Medical equipments market in Spain: size, suppliers and public contracts

Market size and key facts

In 2025, public buyers in Spain awarded 7,631 supply contracts for medical equipments through award notices on TED; the 6,675 of them that state a value (87.5%) add up to €1.71 billion. Spain imported €6.59 billion 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 8.6% from 2023.

  • Since November 2023, 1,420 companies have won 21,776 public supply contracts for medical equipments in Spain, in 5,272 award notices from 429 public buyers.
  • 99.6% of these awards went to companies registered in Spain; the most frequent foreign origin is France.
  • The five companies that win most often hold 13.9% of all awards.
  • 37% of the awards whose notice states the number of tenders received a single bid.

In proportion

All public purchasing in Spain — general government spending on goods, services and investment, the measure the OECD and the European Commission use for public procurement — came to €192 billion in 2025, 11.3% 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 Spain came to €54.7 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 Spain", https://cresques.com/markets/es/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

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
1,420
since November 2023
Award notices
5,272
on TED
Public buyers
429
hospitals, schools, agencies
Imports 2025
€6.6B
all buyers, Eurostat

The market in numbers

Public supply contracts in Spain: award notices published on TED from 2023-11 to 2026-11, by publication year.

Contracts awarded
21.8K
in 5.3K award notices
Awarded value
€5.3B
from 85% of awards with a published value
Winning companies
1.4K
with at least one award
Public buyers
429
hospitals, cities, agencies
Contracts awarded by year
Contracts awarded by yearNov–Dec 2023: 279279Nov–Dec 20232024: 6,9326,93220242025: 7,6317,63120252026: 6,9346,9342026
Table view
Contracts awarded by year
Nov–Dec 2023279
20246,932
20257,631
20266,934
Awarded value by year (EUR)
Awarded value by year (EUR)Nov–Dec 2023: €91M€91MNov–Dec 20232024: €1.3B€1.3B20242025: €1.7B€1.7B20252026: €2.2B€2.2B2026
Table view
Awarded value by year (EUR)
Nov–Dec 2023€91M
2024€1.3B
2025€1.7B
2026€2.2B
Who buys: contracts by buyer sector
  1. Hospitals and health services: 20,010
  2. Cities, regions and central administration: 1,242
  3. Social protection: 281
  4. Universities, schools and research: 164
  5. Environment and waste: 27
  6. Armed forces and defence agencies: 27
  7. Culture, sport and religion: 14
  8. Economic affairs: 7
  9. Other4
    Other: 4
Table view
Who buys: contracts by buyer sector
Hospitals and health services20,010
Cities, regions and central administration1,242
Social protection281
Universities, schools and research164
Environment and waste27
Armed forces and defence agencies27
Culture, sport and religion14
Economic affairs7
Other4
Where the buyers are (NUTS 2 region)
  1. Comunidad de Madrid9,771
    ES30
    Comunidad de Madrid: 9,771
  2. País Vasco3,273
    ES21
    País Vasco: 3,273
  3. Cataluña3,100
    ES51
    Cataluña: 3,100
  4. Andalucía2,305
    ES61
    Andalucía: 2,305
  5. Galicia718
    ES11
    Galicia: 718
  6. Comunitat Valenciana579
    ES52
    Comunitat Valenciana: 579
  7. La Rioja510
    ES23
    La Rioja: 510
  8. Región de Murcia374
    ES62
    Región de Murcia: 374
Table view
Where the buyers are (NUTS 2 region)
Comunidad de Madrid9,771
País Vasco3,273
Cataluña3,100
Andalucía2,305
Galicia718
Comunitat Valenciana579
La Rioja510
Región de Murcia374
Who wins, by company size as declared in the notice
Who wins, by company size as declared in the notice: Large companies 37%, Medium-sized 4%, Small 2.2%, Micro 0.3%, SME (size not stated) 34%, Size not stated 22.4%Large companies: 8,052 (37%)37%Medium-sized: 880 (4%)Small: 489 (2.2%)Micro: 63 (0.3%)SME (size not stated): 7,414 (34%)34%Size not stated: 4,878 (22.4%)22%
  • Large companies
  • Medium-sized
  • Small
  • Micro
  • SME (size not stated)
  • Size not stated
Table view
Who wins, by company size as declared in the notice
Large companies8,052 · 37%
Medium-sized880 · 4%
Small489 · 2.2%
Micro63 · 0.3%
SME (size not stated)7,414 · 34%
Size not stated4,878 · 22.4%
Foreign winners: where they are registered
  1. France38
    France: 38
  2. Germany17
    Germany: 17
  3. Netherlands10
    Netherlands: 10
  4. Italy7
    Italy: 7
  5. United Kingdom4
    United Kingdom: 4
  6. United States4
    United States: 4
Table view
Foreign winners: where they are registered
France38
Germany17
Netherlands10
Italy7
United Kingdom4
United States4
Imports of these goods into Spain, all buyers (EUR)
Imports of these goods into Spain, all buyers (EUR)2023: €6.1B€6.1B20232024: €6.4B€6.4B20242025: €6.6B€6.6B2025
Table view
Imports of these goods into Spain, all buyers (EUR)
2023€6.1B
2024€6.4B
2025€6.6B
Where the buyers are (city)
  1. Vitoria-Gasteiz3,228
    Vitoria-Gasteiz: 3,228
  2. Madrid2,870
    Madrid: 2,870
  3. Barcelona2,211
    Barcelona: 2,211
  4. Zaragoza1,469
    Zaragoza: 1,469
  5. Santander1,077
    Santander: 1,077
  6. Valencia937
    Valencia: 937
  7. Valladolid892
    Valladolid: 892
  8. Sevilla667
    Sevilla: 667
Table view
Where the buyers are (city)
Vitoria-Gasteiz3,228
Madrid2,870
Barcelona2,211
Zaragoza1,469
Santander1,077
Valencia937
Valladolid892
Sevilla667

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 Spain

99.6%

Awards to companies registered in Spain: 99.6%

97 awards went to companies registered elsewhere.

Share of the 5 biggest winners

13.9%

Share of the 5 biggest winners: 13.9%

Of all awards; a high share means a concentrated market.

Lots with a single bid

37%

Lots with a single bid: 37%

Among 19.6K 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

  1. Medtronic Ibérica, S.A.593 public contracts in total
  2. Palex Medical, S.A.507 public contracts in total
  3. Boston Scientific Ibérica, S.A.292 public contracts in total
  4. Prim, S.A.290 public contracts in total
  5. Abbott Medical España, S.A.226 public contracts in total

Where this industry meets in Spain

All trade fairs and congresses of this industry →

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Questions

Who wins public contracts for medical equipments in Spain?
1,420 companies won 5,272 contract award notices for these categories from 429 public buyers in Spain since November 2023. The companies that win most often are Medtronic Ibérica, S.A., Palex Medical, S.A., Boston Scientific Ibérica, S.A., Prim, S.A., Abbott Medical España, S.A..
How big is the medical equipments market in Spain?
In 2025, public buyers in Spain awarded 7,631 supply contracts for medical equipments through award notices on TED; the 6,675 of them that state a value (87.5%) add up to €1.71 billion. Spain imported €6.59 billion 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 8.6% from 2023.
Where do suppliers of medical equipments meet buyers and distributors in Spain?
At trade fairs and congresses such as LXXVIII Reunión Anual de la Sociedad Española de Neurología, LABCLIN 2026 – XX Congreso Nacional del Laboratorio Clínico, XXXVIII Congreso Nacional de la Fundación de la Sociedad Española de Diabetes (FSED), Congreso SEPAR 2027, LXII Congreso Nacional SEMICYUC 2027, ESMO Congress 2027 — each checked on the organiser's official website.
How do I find a distributor for medical equipments in Spain?
Create a free Cresques account and open the market map for Spain 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.