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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Federal Health Minister Nina Warken announces health insurance savings plans at Berlin press conference.
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Warken presents savings measures for statutory health insurance

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Federal Health Minister Nina Warken (CDU) presented far-reaching savings plans for statutory health insurance (GKV) at a press conference in Berlin on Tuesday. She intends to implement more than three-quarters of an expert commission's 66 proposals to save 20 billion euros starting next year. The funds currently face a deficit of about 15 billion euros.

German Health Minister Nina Warken (CDU) has defended her planned savings package, which includes higher financial burdens for nursing home residents. In an ntv show, she admitted imposing cuts on people and viewed the broad criticism as evidence of balance. The draft is set for the federal cabinet on April 29.

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On the coming Monday, many pharmacies across Germany will close all day to protest for higher fees. Statutory health insurers criticize the action, accusing pharmacies of false claims since fees have risen since 2013.

In response to last week's Finance Commission on Health report, German Health Minister Nina Warken (CDU) plans to implement only select proposals. She rejects abolishing free co-insurance for childless spouses under six years old and advocates exemptions for caregiving relatives.

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Markus Blumenthal-Beier, head of the German house doctors' association, calls on statutory health insurers to cut their administrative costs. He proposes halving them mid-term rather than restricting patient care. CSU politician Klaus Holetschek advises seeking cooperations and mergers.

Chancellor Friedrich Merz stated that the draft health reform bill is »practisch fertig« and will be voted on in the cabinet on Wednesday. Health Minister Nina Warken's (CDU) savings package aims to cut around 19.6 billion euros next year. The proposal faces criticism from associations, health insurers, and parts of the coalition.

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