Two-thirds of competitions that make Slovak hospitals are with only one candidate. In the Czech Republic there are more. While in tenders in our hospitals are on average two bidders, in the Czech Republic are three. In public procurement for medical supplies have Slovak hospitals an average of 1.4 candidates, while Czech hospitals have up to 4.2 candidates. Slovakia on comparison with the Czech is also worse in comparing the top ten procurers. Just in one hospital was the average number of bids in the tender more than two. In contrast, in the ten largest hospital procurers in Czech Republic have on averages per one procurement more than two offers.