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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Nina Warken defending care insurance reform package at press conference
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Warken defends savings package for care insurance amid criticism

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Federal Health Minister Nina Warken (CDU) has presented and defended her draft reform of the care insurance system. The package includes higher contributions and benefit restrictions to avert a looming deficit.

Personal contributions for nursing home places in Bavaria rose to an average of 3,270 euros per month as of July 1, 2026.

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Federal Health Minister Nina Warken has called on the states to lower building standards for care homes. The goal is to reduce nursing care costs.

A nurse has been convicted by Örebro District Court for accessing relatives' medical records without authorization. The breaches, discovered in 2024, involved up to 90 unauthorized lookups spanning several years.

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Bundestag and Bundesrat have passed the contested savings package of the black-red coalition on health expenditures. The goal is to prevent rising contributions for statutory health insurance funds.

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