
As an FCA-authorised expert with over 800,000 policies arranged for our clients, WeCovr provides insight into the real cost of private medical insurance in the UK. This guide explores the significant expenses of self-funding treatment and explains how having the right private health cover can safeguard your well-being and your wallet.
The UK is fortunate to have the National Health Service (NHS), a cornerstone of our society providing care to millions. However, with growing pressures and lengthening waiting lists, a significant number of people are now considering private healthcare for faster access to specialists and treatment.
While the idea of skipping the queue is appealing, it comes with a crucial question: what is the actual cost? Paying for private treatment out-of-pocket, known as 'self-pay', can be prohibitively expensive. This is where private medical insurance (PMI) becomes a vital financial tool, providing a predictable and manageable way to access the best of private care when you need it most.
In this comprehensive guide, we'll break down the true costs of self-pay healthcare in the UK and demonstrate how a robust PMI policy can offer peace of mind.
The shift towards private healthcare isn't just about luxury; it's increasingly about necessity and control. According to recent data from NHS England, the number of patients on waiting lists for routine treatments remains at a historic high, with many waiting over 18 weeks, and some significantly longer (NHS England, 2025).
This has created a powerful incentive for individuals to seek alternatives. The primary drivers include:
When you choose to self-fund your private healthcare, you are responsible for every single cost associated with your treatment journey. These costs can escalate quickly and often include more than just the headline price of the surgery itself.
Let's break down the typical expenses you would face.
Before any treatment can happen, you need a diagnosis. This initial stage alone can run into thousands of pounds.
Following this, your consultant will likely require diagnostic tests to confirm a diagnosis. The costs for these are significant.
| Diagnostic Test | Typical Cost Range (2025) | What It's For |
|---|---|---|
| MRI Scan | £400 – £1,500 | Detailed images of soft tissues, joints, brain, spine |
| CT Scan | £500 – £1,200 | Cross-sectional images for bones, organs, blood vessels |
| Ultrasound | £300 – £700 | Examining internal organs, pregnancy, muscle injuries |
| X-Ray | £100 – £300 | Looking at bones and some internal structures |
| Endoscopy / Colonoscopy | £1,500 – £2,800 | Investigating the digestive tract |
| Comprehensive Blood Tests | £200 – £800+ | Checking for a wide range of markers for health issues |
Source: Analysis of UK private hospital price lists, 2025.
Just to get a diagnosis for persistent knee pain, you could easily face a bill of over £1,000 (£250 for the consultant + £750 for an MRI) before even discussing treatment options.
This is where the costs become truly substantial. Most private hospitals offer 'package prices' for common procedures, which bundle the main costs together. However, these packages can vary in what they include.
Here is a breakdown of estimated self-pay costs for some of the most common private surgical procedures in the UK.
| Surgical Procedure | Average Self-Pay Cost (2025) | Potential Range | What It Typically Includes |
|---|---|---|---|
| Hip Replacement | £13,500 | £11,000 – £16,000+ | Surgeon/anaesthetist fees, prosthesis, hospital stay, initial physio |
| Knee Replacement | £14,000 | £12,000 – £17,000+ | Surgeon/anaesthetist fees, prosthesis, hospital stay, initial physio |
| Cataract Surgery (per eye) | £2,800 | £2,200 – £4,000+ | Surgeon fees, lens implant, facility fee, one follow-up |
| Hernia Repair | £4,000 | £3,000 – £5,500+ | Surgeon/anaesthetist fees, hospital stay (if needed), mesh |
| Gallbladder Removal | £6,500 | £5,500 – £8,000+ | Surgeon/anaesthetist fees, keyhole surgery, hospital stay |
| ACL Reconstruction | £7,500 | £6,000 – £9,500+ | Surgeon/anaesthetist fees, implant, initial physio, hospital stay |
| Tonsillectomy | £3,500 | £3,000 – £4,500+ | Surgeon/anaesthetist fees, overnight stay, medication |
Source: Data compiled from major UK private hospital groups and health economic reports, 2025.
The costs associated with a cancer diagnosis are the most daunting of all. While the NHS provides excellent cancer care, private treatment can offer access to newer drugs, targeted therapies, or different oncologists. Self-funding this is beyond the reach of all but the very wealthy.
These figures illustrate why comprehensive cancer cover is one of the most valuable components of any private medical insurance UK policy.
Let's imagine a scenario to make these numbers tangible.
Meet Sarah, a 42-year-old marketing manager who enjoys playing netball. During a match, she twists her knee badly.
NHS Route: Her GP refers her to an NHS musculoskeletal service. The waiting list for an initial assessment is 12 weeks, and the list for a subsequent MRI is a further 8 weeks. The waiting list for surgery, if needed, is estimated at 40 weeks. Sarah can't afford to be in pain and immobile for nearly a year.
Self-Pay Route: Sarah decides to pay for private treatment.
Total Self-Pay Cost for Sarah: £9,850
This single injury, a common occurrence, results in a bill equivalent to a new car deposit or a family's life savings. With private medical insurance, her outlay would have been limited to her chosen excess—perhaps just £250.
Private Medical Insurance is a policy you pay for—usually via a monthly or annual premium—that covers the cost of private medical treatment for acute conditions that arise after you take out the policy.
This is the most critical point to understand about PMI in the UK.
A good PMI broker, like WeCovr, can help you navigate these definitions and find a policy with underwriting that best suits your personal medical history.
The cost of a PMI policy is far more manageable than a self-pay medical bill. Premiums are tailored to you and depend on several factors:
Here’s a table with sample monthly premiums to give you an idea.
| Age Group | Basic Cover (In-patient only, £500 excess) | Mid-Range Cover (Out-patient diagnostics, £250 excess) | Comprehensive Cover (Full out-patient, therapies, £100 excess) |
|---|---|---|---|
| 30-year-old | £35 - £50 | £55 - £75 | £80 - £110 |
| 40-year-old | £45 - £60 | £70 - £95 | £100 - £140 |
| 50-year-old | £60 - £85 | £90 - £130 | £140 - £200 |
| 60-year-old | £90 - £130 | £140 - £200 | £200 - £300+ |
Disclaimer: These are illustrative estimates for a non-smoker in good health. Your actual quote will vary.
When you compare a monthly premium of, say, £80 to a potential one-off bill of £14,000 for a knee replacement, the value of private medical insurance becomes crystal clear.
Today's best PMI providers offer far more than just paying for hospital bills. A modern policy is a complete health and wellness partner. The benefits often include:
At WeCovr, we go a step further. All our PMI and Life Insurance clients receive complimentary access to our AI-powered calorie and nutrition tracking app, CalorieHero, to help them stay on top of their health goals. Furthermore, clients who purchase PMI or life cover with us are eligible for exclusive discounts on other insurance products, providing even greater value.
Navigating the private medical insurance UK market can be complex. With dozens of providers, policies, and options, how do you find the right one? This is where an independent, expert broker is invaluable.
Using a broker like WeCovr offers several key advantages:
With consistently high customer satisfaction ratings, WeCovr is committed to finding you the best possible protection.
The costs of paying for private healthcare yourself are immense and unpredictable. A single diagnosis or injury could have a devastating impact on your financial stability.
Private medical insurance offers a smart, affordable, and predictable way to ensure you can access first-class medical care exactly when you need it, without the financial worry.
Contact WeCovr today for a free, no-obligation quote. Our expert advisors will compare the UK's leading insurers to find the perfect cover for you and your family.






