How Much Does It Cost to Study Medicine in Spain? 2026 Figures
05.09.2026
How much does a medical degree in Spain cost across six years?
Tuition alone runs from roughly €4,500 to about €120,000 for the same 360 ECTS, depending on the university type and the region. A public medical faculty in Andalucía charged €12.62 per credit in 2026, which is €757.20 a year. A private faculty such as Universitat Internacional de Catalunya charged €310 per credit for 2026-2027, which is €18,600 a year. Nothing about the degree itself differs.
Living costs sit on top and, at a public university, they dominate the total. A student in Granada spends more on rent in one year than on six years of tuition. In Barcelona or Madrid the housing line grows enough to change which universities are realistically affordable, which is why the city matters as much as the faculty.
What do public universities in Spain charge per credit in 2026?
Public prices are not set nationally. Each comunidad autónoma issues a decree fixing the price per ECTS credit, and Spanish public universities bill against it. Medicine normally falls into the highest experimentality band where a region uses bands at all. Four regions cover the cities most international applicants ask about, and the spread between them is about 64 percent.
| Region (example cities) | Price per ECTS, first enrolment | 60 credits (one year) | 360 credits (full degree) | Source and year |
|---|---|---|---|---|
| Andalucía (Granada, Seville) | €12.62 | €757.20 | €4,543.20 | Junta de Andalucía, price held unchanged since Decreto 98/2023 and confirmed for 2026-2027 |
| Cataluña (Barcelona) | €17.69 | €1,061.40 | €6,368.40 | Decret 96/2026 of 16 June, single price for all Catalan public degrees, 2026-2027 |
| Comunitat Valenciana (Valencia) | €18.00 | €1,080.00 | €6,480.00 | Decreto 101/2024, health sciences band, in force for 2025-2026 |
| Comunidad de Madrid | €20.68 | €1,240.80 | €7,444.80 | Decreto 43/2022 of 29 June, experimentality level 1, applied for 2026-2027 |
Two details change these totals slightly. Catalonia moved in 2026 to one flat price for every public bachelor's degree, so medicine there costs the same per credit as history. Andalucía has taken the same route with a single figure for all fields, which is how a six-year medical degree at the Universidad de Granada stays under €5,000 in tuition.
Why do non-EU students pay more at some Spanish public universities?
Because several regional decrees say so explicitly. In the Comunidad de Madrid, Decreto 43/2022 of 29 June sets a rule that students from outside the European Union who are over 18 and not resident in Spain are billed at the fourth-and-subsequent enrolment rate rather than the first. For experimentality level 1, which covers medicine, that is €136.44 per credit instead of €20.68. A student visa is not residence for this purpose, and the decree states that directly.
Run the arithmetic and the effect is large. Sixty credits at €136.44 is €8,186.40 for one year, and €49,118.40 across 360 credits. That is still well under private tuition, but it is more than ten times what an EU classmate in the same lecture theatre pays.
The Comunitat Valenciana takes a milder version of the same approach: Decreto 101/2024 doubles the standard rate for non-resident, non-EU students, capped at the real cost of the service, with students who began before 2024-2025 left on the old rate. Doubling €18.00 gives €36.00 per credit, so €2,160 a year and €12,960 over six years. Andalucía and Cataluña published no separate non-EU tariff for bachelor's degrees in their 2026 price rules, which is a substantial part of why Granada and Barcelona keep appearing in international students' shortlists.
| Region | Rule for non-EU, non-resident students | Per ECTS | One year | Six years |
|---|---|---|---|---|
| Comunidad de Madrid | Fourth-enrolment tariff applies (Decreto 43/2022) | €136.44 | €8,186.40 | €49,118.40 |
| Comunitat Valenciana | Standard rate doubled (Decreto 101/2024) | €36.00 | €2,160.00 | €12,960.00 |
| Cataluña | No separate tariff published for 2026-2027 | €17.69 | €1,061.40 | €6,368.40 |
| Andalucía | No separate tariff published for 2026-2027 | €12.62 | €757.20 | €4,543.20 |
Universities publish which tariff line they apply, and the wording is not identical everywhere in Madrid. Whether a given passport, residence permit or family situation moves you onto the resident rate is a question of your individual file, so book a free individual consultation and Medschool Experts will assess your case directly rather than guessing from a price table.
What do private medical schools in Spain charge per year in 2026?
Private annual fees for medicine cluster tightly between roughly €18,500 and €20,500 a year, published either as a flat annual figure or as a price per ECTS. Six years at those levels lands between about €111,000 and €123,000 in tuition. Several universities add a place-reservation payment and a first-year enrolment charge on top, which is easy to miss when comparing headline numbers.
| University | City | Tuition per year | Six-year tuition | Source and year |
|---|---|---|---|---|
| Universitat Internacional de Catalunya | Sant Cugat, Barcelona | €18,600 (€310 per ECTS) | €111,600 | University fee page, 2026-2027 |
| Universidad CEU San Pablo | Madrid | €19,500, plus €3,300 reservation and €1,700 enrolment in year one | €117,000 tuition | Published CEU tariff, 2026-2027 |
| Universidad de Navarra | Pamplona | €20,400, plus €95 secretaría fee | €122,400 tuition | University first-year price page, 2026-2027 |
| Universidad Francisco de Vitoria | Pozuelo de Alarcón, Madrid | €20,400 in year one (€2,500 + €1,000 + ten payments of €1,690) | about €122,400 | University medicine page, 2025-2026 |
| Universidad Europea de Madrid | Villaviciosa de Odón, Madrid | around €20,500 | about €123,000 | Spanish medical press survey of private faculties, May 2025 |
Private universities charge the same fee whatever your passport. That is the quiet advantage of the private route for a non-EU applicant in Madrid: the price does not move because of where you were born. The Universidad Europea figure is the one to confirm directly, since the university releases its medicine tariff on request rather than on the open web. Our university overview tracks which Spanish faculties publish fees openly and which do not.
What does it cost to live in Madrid, Barcelona, Valencia, Granada or Seville?
Between roughly €600 and €1,500 a month, and the whole spread is driven by rent. A room in a shared flat in Granada cost €250 to €400 a month in 2026; the same room in Barcelona cost €500 to €700. Food, transport and insurance barely move between cities by comparison. Transport in particular is close to free for students right now.
| City | Room in shared flat, per month (2026) | Food and household | Transport pass | Health insurance | Typical monthly total |
|---|---|---|---|---|---|
| Madrid | €450–700 | €150–250 | €10 Abono Joven, ages 15–25 (2026) | €30–60 | €1,000–1,400 |
| Barcelona | €500–700 | €200–300 | about €13 (T-Jove, about €40 per quarter, 2026) | €30–60 | €1,100–1,500 |
| Valencia | €350–500 | €180–260 | €15–30 with youth discount | €30–60 | €700–1,000 |
| Seville | €300–450 | €180–250 | €15–25, 50% youth discount to age 30 (2026) | €30–60 | €700–950 |
| Granada | €250–400 | €170–240 | €15–25, 50% youth discount to age 30 (2026) | €30–60 | €600–850 |
The insurance line is not optional for anyone outside the EU. A Spanish student visa requires private cover that runs with no co-payments, no waiting periods and no coverage ceilings, valid with an insurer authorised in Spain, and including repatriation. Visa-compliant policies were quoted at €30 to €60 a month in 2026. Some consulates also want the policy to start a month before the programme and run past its end.
One more figure belongs here. The Spanish student visa asks applicants to show funds equal to 100 percent of the IPREM, which stood at €600 a month in 2026, so €7,200 for a twelve-month stay. Anyone applying for longer than a year proves twelve months of funds rather than the whole six.
What does a full six-year budget in Granada add up to?
€52,063.20. That is one worked case: a non-EU student at a public university in Granada, starting in 2026, living in a shared flat, cooking at home, holding the youth transport card and a visa-compliant insurance policy. Every line below is annual, and the six-year column is the annual figure multiplied by six.
| Item | Basis | Per year | Six years |
|---|---|---|---|
| Tuition | 60 ECTS at €12.62 (Andalucía, 2026) | €757.20 | €4,543.20 |
| Room in a shared flat | €325 for 12 months | €3,900 | €23,400 |
| Food and household | €200 for 12 months | €2,400 | €14,400 |
| Transport | €20 for 12 months, youth card | €240 | €1,440 |
| Private health insurance | €45 for 12 months, visa-compliant | €540 | €3,240 |
| Books, kit, phone, everything else | €70 for 12 months | €840 | €5,040 |
| Total | All lines above | €8,677.20 | €52,063.20 |
Tuition is 8.7 percent of that total. Housing is 45 percent. Swap Granada for Madrid at the non-EU public tariff and the same lifestyle costs roughly €112,000 over six years, because both the rent line and the tuition line jump at once. That is the single most useful thing to understand before shortlisting cities.
What does the tuition actually buy across six years?
A 360-ECTS Spanish medical degree splits into roughly two preclinical years, three clinical years and a final year built almost entirely from hospital rotations. That last year, the rotatorio, is full-time placement work in internal medicine, surgery, paediatrics, obstetrics, psychiatry and family medicine. It is the reason Spanish faculties are tied to specific teaching hospitals and why the hospital network matters more than the campus.
Private universities spend their fee difference on simulation. Universidad Francisco de Vitoria builds clinical simulation and early hospital contact into the first years rather than saving them for year four. Universitat Internacional de Catalunya runs medicine from its Sant Cugat campus with 100 places a year, so cohorts are small and lab groups stay small with them. Public faculties in Granada or Seville have far larger cohorts and correspondingly larger anatomy classes.
What both types share is the state-approved curriculum. The degree title is identical, the ECTS count is identical, and neither an employer nor a licensing authority in Europe distinguishes between them. Students who have walked this route describe the differences honestly in our student stories.
Is medicine in Spain taught in Spanish or in English?
Overwhelmingly in Spanish, with a small number of bilingual exceptions. Every public medical faculty teaches in Spanish, and in Catalonia partly in Catalan too. Universitat Internacional de Catalunya lists Catalan and Spanish with some lectures in English for 2026-2027. The clearest bilingual option is CEU Cardenal Herrera, whose Alfara del Patriarca campus near Valencia runs an English-and-Spanish stream with 165 ECTS delivered in English across the first two years and part of the third.
That structure tells you something important. Even the most English-heavy Spanish programme switches to Spanish for the clinical years, because patients in Valencia speak Spanish. Anyone planning to study medicine in Spain is planning to reach clinical Spanish within two to three years. Treat the language as part of the cost: intensive courses, a DELE or SIELE preparation, and time.
The upside is real. Six years of clinical training in Spanish makes you employable across Spain and much of Latin America, and it is a genuine second working language rather than a certificate. Marcel Kloos went through the same thing in Bulgarian during his dentistry degree in Sofia from 2015 to 2021, and he would tell you the clinical vocabulary arrives faster than the small talk.
{{cta}}What happens to a Spanish medical degree after graduation in the European Union?
It travels. Spain is an EU member state, and the medical qualification issued by a Spanish university appears in Annex V of Directive 2005/36/EC on the recognition of professional qualifications. Under that directive, the basic medical training qualification is recognised automatically in every other member state, without a content equivalence examination. A graduate of the Universidad de Granada can register as a doctor in Ireland, Portugal or the Netherlands on that basis.
Recognition of the qualification and a licence to practise are separate steps. Each country still runs its own registration process, which typically means proving identity, good standing and language competence at the level the regulator sets, then paying a registration fee. Outside the EU, the paths are also mapped: Spanish medical schools listed in the World Directory of Medical Schools open the ECFMG route toward the USMLE for the United States, and the General Medical Council route into the United Kingdom runs through PLAB with its own English requirement.
Specialist training in Spain runs through the MIR system, a national examination that leads into salaried residency posts. That is a separate competition after graduation and a separate conversation from the cost of the degree.
What do cost breakdowns of studying medicine in Spain usually leave out?
Four things, and each one moves the total by thousands. The first is the non-EU public tariff. Almost every summary quotes the resident first-enrolment price, which is the correct figure only if you hold an EU passport or Spanish residence, and in Madrid the difference is €7,000 a year.
The second is that private fees rise across the six years. Universities publish the first-year price, and multiplying it by six gives a floor, not a forecast. Annual increases of a few percent are normal, so budget above the published multiple rather than at it.
The third is the twelve-month year. Rent, insurance and a phone contract run through July and August whether or not lectures do, and the rotatorio year in particular leaves little room for a summer job. The Granada budget above assumes twelve months for exactly this reason.
The fourth is currency and transfer cost. A student paying from outside the eurozone across six years will move something like €50,000 to €120,000 through the banking system, and a two percent spread on that is real money. Fixing the transfer route early is worth more than most scholarship applications.
When should the money planning start, month by month?
Roughly fifteen months before the first lecture, and the sequence matters more than the exact dates. Spanish academic years start in September, so a student aiming at September 2027 is working backwards from now.
Decide public or private, and decide the region. Confirm whether the non-EU tariff applies to you. Start Spanish.
Get your profile assessed. Line up the funding evidence the visa will need: €7,200 for twelve months at the 2026 IPREM.
Legalise and translate documents. Budget several weeks for apostilles. Compare insurance policies against the visa rules.
Place reservation and first payment where a private university asks for one. Book the consular appointment as early as the calendar allows.
Housing. Signing a Granada or Valencia room in June beats searching in September by €50 to €100 a month.
NIE and empadronamiento, a Spanish bank account, the youth transport card, and enrolment at the faculty office.
Which universities fit your profile, and what any of them will ask of you, depends entirely on your individual file. Medschool Experts assesses that directly and without charge; our placement services cover the whole route from shortlist to enrolment.
The author's view
I studied dentistry in Sofia between 2015 and 2021, and the number that mattered to me was never the tuition line. It was the total cost of six years of my life in a city where I had to learn the language of the ward. Spain is the same problem with different arithmetic. A student who picks Granada over Madrid saves more on rent across six years than most families expect to save on fees, and the degree certificate reads the same at the end.
The figure I would put in front of every non-EU family is €136.44. That is what the Comunidad de Madrid's own decree charges a non-resident student per credit in 2026, and it quietly turns the cheapest-looking route in Spain into a mid-priced one. Nobody hides it. It sits in the annex of Decreto 43/2022 where almost nobody reads. Check your tariff line before you fall in love with a city.
I practise as a licensed dentist in Bern now, and the thing I underestimated as an eighteen-year-old was how much the language decides your clinical years. In Spain you will take histories in Spanish from year three onward. Start early, budget for a course, and treat it as part of the tuition. The medicine is the easy part by comparison. A Spanish degree opens the whole European Union under directive 2005/36/EC, and that is worth the effort of the language.
Summary
- Public tuition for medicine is set per ECTS credit by each comunidad autónoma: €12.62 in Andalucía, €17.69 in Cataluña, €18.00 in the Comunitat Valenciana and €20.68 in the Comunidad de Madrid for 2026.
- Six years of public tuition therefore ranges from €4,543.20 in Granada to €7,444.80 in Madrid at the resident first-enrolment rate.
- Madrid's Decreto 43/2022 bills non-EU students who are not resident in Spain at €136.44 per credit, which is €8,186.40 a year; the Comunitat Valenciana doubles its rate to €36.00 per credit under Decreto 101/2024.
- Private faculties charged roughly €18,600 to €20,500 a year in 2026, giving six-year tuition between about €111,600 and €123,000, at the same price for every passport.
- Living costs run from about €600 a month in Granada to €1,500 in Barcelona, with rent responsible for nearly all of the difference.
- A worked six-year budget for a non-EU student at a public university in Granada comes to €52,063.20, of which tuition is 8.7 percent.
- Teaching is in Spanish almost everywhere; CEU Cardenal Herrera's Valencia campus delivers 165 ECTS in English across the early years before switching to Spanish for clinical work.
- The Spanish qualification is listed in Annex V of EU Directive 2005/36/EC and is recognised automatically across the European Union.
Conclusion
Spain rewards students who choose the region deliberately. The same six-year degree, the same title, the same automatic EU recognition, can cost €52,000 all-in or three times that, and the deciding factors are a regional decree and a rental market rather than anything about the medicine.
What no price table can tell you is which Spanish faculty fits your profile, or which tariff line your own passport and residence status put you on. That is exactly what we look at, case by case, in a free consultation.
Frequently Asked Questions about the cost of studying medicine in Spain
How much does one year of medicine at a Spanish public university cost in 2026?
Between €757.20 and €1,240.80 for a first-enrolment student paying the resident rate, based on 60 ECTS credits a year. Andalucía charges €12.62 per credit, Cataluña €17.69 under Decret 96/2026, the Comunitat Valenciana €18.00 for health sciences under Decreto 101/2024, and the Comunidad de Madrid €20.68 under Decreto 43/2022. Students from outside the European Union pay a different tariff in Madrid and Valencia.
Do non-EU students really pay more at Spanish public universities?
In some regions, yes, and it is written into the regional decree. Madrid's Decreto 43/2022 applies the fourth-enrolment tariff to non-EU students who are not resident in Spain, which is €136.44 per credit for medicine in 2026 rather than €20.68. The Comunitat Valenciana doubles its standard rate. Andalucía and Cataluña published no separate non-EU tariff for bachelor's degrees in 2026.
What do private medical schools in Spain charge?
Roughly €18,600 to €20,500 per academic year in 2026. Universitat Internacional de Catalunya listed €310 per ECTS for 2026-2027, which is €18,600 for a 60-credit year. Universidad CEU San Pablo published €19,500 a year plus a €3,300 reservation and €1,700 enrolment in year one, and Universidad de Navarra €20,400 plus a €95 secretaría fee. Six years lands near €111,000 to €123,000.
How much should I budget for living costs each month?
Plan on €600 to €850 in Granada, €700 to €1,000 in Valencia, €700 to €950 in Seville, €1,000 to €1,400 in Madrid and €1,100 to €1,500 in Barcelona, using 2026 figures. Rent explains almost the entire gap: a room in a shared flat cost €250 to €400 in Granada and €500 to €700 in Barcelona. Transport is cheap everywhere thanks to youth discounts running through 2026.
Is health insurance compulsory, and what does it cost?
For a Spanish student visa it is compulsory. The policy must come from an insurer authorised in Spain, carry no co-payments, no waiting periods and no coverage ceilings, and include repatriation. Visa-compliant policies were quoted at €30 to €60 a month in 2026, so €360 to €720 a year. Several consulates ask for cover starting before the programme begins and running past its end.
Can I study medicine in Spain entirely in English?
Not for the full six years. Spanish medical degrees are taught in Spanish, and in Catalonia partly in Catalan. The most English-heavy route is CEU Cardenal Herrera's bilingual stream near Valencia, which delivers 165 ECTS in English across the first two years and part of the third before moving into Spanish for clinical training. Reaching working clinical Spanish is part of the plan, not an optional extra.
Will a Spanish medical degree let me work elsewhere in Europe?
Yes. Spain's basic medical training qualification is listed in Annex V of EU Directive 2005/36/EC, so other member states recognise it automatically without an equivalence examination. Registration is still a separate national step involving identity, good standing, language competence and a fee. Outside the EU there are mapped routes too, including ECFMG certification toward the USMLE and the General Medical Council's PLAB pathway.
What are the entry requirements for medicine in Spain?
They vary by university and, more than that, by your individual profile: the school system you come from, your subject combination, your language level and your documents all change the answer. Rather than publish numbers that would be wrong for most readers, we assess each case directly. Book a free individual consultation and Medschool Experts will tell you exactly where you stand and which Spanish faculties fit.
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About the author

Marcel Kloos
Swiss-licensed dentist and founder of Medschool Experts
Marcel Kloos founded Medschool Experts while studying abroad; since then, over 500 study places have been secured. The Stuttgart-born dentist studied dentistry from 2015 to 2021 in Sofia and holds a Swiss dental licence.
Today he lives in Bern and runs Medschool Experts full-time as its owner.
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