Nursing home out-of-pocket costs vary regionally by up to 1000 euros

A new analysis reveals major regional differences in out-of-pocket costs for nursing home places in Germany. In Cologne, those affected pay up to 1000 euros more per month than in Saxony-Anhalt.

Anyone moving into a nursing home in Germany pays several hundred euros more or less per month depending on the district. This emerges from an analysis by the consulting firm Wüest Partner.

The data is based on health insurance records and was made available to Handelsblatt. It is presented in a map of Germany that illustrates the regional differences.

The variations do not depend solely on the individual facility. The analysis was published on May 29, 2026.

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