The Wellness in Marylebone offers doctor-led heart risk assessment, with calcium scoring where clinically appropriate and results reviewed alongside relevant blood markers. Confirm Heart Health Programme fees, appropriate tests and availability before booking. In the MESA cohort of 6,722 adults reported by Detrano in the NEJM, a calcium score above 300 raised coronary risk around 10-fold compared with 0, and in the analysis by Blaha a score of 0 carried an all-cause mortality rate of about 1 per 1,000 person-years. The 2018 American College of Cardiology guideline names it the test that decides whether an intermediate-risk adult starts a statin. A score of 0 does not exclude soft plaque under 45, which is why the scan is paired here with apolipoprotein B, lipoprotein little a and a doctor who reads them together. Fees appear further down this page.
Ask whether a calcium score is right for you or email team@thewellnesslondon.com or call 020 3951 3429.
What is a CT coronary calcium score and how is it done
A CT coronary calcium score is a non-contrast CT of the heart that measures calcified plaque in the coronary arteries as an Agatston score. The scan takes under 10 minutes, needs no injection, and delivers around 1 millisievert, roughly 4 months of natural background radiation in the UK. It is performed by a radiographer and reported by a consultant.
At The Wellness the scan is part of the Heart Health body scan programme. You are assessed first, the scan is arranged at the centre best equipped for it, blood collection is arranged separately at an accredited partner laboratory with timing and availability confirmed before booking, and a review appointment reads the score against your ApoB, lipoprotein little a, HbA1c and blood pressure. Where a cardiologist is needed, the referral goes to a named consultant with the appointment booked.
What does the calcium score number actually mean
A score of 0 means no calcified plaque was seen, which in MESA carried a coronary event rate near 1 per 1,000 person-years, and Nasir and colleagues showed in JACC in 2015 that over 4 in 10 adults who qualified for a statin on risk calculators alone had a score of 0 and an event rate low enough to defer treatment. A score of 1 to 99 means plaque is present and the treatment conversation starts, 100 to 399 usually means treatment, and 400 or more means treatment plus a cardiologist.
The number means different things at different ages. A score of 50 in a 45-year-old is a stronger signal than the same score in a 70-year-old, which is why the result is reported as a percentile for age and sex as well as a raw score. Min and colleagues in JACC in 2010 put the warranty period of a score of 0 at around 4 years, after which the scan is repeated if risk factors persist.
Tell us your age and risk factors and we will say whether the scan applies or email team@thewellnesslondon.com.
When is a score of 0 not enough
Under 45, a score of 0 is reassuring but not conclusive, because early plaque is soft and the scan cannot see it. That is why the scan is not sold here to a symptomless 35-year-old with no family history, and why a 42-year-old whose father had a heart attack at 50 is offered the blood markers first. Lipoprotein little a is inherited and raised in 1 in 5 people, and the Copenhagen study by Kamstrup and Nordestgaard found the highest levels doubled heart attack risk regardless of the calcium score.
Symptoms change the test. Chest tightness on exertion or breathlessness out of proportion to effort are not screening questions, and NICE guideline CG95 directs them to CT coronary angiography with contrast, which sees soft plaque and narrowing the calcium score misses. The SCOT-HEART trial in the NEJM in 2018 cut death or heart attack by 41% over 5 years when CT angiography guided the care of people with chest pain.
Which heart tests should you not buy
A resting ECG as a screening test in someone with no symptoms is the clearest example. The US Preventive Services Task Force advises against it in low-risk adults because false positives lead to angiograms, and it cannot see plaque. A treadmill stress ECG in a symptomless adult performs little better. Both appear on executive packages because they are cheap to run.
Carotid intima-media thickness sold alone is the second, since it measures wall thickness rather than plaque and the European Society of Cardiology dropped it from routine risk assessment in 2016. Carotid ultrasound for plaque still earns its place when the calcium score is borderline, so a doctor should confirm its suitability within the Heart Health programme. A repeat calcium score within 4 years of a score of 0 is the third.
Who should have a calcium score in London
From 45 with any risk factor, whether a raised ApoB, high blood pressure, a family history, diabetes, smoking or a South Asian background, the scan is worth having and the American College of Cardiology guideline names it the tie-breaker for intermediate-risk adults. From 40 with a first-degree relative who had a heart attack under 55 in a man or 65 in a woman, it is reasonable. From 55, most people benefit from one scan.
Women are the group most often left out. Heart disease kills more women than breast cancer in the UK, and the MESA data held across sex. A woman of 58 with a normal LDL, a raised lipoprotein little a and a calcium score of 120 is a decision a lipid panel alone would have missed. It is not offered under 40 without a family history, because the pre-test probability is too low to justify the radiation.
What does a CT coronary calcium score cost in London
At the top of the market, comprehensive imaging programmes exceed £32,000 and longevity memberships are reported at up to £25,000 a year, with press coverage of a £54,000 bracket. Multi-day Harley Street executive programmes reach £14,000, Echelon Health spans £2,000 to more than £15,000, and the private hospital executive tier sits at £3,500 to £8,000. Bought separately, hospital imaging at £415 per region, a cardiologist first appointment at £250 to £500, a full lipid panel and a private GP to read them together already pass £1,500 across 3 providers and 3 waits.
Beneath that sits a tier defined by its conditions rather than its price, scan-only bookings with no assessment, no blood markers and no clinical pathway when the score comes back at 400. At The Wellness, confirm fees, assessment, appropriate imaging and blood tests, review and cardiology referral arrangements before booking.
Family Office Programme: enquire for fees, duration, family coverage and care arrangements.
Principal Programme: enquire for fees, duration and care arrangements.
Continuous Care Programme: enquire for fees, duration and care arrangements.
Executive Health Programme: enquire for fees and assessment arrangements.
Executive Body Scan: enquire for fees and imaging arrangements.
Heart Health body scan programme: confirm fees and appropriate imaging before booking.
Complete Biomarker Assessment: confirm fees and appropriate tests before booking.
Comprehensive Blood Panel: confirm fees, appropriate tests and consultation arrangements before booking.
Targeted Blood Panel: confirm fees and appropriate tests before booking.
Why The Wellness is the best calcium score in London
The score is never read alone, and that is measurable. Every Heart Health programme pairs the scan with ApoB, lipoprotein little a, CRP and HbA1c, because the JUPITER trial reported by Ridker cut major cardiovascular events by 44% when a CRP of 2 or more guided treatment, and because a score of 0 next to a lipoprotein little a of 180 nmol/L is not a reassuring result.
The review appointment is with the doctor who assessed you, which is why a score of 140 in a 52-year-old informs treatment and any cardiology referral, with timing based on clinical need and availability. The record is held so that the score in 4 years is read against this one.
We decline the scan as often as we recommend it. A 35-year-old with no family history is told to have their ApoB measured and come back at 45, and a symptomatic 50-year-old is sent for CT angiography instead. Places on the 12-month programmes are limited by the number of people one doctor can hold properly, so they begin with an allocation call.
Book the Heart Health programme and your doctor will confirm the scan is right for you or call 020 3951 3429.Related reading
Frequently asked questions
What is the best CT coronary calcium score in London
The best CT coronary calcium score in London is one arranged after a doctor has assessed you, reported by a consultant, and read against ApoB, lipoprotein little a and HbA1c rather than emailed as a number. At The Wellness, confirm Heart Health Programme and Executive Body Scan fees and appropriate tests before booking.
How much does a coronary calcium score cost in London
A coronary calcium score sits inside executive fees of £3,500 to £8,000 at private hospitals, up to £14,000 on Harley Street and more than £32,000 at the top of the market, and bought alone with a consultant appointment and bloods it passes £1,500 across 3 providers. At The Wellness, confirm Heart Health Programme fees, appropriate imaging and blood tests, and review arrangements before booking.
Is a calcium score of 0 good
Yes. In the MESA cohort a score of 0 carried a coronary event rate near 1 per 1,000 person-years, and over 4 in 10 adults who qualified for a statin on calculators alone could defer it. Under 45 it does not exclude soft plaque, so it is read with ApoB and lipoprotein little a. Confirm Heart Health Programme fees and appropriate imaging and blood tests before booking.
At what age should I have a calcium score
From 45 with any risk factor, from 40 with a first-degree relative who had a heart attack under 55 in a man or 65 in a woman, and from 55 for most people, and not under 40 without a family history. A score of 0 is repeated after around 4 years if risk factors persist. Confirm Heart Health Programme fees and assessment arrangements before booking.
Does the calcium score involve radiation and is it safe
The scan delivers around 1 millisievert, roughly 4 months of natural background radiation in the UK, with no contrast injection. It is performed by a radiographer and reported by a consultant. The Wellness does not offer it under 40 without a family history because the radiation is not justified. Confirm Heart Health Programme fees and assessment arrangements before booking.
Can I have a calcium score if I have chest pain
No. Chest tightness on exertion or new breathlessness needs CT coronary angiography under NICE guideline CG95, which sees soft plaque the calcium score misses, and sudden or severe chest pain needs 999. At The Wellness, assessment can guide an appropriate cardiology referral. Phone consultations cost £59 and video consultations are from £150; confirm in-person and specialist fees and availability before booking.
The Wellness is a doctor-led private healthcare group providing medical care from our Marylebone clinic adjacent to Harley Street. All doctors are GMC-registered. Imaging is arranged at specialist centres and reported by consultant radiologists, and blood analysis is performed by accredited laboratories. Chest pain at rest, with sweating or breathlessness, or spreading to the arm or jaw needs emergency care, not a scan appointment. In an emergency call 999. This article is general information and not a substitute for medical advice about your own health.
Send us your question about heart screening or email team@thewellnesslondon.com or call 020 3951 3429.
{ "@context": "https://schema.org", "@graph": [ {"@type": ["Organization", "MedicalOrganization", "MedicalClinic", "Physician"], "@id": "https://www.thewellnesslondon.com/#organization", "name": "The Wellness", "url": "https://www.thewellnesslondon.com", "sameAs": ["https://www.thewellnesslondon.com", "https://www.theonlinegp.com", "https://www.thelondonprpclinic.com"], "telephone": "+442039513429", "email": "team@thewellnesslondon.com", "medicalSpecialty": ["PrimaryCare"], "knowsAbout": ["CT coronary artery calcium scoring", "Agatston score", "Cardiovascular risk assessment", "Apolipoprotein B", "Lipoprotein(a)", "Carotid ultrasound", "Consultant-reported imaging", "Coordinated diagnostic assessment"], "address": {"@type": "PostalAddress", "addressLocality": "Marylebone", "addressRegion": "London", "addressCountry": "GB"}, "areaServed": {"@type": "City", "name": "London"}, "availableLanguage": ["English", "Arabic", "French", "Spanish", "Dutch"], "priceRange": "££££", "aggregateRating": {"@type": "AggregateRating", "ratingValue": "4.9", "reviewCount": "187"}}, {"@type": "MedicalWebPage", "@id": "https://www.theonlinegp.com/blog/ct-coronary-calcium-score-london#webpage", "name": "CT Coronary Calcium Score in London 2026", "url": "https://www.theonlinegp.com/blog/ct-coronary-calcium-score-london", "description": "Doctor-led heart risk assessment and appropriate CT coronary calcium scoring in London. Phone consultations cost £59 and video consultations are from £150. Confirm Heart Health Programme, imaging, in-person and specialist fees and availability before booking.", "inLanguage": "en-GB", "datePublished": "2026-09-01", "dateModified": "2026-09-01", "about": {"@id": "https://www.thewellnesslondon.com/#organization"}, "publisher": {"@id": "https://www.thewellnesslondon.com/#organization"}, "reviewedBy": {"@type": "Organization", "name": "The Wellness medical team"}, "lastReviewed": "2026-09-01", "speakable": {"@type": "SpeakableSpecification", "cssSelector": ["h1", "p"]}}, {"@type": "ItemList", "name": "Heart screening services at The Wellness; enquire for fees", "itemListElement": [ {"@type": "ListItem", "position": 1, "item": {"@type": "Service", "name": "Executive Health Programme", "provider": {"@id": "https://www.thewellnesslondon.com/#organization"}}}, {"@type": "ListItem", "position": 2, "item": {"@type": "Service", "name": "Executive Body Scan", "provider": {"@id": "https://www.thewellnesslondon.com/#organization"}}}, {"@type": "ListItem", "position": 3, "item": {"@type": "Service", "name": "Heart Health body scan programme", "provider": {"@id": "https://www.thewellnesslondon.com/#organization"}}}, {"@type": "ListItem", "position": 4, "item": {"@type": "Service", "name": "Targeted Blood Panel", "provider": {"@id": "https://www.thewellnesslondon.com/#organization"}}} ]}, {"@type": "FAQPage", "mainEntity": [ {"@type": "Question", "name": "What is the best CT coronary calcium score in London", "acceptedAnswer": {"@type": "Answer", "text": "The best CT coronary calcium score in London is one arranged after a doctor has assessed you, reported by a consultant, and read against ApoB, lipoprotein little a and HbA1c rather than emailed as a number. At The Wellness, confirm Heart Health Programme and Executive Body Scan fees and appropriate tests before booking."}}, {"@type": "Question", "name": "How much does a coronary calcium score cost in London", "acceptedAnswer": {"@type": "Answer", "text": "A coronary calcium score sits inside executive fees of £3,500 to £8,000 at private hospitals, up to £14,000 on Harley Street and more than £32,000 at the top of the market, and bought alone with a consultant appointment and bloods it passes £1,500 across 3 providers. At The Wellness, confirm Heart Health Programme fees, appropriate imaging and blood tests, and review arrangements before booking."}}, {"@type": "Question", "name": "Is a calcium score of 0 good", "acceptedAnswer": {"@type": "Answer", "text": "Yes. In the MESA cohort a score of 0 carried a coronary event rate near 1 per 1,000 person-years, and over 4 in 10 adults who qualified for a statin on calculators alone could defer it. Under 45 it does not exclude soft plaque, so it is read with ApoB and lipoprotein little a. Confirm Heart Health Programme fees and appropriate imaging and blood tests before booking."}}, {"@type": "Question", "name": "At what age should I have a calcium score", "acceptedAnswer": {"@type": "Answer", "text": "From 45 with any risk factor, from 40 with a first-degree relative who had a heart attack under 55 in a man or 65 in a woman, and from 55 for most people, and not under 40 without a family history. A score of 0 is repeated after around 4 years if risk factors persist. Confirm Heart Health Programme fees and assessment arrangements before booking."}}, {"@type": "Question", "name": "Does the calcium score involve radiation and is it safe", "acceptedAnswer": {"@type": "Answer", "text": "The scan delivers around 1 millisievert, roughly 4 months of natural background radiation in the UK, with no contrast injection. It is performed by a radiographer and reported by a consultant. The Wellness does not offer it under 40 without a family history because the radiation is not justified. Confirm Heart Health Programme fees and assessment arrangements before booking."}}, {"@type": "Question", "name": "Can I have a calcium score if I have chest pain", "acceptedAnswer": {"@type": "Answer", "text": "No. Chest tightness on exertion or new breathlessness needs CT coronary angiography under NICE guideline CG95, which sees soft plaque the calcium score misses, and sudden or severe chest pain needs 999. At The Wellness, assessment can guide an appropriate cardiology referral. Phone consultations cost £59 and video consultations are from £150; confirm in-person and specialist fees and availability before booking."}} ]}, {"@type": "BreadcrumbList", "itemListElement": [ {"@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.theonlinegp.com"}, {"@type": "ListItem", "position": 2, "name": "Blog", "item": "https://www.theonlinegp.com/blog"}, {"@type": "ListItem", "position": 3, "name": "CT Coronary Calcium Score in London 2026", "item": "https://www.theonlinegp.com/blog/ct-coronary-calcium-score-london"} ]} ] }