Medical equipments market in Bulgaria: size, suppliers and public contracts
Market size and key facts
In 2025, public buyers in Bulgaria awarded 2,927 supply contracts for medical equipments through award notices on TED; the 2,886 of them that state a value (98.6%) add up to €556 million. Bulgaria imported €460 million of goods in the customs headings matched to medical equipments in 2025 (Eurostat Comext, HS 9018, 9021, 9022, 9019, 3005 and 2 more headings; all buyers, not only public ones), up 22.4% from 2023.
- Since November 2023, 390 companies have won 7,873 public supply contracts for medical equipments in Bulgaria, in 3,570 award notices from 180 public buyers.
- 100% of these awards went to companies registered in Bulgaria; the most frequent foreign origin is Belgium.
- The five companies that win most often hold 25% of all awards.
- 55% of the awards whose notice states the number of tenders received a single bid.
In proportion
All public purchasing in Bulgaria — general government spending on goods, services and investment, the measure the OECD and the European Commission use for public procurement — came to €14.4 billion in 2025, 12.4% of GDP (Eurostat). Award notices on TED cover only the contracts above the EU thresholds, so they show who wins, not the whole of that spending.
General government spending on goods, services and investment for health in Bulgaria came to €3.77 billion in 2024 (Eurostat, COFOG). How much of it reaches suppliers through tenders depends on how the country organises the sector — for example whether statutory health insurance is classified in government.
Source: Eurostat, government finance statistics (gov_10a_main, gov_10a_exp) and GDP (nama_10_gdp), retrieved 9 November 2026.
Updated · counted daily from contract award notices on TED and Eurostat international trade data · figures as JSON · free to quote with attribution (CC BY 4.0)
How to cite: Cresques, "Medical equipments market in Bulgaria", https://cresques.com/markets/bg/331-medical-equipments, from TED contract award notices (© European Union) and Eurostat Comext, updated 13 November 2026. Licence: CC BY 4.0.
What industry and official reports say
- MedTech Europe estimates the European medical technology market at about €173 billion in 2025, at manufacturer prices, for the EU, Norway, Switzerland and the UK. MedTech Europe, The European Medical Technology in Figures (Data Hub)
- The European Commission states that public procurement accounts for 50% to 70% of the EU market for medical devices (Regulation (EU) 2025/1197, citing industry data). European Commission (Official Journal of the EU), Commission Implementing Regulation (EU) 2025/1197 imposing an IPI measure on medical devices originating in the PRC
- According to the same regulation, procedures worth €5 million or more were about 4% of EU medical device procurement procedures on TED in 2017–2022 but about 59% of their value. European Commission (Official Journal of the EU), Commission Implementing Regulation (EU) 2025/1197 imposing an IPI measure on medical devices originating in the PRC
- MedTech Europe counts more than 36,000 medical technology companies in Europe in 2025, about 90% of them SMEs. MedTech Europe, The European Medical Technology in Figures (Data Hub)
- Eurostat puts current healthcare expenditure in the EU at €1,720 billion in 2023, 10.0% of GDP; medical goods took 17.8% of it. Eurostat, Healthcare expenditure statistics - overview (Statistics Explained)
Figures from the publishers named, checked at the source on 9 November 2026. They measure the whole market (all buyers, different price bases and country scopes), so they are not comparable one-to-one with the public contract counts on this page.
- Winning companies
- 390
- since November 2023
- Award notices
- 3,570
- on TED
- Public buyers
- 180
- hospitals, schools, agencies
- Imports 2025
- €459.5M
- all buyers, Eurostat
The market in numbers
Public supply contracts in Bulgaria: award notices published on TED from 2023-11 to 2026-11, by publication year.
- Contracts awarded
- 7.9K
- in 3.6K award notices
- Awarded value
- €1.5B
- from 98% of awards with a published value
- Winning companies
- 390
- with at least one award
- Public buyers
- 180
- hospitals, cities, agencies
Table view
| 2024 | 2,707 |
| 2025 | 2,927 |
| 2026 | 2,239 |
Table view
| 2024 | €462M |
| 2025 | €556.4M |
| 2026 | €488.1M |
- Other1
Table view
| Hospitals and health services | 7,001 |
| Universities, schools and research | 704 |
| Cities, regions and central administration | 146 |
| Armed forces and defence agencies | 11 |
| Police, fire services and prisons | 4 |
| Social protection | 2 |
| Electricity utilities | 2 |
| Environment and waste | 2 |
| Other | 1 |
- Yugozapaden4,262BG41
- Yugoiztochen942BG34
- Yuzhen tsentralen925BG42
- Severen tsentralen689BG32
- Severoiztochen574BG33
- Severozapaden481BG31
Table view
| Yugozapaden | 4,262 |
| Yugoiztochen | 942 |
| Yuzhen tsentralen | 925 |
| Severen tsentralen | 689 |
| Severoiztochen | 574 |
| Severozapaden | 481 |
- Large companies
- Medium-sized
- Small
- Micro
- SME (size not stated)
Table view
| Large companies | 435 · 5.5% |
| Medium-sized | 539 · 6.8% |
| Small | 400 · 5.1% |
| Micro | 112 · 1.4% |
| SME (size not stated) | 6,387 · 81.1% |
- Belgium1
- Romania1
Table view
| Belgium | 1 |
| Romania | 1 |
Table view
| 2023 | €375.5M |
| 2024 | €372.5M |
| 2025 | €459.5M |
- София2,939
- София545
- Пловдив463
- София312
- Варна268
- Стара Загора245
- Плевен209
- Габрово205
Table view
| София | 2,939 |
| София | 545 |
| Пловдив | 463 |
| София | 312 |
| Варна | 268 |
| Стара Загора | 245 |
| Плевен | 209 |
| Габрово | 205 |
Imports: Eurostat Comext, customs headings 9018, 9021, 9022, 9019, 3005, 9402, 8713 (only headings whose trade is mainly this category); all buyers, not only public ones.
Awards to companies registered in Bulgaria
100%
2 awards went to companies registered elsewhere.
Share of the 5 biggest winners
25%
Of all awards; a high share means a concentrated market.
Lots with a single bid
55%
Among 7.4K awards whose notice states the number of tenders.
How we count: one award per procedure, lot and winning company, from live contract award notices; a joint procurement counts on every buyer's market. Values are the awarded amounts published in the notice (framework ceilings and estimates are never added), converted to euro at the ECB yearly average. Company size is the SME flag of the notice (eForms BT-165). Read the methodology.
The same category across Europe: all 30 countries compared →
Among the companies that win most often
- РСР ЕООД525 public contracts in total
- МЕДИЦИНСКА ТЕХНИКА ИНЖЕНЕРИНГ ООД422 public contracts in total
- СОФАРМА ТРЕЙДИНГ АД1075 public contracts in total
- СОЛОМЕД ЕООД381 public contracts in total
- ИСТЛИНК БЪЛГАРИЯ ООД266 public contracts in total
Where this industry meets in Bulgaria
- BULMEDICATrade fair · Sofia, Bulgaria
- BULDENTALTrade fair · Sofia, Bulgaria
- COMPAMEDTrade fair · Düsseldorf, Germany
- MEDICATrade fair · Düsseldorf, Germany
- World Health Expo Dubai (WHX, formerly Arab Health)Trade fair · Dubai, United Arab Emirates
- HospitalarTrade fair · São Paulo, Brazil
Watch this market
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Which of these 390 companies could distribute your product?
A Cresques market map of Bulgaria for this category shows the companies that win these contracts: how often, for how many buyers and for how much, and whether the leading ones are distributors or manufacturers.
Open this market map — freeFree account, no card: one market map, showing the first 5 companies with their contract awards. Paid plans show every company.
After sign-in the new-market form opens with Bulgaria and Medical equipments filled in.
No account yet? Ask for a free preview.
One page by e-mail within one working day: three distributors that already win public contracts for this kind of product in the country you choose, each one checked (is it a distributor, or a manufacturer's own sales company?), with its contract record, and the price of the full shortlist. If we can find fewer than three, the reply says so.
Read how to enter the Bulgaria market.
Questions
- Who wins public contracts for medical equipments in Bulgaria?
- 390 companies won 3,570 contract award notices for these categories from 180 public buyers in Bulgaria since November 2023. The companies that win most often are РСР ЕООД, МЕДИЦИНСКА ТЕХНИКА ИНЖЕНЕРИНГ ООД, СОФАРМА ТРЕЙДИНГ АД, СОЛОМЕД ЕООД, ИСТЛИНК БЪЛГАРИЯ ООД.
- How big is the medical equipments market in Bulgaria?
- In 2025, public buyers in Bulgaria awarded 2,927 supply contracts for medical equipments through award notices on TED; the 2,886 of them that state a value (98.6%) add up to €556 million. Bulgaria imported €460 million of goods in the customs headings matched to medical equipments in 2025 (Eurostat Comext, HS 9018, 9021, 9022, 9019, 3005 and 2 more headings; all buyers, not only public ones), up 22.4% from 2023.
- Where do suppliers of medical equipments meet buyers and distributors in Bulgaria?
- At trade fairs and congresses such as BULMEDICA, BULDENTAL, COMPAMED, MEDICA, World Health Expo Dubai (WHX, formerly Arab Health), Hospitalar — each checked on the organiser's official website.
- How do I find a distributor for medical equipments in Bulgaria?
- Create a free Cresques account and open the market map for Bulgaria and this category. It shows the companies that win public contracts there, how often, for how many buyers and for how much: the first 5 on the Free plan, every company on a paid plan. Where the data exists, the map also shows wholesalers from the business register, import figures and the industry's trade fairs.
Sources: contract award notices on TED — Tenders Electronic Daily (ted.europa.eu), © European Union, published since November 2023, processed by Cresques (one award per procedure and lot); imports: Eurostat, international trade in goods (Comext), © European Union — only the customs headings whose trade is mainly this category, chosen by Cresques.