When I first moved to Spain, the biggest fear was getting sick—not being familiar with the healthcare system and worrying about high costs. I recently looked up some information on medical expenses for a friend and thought I’d organize and share it with everyone. Hopefully, it helps those in need. Let’s talk about what most people are concerned about: roughly how much it costs to see a doctor in Spain, whether in the public or private system.
Public Healthcare
If you are registered with the social security system, access to public healthcare is essentially free. This includes general consultations, emergency services, hospitalization, and most tests. However, the price of ‘free’ is often long waiting times. For instance, waiting several months for a specialist appointment is commonplace. Additionally, you have to consider prescription costs. The public system only covers a portion, and you typically have to pay 40%-60% out of pocket. So, while the visit itself is free, the cost of time and medication should be factored in.
Private Healthcare
The biggest advantages of private healthcare are speed and better service. There are no long queues, and you have the freedom to choose your doctor and hospital. However, you’ll have to pay out of pocket. If you have private health insurance, most costs are covered by the insurance company, and you might only need to pay a small co-payment (copago), usually ranging from a few to several dozen euros. But if you go to a private clinic without insurance, the prices can be quite substantial. I’ve gathered some reference prices for common services to give you an idea:
| Medical Service | Average Price |
| General Consultation | 50 - 100 € |
| Specialist Consultation | 80 - 150 € |
| General Emergency Visit | 150 - 300 € |
| Complete Blood Count (CBC) | 40 - 80 € |
| Chest X-ray | 60 - 120 € |

The prices above are just a general range; actual costs can vary significantly depending on the region, hospital, and doctor. For example, in major cities like Madrid and Barcelona, prices are typically higher. For more complex procedures, like an appendectomy, the cost without insurance could be between €4,000 and €8,000, or even more. This is why when considering healthcare costs in Spain, getting a suitable private health insurance plan is extremely important
! A monthly premium of a few dozen euros can save you a fortune in a critical moment.
Being registered with social security provides a basic safety net, but if you value efficiency, better service, or need frequent specialist consultations, a private insurance plan is an investment that offers excellent value for money. I hope this post gives you a clear picture so you’re not left feeling uncertain when you get sick. Feel free to add any price information you know in the comments to help make this ‘database’ more complete!