Shortly after arriving in Spain, I sprained my ankle while exercising. It swelled up like a balloon and was incredibly painful. Since I hadn’t sorted out my public health card yet, I had to go to a private hospital’s emergency room. The doctor suggested an X-ray to see if there were any fractures by getting medical imaging in a Spanish hospital, and my heart sank, thinking it would cost a fortune!

In the end, I had an ankle X-ray, and the bill came to €80. Although it stung a bit, at least I knew the extent of the injury—just a ligament sprain, no fracture, which was a relief. This experience gave me some insight into the cost of medical imaging in Spain. I later asked a few experienced friends and did some research, so today I’m here to summarize it all for you, hoping it helps anyone in need.
What are the approximate costs for scans at private hospitals?
The biggest advantages of private hospitals are speed, easy appointments, and better service experience, but the price, well, it’s certainly not cheap. If you don’t have private health insurance, you’ll have to cover all the costs yourself. Below is a rough price range I’ve compiled; please note that costs can vary by region and hospital, so this is just for reference:
| Test | Spanish Name | Reference Price (€) |
| X-ray | Rayos X / Radiografía | 50 - 120 |
| CT Scan | Tomografía Computarizada | 200 - 500 |
| MRI | Resonancia Magnética | 250 - 600 |
| Ultrasound | Ecografía | 80 - 180 |
As you can see, MRI scans are the most expensive, especially those requiring a contrast agent. But then again, you get what you pay for. At a private hospital, you can usually get your results quickly, and the doctor’s explanation is often more detailed.
What about public hospitals? Are they really free?
For those with legal residency who are registered with social security and have a public health card, medical services at public hospitals—from check-ups to the medical imaging vocabulary in Spain needed to discuss them—are essentially free. You just need to pay your social security contributions, and most costs for consultations, tests, and hospital stays are covered by the public healthcare system. The catch is the waiting time. Unless it’s a life-threatening emergency, waiting several months for a non-urgent CT or MRI scan in a public hospital is the norm. A friend of mine with knee discomfort was scheduled for an MRI six months after the appointment was made… it felt like waiting an eternity.
So, to sum up: if money is no object or you have good private insurance and value efficiency and service, go to a private hospital. If you want to save money and your condition isn’t urgent, go through the public system and be prepared to wait patiently. I hope everyone stays healthy in Spain and never needs this article! If you have any experiences with getting scans at different hospitals, feel free to share them below!