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The final fee depends on the review setting, specialist input, written reports, and follow-up. Private specialist visits, hospital second opinions, and university reviews may cover different services. Patients can compare options in Madrid, Barcelona, and Pamplona. In the US, the average is _price_compare_US_average_. Spain offers savings of _price_percent_discount_% compared with the US.</p>\n<ul>\n<li>Private specialist consultation: Often costs less than a hospital review. It focuses on a specialist visit and existing images.</li>\n<li>Formal private hospital second opinion: May cost more because it includes record review and a specialist follow-up discussion.</li>\n<li>University clinic review: May cost more when it adds multidisciplinary review, a written report, and teleconsultation.</li>\n<li>Public referral: Public coverage can lower out-of-pocket spending. 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