In Tokyo, the same check-up costs 165,000 yen or 450,000

Tokyo Ginza Wellness & Aging Clinic publishes its prices clearly. It publishes them twice.

The headline column is for registered members living in Japan with a health insurance card. A ningen dock with upper endoscopy runs JPY 165,000 there, about $1,038. The second column is for everyone else, and the same dock is JPY 450,000, about $2,830. With both endoscopies it’s 217,800 against 500,000. The blood dock is 110,000 against 150,000.

We index the member price, because that’s the published headline number, and we’ve written the second column into the clinic’s record. But if you’re reading this and planning a trip, the second column is your price. That’s a 2.7x spread on an identical procedure, decided by where you live.

This is the first two-tier price we’ve hit, and it’s a problem for the kind of table we run. A price index built for medical tourism was quietly showing the resident’s number. One clinic, caught. We don’t know yet how common the shape is, and that’s the honest answer.

Japan went from 3 tracked providers to 10

The rest of the Tokyo sweep is the widest single-city spread we’ve recorded.

Tokyo Yobo Medical Clinic in Akasaka sells an Aging Care Dock at JPY 55,000, about $346, and a two-hour anti-aging dock at 44,000. Kitaaoyama D Clinic runs a three-step ladder: 88,000 standard, 181,830 with telomere testing, 277,200 with the cancer panel, roughly $554 to $1,744. Sakurajyuji Roppongi’s full Longevity Dock is 300,000, about $1,887.

Then The Hundred in Ginza, which sells autologous adipose stem-cell therapy at JPY 3,850,000, about $24,216, and a four-infusion NK cell course at 2,640,000, about $16,606.

So Tokyo runs from a $277 morning to a $24,000 course, and both are published on clinic websites in the same city. The word longevity is doing an enormous amount of work in that sentence. It always is. The spread is the point.

Canada’s executive-health clinics publish everything

Canada went from 2 providers to 11, and six of the nine new admits came in priced. That’s the highest price density of any country sweep we’ve run, and there’s a reason.

Canadian longevity medicine grew out of executive health, and executive health has always published prices, because someone has to submit the receipt. So the rate cards are just sitting there.

PURE Lifestyle in Winnipeg sells its Longevity Medical Program in three tiers, CAD 1,399, 2,699 and 5,999, about $1,009 to $4,325, each a one-time price covering twelve months. Precision Longevity in St. Catharines, founded by two McMaster professors, runs four annual memberships from CAD 3,500 to CAD 14,300, about $2,524 to $10,310. Connect Health in Vancouver charges CAD 17,000 a year for its Signature membership. The Durand Clinic in Hamilton sells a CAD 899 biomarker platform, about $648.

Worth noting what that ladder actually is. PURE’s 1,399 buys an assessment day plus a health advisor. Precision’s 14,300 buys whole-body MRI, liquid biopsy and CT angiography every year. Those aren’t the same product at different prices. They’re different products.

Elsewhere: Milan and Paris

SoLongevity in Milan publishes a five-step check-up ladder, every tier a starting price, from EUR 690 to EUR 4,690, about $805 to $5,469. Italy went from 3 providers to 7.

Paris Prevention, on rue Copernic since 1979, sat in our table as unpriced. It now publishes three products: a 1,945 EUR premium assessment covering twelve sub-assessments in one morning, a 1,595 EUR flash check-up, and an ageing-prevention assessment from 600 EUR. The clinic relaunched its website. Our old verdict was right when we made it, which is the second time in a month a clinic has moved rather than us having misread it. That’s the argument for re-reading the whole table on a rotation instead of trusting a stamp.

The price list that asks you to sign in

Three refusals, and two of them are new shapes.

The Medical City in Manila runs a named longevity programme inside a major hospital, and its site links to a Philippine Department of Health price directory. Follow the link and you land on a Microsoft sign-in page. A statutory price list, legally required to exist, behind a corporate login. It stays unpriced.

Clinique Printemps in Montreal has a physician, an address, five named programmes and a deliberately capped patient roster you have to apply to join. Scarcity is the product. No prices.

VivaGen in Toronto sells Longevity Program Memberships on a page whose raw source we pulled and read directly. Eighty-four kilobytes, zero dollar figures. The membership cards aren’t broken. They’re empty.

Where the table stands

176 providers across 47 countries, 84 of them priced. On August 25 that was 156 across 47, with 71 priced. Eight days, 20 providers, 13 new price records.

Ninety-two providers in the table still publish nothing. That number is the honest measure of this market.

Full price index, cheapest first How we source and check prices Need a route into a clinic? Tell us what you’re looking for

Got a price we’ve got wrong, or a list we’ve missed? Reply with the source. The table gets better through corrections.

We’re a small research desk, not a clinic. This is public data, not medical advice. Confirm anything before you act on it.

The 2100 desk

The clinic that hid its prices just published all of them

Swissmed Health in Limassol sat in our table as “prices not published”. That verdict was correct when we wrote it. We re-read every clinic on a rotation, and this month’s pass found a different clinic at the same address. It’s now Clinic82, with Dr Oliver Zolman heading the longevity programmes, and it publishes one of the most transparent rate cards we track. Residential protocols run EUR 12,500 for 7 days, EUR 22,500 for 14, EUR 38,500 for 21, about $14,600 to $44,900, accommodation and a year of remote follow-up included. Membership starts at EUR 2,400 a year, about $2,800. Assessments from EUR 4,750. The site’s own words: “No opaque pricing. No surprise add-ons.”

The lesson isn’t about Cyprus. A “no published prices” verdict has a shelf life. Clinics change their minds, usually when new medical leadership arrives. The only way to catch it is to keep re-reading.

London put numbers on the table

The UK went from 3 tracked providers to 8 this week, and the new entries span the whole price question.

Echelon Health on Harley Street publishes every package: GBP 2,500 for a heart-focused screen, about $3,400, up to GBP 14,000 for the Platinum full-body assessment, about $19,100. CT, MRI, virtual colonoscopy, the lot, in one chaperoned day. Welbeck, the centre formerly known as OneWelbeck, starts its executive screens at GBP 9,000. Span Clinic, online and physician-founded, sells ongoing membership from GBP 59 a month, about $80.

So a London longevity buyer can spend GBP 708 a year or GBP 14,000 in a day, and both numbers are real. They’re different products wearing the same word. One is continuous physician oversight, the other is a single day of imaging. Same lesson as Denmark last issue: knowing which one you’re shopping for is most of the decision.

Lanserhof at The Arts Club in Mayfair, meanwhile, prices its six membership tiers only inside a downloadable brochure. We list it unpriced. A price in a PDF you have to go looking for isn’t a published price.

Frankfurt sells longevity by subscription

Longevity Rooms in Frankfurt publishes three monthly protocol memberships: EUR 499, EUR 990 and EUR 1,890 a month, about $580 to $2,200. IV-heavy, but physician-run with a real diagnostics ladder, which is the line that separates a protocol from a drip bar. Germany went from 3 providers to 7 in the same sweep, mostly doctor-led practices that publish no prices yet.

What we refused to count

Three refusals from the UK sweep, written down because the refusals shape the table as much as the entries.

The Longevity Doctor, a UK domain still advertised in search results with a GBP 1,500 check-up package, now serves the website of a cosmetic surgery group. The package doesn’t exist there any more. Not listed.

London Longevity Club sells “longevity programmes” at GBP 999 and GBP 1,200 on a site whose links still read /womens-kickboxing/ and /powerlifting/ under the hood. No named doctor, no address. Not listed.

Birmingham Longevity looked like a fifth English admit until we read the contact page: Vestavia, Alabama. Probably a real practice, but it names no physicians, so it stays out for now, on a different continent than we expected.

Where the table stands

156 providers tracked across 47 countries, 71 of them priced. On August 16 that was 114 across 40, with 55 priced. Since then the Baltics, Vietnam and Argentina have entered, and Spain, France, Germany and the UK have each been reopened with local-language sweeps. Most of what those sweeps found is the same lesson repeated: the prices exist, they’re just two clicks deeper than the homepage.

Full price index, cheapest first How we source and check prices Need a route into a clinic? Tell us what you’re looking for

Got a price we’ve got wrong, or a list we’ve missed? Reply with the source. The table gets better through corrections.

We’re a small research desk, not a clinic. This is public data, not medical advice. Confirm anything before you act on it.

The 2100 desk

The cheapest longevity programme we track is $32 a month

Déli Klinika in Budapest publishes five membership tiers in its own comparison table. The Basic tier is HUF 10,000 a month, about $32, on a 12-month commitment. That buys 43 lab markers, an organ-function evaluation and a medical review. The top tier is HUF 150,000 a month, about $479, with 85 markers and full precision diagnostics.

We checked the conversion twice. It’s a fact about Hungary. The entire five-tier ladder costs less per month than a single visit at most US concierge practices.

Africa is on the table now

Cape Longevity Clinic in Cape Town is the first African provider we track. Platinum membership is ZAR 10,000 a month, about $619. Unlimited gym, sauna and ice bath, plus five circuits a month that include hyperbaric oxygen and red light.

One published price doesn’t make a market. But it’s a real number from a real clinic on a continent the longevity price conversation has ignored completely.

Denmark prices the same idea two ways

Copenhagen Medical sells three named check-up packages, DKK 550 to DKK 1,850, about $85 to $286. Every tier includes a body analysis with a biological age readout. Aetas Diagnostics, in Hellerup, sells programmes: DKK 11,900 for its Baseline, DKK 26,800 for Health Intelligence, about $1,841 and $4,147.

Both publish openly. The gap between them is 22x. They’re not competing, they’re selling different products under the same word. Knowing which one you’re shopping for is most of the decision. Same lesson as the Alps last issue, colder weather.

The prices we refused to count

Four calls from this sweep, written down because the refusals shape the table as much as the entries.

Healthspan Medical in Cape Town publishes four prices. We indexed none of them. All four are single-system blood panels, and the cheapest is a R 390 lipid profile. Put that in a price index and South Africa becomes the cheapest longevity market on earth, off one cholesterol test.

SŌMA in Bali is quoted all over search results at IDR 38M to 125M for its programmes. Its own price list says “On consultation” for every one of them. The figures exist only in FAQ prose, each with a tilde in front. We index what a clinic publishes itself, so SŌMA is listed unpriced.

VEI Clinic in Seoul advertises “Transparent pricing” twice on its own homepage. There is no figure anywhere on the page. Listed unpriced.

Drips in New Zealand contradicts itself on its own site. The pricing cards say NZD 2,950 for the Foundation plan. The FAQ, eighty lines down, says $3,500 for the same plan. We indexed the cards and recorded the FAQ number next to them. The table flags conflicts. It doesn’t split differences.

Where the table stands

114 providers tracked across 40 countries, 55 of them priced. Nine days ago that was 74 across 23. The new entries run from Budapest to Cape Town to Manila, and most of the growth is outside the US and the Alps, which is where the price arbitrage actually lives.

Taiwan is at zero on purpose. Its best-known check-up centre publishes a clean price list, and every item on it is a single-system disease screen. No longevity programme, no entry.

Full price index, cheapest first How we source and check prices Need a route into a clinic? Tell us what you’re looking for

Got a price we’ve got wrong, or a list we’ve missed? Reply with the source. The table gets better through corrections.

We’re a small research desk, not a clinic. This is public data, not medical advice. Confirm anything before you act on it.

The 2100 desk

What Europe’s price lists actually say

VIVAMAYR on Lake Wörthersee publishes a real price list. One week of its PURE programme is EUR 2,951. That’s the medicine only. You can’t book a room there without a programme, and the room is billed on top at EUR 262 to EUR 1,331 a night. A real week is the programme plus seven nights.

Palace Merano, a few hours south in South Tyrol, publishes EUR 2,380 for four nights. That one includes the bed and the board. It includes no fixed medical programme at all. The Revital programmes aren’t priced on the site, they’re quoted inside the booking engine.

Two Alpine clinics. Headline numbers EUR 571 apart. They’re selling opposite halves of the same thing.

That’s the pattern across the European set. The published number is either a hospitality price with medicine attached, or a medical price with the hotel removed. It’s almost never both, and nothing on the page tells you which one you’re reading.

If you want the medical price on its own

Go to a city clinic. AIVA in Berlin prices its prevention check-ups exactly: EUR 249 basic, EUR 889 with spiroergometry, EUR 1,449 premium. Exact, not “from”. Same list prices single tests a la carte, down to EUR 25 for a blood test.

CLNQ in Manchester publishes a full list too, and heads the whole thing “Starting Price”. GBP 195 for a screening consultation, and investigations are GBP 75 more. That’s the more common pattern. Read those as floors, not quotes.

The spread inside one continent

EUR 249 buys a two-hour Berlin check-up. EUR 200,000 a year buys Alpha Medical’s Apex membership out of Limassol and Tel Aviv. Roughly 800x, same continent, both published openly.

They’re different products, obviously. Knowing which product you’re actually shopping for is most of the decision.

What we got wrong

Two things, both worth saying out loud.

Our reader couldn’t open PDFs. So clinics that publish real prices in a downloadable list got filed as “no published prices”. When we fixed the reader and swept the backlog, roughly 1 in 7 of them had a price page nobody here had ever opened. VIVAMAYR was one.

Second, “how much does X cost” pages are not price lists. Three clinics in a row published national averages under that headline. ANOVA in Germany says it in writing on its own page: those costs do not represent ANOVA prices. We now rank that page type last.

Where the table stands

74 clinics and providers tracked across 23 countries. 40 publish enough for us to price them. The UK is the only country where every clinic we track publishes something. South Korea, Costa Rica and India are at zero.

Full price index, cheapest first How we source and check prices Need a route into a clinic? Tell us what you’re looking for

Got a price we’ve got wrong, or a list we’ve missed? Reply with the source. The table gets better through corrections.

We’re a small research desk, not a clinic. This is public data, not medical advice. Confirm anything before you act on it.

The 2100 desk

The longevity price sheet

Short one this week. We track 49 longevity clinics on the terminal and priced every one that publishes real numbers. The spread is the story.

The floor is $5 a month. That’s a rapamycin script from AgelessRx, off-label, prescription required.

The ceiling is a million dollars. That’s a single gene therapy enrollment at Libella in Colombia.

In between sits what most people mean by “longevity clinic”: the concierge programs. Fountain Life runs $6,500 a year for its CORE tier and about $20,000 for APEX.

Two things worth knowing before you spend anything:

1. “Full-body MRI” isn’t one price. It’s roughly $2,000 a scan at Ezra, and it’s bundled into $6,500-and-up memberships at Fountain Life. Both are a different product from a $365-a-year Function Health lab membership. Know which one you’re buying.

2. The best evidence per dollar isn’t at a clinic. Metformin tops our value index at about $144 a year. Rapamycin has the strongest animal-longevity data of anything you can get today and runs $5 to $290 a month through AgelessRx or Healthspan. Both are telehealth-priced.

Full price index, cheapest first Every treatment ranked by evidence per dollar

See a wrong price or a missing clinic? Reply with the source. The table gets better through corrections.

We’re a small research desk, not a clinic. This is public data, not medical advice. Confirm anything before you act on it.

The 2100 desk