Out-of-pocket health spending in Spain

Households paid 20.9% of current health spending in Spain directly out of pocket in 2023. The value for 2023 is the lowest since 2009.

Measure: Out-of-pocket health spending Unit: % of current health expenditure Data: 2000 to 2023 Source: World Bank
Spain, 2023 20.9% % of current health expenditure
Change from 2022 −0.2percentage points 2022: 21.0%
European Union, 2023 14.9% Official aggregate
Median of European Union (27 countries), 2023 17.9% Middle value of 27 countries
Position in 2023 123rd of 192 See the full ranking

Out-of-pocket health spending in Spain over time

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Spain European Union ×

% of current health expenditure. Source: World Bank, World Development Indicators. Gaps mean no published value; points are not joined across missing years.

Out-of-pocket health spending (% of current health expenditure), 2000 to 2024
Period SpainEuropean Union
2024 – 13.0%
2023 20.9% 14.9%
2022 21.0% 14.6%
2021 21.3% 14.7%
2020 21.7% 14.5%
2019 23.8% 15.9%
2018 24.1% 15.9%
2017 24.1% 16.1%
2016 22.0% 15.9%
2015 23.9% 16.2%
2014 24.7% 16.2%
2013 24.2% 16.1%
2012 23.2% 16.4%
2011 21.7% 16.3%
2010 21.4% 16.1%
2009 20.2% 15.7%
2008 21.8% 16.1%
2007 21.9% 16.0%
2006 22.0% 16.1%
2005 22.6% 15.7%
2004 22.9% 15.9%
2003 23.1% 15.5%
2002 24.6% 15.4%
2001 24.9% 15.5%
2000 24.3% 15.6%

A dash means no value was published for that period.

In short

  • That is a change of −0.2 percentage points from 21.0% in 2022.
  • Since 2013, when it was 24.2%, the figure has changed by −3.4 percentage points.
  • Among the 192 countries with data for 2023, Spain has the 123rd highest value.
  • The figure for the European Union in 2023 was 14.9%.

Source and dates

Original producer
World Health Organization, Global Health Expenditure Database
Distributed by
World Bank, World Development Indicators
Dataset or series code
SH.XPD.OOPC.CH.ZS · dataset details · view at source
Observation period
2000 to 2023 for Spain
Provider update
8 October 2026
Retrieved
9 November 2026
Published here
9 November 2026
Licence
CC BY 4.0 (per series metadata)
Attribution
Source: World Bank, World Development Indicators, original data: World Health Organization, Global Health Expenditure Database