You pay more for private healthcare than public healthcare (Caja, and you must be a resident), but it is much more affordable, by 70% than healthcare in North America. Medical professionals generally speak English and receive their medical training in the United States, Europe, and Canada.
The three most well-known hospitals in Costa Rica, CIMA, Clinica Biblica, and Hospital La Católica, are internationally accredited. For private healthcare, you pay out-of-pocket or use insurance. Insurance policies include those from the U.S., Europe, international policies, and Costa Rican insurance policies.
The WHO, World Health Organization, ranks Costa Rica as a top-ranking country for life expectancy. The life expectancy here is 80 years old. This is not only due to the slower pace of life and Pura Vida spirit but also because of attention put on prevention and affordability.
Of course, all medical tourism is performed through private hospitals and medical professionals. Your insurance won’t pay for it, but you can expect to spend 50-70% less for procedures here than you’re used to in your home country.