I recently saw some fellow moms-to-be in an online group asking about the cost of miscarriage prevention in Spain. I happened to have stayed in the hospital for nearly a month for this reason, so I have some experience to share that I hope will help others. In Spain, the cost for this kind of care varies dramatically depending on whether you use the public healthcare system or private insurance.
Public Hospitals
If you are registered with social security and have been receiving your antenatal check-ups through the public system for preventing miscarriage in Spain, then congratulations, it’s essentially “free”. By “free,” I mean that the costs for hospitalization, examinations, standard medications, three meals a day, and nursing care are all covered by social security. You don’t have to pay a single cent out of pocket. I stayed in a public hospital, and everything from ultrasounds and fetal heart monitoring to various blood tests was covered. However, some special medications, like heparin, may not be 100% covered in all situations. It depends on the doctor’s diagnosis and social security policies, but it’s usually not an issue for most cases. The downsides of the public system are also clear: rooms may be shared with one or two other patients, there are strict visiting hours, and you don’t get to choose your doctor, though the miscarriage prevention costs in Spain are minimal.

Private Hospitals
Private hospitals are a completely different story. If you have a good private health insurance plan, your provider will cover many of the costs, but the exact coverage depends on your policy. Without insurance, the expenses can be quite substantial. The patient in the bed next to me went the private route, and she gave me a rough estimate of her costs when we chatted.
For the hospital stay alone, a private room can cost anywhere from €200-€400 per day. Add in the doctor’s consultation fees, nursing fees, and various examination costs, and the daily total can easily exceed a thousand euros. Medications used to sustain the pregnancy, such as progesterone, also represent a significant expense. If a long-term hospital stay is required, the total bill can become astronomical. Therefore, if you’re planning to have a baby in Spain, having a reliable private insurance plan is really important!
Quick Cost Comparison Table
To give you a clearer picture, I’ve put together a simple table. The figures are estimates based on my own experience and that of friends, so please use them as a reference only.
| Item | Public Hospital | Private Hospital |
| Hospital Bed Fee/Day | €0 | €200 - €400 |
| Routine Check-ups | €0 | €150 - €300 /visit |
| Doctor’s Consultation Fee | €0 | €100 - €200 /visit |
| Common Medications | Mostly Covered | Out-of-pocket |
Total | Essentially Zero | Very Expensive |
Spain’s public healthcare system offers excellent benefits for pregnancy and childbirth, as long as you have legal residency and are registered with social security. If you prefer a better environment, more personalized service, and greater freedom of choice, then planning for private insurance in advance is essential. I wish every mom-to-be a smooth pregnancy and a healthy baby!