Overview
- Drawing on price listings for 10,820 facilities (October 2024, pflegelotse.de), the IW reports a national median resident payment of about €2,948, while the Ersatzkassen association says current averages now exceed €3,000 per month.
- Sachsen-Anhalt shows the lowest typical outlays (around €2,425–€2,456), Nordrhein-Westfalen the highest (about €3,314), with Wilhelmshaven among the cheapest at roughly €2,288 and Krefeld at the top by median near €3,736.
- Local outliers persist, including a Coburg average near €4,078 that researchers say is skewed by a specialized pediatric intensive care facility.
- The largest cost block is the einrichtungseinheitliche Eigenanteil that funds staff, with residents also paying for accommodation, meals and investment charges, and 2022 performance supplements reduce only the pure care portion.
- Personnel costs linked to the 2022 tariff obligation, high local rents, facility size effects and differing state funding and staffing rules drive the variation, as the federal government extends a €3.2 billion loan to care insurance for 2026 and stakeholders press for longer-term reform and possible caps.