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Spain

Healthcare quality & costs · 2023

Good — 76.0/100   Universal system
Healthcare Index 76.0/100 +2.3pp vs Europe avg
Life Expectancy 83.2 yrs +2.1 vs region avg
GP / Doctor Visit Free (public)
Hospital Stay / Day $864 USD
Private Insurance / Month $77 USD
Public Coverage 100.0% of population
Health Spend (% GDP) 9.60%
Doctors per 1,000 4.40
Hospital Beds per 1,000 3.00
Infant Mortality Rate 2.60 per 1,000

Healthcare index trend

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Europe comparison

CountryIndexLife ExpGP VisitDoctors/1kCoverage
Switzerland 84.0 83.5 yrs $125 4.30 100.0%
Norway 82.3 82.9 yrs $19 4.70 100.0%
Sweden 81.1 82.8 yrs $19 4.30 100.0%
Denmark 80.6 81.1 yrs $72 4.00 100.0%
France 80.3 82.2 yrs $29 3.30 100.0%
Finland 79.3 81.8 yrs $24 3.50 100.0%
Austria 78.9 81.6 yrs $24 5.30 100.0%
Germany 78.6 80.9 yrs $19 4.50 88.0%
Netherlands 77.3 81.8 yrs $19 3.70 100.0%
Belgium 77.0 81.4 yrs $29 3.20 100.0%
Spain 76.0 83.2 yrs Free 4.40 100.0%
Ireland 75.6 82.5 yrs $58 3.30 100.0%
Italy 74.9 83.5 yrs $29 4.00 100.0%
United Kingdom 73.0 81.1 yrs Free 3.00 100.0%
Portugal 71.3 81.0 yrs $14 5.50 100.0%
Czech Republic 67.0 79.2 yrs $21 4.10 100.0%
Greece 65.6 82.1 yrs $48 6.30 84.0%
Poland 61.3 77.5 yrs $17 2.50 91.0%
Hungary 58.9 76.4 yrs $24 3.50 90.0%
Romania 51.1 75.8 yrs $19 2.90 88.0%

Healthcare in Spain — FAQs

How good is healthcare in Spain in 2023?

Spain scores 76.0 out of 100 on the LifeIndexed Healthcare Quality Index in 2023, rated as "Good". Life expectancy is 83.2 years. The country runs a Universal (government-funded, near-universal coverage) and spends 9.60% of GDP on health services.

How much does a doctor visit cost in Spain?

GP / doctor visits in Spain are free for residents covered by the public health system (100.0% of the population). Private consultations typically cost more. A hospital stay averages $864 USD per day.

Is healthcare free in Spain?

Spain has near-universal public health coverage — essentially 100% of the population is covered. Basic medical services are free or heavily subsidised for all residents. The government funds this through 9.60% of GDP in health spending.

How much is private health insurance in Spain?

Average private health insurance in Spain costs approximately $77 USD per month. This provides access to private hospitals, shorter wait times and specialist care beyond what the public system offers.

What type of healthcare system does Spain have?

Spain operates a universal healthcare system funded primarily by the government, providing coverage to 100.0% of the population. This is typically financed through taxation or mandatory social insurance contributions.

How many doctors are there per 1,000 people in Spain?

Spain has 4.4 doctors per 1,000 people. This is above the global average of approximately 1.8 per 1,000. The country also has 3.00 hospital beds per 1,000 people.

What is the life expectancy in Spain?

Life expectancy in Spain is 83.2 years in 2023, compared to the Europe average of 81.1 years. Life expectancy is a key indicator of population health, nutrition, and the effectiveness of the healthcare system.

What is the infant mortality rate in Spain?

The infant mortality rate in Spain is 2.6 deaths per 1,000 live births. This is a low rate, indicating strong maternal and newborn healthcare.

How does Spain compare to other Europe countries?

Spain ranks 11 out of 20 Europe countries on the healthcare quality index. Its score of 76.0/100 is +2.3pp above the Europe average of 73.7/100. Life expectancy is +2.1 years versus the regional average.

Can expats and foreigners access healthcare in Spain?

Expats who obtain legal residency in Spain generally gain access to the public healthcare system, though registration processes and contribution requirements vary. Many expats also take out international or local private health insurance for faster access and broader coverage.

Is Spain a good destination for medical tourism?

Spain is not typically considered a primary medical tourism destination. Patients seeking cost savings usually prefer regional alternatives. However, emergency and specialist care is available in major cities.

How much does a hospital stay cost in Spain?

A hospital stay in Spain costs approximately $864 USD per day for private or uninsured patients. Public system patients pay little or nothing for inpatient care. Hospital costs can vary significantly between public and private facilities.

Is Spain's healthcare improving?

Spain's healthcare quality index has improved by 2.5 points from 2022 to 2026, rising from 74.7/100 to 77.2/100. Life expectancy also rose from 82.8 to 83.5 years over the same period.

What is the quality of hospitals in Spain?

Spain has good hospital infrastructure in urban centres, with 3.00 beds per 1,000 people. Quality varies between public and private facilities and between urban and rural areas.

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