Coyne Medical vs Echelon Health
Two different approaches to comprehensive preventive health screening
If you are looking for an Echelon Health alternative in London, Coyne Medical offers a different approach to comprehensive private health screening.
Echelon places particular emphasis on extensive diagnostic imaging, using CT alongside selected MRI and ultrasound investigations. At Coyne, every screening programme starts with a 90-minute doctor assessment, with testing built around your medical history, family history and individual risk.
Our Complete and Ultimate Health Programmes also include a personal doctor who stays involved throughout the year.
Comprehensive does not simply mean doing more tests
If you are looking for an Echelon Health alternative in London, the important question is not simply which provider performs the greatest number of investigations.
Good screening means choosing tests that are appropriate for your risk, understanding their limitations, acting on important findings and avoiding unnecessary investigations where the evidence does not support them.
At a glance
| Feature | Echelon Health | Coyne Medical |
|---|---|---|
| Core approach | Extensive diagnostic imaging and health assessment | Doctor-led screening, risk assessment and ongoing prevention |
| Current pricing |
Platinum £14,000 Gold £10,000 men / £9,500 women |
Advanced £895 Complete Health Programme £5,950 Ultimate Health Programme £7,950 |
| Initial doctor assessment | Physician consultation and examination included | 90-minute doctor assessment with every screening programme |
| Cross-sectional imaging | Extensive CT imaging alongside selected MRI and ultrasound | Whole-body MRI in Complete and Ultimate, with other imaging added according to individual risk |
| Ionising radiation | Several components of the assessment use CT | Whole-body MRI itself does not use ionising radiation |
| Cardiovascular imaging | Includes CT calcium scoring and CT coronary angiography in relevant packages | Cardiovascular imaging selected according to individual risk rather than applied identically to everyone |
| ApoB | Not listed in Echelon’s published standard blood panel | Routinely included |
| Lipoprotein(a) | Not listed in Echelon’s published standard blood panel | Routinely included |
| Standard cholesterol testing | Total, LDL and HDL cholesterol listed | Lipids interpreted alongside ApoB, Lp(a), blood pressure and wider cardiovascular risk |
| Body composition | Assessment varies by package | Bioimpedance in Advanced; MRI body composition in Complete and Ultimate |
| VO₂ max | Not listed as a core component of the Platinum assessment | Laboratory VO₂ max included in Complete and Ultimate |
| Established cancer screening | Extensive imaging plus tests selected within the assessment | Bowel, cervical and PSA screening offered according to eligibility and individual risk across our programmes |
| CA125 / CA19-9 / CEA | Included in Echelon’s published blood testing | Not used as routine general cancer screening tests in otherwise well people |
| Inherited cancer genetics | Not listed as a core component of the standard Platinum assessment | Included in Ultimate Health Programme |
| Pharmacogenomics | Not listed as a core component | Included in Ultimate Health Programme |
| Oral health and Oral Genome | Not listed as a core component | Included in Ultimate Health Programme |
| Personal doctor throughout the year | Not the standard assessment model | Included in Complete and Ultimate |
| Direct personal-doctor email | Not the standard assessment model | Included in Complete and Ultimate |
| Scheduled quarterly health check-ins | Not the standard assessment model | Included in Complete and Ultimate |
Comparison checked October 2026. Services and prices can change and should be checked directly with each provider before booking.
Echelon offers exceptionally extensive imaging
Echelon’s strength is the breadth of diagnostic imaging incorporated into its higher-level assessments.
Its published pathways include CT imaging of the chest, heart and abdomen, CT virtual colonoscopy and bone-density imaging, alongside MRI for areas including the brain and, in men, the prostate.
For someone specifically looking for an intensive imaging-led assessment, that approach may be attractive.
Our question is slightly different
Which tests are most likely to improve your health, and what will we actually do differently because of the result?
Different imaging strategies
CT and MRI are not interchangeable. Each has strengths and limitations, and the right test depends on what you are trying to find.
Echelon
Uses extensive CT imaging alongside selected MRI and ultrasound. CT is particularly valuable for areas such as coronary arteries and lung imaging, but it does involve ionising radiation.
Coyne Complete
Uses whole-body MRI as the main broad cross-sectional imaging assessment, without ionising radiation, with further imaging selected according to age and individual risk.
Risk-based imaging
We still use CT when it is the right investigation, for example coronary calcium assessment or lung cancer screening in someone who meets the relevant risk criteria.
More testing is not always better screening
One area where our approach is deliberately different is the routine use of tumour-marker blood tests in people without symptoms.
Echelon includes CA125, CA19-9 and CEA
Echelon’s published blood-testing programme includes CA125, CA19-9 and CEA as tumour markers.
These tests can have important roles when doctors are investigating symptoms, supporting a diagnosis or monitoring someone who already has cancer.
That is different from using them as general screening tests in otherwise well people.
Why we do not use them as routine general screening
Tumour markers are not specific enough to simply mean “cancer present” or “cancer absent”.
They can be normal when a cancer is present and raised for benign reasons when there is no cancer. That can create false reassurance in one direction and unnecessary anxiety, repeat testing, scans or invasive investigation in the other.
For CA125 specifically, large screening trials have not shown a reduction in ovarian-cancer deaths in average-risk asymptomatic women, while false-positive results can lead to unnecessary surgery. Major guidelines therefore recommend against routine ovarian-cancer screening with CA125 in this population.
CEA is also not recommended as a population screening test for colorectal cancer because of false-positive and false-negative results.
As doctors, we are cautious about adding a test simply because it sounds more comprehensive.
We have seen the real consequences of nonspecific tumour-marker results in well people: anxiety and cascades of further investigation that ultimately find no cancer.
Our approach to cancer screening
We prioritise established cancer screening where there is evidence that finding disease earlier improves outcomes.
Across our health screening programmes, we consider bowel cancer screening, cervical screening and PSA testing according to age and individual risk, with breast screening added where appropriate.
We then personalise screening further according to family history, smoking history, breast density and other relevant risk factors.
Our Ultimate Health Programme also includes inherited cancer genetic testing, allowing us to identify some people at increased lifetime cancer risk before a tumour exists to be detected.
Cardiovascular risk is more than LDL cholesterol
Echelon’s published blood panel includes total, LDL and HDL cholesterol. We could not find ApoB or lipoprotein(a) listed in its published standard panel.
At Coyne, ApoB and lipoprotein(a) are routinely included because they can materially change how we understand someone’s lifetime cardiovascular risk.
We bring these together with blood pressure, metabolic health, family history, fitness and imaging where appropriate, then decide what needs treating and what targets make sense for that individual.
More than a health screen. A personal doctor for your health.
Every Coyne screening starts with a 90-minute doctor assessment.
We review your medical history, family history, lifestyle, symptoms, priorities and previous results before interpreting the tests that follow.
With Complete and Ultimate, that relationship then continues throughout the year.
- One personal doctor brings your results together
- Direct email access between scheduled reviews
- Scheduled quarterly health check-ins
- Your prevention plan reviewed as your health changes
- Repeat testing arranged where it changes management
- Medication started or adjusted where appropriate
- Further investigations and specialist referrals coordinated when needed
If something needs investigating, treating or monitoring, we stay involved.
Ultimate also looks at risks imaging cannot see
Some important risks are inherited and will not necessarily produce an abnormal scan or routine blood result today.
Inherited cancer risk
Genetic testing for inherited variants associated with cancers including breast, ovarian, bowel, prostate and pancreatic cancer.
Pharmacogenomics
Genetic information that may help inform how you respond to commonly prescribed medicines now and in the future.
Inflammation & oral health
Oral health assessment and Oral Genome testing considered alongside inflammatory, cardiovascular and metabolic health.
Which approach might suit you?
Echelon Health may suit you if…
Your priority is an exceptionally extensive, imaging-led health assessment including CT, MRI and ultrasound investigations within one comprehensive programme.
Coyne Complete Health Programme may suit you if…
You want advanced blood assessment, whole-body MRI, MRI body composition and laboratory VO₂ max together with a personal doctor who stays involved throughout the year.
Coyne Ultimate Health Programme may suit you if…
You want that same year-long doctor relationship plus inherited cancer genetics, pharmacogenomics and deeper oral and inflammatory assessment.
Explore Coyne health screening
Choose a comprehensive doctor-led health check, or go deeper with advanced imaging, fitness testing, genetics and ongoing personal doctor care.
Frequently asked questions
Is Coyne Medical an Echelon Health alternative?
Yes, although the approaches are different. Echelon places particular emphasis on extensive CT, MRI and ultrasound imaging. Coyne combines advanced screening with evidence-based cancer and cardiovascular risk assessment and, in Complete and Ultimate, a personal doctor who remains involved throughout the year.
Does Echelon Health use MRI or CT?
Both. Echelon’s published assessments use substantial CT imaging, including chest, cardiac and abdominal imaging, alongside MRI for selected areas such as the brain and prostate. Coyne Complete and Ultimate use whole-body MRI as the main broad cross-sectional imaging assessment, with other imaging selected according to individual risk.
Why doesn’t Coyne routinely use CA125, CA19-9 and CEA for general cancer screening?
These tumour markers can be useful in particular clinical situations, including investigating symptoms and monitoring known cancers, but they are not sufficiently specific or sensitive to function as simple general cancer screening tests in otherwise well people.
CA125 screening in average-risk asymptomatic women has not been shown to reduce ovarian-cancer mortality and can lead to false positives and unnecessary surgery. CEA is also not recommended as a population screening test for colorectal cancer because of false-positive and false-negative results.
Does Echelon test ApoB and lipoprotein(a)?
Echelon’s currently published standard blood panel lists total, LDL and HDL cholesterol, but we could not find ApoB or lipoprotein(a) listed. Coyne routinely includes both as part of cardiovascular risk assessment.
Which Coyne programme is closest to Echelon?
Complete is the most useful comparison if you are looking for a deep current-health assessment using advanced blood testing, whole-body MRI, MRI body composition and laboratory VO₂ max. Ultimate adds inherited cancer genetics, pharmacogenomics and oral-health assessment.
Can I speak to a doctor before choosing a programme?
Yes. You can book a 30-minute Discovery Call with a Coyne Medical doctor to discuss your health, family history and what you want from screening. The £250 fee is credited against your screening if you proceed within 12 months.
More testing is not always better screening.
The aim is to use the right tests, understand what they mean for you and have a clear plan for what happens next.
This comparison is intended to help patients understand different approaches to private health screening. Information about Echelon Health is based on publicly available information checked in October 2026. Services and pricing may change.