
Waiting for joint replacement surgery on the NHS can be a long and painful experience. For many, the prospect of months or even years of limited mobility is a powerful incentive to explore the private sector. At WeCovr, an FCA-authorised private medical insurance broker that has helped arrange over 900,000 policies, we guide clients through their options daily. This guide provides a detailed look at the costs and process of self-funding a private hip or knee replacement in the UK for 2026.
The primary driver for seeking private treatment is speed. While the NHS provides excellent care, waiting lists for routine orthopaedic surgery can exceed 18 weeks in many areas, with some patients waiting much longer. Paying for the procedure yourself—known as "self-pay"—allows you to bypass these queues and choose your surgeon, hospital, and surgery date, often getting treatment within a matter of weeks.
In 2026, the cost of a private hip or knee replacement in the UK typically ranges from £12,000 to over £20,000. This variation depends heavily on the hospital, the surgeon's experience, the type of implant used, and your geographical location.
Most private hospitals offer a "fixed-price package," which provides clarity and financial peace of mind. This single figure usually covers the main components of your treatment journey.
Here is a summary of the estimated self-pay costs for 2026.
| Procedure | Estimated Lower End Cost | Estimated Higher End Cost (e.g., London) | Average UK Cost |
|---|---|---|---|
| Total Hip Replacement | £12,500 | £18,500 | £15,000 |
| Total Knee Replacement | £13,000 | £20,000+ | £16,000 |
| Partial Knee Replacement | £11,500 | £17,000 | £14,500 |
Disclaimer: These 2026 prices are estimates based on current 2024 market rates and an assumed annual healthcare inflation rate of 5-8%. Final quotes will be provided by the hospital after your consultation.
While the cost is significant, a growing number of people feel the benefits of going private outweigh the financial outlay. The decision is usually driven by a combination of factors.
Understanding what you are paying for is essential. While "fixed-price packages" are common, it's crucial to know what's included and what might be an additional expense.
A typical self-pay package for hip or knee replacement will include:
Be sure to clarify these points with your chosen hospital before committing.
| Potential Extra Cost | Typical Price Range | Description |
|---|---|---|
| Initial Consultation | £200 - £350 | The first appointment with the consultant surgeon to assess your case. |
| Pre-operative Diagnostics | £300 - £1,500+ | Scans like MRI or X-rays needed before the hospital can confirm you are a candidate for surgery. |
| Extended Hospital Stay | £400 - £800 per night | If you need to stay in hospital longer than the standard package allows due to a slow recovery or minor complication. |
| Outpatient Physiotherapy | £50 - £90 per session | Most packages only include in-patient physio. You will likely need a course of outpatient sessions for several weeks or months. |
| Take-Home Medication | £20 - £100+ | The cost of painkillers and other prescribed drugs for your recovery at home. |
| Revision Surgery | Full cost | If complications arise after the initial 'guarantee' period (often 30-90 days), any further surgery is not typically included. |
A total hip replacement (arthroplasty) is one of the most successful operations in modern medicine. The cost varies based on several factors, including the type of implant and the surgical approach.
Real-Life Scenario: David, a 68-year-old retired teacher from Birmingham, is quoted £14,800 for a total hip replacement at a Spire hospital. This includes a standard cemented implant and a two-night stay. A similar procedure at a premium hospital in Central London could be closer to £18,000.
| Hospital Group / Location | Type of Surgery | Estimated 2026 Package Price |
|---|---|---|
| Nuffield Health (Regional) | Total Hip Replacement | £13,500 - £15,500 |
| Circle Health Group (Regional) | Total Hip Replacement | £14,000 - £16,000 |
| Spire Healthcare (Regional) | Total Hip Replacement | £14,500 - £16,500 |
| HCA Healthcare (London) | Total Hip Replacement | £16,500 - £18,500+ |
| Robotic-Assisted (Mako) | Total Hip Replacement | £17,000 - £21,000+ |
Knee replacement surgery can be total (replacing the entire joint) or partial (unicompartmental), which can influence the cost. Robotic-assisted surgery, such as with the Mako system, offers greater precision but comes at a premium.
Real-Life Scenario: Susan, a 62-year-old marketing manager from Surrey, requires a total knee replacement. She is quoted £16,200 at her local Nuffield Health hospital. However, she opts for a Mako robotic-assisted procedure with a leading surgeon in London, and her final package price is £19,500.
| Hospital Group / Location | Type of Surgery | Estimated 2026 Package Price |
|---|---|---|
| Nuffield Health (Regional) | Total Knee Replacement | £14,000 - £16,500 |
| Circle Health Group (Regional) | Partial Knee Replacement | £12,500 - £15,000 |
| Spire Healthcare (London) | Total Knee Replacement | £16,000 - £18,000 |
| HCA Healthcare (London) | Total Knee Replacement | £17,000 - £20,000+ |
| Robotic-Assisted (Mako) | Total Knee Replacement | £18,000 - £22,000+ |
This is a question our advisers at WeCovr handle every day. The answer depends entirely on your personal circumstances, specifically whether your joint condition is new or pre-existing.
UK private medical insurance (PMI) is designed to cover acute conditions that arise after you take out your policy.
It does not cover chronic conditions (like osteoarthritis that has developed over many years) or any pre-existing conditions you had before your policy began. If you are already experiencing joint pain or have been diagnosed with arthritis, a new PMI policy will not pay for your hip or knee replacement.
For those planning for the future, a comprehensive PMI policy is an excellent way to ensure you can access private treatment for a wide range of future health concerns, not just orthopaedics.
Here’s a comparison to help you decide:
| Feature | Self-Pay Route | Private Medical Insurance (PMI) |
|---|---|---|
| Primary Use | To fix a current, known problem (pre-existing). | To protect against future, unknown acute conditions. |
| Cost Structure | Large one-off payment (£12k - £20k+). | Affordable monthly premiums. |
| Financial Risk | You bear the full cost of any complications. | The insurer covers costs up to your policy limits. |
| Coverage | Limited to the specific procedure you pay for. | Covers a broad range of diagnostics, treatments, and therapies. |
| Best For | Someone with an existing condition needing fast treatment. | Someone wanting peace of mind and fast access for future health issues. |
This is the most common question we face. Let's be direct.
If you already have joint pain or a diagnosis: No, a new private medical insurance policy will not cover your surgery. The condition is "pre-existing" and will be excluded. Your only private option is to self-fund the operation.
If you are healthy and planning for the future: Yes, this is exactly what PMI is for. By taking out a policy now, you ensure that if you need a hip or knee replacement in the future for a condition that develops after your policy starts, the costs will be covered.
An expert WeCovr adviser can help you understand the nuances of underwriting and find a policy that provides robust long-term protection. We help you compare the best PMI providers in the UK to secure cover that fits your needs and budget, giving you peace of mind for the years ahead. We can also provide discounts on other insurance products if you take out a PMI or Life Insurance policy with us.
As a WeCovr client, you also get complimentary access to our AI-powered calorie and nutrition tracking app, CalorieHero, to support your health and wellness journey.
If self-funding is your chosen path, the process is straightforward:
Whether you are ready to explore self-funding or want to plan for the future with private medical insurance, understanding your options is the first step. The cost of private surgery is significant, but for many, the value of a pain-free, active life is priceless.
If you're considering private medical insurance to protect yourself against future health concerns, speak to an expert. Our friendly advisers at WeCovr can provide a free, no-obligation comparison of the UK's leading insurers to find the perfect cover for you.
Contact WeCovr today to secure your health and peace of mind.






