X-Ray Cost in Serbia
What you actually pay under RFZO and at private clinics. Last reviewed April 2026.
Quick Overview
Serbia runs a single-payer public system β the Republican Health Insurance Fund (RFZO) β funded by a 10.3% payroll contribution split evenly between employer and employee. Diagnostic X-rays are free at the point of care for insured patients with a referral from their family doctor or specialist. Private clinics in Belgrade and Novi Sad charge around 5,000 RSD (~$45) per single view with no referral needed.
π₯ RFZO (Public)
- *With RFZO insurance + doctor's referral
- Funded by 10.3% payroll contribution
- Wait times: days to weeks for non-urgent
- Emergency imaging: same-day
π₯ Private Clinics
- Typical self-pay per single projection
- β $45 / β¬43 at late-2025 rates
- Same-day appointments typical
- No referral required
𦴠Full-spine study
- Full-length spine imaging private
- β $110 / β¬103
- Multi-view studies priced higher than single views
- RFZO covers with referral
Private Clinic X-Ray Prices
The table reflects published self-pay prices at Serbian private radiology clinics as of April 2026. Per-view prices at well-established Belgrade clinics are remarkably consistent at 5,000 RSD; bilateral and multi-view studies run 6,000β12,000 RSD.
| X-Ray Type | Price (RSD) | USD (β) | RFZO Coverage |
|---|---|---|---|
| Chest (lungs) | 5,000 RSD | $45 | Free with referral |
| Chest β with oblique view | 6,000 RSD | $55 | Free with referral |
| Hand / wrist / forearm / upper arm | 5,000 RSD | $45 | Free with referral |
| Both hands | 7,000 RSD | $64 | Free with referral |
| Knee (single) | 5,000 RSD | $45 | Free with referral |
| Both knees | 7,000 RSD | $64 | Free with referral |
| Ankle / foot / lower leg / thigh | 5,000 RSD | $45 | Free with referral |
| Cervical / thoracic / lumbar spine (single) | 5,000 RSD | $45 | Free with referral |
| Entire spine (full-length) | 12,000 RSD | $110 | Free with referral |
| Abdomen / pelvis | 5,000 RSD | $45 | Free with referral |
Sample source: Ars Medica (Belgrade) published price list. USD conversions at approximately 110 RSD = $1 and will shift with exchange rates.
How RFZO Coverage Works
Who is covered
- Serbian citizens and residents paying RFZO contributions
- Employees (contributions withheld from payroll)
- Self-employed and entrepreneurs
- Pensioners, children, and dependent family members
- Foreign workers with valid residence/work permits
What it costs
- Employees: 5.15% of gross salary
- Employers: 5.15% additional
- Combined: 10.3% of salary to health insurance
- Cap: five times the Serbian average monthly salary
- Self-employed: full 10.3% on declared income
How to get an X-ray
- Register with a family doctor (izabrani lekar) at your local Dom zdravlja
- Get a referral (uput) for imaging
- Book at any RFZO-contracted radiology department
- Bring your health insurance card and ID
- Without a referral or insurance: private, ~5,000 RSD per view
Where to Get an X-Ray
π₯ Public Hospitals
- Clinical Center of Serbia (KCS) β Belgrade
- Clinical Center of Vojvodina β Novi Sad
- Clinical Center NiΕ‘
- Clinical Center Kragujevac
- Network of Dom zdravlja across municipalities
π₯ Major Private Clinics
- Bel Medic β Belgrade, Novi Sad
- MediGroup β Belgrade and regional
- Ars Medica β Belgrade
- Euromedik β Belgrade, NiΕ‘
- Jedro β Belgrade
π‘ Practical tips
- Private price lists are published on clinic websites under Cenovnik
- Serbia is a popular medical-tourism destination β prices are transparent
- Many private centers accept EHIC for medically necessary care via bilateral agreements
- Digital imaging delivered on CD or secure portal
Guide by Patient Type
π·πΈ Serbian residents
- Keep RFZO contributions current to stay covered
- With a referral from your izabrani lekar: X-ray is free
- Without a referral or wanting faster access: private, ~5,000 RSD
- Children and pensioners: additional exemptions may apply
π Visitors from countries with bilateral agreements
- Serbia has bilateral healthcare agreements with many countries
- Emergency and medically necessary care may be covered
- Bring your home country's insurance documentation
- Check RFZO's list of covered nationalities before travel
βοΈ Other international visitors
- Self-pay at a private clinic is affordable by Western standards
- Emergency care always available regardless of coverage
- Travel health insurance recommended for major care
- Many Serbian clinics actively serve medical tourists
Practical Details
π What to bring
- Serbian ID or passport
- RFZO health card (zdravstvena knjiΕΎica)
- Referral (uput) for RFZO imaging
- Prior imaging on CD/USB, if available
- Cash or card for private clinics
β° Typical wait times
- Emergency: immediate
- RFZO non-urgent: days to a few weeks
- Private self-pay: same day or next day
- Results: often same day; written report 1β2 days
π‘ How to save money
- Always use your RFZO referral if you have one β X-ray is free
- Check Cenovnik pages online before booking private
- Ask whether a single view is clinically sufficient
- Dental X-rays are typically bundled at the dental office
FAQ
Are X-rays free under RFZO?
Yes, for insured patients with a referral. There is no co-pay for diagnostic imaging at RFZO-contracted public facilities. Most Dom zdravlja polyclinics and all major clinical centers have RFZO contracts.
What do private X-rays cost in Serbia?
Single-view X-rays at well-established Belgrade private clinics are priced at a consistent 5,000 RSD (~$45). Bilateral studies (both hands, both knees) are around 7,000 RSD, and a full-length spine costs about 12,000 RSD.
How much is health insurance in Serbia?
The combined health contribution is 10.3% of salary β 5.15% employee and 5.15% employer. Contributions are capped at five times the average Serbian monthly salary. Self-employed pay the full 10.3%.
Can I get an X-ray without a referral?
Not under RFZO β referral is required. At private clinics you can walk in, self-pay, and have your imaging done the same day.
Do Serbian clinics serve medical tourists?
Yes. Serbia is a competitive medical-tourism destination, especially for diagnostics and dentistry. Published Cenovnik pricing and English-speaking staff are common at private Belgrade clinics.
How long does the radiology report take?
Images are often available the same day on CD or patient portal. A written radiologist's report is typically provided within 1β2 working days at both public and private centers.
Compare X-Ray Costs Across Countries
Sources
- Ars Medica (Belgrade) β published X-ray price list (arsmedica.rs)
- Republican Health Insurance Fund of Serbia (RFZO / RFZOS) β coverage and contribution rules
- PwC Worldwide Tax Summaries β Serbia 2026 contribution rates
Last reviewed: April 2026. Prices and contribution rates change β always confirm with the provider before booking.