Overview
- The Institut der deutschen Wirtschaft analyzed prices from 10,820 fully inpatient homes (pflegelotse.de, October 2024 snapshot) and found a national median private payment of about €2,948 per month.
- Hotspots include NRW cities such as Krefeld, Solingen and Düsseldorf with monthly burdens above roughly €3,600–€3,700, while Wilhelmshaven and counties like Friesland sit near €2,300–€2,245.
- Costs vary sharply by state, with North Rhine-Westphalia highest and Saxony-Anhalt lowest, and they rise in dense urban regions compared with many rural eastern and northern areas.
- The largest component is the facility-specific uniform charge (EEE), shaped by personnel costs that climbed after the 2022 tariff obligation; larger homes tend to achieve lower average prices.
- Roughly a third of residents need social assistance to cover bills, and the federal government has approved a €3.2 billion loan to the long-term care insurance for 2026 as broader reforms remain under debate.