Percutaneous nephrolithotomy (PCNL) in Spain: Our Best Clinics and Costs 2026

The cost of percutaneous nephrolithotomy (PCNL) in Spain typically ranges from $8,000 to $14,000. Prices can vary depending on the hospital, the urologist’s experience, the complexity and size of the kidney stones, and whether advanced imaging or laser lithotripsy is used. In the United States, the average cost is $22,500 (according to the American Urological Association). This means PCNL in Spain is about 51% less expensive than in the U.S.

Spanish hospitals generally include pre-op labs, anesthesia, use of specialized endoscopic and lithotripsy equipment, up to 2–3 nights of hospitalization, medications, and follow-up visits in the price. In the U.S., hospital stay, anesthesia, post-op care, and imaging are often billed separately from the surgeon’s fee. Always confirm exactly what’s included with each clinic or hospital.