Spain has more AeMCs than any other EASA country — 14 active centers across 8 cities. This creates genuine price competition that benefits pilots. Initial Class 1 prices range from €350 to €650, with every center including all tests in the quoted price. No hidden ECG fees, no external blood panels, no surprise psychology charges.
The catch: Spain's AESA (the national aviation authority) processes certificates centrally, adding a 30–90 day wait after your examination. No same-day certificate. This is the trade-off for otherwise excellent value.
Spain AeMCs — Live Data
Aeromedical Centres in Spain — Live Data
CIMA Madrid
Madrid, Spain
Hospital Pio XII
Madrid, Spain
Servicio Medico Iberia
Madrid, Spain
SERMESA Valencia
Valencia, Spain
CMA by Quiron Prevencion Palma
Palma de Mallorca, Spain
Alboran Centro Medico
Malaga, Spain
CMA Triana
Sevilla, Spain
Centro Medico La Cuesta
Tenerife, Spain
Centre Sanitari Can Mora
Barcelona, Spain
DiagnosisMedica Barcelona
Barcelona, Spain
Hospital Quironsalud Barcelona
Barcelona, Spain
Gabinete Médico Velázquez
Madrid, Spain
Medical Crew Bilbao
Bilbao, Spain
Sociedad Salut Valles
Barcelona, Spain
Why Spain Is Different
Three things make Spain unique in the European AeMC market:
All-Inclusive Pricing
Every Spanish AeMC includes every test in one price. ECG, audiometry, ophthalmology, blood work, psychiatrist interview, personality test — all in. Unique in Europe.
Most AeMCs in EASA
14 centers across Madrid (4), Barcelona (3), Valencia, Bilbao, Sevilla, Málaga, Palma, and Tenerife. More options than Germany (7), France (4), or the UK (4).
Mandatory Psych Test
Spain requires a psychiatrist interview and personality assessment for every initial Class 1. This is a Spanish national requirement on top of standard EASA Part-MED. Adds ~1 hour to the exam.
All 14 AeMCs Ranked by Price
Prices verified March 2026 from AeMC websites and AESA registry. All prices include every mandatory test.
| # | AeMC | City | Initial | Renewal | Online |
|---|---|---|---|---|---|
| 1 | Centre Sanitari Can Mora | Barcelona | €350 | €220 | No |
| 2 | SERMESA | Valencia | €380 | €240 | Yes |
| 3 | CIMA Madrid | Madrid | €400 | €250 | No |
| 4 | Servicio Médico Iberia | Madrid | €420* | €260 | No |
| 5 | Medical Crew Bilbao | Bilbao | €425 | €265 | Yes |
| 6 | Sociedad Salut Vallès | Barcelona | €460 | €285 | No |
| 7 | Hospital Pío XII | Madrid | €485 | €300 | Yes |
| 8 | DiagnosisMedica | Barcelona | €500 | €310 | Yes |
| 9 | Hospital Quirónsalud | Barcelona | €500 | €310 | Yes |
| 10 | Gabinete Médico Velázquez | Madrid | €500 | €310 | Yes |
| 11 | CMA Triana | Sevilla | €560 | €350 | No |
| 12 | Alboran Centro Médico | Málaga | €650 | €410 | Yes |
| — | CMA Quirón Prevención | Palma | Contact | Contact | Yes |
| — | Centro Médico La Cuesta | Tenerife | Contact | Contact | No |
*Iberia Medical: PPRuNe reports suggest this center may only be authorized for renewals, not initial Class 1. Verify directly before booking an initial.
Your Class 1 medical — up to €500 cheaper elsewhere.
Same EASA certificate, valid everywhere. Prices vary 5× between countries. Find the cheapest center near you.
Find Cheapest Center — €14.99AeMCs by City
Madrid — 4 Centers (€400–€500)
The most AeMCs of any Spanish city. CIMA Madrid (€400) is the cheapest and the government-affiliated center — but pilots report long waits and a 3.5-month certificate delay. The exam itself takes about 6.5 hours including a written personality test and EEG. Servicio Médico Iberia (€420) at Barajas Airport gets excellent reviews for renewals — certificate in hand within 7–10 days — but may not be authorized for initial Class 1 exams.
Hospital Pío XII (€485) and Gabinete Médico Velázquez (€500) are private options with online booking and smoother processes.
Barcelona — 3 Centers (€350–€500)
Barcelona offers the best value in Spain. Centre Sanitari Can Mora (€350) is the cheapest AeMC in the country but only speaks Spanish and Catalan — no English. DiagnosisMedica (€500) speaks English and German. Hospital Quirónsalud (€500) has online booking.
Just outside Barcelona, Sociedad Salut Vallès (€460) speaks five languages — Spanish, English, French, German, and Italian — making it the most multilingual AeMC in Spain.
Valencia — 1 Center (€380)
SERMESA Valencia — second cheapest in Spain at €380. Online booking available. English spoken. A strong option for pilots training at nearby flight schools like FlyBy Spain or Air Griffin.
Bilbao — 1 Center (€425)
Medical Crew Bilbao — online booking, speaks English and French. The only AeMC in the Basque Country and northern Spain. Useful for pilots based at Bilbao Airport or training at schools in the northern corridor.
Sevilla, Málaga, Palma, Tenerife
CMA Triana Sevilla (€560) — speaks Arabic in addition to Spanish and English. Alboran Málaga (€650) is the most expensive Spanish AeMC. Both serve the Andalucía flight training market.
CMA Quirón Prevención Palma de Mallorca — no pricing published but speaks English, German, Swedish, Danish, and Norwegian. Clearly targeting Scandinavian pilots who train or live in Mallorca. Centro Médico La Cuesta Tenerife — Spanish only, no pricing published.
Spain-Specific Rules
Spain applies EASA Part-MED plus additional national requirements. These affect your exam experience.
Mandatory Psychiatrist Interview + Personality Test
Every initial Class 1 in Spain includes a face-to-face psychiatrist interview and a written personality assessment (typically 1–2 hours of written tests plus a clinical interview). This is a Spanish national requirement not found in most other EASA countries. It's included in the quoted price at all centers.
EEG at Some Centers
CIMA Madrid includes an EEG (electroencephalogram) as part of the standard exam. Not all Spanish centers include this — it depends on the center's protocol and the pilot's age/history.
Exam Duration: 4–6 Hours
Due to the additional psychology component, Spanish initial exams take longer than in most countries. Plan for a full day. CIMA Madrid reports approximately 6.5 hours. Arrive early, bring snacks, and clear your schedule.
The AESA Certificate Delay
This is the biggest practical difference between Spain and the rest of Europe. In most EASA countries (Bulgaria, Latvia, UK, Germany), you receive your certificate on the same day or within 1–2 weeks. In Spain, AESA processes all certificates centrally through the Sección de Licencias del Personal.
Expect 30–90 Day Processing
Standard processing time is 30–90 days from the date of examination. At CIMA Madrid, pilots have reported delays of 3.5 months for certificate issuance. During peak periods (September–January), delays tend to be longer.
Impact: If you need your certificate by a specific date (flight school start, airline assessment), add at least 3 months to your timeline. Spain is not the country for a last-minute medical.
Exception: Iberia Medical for Renewals
Servicio Médico Iberia at Madrid-Barajas reportedly delivers renewal certificates in 7–10 days — much faster than other Spanish centers. If renewal speed matters and you're Madrid-based, Iberia is the best choice (€260 renewal).
For Non-Spanish Pilots
Spain is a common medical tourism destination. Flight schools in southern Spain (FlyBy, Quality Fly, CAE Madrid, Aerotec Escuela) attract students from across Europe who then need a local AeMC. Scandinavian pilots who own property in Mallorca or the Costa del Sol also book locally.
Best Centers for Non-Spanish Speakers
Scandinavian pilots: CMA Quirón Prevención Palma — speaks Swedish, Danish, Norwegian, German, and English.
German-speaking pilots: DiagnosisMedica Barcelona or Sociedad Salut Vallès.
French-speaking pilots: Medical Crew Bilbao or Sociedad Salut Vallès.
English-only: Any center except Centre Sanitari Can Mora (Spanish/Catalan only) and Centro Médico La Cuesta Tenerife (Spanish only).
Consider the AESA Delay
If you're coming to Spain specifically for a cheap medical and need the certificate quickly, consider instead: Bulgaria (€150, same day), Latvia (€180, same day), or Czech Republic (€220, 2-day exam but faster certificate). Spain offers better value than Northern Europe but slower certificate issuance than Eastern Europe.
Spain Flight Schools + Medical
Spain is one of Europe's largest flight training markets — warm weather, 300+ flying days, and lower costs than Northern Europe. If you're training in Spain, getting your medical locally makes sense. Here's which AeMC is closest to major training locations:
| Training Area | Key Schools | Nearest AeMC | Price |
|---|---|---|---|
| Madrid | CAE Madrid, Aerotec | CIMA Madrid | €400 |
| Jerez / Sevilla | FlyBy Spain, Atlas | CMA Triana Sevilla | €560 |
| Barcelona | BAA, Aeroflota | Can Mora / DiagnosisMedica | €350–500 |
| Valencia | Air Griffin | SERMESA Valencia | €380 |
| Málaga | OneAir, FTE Jerez | Alboran Málaga | €650 |
| Mallorca | Various PPL schools | CMA Quirón Palma | Contact |
See our complete guide to flight schools in Spain for training costs and school comparisons.
Which AeMC Should You Choose?
Cheapest (If You Speak Spanish)
Centre Sanitari Can Mora, Barcelona — €350. No English, but €50–100 cheaper than alternatives. If your Spanish is good enough for a medical interview, this is the best value.
Best Value in English
SERMESA Valencia — €380. Online booking, English spoken, all-inclusive. Second cheapest in Spain with full international accessibility.
Fastest Renewals
Servicio Médico Iberia, Madrid — €260 renewal. 7–10 day certificate turnaround, excellent reviews. Verify initial Class 1 authorization before booking.
Scandinavian Pilots
CMA Quirón Prevención, Palma de Mallorca. Speaks Swedish, Danish, Norwegian. Obviously designed for the large Scandinavian expat and training community in Mallorca.