An American couple who had to go to the doctor while on holiday in Spain were shocked when they came out with a $43 bill.

Todd and Melanie Maddex, 40 and 45, were holidaying in Valencia when Melanie fell ill.

After a week feeling under the weather with flu-like symptoms, Melanie decided to call a doctor.

Within two hours, Melanie had an appointment and picked up medication from the local pharmacy for the total sum of £34 ($43).