Out-of-pocket expenditure in Spain
Spain: Out-of-pocket expenditure was 20.9% in 2023. ▼ Falling
Out-of-pocket expenditure in Spain, 2000–2023
Source: Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO). Measured in % of current health expenditure.
Analysis
The most recent figure for out-of-pocket expenditure in Spain is 20.9%, measured in 2023.
That represents a change of down 0.8% on the previous year and down 14.0% over ten years.
Over the whole period, out-of-pocket expenditure in Spain peaked at 24.9% in 2001 and was at its lowest, 20.2%, in 2009.
That places Spain 124th out of 193 countries with data for 2023, putting it in the middle of the range.
The long-run direction has been consistently falling across the 24 years of available data.
Out-of-pocket expenditure in Spain, year by year
| Year | % of current health expenditure | Change |
|---|---|---|
| 2000 | 24.3% | — |
| 2001 | 24.9% | +2.2% |
| 2002 | 24.6% | -1.0% |
| 2003 | 23.1% | -5.9% |
| 2004 | 22.9% | -0.9% |
| 2005 | 22.6% | -1.4% |
| 2006 | 22.0% | -2.6% |
| 2007 | 21.9% | -0.6% |
| 2008 | 21.8% | -0.6% |
| 2009 | 20.2% | -7.5% |
| 2010 | 21.4% | +6.0% |
| 2011 | 21.7% | +1.3% |
| 2012 | 23.2% | +7.0% |
| 2013 | 24.2% | +4.6% |
| 2014 | 24.7% | +1.7% |
| 2015 | 23.9% | -3.2% |
| 2016 | 22.0% | -8.0% |
| 2017 | 24.1% | +9.7% |
| 2018 | 24.1% | +0.2% |
| 2019 | 23.8% | -1.2% |
| 2020 | 21.7% | -9.2% |
| 2021 | 21.3% | -1.7% |
| 2022 | 21.0% | -1.3% |
| 2023 | 20.9% | -0.8% |
Spain compared with similar countries
- Spain's 20.9% is above the median for high income countries, which is 16.8%, 1.2× the median. (64 countries reporting)
- Spain's 20.9% is below the median for Europe & Central Asia, which is 21.8%, 96% of the median. (52 countries reporting)
Averages by decade
| Decade | Average | Lowest | Highest | Years |
|---|---|---|---|---|
| 2000s | 22.8% | 20.2% | 24.9% | 10 |
| 2010s | 23.3% | 21.4% | 24.7% | 10 |
| 2020s | 21.2% | 20.9% | 21.7% | 4 |
Countries ranked near Spain
More health data for Spain
- Un projection of annual infant deaths, annual growth rate -1.82 % change on previous year (2100)
- Heat deaths vs projected death rates, annual growth rate -0.2629 % change on previous year (2090)
- Estimated changes in temperature-related death rates compared to projected death rates 1,290 deaths per 1,000 people (2090)
- Number of infants who die before age 1 108 deaths (2100)
- Neonatal tetanus - number of reported cases, gaps filled 0 (2025)
- Population ages 00-04, female, annual growth rate -0.0396 % change on previous year (2025)
- Population ages 00-04, female, per unit of GDP 0 units per US$ of GDP (2025)
- Population ages 00-04, female, per capita 0.0173 units per person (2025)
- Population ages 00-04, male, annual growth rate -0.0227 % change on previous year (2025)
- Population ages 00-04, male, per unit of GDP 0 units per US$ of GDP (2025)
Frequently asked questions
- What is out-of-pocket expenditure in Spain?
- Out-of-pocket expenditure in Spain was 20.9% in 2023, according to Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO).
- What is the highest out-of-pocket expenditure recorded in Spain?
- The highest recorded value was 24.9% in 2001.
- What is the lowest out-of-pocket expenditure recorded in Spain?
- The lowest recorded value was 20.2% in 2009.
- How does Spain rank for out-of-pocket expenditure?
- Spain ranks 124th out of 193 countries with data for 2023.
- Is out-of-pocket expenditure rising or falling in Spain?
- Over the last ten years it is down 14.0%. The long-run trend across the full record is falling.
- Where does this Spain data come from?
- The figures come from Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO), published as part of Out-of-pocket expenditure (% of current health expenditure). Statizoid updates them automatically from the source API.
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About this data
Share of out-of-pocket payments of total current health expenditures. Out-of-pocket payments are spending on health directly out-of-pocket by households.