One attendance at accident and emergency at St Bernard's Hospital costs a non entitled patient 300 pounds. A night on a standard ward is 750. A day in intensive care is 3,000, and an operating theatre is billed at 1,500 an hour for each hour or part of one. Those are not estimates or averages. They are the figures in the [Hospital (Amendment) Rules 2024](https://www.gibraltarlaws.gov.gi/legislations/hospital-amendment-rules-2024-7432), published in the Gibraltar Gazette on 17 October 2024 as Legal Notice 189, and they are what the Gibraltar Health Authority is entitled to bill anyone who falls outside the scheme. Almost no Gibraltar travel page writes this down. They say the healthcare is good, which is true, and move on. The useful question is narrower and has a precise answer: are you entitled, and if you are not, what is the bill? Entitlement runs through the Group Practice Medical Scheme. The GHA's own [registration page](https://www.gha.gi/registration/) names two classes of entitled person: insured persons together with their dependants, and people ordinarily resident in Gibraltar under section 4(2) of the GPMS Act. If you are in either class, treatment is free at the point of use and a prescription costs 5 pounds an item, capped at 15 pounds in total however long the list. A visitor on a week's holiday is in neither class. That is the default, and everything that follows is about the exceptions to it. The 2024 rules replaced the whole of Schedule 1 rather than adjusting it. The daily inpatient rate now depends on the level of care, and where a patient moves between levels during one day, the highest level reached that day is what gets charged for the whole day. Four things are always billed on top of the daily rate: the operating theatre, the angiography suite, dialysis, and any single medication, therapeutic course, investigation or implant costing over 500 pounds. | Service | Published fee | | Accident and emergency attendance | 300 pounds | | Outpatient consultation, any health professional | 300 pounds | | Level 1 inpatient care, standard ward, per day | 750 pounds | | Level 2 inpatient care, high dependency, per day | 1,500 pounds | | Level 3 inpatient care, intensive care, per day | 3,000 pounds | | Day surgery admission | 750 pounds | | Operating theatre, per hour or part hour | 1,500 pounds | | Maternity package, delivery plus up to 5 days | 7,500 pounds | | Dialysis, per session | 300 pounds | | Angiography with angioplasty | 10,000 pounds | Level 1 is standard ward care. Level 2 is high dependency, a nurse to every two patients. Level 3 is intensive care at one nurse per patient or any advanced organ support, and a level 1 or 2 patient who needs one to one nursing is charged the level 3 rate of 3,000 anyway. Work a realistic case through it. A fall on the Mediterranean Steps, an ambulance, A&E, an x ray and a night on a ward is 300 plus the radiology line from Part 3 of the schedule plus 750. If it needs ninety minutes of theatre, add 3,000, because part hours round up. Smaller items are cheaper than people fear and still real: an electrocardiogram is listed at 144.69. The Government said in its [October 2024 announcement](https://www.gibraltar.gov.gi/press-releases/increase-in-hospital-fees-for-non-entitled-patients-6862024-10289) that the increase was meant to bring GHA fees closer to comparable hospitals elsewhere, because they had been significantly lower, and that it changed nothing for resident Gibraltarians. Both halves of that are accurate. It is also why a figure you read on a forum in 2019 is now useless. The Foreign Office is unusually direct about this. Its [travel advice for Gibraltar](https://www.gov.uk/foreign-travel-advice/gibraltar/health) states that British nationals who live in the UK can get emergency treatment in Gibraltar by presenting a British passport. Not a card. Not an insurance certificate. The passport. Two limits are worth holding on to. It covers emergency treatment, not a planned procedure you fancy having done somewhere cheaper. And the Foreign Office states no time limit at all, while several commercial guides confidently put it at 30 days. We could not find that 30 day figure in any Gibraltar Government or GHA source. The NHS reciprocal agreements table does apply a 30 day rule, but in the opposite direction, to Gibraltar residents visiting the UK. If the length of your stay matters to you, ask the GHA before you travel rather than trusting a number nobody official appears to publish. The Foreign Office page tells UK travellers to bring a Global Health Insurance Card or European Health Insurance Card. The NHS Business Services Authority, which actually issues them, publishes [the list of where the cards work](https://faq.nhsbsa.nhs.uk/knowledgebase/article/KA-26802/en-us): EU countries, Switzerland, Norway, Iceland, Liechtenstein, Ireland, and for the GHIC alone, Montenegro, Saint Helena, Ascension Island and Tristan da Cunha. Gibraltar is not on that lis