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Updated 2026-03-10

Sairaala (Hospital)

Finland's public hospital system providing specialist and emergency medical care, organized by hospital districts.

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Detailed explanation

Finnish hospitals are part of the public healthcare system funded through taxation and patient fees. You generally cannot visit a hospital specialist directly — instead, you receive a referral (lähete) from a health center doctor, occupational health physician, or emergency department. This referral system ensures that hospital resources are directed to patients who need specialist-level care.

Finland has roughly 20 hospital districts, each with a central hospital. The five university hospitals — in Helsinki (HUS), Turku (TYKS), Tampere (TAYS), Oulu (OYS), and Kuopio (KYS) — provide the most specialized treatments, research, and teaching. Emergency care (päivystys) is available 24/7 at major hospitals.

Patient fees in public hospitals are regulated by law. An outpatient specialist visit costs approximately €41, and inpatient care costs approximately €50 per day, with an annual cap on public healthcare costs to protect patients from excessive expenses.

How it affects expats

  • Referral required: You need a referral from a doctor to see a hospital specialist
  • walk-in is only for emergencies
  • Care guarantee: Finland has a treatment guarantee (hoitotakuu)
  • non-urgent specialist assessment within 3 months
  • Language: Hospital staff typically speak Finnish and Swedish, with varying English proficiency
  • interpreter services are available
  • EU/EEA citizens: European Health Insurance Card (EHIC) covers emergency hospital care for visitors
  • Patient fees: Capped annually
  • once you reach the limit, further public care is largely free for the rest of the year

Key details

  • Outpatient visit fee: Approximately €41 per visit
  • Inpatient daily fee: Approximately €50/day
  • Annual fee cap: Approximately €692 per calendar year (2026) for public healthcare
  • Emergency (päivystys): Available 24/7 at major hospitals, no referral needed
  • Referral pathway: Health center or occupational health → hospital specialist

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