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Cost guide

How much does electrical cardioversion cost privately in the UK? (2026)

A private electrical cardioversion uses a controlled shock under brief sedation or anaesthetic to restore normal rhythm in atrial fibrillation or flutter, after anticoagulation has been arranged. Published hospital guide prices we retrieved range from £1,920 (see the table below). The guide explains where the money goes, what to confirm before you agree a price, and what the NHS pathway looks like by comparison.

Last checked: 2026-10-03 · Guide prices as published by the providers in October 2026

Key facts

At a glance.

  • Typical setting

    Day-case procedure with brief sedation, performed in a monitored setting.

  • Published guide prices

    £1,920 across 1 price entry from 1 provider listing, October 2026. Your own quote may differ.

  • Biggest price driver

    Sedation versus general anaesthetic: an anaesthetist is needed and affects the fee.

  • Commonly charged extra

    Transoesophageal echo; Anticoagulant medicines.

  • NHS comparison

    NHS cardioversion is available through cardiology, with planned lists and urgent options in unstable cases.

  • Time off and recovery

    You rest for some hours, may have mild skin soreness from the pads, and are advised not to drive until you are fully recovered from sedation.

What private electrical cardioversion costs in the UK

A private electrical cardioversion uses a controlled shock under brief sedation or anaesthetic to restore normal rhythm in atrial fibrillation or flutter, after anticoagulation has been arranged.

Several UK hospital groups publish guide prices on their websites. In the listings we retrieved, electrical cardioversion ran from £1,920, depending on the hospital, the variant listed and what that provider counts in its price. The table shows each entry as published.

Because each provider defines its package differently, the cheapest figure in a list is not automatically the best value. Compare what each includes before you compare totals.

Guide prices as published by providers (October 2026).
Provider listingItem as pricedGuide price
Ramsay DuchyCardioversion£1,920

What to expect with electrical cardioversion

You fast beforehand, are given sedation or a brief anaesthetic and monitored while pads on the chest deliver a timed shock. You wake within minutes, and the rhythm is checked on an ECG.

It is important to continue anticoagulants as directed afterwards, usually for at least several weeks. Ask what follow-up appointments are included in the quote.

Anticoagulation comes first

People with atrial fibrillation lasting more than a short time need blood-thinning treatment for several weeks before cardioversion, or a scan to exclude a clot, because restoring rhythm can dislodge clots and cause stroke. Blood thinners then continue for at least some weeks afterwards.

Rhythm control may need to be repeated or supported with medicines, and ablation is an alternative for people whose AF keeps returning. A cardiologist can explain which option suits you.

What drives the price of electrical cardioversion

The headline figure hides several moving parts. In the case of electrical cardioversion, the following tend to decide where a quote lands.

  • Sedation versus general anaesthetic: an anaesthetist is needed and affects the fee.

  • Pre-procedure preparation: weeks of anticoagulation or a transoesophageal echo to exclude clots before the shock.

  • Provider: Duchy lists cardioversion at a defined price among its cardiology items.

  • Repeat procedures: recurrence of AF may mean repeat cardioversion or ablation.

  • Consultant and monitoring fees.

What a electrical cardioversion quote usually includes and excludes

A fixed price is only as useful as its small print. Here is how the common items tend to divide between included and extra.

Typical inclusions and extras. Confirm each line with the provider.
ItemUsuallyWhat to check
The cardioversion procedureIncludedConfirm sedation is included
Monitoring and recoveryIncludedDay-case observation
Initial rhythm checkIncludedECG
Transoesophageal echoOften extraIf used to exclude clots
Anticoagulant medicinesOften extraPrescribed separately
Consultant consultationOften extraPre-assessment

Self-pay, insurance and finance for electrical cardioversion

Insurers usually cover cardioversion on cardiologist request, including any pre-procedure echo, subject to authorisation.

Insured patients should confirm the benefit limit, the excess and whether the consultant is on the insurer list. Self-funders can compare a fixed package price against an itemised estimate, and ask whether credit is available.

Electrical cardioversion: how the NHS route compares

NHS cardioversion is available through cardiology, with planned lists and urgent options in unstable cases.

If you are weighing private against NHS care, remember that NHS referral gives you a right to choose a provider in England and an 18-week standard for non-urgent treatment. Check current waits in your area before deciding.

Recovery, time off and aftercare costs

You rest for some hours, may have mild skin soreness from the pads, and are advised not to drive until you are fully recovered from sedation.

Risks and complications that can change the bill

Ask your provider to explain, in writing if possible, what is covered if the course of care changes.

  • Cardioversion may not hold, and AF can return, so you may need repeat procedures or medication changes, adding cost.

  • Stroke risk is managed with anticoagulants beforehand, and any sudden weakness, speech or vision changes need 999.

How to compare electrical cardioversion quotes

Ask each provider for an itemised written estimate, then put them side by side. These questions are specific to this procedure.

  • Does the price include sedation and the anaesthetist?

  • Is a pre-procedure echo included?

  • What follow-up is included?

  • What options exist if AF returns?

  • Is the consultant fee, anaesthetist fee and hospital fee shown separately, and are any of them estimated rather than fixed?

Frequently asked

Questions people ask.

Quick, plain-English answers to the questions we hear most.

  • Does cardioversion cure AF?

    It restores rhythm, but AF can recur.

  • Do I need blood thinners?

    Yes, before and after, as advised.

  • Is it painful?

    You are sedated and do not feel the shock.

  • Can I eat before?

    You are asked to fast.

  • How is it different from ablation?

    Ablation treats the source of AF with catheters, while cardioversion resets the rhythm.

  • Is the quoted price for electrical cardioversion fixed?

    It depends on the provider. A package price usually covers a set list of items, while an estimate can move if your needs differ from the plan. Get the basis of the quote in writing for electrical cardioversion.

  • Does private medical insurance usually pay for electrical cardioversion?

    Many policies cover medically necessary care, though pre-existing conditions and benefit limits can apply. Ask your insurer to confirm in writing before treatment, including consultant fee limits.

  • Can I spread the cost of electrical cardioversion?

    Yes, often through a hospital finance partner, though approval is not guaranteed and interest may apply. Ask for the representative APR and the total amount payable.

Where this comes from

Sources and checking.

This guide is for information, not medical advice.

Your GP or consultant knows your history and can tell you which parts apply to you. If your symptoms are severe, rapidly worsening, or come with red-flag features, seek urgent medical care. Figures and availability change, so treat them as a guide and confirm with the provider.

Published 2026-10-03, next review 2027-10-03.

  • Ramsay Health Care Duchy Hospital price list (ramsayhealth.co.uk), retrieved Oct 2026

  • Private Healthcare Information Network (PHIN), phin.org.uk: independent publisher of private healthcare cost, quality and consultant-fee information, retrieved Oct 2026

  • NHS website: guide to NHS waiting times in England (nhs.uk), covering the 18-week standard and the right to choose a provider, retrieved Oct 2026