Fees for consultations and common procedures at Spire Hospital

Missed appointments and late cancellations – click here for policy

Self Funding Patients

Olivia accepts patients who wish to fund their own care with out the need for a GP referral. If you will be paying for your care yourself (as opposed to through a Private Medical Insurance company), Olivia charges the following standard consultation fees whether the appointment is face to face or virtual:

New appointment (30 minutes approx) £250
Follow up appointment (20 minutes approx) £175

If you are not currently insured, there is little point in taking out a policy just before you are seen as most insurers will not cover you for pre-existing conditions and therefore you will not be covered by the policy for your current problem.

Insured Patients

Olivia is registered with the following Medical Insurance companies and you won’t be charged additional costs for appointments or procedures (unless you have an excess to pay with your policy):

AXA PPP / CS Healthcare / Simply health / WPA / The Exeter

Olivia has had to discontinue working to the fee schedules set by the following Private Medical Insurance Companies:

Vitality Pru Health / Aviva / BUPA / Beneden

These insurers pay their surgeons and anaesthetists very significantly reduced fees compared to other medical insurance providers, which can be up to 67% less for some procedures and have not increased their fees in the last 15 years. They have not been willing to renegotiate their fees. It is therefore no longer viable to continue working with these insurers based on their fee schedules. You may be permitted by your insurer, to make up the difference, by paying this directly to Olivia. Please discuss this with Gemma before your appointment.

If you are insured with any another company, Olivia can register with them in order for you to make use of your insurance policy. Please contact Gemma before booking an appointment.

Please note that from 31st December 2023, Cigna will no longer be servicing any UK Employer Health Medical products business.


Some minor investigations or procedures can be carried out in the clinic or minor operations room and will incur a charge (if not covered by insurance), in addition to the consultation fee. Any additional charges will be explained before carrying them out.

Please note that additional fees will be charged by the hospital for all investigations and tests. If you require a private (non-NHS) prescription, these also incur a charge by the pharmacy as well as the cost of the medication itself.

Listed below are some approximate charges for investigations that you may require as charged by Spire Healthcare. These charges may be subject to change by Spire and are provided to you as a rough guide. If you wish to know exact costs these can be requested from Customer Services at Spire Healthcare.


  • Ultrasound Scan: transabdominal only £320, transabdominal and transvaginal £419
  • MRI: Pelvis £770; Abdomen £510
  • CT: Abdomen and pelvis (two areas) £1174 with contrast £99
  • CT: Chest, abdomen and pelvis (three areas) £1507
  • Chest Xray £129
  • Abdominal Xray £129
  • Pelvic Xray £129

DEXA bone scan is no longer available at Spire

All blood tests are subject to an additional phlebotomy service charge by Spire of £20

Blood tests for Secondary Amenorrhoea (periods stopping)

  • FSH £65
  • LH £65
  • SHBG £64
  • Testosterone £54
  • FAI – free androgen index £120
  • Prolactin £65
  • TFT – TSH £90 (and if abnormal FT4 £49 FT3 £50 and Thyroid antibodies £55)
  • HbA1c £49
  • Additional tests may be required:
  • 17 Alpha hydroxyl progesterone £52
  • DHEAS £78

Blood tests for Recurrent miscarriages:

  • Lupus anticoagulant £122
  • Anticardiolpin Antibodies £57
  • Anti Beta2 glycoprotein1 antibodies £63
  • Ultrasound scan as above (unless previous scan outside of pregnancy already available)
  • Thyroid profile £90 (TSH and FT4) if symptoms of thyroid dysfunction
  • Chromosome Studies £447

if previous second trimester losses:

  • Thrombophilia screen £343

Tests for Infertility:

  • Menopause Profile (FSH, LH, Testosterone, SHBG, FAI, Oestradiol, Prolactin) £175
  • (DHEAS, 17 alpha hydroxyl progesterone as above)
  • Progesterone £65
  • Semen analysis £73
  • HSG (Hysterosalpingogram – tubal patency test) £440 OR
  • Laparoscopy and Dye Hydrotubation operation £2,865
  • HIV 1&2 £62
  • Hepatitis B antibodies £63

Tumour markers (blood tests for cysts):

  • CA125 £90
  • LDH £36
  • Alpha fetoprotein £57
  • Beta HCG £55 – may also be done in early pregnancy
  • CA19.9 £59 – if suspicion of cancer in the upper abdomen
  • CEA £65 – if suspicion of cancer of the bowel

Other blood tests that may be needed

  • FBC £65
  • U&E £75
  • LFT £71
  • CRP £49
  • Ferritin £55
  • Serum Folate £48 and vitamin B12 £20
  • Vitamin D £112
  • HbA1c £49
  • Lipid Profile £58
  • Sickle cell screen £40

Tests for infections:

  • Chlamydia swab – £94
  • Gonorrhoea £86
  • High Vaginal Swab – for infections such as thrush and BV £66
  • Wound Swab £54
  • Urine infections £52
  • CMV £51
  • EBV £76
  • Toxoplasma IgG £62 & IgM £53
  • HSV Herpes Simplex £47

Other commonly performed tests or treatments in the clinic appointment 

  • Height and weight measurements:£26
  • Pregnancy Test (urine) £33
  • Urine test (dipstick) £33
  • Fecal Calprotectin (test to screen for Inflammatory Bowel Disease) £68

Minor procedures in clinic (Hospital fee + consultant fee)

  • Primary HPV test {was cervical (Pap) Smear} £100 – most insurers will not cover the cost of a smear – please be aware there is a small possibility that at smear will not yield a result {inadequate cells collected} and will need to be repeated if this happens
  • Pipelle endometrial biopsy £565
  • Cervical Polypectomy (removal of polyp from cervix) £164 + £143
  • Insertion of Vaginal Support Pessary (for prolapse) £42 + £91

Minor Procedures carried out in Outpatient Minor Ops room (Hospital fee + consultant fee)

  • Vulval or Vaginal biopsy £610 + £175
  • Insertion of Mirena/Contraceptive Coil £200 + £175
  • Insertion of Copper IUCD £50 + £175
  • Removal of IUS/IUCD £42

Common Operations

The fees quoted are estimates only. Please call 01162720888 for a full all inclusive quotation.

  • Hysteroscopy and biopsy +/- insertion Mirena IUS (£2890)
  • Hysteroscopic therapeutic procedures eg to remove polyps (Myosure) +/- Mirena IUS Insertion or Endometrial Ablation (£4442)
  • Diagnostic Laparoscopy and minor treatment (£4263)
  • Therapeutic Laparoscopy (eg cystectomy, adhesiolysis, tubal surgery) (£4802)
  • Laparoscopic sterilisation (£3300)
  • Open Ovarian cystectomy (£6118)
  • Open Total abdominal hysterectomy and removal of tubes +/- ovaries (£8119)
  • Vaginal hysterectomy for prolapse (£8109)
  • Vaginal hysterectomy and vaginal repair for prolapse (£8855)
  • Vaginal repair for prolapse (£7442)

If you think you need a different operation, contact Gemma or Spire Customer Services for advice on 01162720888