the gap between what your consultant charges and what your insurer will reimburse. It is different from your excess, which is a fixed amount you agreed to pay when you took the policy out. Because consultants set their own fees, a shortfall is unpredictable. Choosing a fee-assured consultant, who has agreed to charge within your insurer's approved rates, is the most effective way to prevent one.

How much does a private GP appointment cost?

A private GP appointment costs from £25 for an online written consultation, £29 to £105 for video or telephone, and £60 to £130 face to face outside London, rising to £120 to £250 in the capital. Most private medical insurance policies now include a digital GP service as standard, so this is one everyday cost cover often removes entirely.

Does health insurance cover physiotherapy and counselling?

Physiotherapy and similar therapies are usually included from mid-level cover upwards, though most policies cap the number of sessions each year. Mental health cover is different: it is standard with some insurers and a paid add-on with others, and it varies more between policies than almost any other benefit. Privately, physiotherapy costs £35 to £120 a session and counselling £40 to £180 depending on the practitioner.

Can I get insurance to cover treatment I already need?

No. Private health insurance covers new conditions that arise after your policy begins, so a condition you already have symptoms, advice or treatment for will normally be excluded. Cover is still worth considering for everything that comes later, and our guide to pre-existing conditions explains how different underwriting types handle your medical history.

Is it cheaper to self-pay or to have private health insurance?

It depends entirely on what you need. A single planned procedure with a fixed package price can be cheaper to self-fund than years of premiums. The difficulty is that you cannot know in advance which conditions you will develop, and open-ended treatment such as cancer care can run well beyond what most people could self-fund. Insurance buys predictability rather than a guaranteed saving.

Sources & Disclaimer

Written and reviewed by: Darren Lewis, health insurance specialist and founder of Compare My Health Insurance. Last reviewed: July 2026. Next scheduled review: January 2027.

Sources: Private Healthcare Information Network guidance on private hospital pricing, consultant fees and self-funding treatment, PHIN being the government-mandated body that publishes UK private healthcare cost and quality data. Published guide prices from major UK hospital and diagnostic providers including Nuffield Health, Spire Healthcare and Vista Health. Indicative cancer pathway costs from published UK private oncology pricing analysis. All figures checked July 2026.

Compare My Health Insurance works with FCA-regulated broker partners and may earn a fee when you take out a policy through our service. This does not affect our editorial analysis above. Any information on this page is for general information only and should not be considered financial advice, regulated advice or a personal recommendation. Treatment prices are indicative and change regularly, so always obtain a written quotation from your chosen provider before committing.

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