
As an FCA-authorised expert broker that has helped arrange over 800,000 policies, WeCovr understands that navigating healthcare choices can be daunting. This guide explores the costs of private hip replacement surgery in the UK and explains how private medical insurance can provide a timely and affordable solution for your peace of mind.
A hip replacement can be a life-changing operation, restoring mobility and freeing you from the chronic pain of arthritis or injury. In the UK, you have two main routes to this surgery: the NHS or the private sector.
While the NHS provides excellent care, long waiting lists for elective procedures like hip replacements are a significant concern for many. According to recent NHS England data, the median waiting time for trauma and orthopaedic treatments, which includes hip operations, can stretch to many months. This extended wait often means living with debilitating pain, reduced independence, and a lower quality of life.
This is where the private healthcare route becomes an attractive alternative. It offers two primary paths:
This comprehensive guide will break down the costs of a private hip replacement, explain exactly how PMI works in this context, and help you decide which path is right for you.
Beyond skipping the queue, patients opt for private surgery for several compelling reasons:
Understanding the current state of NHS waiting lists provides crucial context for anyone considering private healthcare. The pressure on the health service, particularly since the pandemic, has led to a significant backlog in elective surgeries.
According to the latest NHS England Referral to Treatment (RTT) statistics, hundreds of thousands of patients are waiting for trauma and orthopaedic surgery. A substantial portion of these individuals are waiting for more than 18 weeks, and tens of thousands have been waiting for over a year.
What this means for you:
For many, the prospect of waiting over a year in such conditions is untenable, making the speed of private treatment a vital lifeline.
If you decide to pay for the surgery yourself (self-pay), the cost can be significant. Private hospitals often offer "package prices" for common procedures like hip replacements. These packages provide a fixed, all-inclusive cost, which is reassuring as it protects you from unexpected bills if your stay is slightly longer than planned.
A typical private hip replacement in the UK in 2025 costs between £12,000 and £20,000. This price varies based on:
To understand where the money goes, here is a typical breakdown of the costs included in a package price.
| Cost Component | Typical Price Range (Estimate) | Description |
|---|---|---|
| Initial Consultation | £200 – £350 | Your first meeting with the consultant surgeon. |
| Diagnostic Imaging | £300 – £800 | Includes X-rays and potentially an MRI or CT scan. |
| Surgeon & Anaesthetist Fees | £4,000 – £7,000 | The fees for the core medical team performing the operation. |
| Hospital Costs | £7,000 – £12,000 | Covers the operating theatre, nursing care, medication, and your private room for 2-4 nights. |
| Prosthesis (Implant) | £1,500 – £3,000+ | The cost of the artificial hip joint itself. |
| Post-Operative Care | Included in package | Typically includes initial physiotherapy sessions and a follow-up consultation with your surgeon. |
| Total Estimated Cost | £12,000 – £20,000+ | The all-inclusive package price you would expect to pay. |
Paying this sum requires substantial savings or the means to finance it. This is why private medical insurance is such a popular alternative.
Private medical insurance is designed to cover the costs of private treatment for acute conditions. An acute condition is a disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery.
A hip replacement, needed to treat severe osteoarthritis or an injury, typically falls into this category. The surgery treats the problem, and the patient is expected to recover.
This is the single most critical point to understand about private medical insurance in the UK: standard policies do not cover pre-existing or chronic conditions.
Therefore, PMI is a forward-planning tool. You take out cover when you are well to protect yourself against the cost of treatment for new conditions that arise in the future. If you develop debilitating hip pain after your policy has been active, it is likely to be covered.
There are two main ways insurers assess your medical history, known as underwriting:
An expert PMI broker like WeCovr can explain these options in detail, helping you choose the one that best suits your circumstances.
Assuming your hip condition is eligible for cover, a good PMI policy will typically fund the entire patient journey from diagnosis to recovery. However, the level of cover depends on the policy you choose.
Here's what a comprehensive policy usually covers versus what might be limited on a more basic plan.
| Feature | Comprehensive Policy Cover | Basic/Budget Policy Cover |
|---|---|---|
| Consultant Fees | Paid in full | May have annual limits. |
| Hospital Charges | Paid in full | Paid in full (but may have a restricted hospital list). |
| Diagnostic Tests | Paid in full (in-patient & out-patient) | May have a low annual limit for out-patient tests (£500-£1,000). |
| Out-patient Cover | Unlimited or high limit (£1,500+) | Limited or no out-patient cover. This is a key area of difference. |
| Physiotherapy | Generous number of sessions (e.g., 10+) | Limited number of sessions (e.g., 4-6). |
| Hospital List | Extensive list including top city hospitals. | A more limited network of hospitals, excluding premium centres. |
| Excess | Your chosen amount (e.g., £0, £250, £500). | Your chosen amount. A higher excess lowers the premium. |
Key Terms Explained:
The right choice depends entirely on your financial situation and medical history.
| Aspect | Self-Pay (Paying Yourself) | Private Medical Insurance (PMI) |
|---|---|---|
| Upfront Cost | Very high (£12,000 - £20,000+) | Low (your chosen excess, e.g., £250) |
| Ongoing Cost | None | Monthly/annual premium payments. |
| Eligibility | Anyone with the funds can access it. | Subject to medical underwriting. Pre-existing conditions are excluded. |
| Timing | Immediate. You can book as soon as you are ready. | The condition must arise after the policy starts. |
| Choice | Absolute freedom to choose any surgeon and hospital. | Choice of surgeons and hospitals from your insurer's approved list. |
| Financial Risk | Risk of extra costs from complications (unless on a guaranteed package). | Costs are covered up to your policy limits, providing financial certainty. |
Scenario 1: Anne (Self-Pay) Anne, 68, has been managing hip arthritis for a decade. Her NHS wait is 16 months. As her condition is pre-existing, it wouldn't be covered by a new PMI policy. She uses £16,000 from her pension savings to fund a private operation at a Spire hospital and is back on her feet in 8 weeks. For her, the cost was worth it to regain her quality of life.
Scenario 2: Tom (PMI) Tom, 58, took out a comprehensive private medical insurance UK policy with WeCovr five years ago when he was healthy. He recently developed severe hip pain and was diagnosed with avascular necrosis. As this was a new condition, his PMI policy covered everything. He saw a top surgeon within a week of his GP referral and had his £17,500 surgery covered in full, only paying his £500 policy excess.
If you're considering PMI for future peace of mind, it's vital to choose the right policy. When orthopaedic cover is a priority, focus on:
This is where an independent broker is invaluable. The team at WeCovr can compare the market on your behalf, explaining the nuances of each policy to find cover that matches your needs and budget, all at no cost to you.
A successful outcome isn't just about the surgery; it's about your recovery and long-term wellbeing.
As a WeCovr customer, you may also benefit from discounts on other types of cover, such as life or travel insurance, providing holistic protection for you and your family.
Navigating the world of private surgery and medical insurance can feel complex, but you don't have to do it alone. Whether you're considering self-funding your operation or want to plan for the future with a robust insurance policy, understanding your options is the first step.
The expert team at WeCovr is here to provide clear, independent advice tailored to your needs. We compare policies from the UK's leading insurers to find the right cover at the right price, with no fee for our service.
Get your FREE, no-obligation PMI quote from WeCovr today and secure your health for tomorrow.






