The last update on the medical services cost: January 2026.
In the whole world, the German health care system is recognized as one of the best and most advanced systems. This is because it consistently delivers impressive patient outcomes. Worldometers [1] shows that the average life expectancy in Germany is around 81.7 years. This data allows placing the country among the global leaders in health indicators.
Germany also continuously invests in the healthcare sector. To be specific, the country's healthcare spending is the highest in the European Union. It accounts for approximately 12.6% of the national GDP [2]. In addition, Germany ensures that its people have access to essential medical treatment and services. About 88% of Germany's 83 million residents are insured through the public healthcare system [3].
Many international patients value transparent pricing and modern infrastructure. Germany offers these advantages, which, when combined with the factors discussed above, explains why the country is so attractive to those who seek high-quality care and outcomes. In Germany, medical services are also strictly regulated; treatment fees are set at the national level by official institutions. As a result, the cost of healthcare in Germany remains competitive for foreign patients.
Perhaps, many know that treatment costs can increase during the course of care in some countries. In comparison, Germany provides fixed rates, transparent billing, and predictable expenses. Patients should know that the country also offers access to skilled specialists and medical professionals in various fields, who implement the most innovative treatment options currently available. In view of this, it becomes evident how Germany creates a reliable environment where patients can find evidence-based medical care without hidden financial risks.
How Treatment Costs Are Set in Germany
As previously noted, Germany aims to ensure that all its residents are treated fairly across the healthcare system. This is why medical costs and treatment costs are tightly regulated by federal oversight bodies. In particular:
- The Federal Ministry of Health (Bundesministerium für Gesundheit) develops the overarching policy and legal structure. These elements establish how prices should be set within the system.
- The Federal Medical Association, in turn, provides uniformity. It collaborates to ensure that fee schedules and reimbursement structures are consistent across different hospitals and practices.
- Agencies like the Federal Joint Committee (G-BA) and the Institute for Quality and Efficiency in Healthcare (IQWiG) help define evidence-based treatment standards. They also assess cost-efficiency of procedures and pharmaceuticals.
When setting prices, Germany does not discriminate between local and foreign patients. In other words, the price difference between medical services for nationals versus international patients is virtually nonexistent.
| Regulatory Body | Role in Cost Setting |
|---|---|
| Federal Ministry of Health | Sets legal pricing framework and policy oversight |
| Federal Medical Association | Standardizes fee schedules across hospitals and services |
| G-BA and IQWiG | Define evidence-based procedures and cost-efficiency |
In summary, Germany has managed to develop a highly effective model. It ensures that patients do not pay extra for services, as medical costs in Germany are equivalent for all.
Factors Influencing Medical Costs
There are multiple factors that can affect the treatment costs in Germany. The final bill for both national and international patients usually includes:
- Diagnosis – Complex or late-stage conditions (e.g., cancer or neurological disease) often require more advanced interventions, which can increase costs.
- Procedures – Specialized or minimally invasive interventions can be priced differently when compared to standard surgeries.
- Hospital stays – Longer inpatient treatment can include accommodation, nursing, and rehabilitation expenses.
- Medical professionals – If multiple specialists or senior consultants need to be involved, the price can also increase.
- Additional services – Sometimes, international patients require companion accommodation, translation, or advanced diagnostics. In such cases, they have to pay separately for these services, which can contribute to the additional cost of care.
The average cost of inpatient care in Germany can be higher than in most EU countries. However, this does not deter international patients. In this country, they benefit from better outcomes and shorter waiting times due to highly qualified medical providers [4].
In fact, doctors and specialists play a particularly significant role in how the final amount is calculated. Complex surgeries, for example, may require a multidisciplinary team of oncologists, radiologists, anesthesiologists, and rehabilitation experts. By combining their skills and expertise, these professionals ensure the safety of procedures as well as long-term improvements in patients' health outcomes.
Average Costs by Specialties in 2026
To help patients understand the average costs in Germany for various treatments and procedures, Booking Health offers an overview of 2026 price updates. Typically, patients pay for treatment up front. One of the benefits is: they know the exact amount in advance.
Check-Up
| Procedure | Average Price (€) |
|---|---|
| Basic check-up | Upon request |
| Expanded check-up of the whole body | 14,702 |
| Gynecological check up | Upon request |
| Orthopedic check up | Upon request |
| Ophthalmologic check up | 2,548 |
Oncology and Hematology
| Procedure | Average Price (€) |
|---|---|
| Prostate cancer: PSMA therapy (Lutetium 177) | 12,700-28,900 |
| Cancer immunotherapy | 20,000-38,000 (for 1 cycle) |
| Da Vinci prostatectomy | 22,500 |
| Sectoral resection for stage one-three breast cancer | 12,500 |
| Removal of the uterus in endometrial cancer | 32,500 |
| Surgical treatment of adrenal cancer | 18,540 |
| Esophageal cancer: Diagnostics and conservative treatment | 8,260 |
| Rectal cancer: Chemotherapy and radiation therapy | 21,100-58,400 (for 1 procedure/cycle) |
| Stomach cancer: Partial organ removal | 37,520 |
| Lung cancer: Segmental resection | 34,170 |
| Dendritic cell therapy in cancer treatment | 20,000-38,000 |
| Wilms tumor treatment | 25,000 (for a surgery) |
Orthopedics
| Procedure | Average Price (€) |
|---|---|
| Knee replacement surgery with rehabilitation | 29,100 |
| Hip replacement surgery with rehabilitation | 27,270 |
| Ankle replacement surgery | 19,700 |
| Surgical treatment of osteomyelitis | 22,700 |
| Conservative treatment of hip arthrosis | 5,700 |
Ophthalmology
Cardiac Surgery
| Procedure | Average Price (€) |
|---|---|
| Surgical closure of the atrial septal defect | 27,800 |
| Aortic valve replacement | 30,100 |
| Pacemaker implantation | 12,800 |
| Coronary artery bypass grafting | 28,200 |
| Coronary stenting | 9,600 |
| Congenital and acquired heart defects: Surgical treatment without the use of heart-lung machine | 30,340 |
General Surgery
| Procedure | Average Price (€) |
|---|---|
| Renal artery aneurysm: Open surgical treatment | 20,180 |
| Kidney stones with hydronephrosis: Surgical stone removal | 12,170 |
| Laser therapy for varicose veins | 7,785 |
| Ewing's sarcoma | 19,780 |
| Protruding ear: Surgical correction (otoplasty) | 8,315 |
Neurosurgery and Neurology
Gynecology and Obstetrics
| Procedure | Average Price (€) |
|---|---|
| In vitro fertilization (IVF) | 21,520 |
| Total resection of the uterus and omentum | 32,540 |
| Natural childbirth | 6,120 |
| Childbirth through the cesarean section | 11,490 |
| Da Vinci myomectomy in uterine fibroids | 15,670 |
Urology
Otolaryngology (ENT)
| Procedure | Average Price (€) |
|---|---|
| Tonsillectomy for tonsil cancer | 13,366 |
| Eardrum drainage for otitis media | 5,300 |
| Tinnitus: Diagnostics and therapy | Upon request |
| Otosclerosis: Stapes surgery | 9,700 |
Rehabilitation
| Procedure | Average Price (€) |
|---|---|
| Orthopedic rehabilitation | Upon request |
| Neurorehabilitation phase C | Upon request |
| Pediatric neurological rehabilitation | Upon request |
| Cardiological rehabilitation | Upon request |
Stem Cell Therapy
Today, stem cell therapy is considered one of the most innovative treatment approaches that patients can access in Germany. We would like to invite our readers to watch this interview with Dr. Siebenhüner. He has over 40 years of medical experience and nearly two decades of expertise in regenerative medicine. He suggests that "tissues that have lost their normal functions can be restored with stem cells."
Currently, stem cell therapy is used to address various conditions. These include neurological disorders (e.g., multiple sclerosis and Alzheimer's disease), organ pathologies (e.g., liver cirrhosis, kidney failure, etc.), and degenerative joint diseases. There are certain cases where patients, who had lost mobility, were able to walk again after receiving just a few treatment courses.
The cost of stem cell treatment in Germany is approximately €21,100, which includes the collection of stem cells (from bone marrow, blood, or adipose tissue), their preparation, and administration. As outcomes can vary depending on disease type and stage, as well as overall patient health, Germany's specialized clinics ensure that each individual is assessed for suitability.
"Restoring Body Functions": Dr. Siebenhüner's 18 Years of Stem Cell Therapy Innovation
Public vs Private Healthcare in Germany
Germany combines the public healthcare system (Statutory Health Insurance, Gesetzliche Krankenversicherung) and private medical care. A closer look at the system reveals that:
- Public healthcare is financed through income-based contributions shared between employers and employees. It guarantees comprehensive coverage for most citizens, including but not limited to preventive check-ups, inpatient care, and essential medications. Costs covered by statutory insurance depend on medical necessity and the patient's health status.
- Private healthcare is often chosen by higher earners or those who seek more comfort. It allows patients to access shorter waiting times, private rooms, and more flexibility in choosing doctors. Prices are negotiated with providers but remain regulated.
- International patients are not automatically included in Germany's statutory insurance. Instead, they must pay directly for their care or through private international insurance. Unless covered by their insurer, international patients should expect to pay out of pocket.
| Category | Local Residents (Public Healthcare) | International Patients |
|---|---|---|
| Basic diagnostics | Fully covered (if medically necessary) | Must pay in full |
| Hospital stays | Covered by statutory insurance | Must pay in full |
| Preventive check-ups | Included in public healthcare | Paid separately |
| Specialist consultations | Covered | Paid privately |
| Companion stay/private room | Not covered, paid extra | Paid extra |
This approach ensures that German citizens receive secure coverage. International patients, in turn, benefit from regulated pricing when they choose to undergo treatment in one of the country's hospitals.
Why International Patients Choose Germany
Annually, Germany provides treatment to over 250,000 foreign patients. This demonstrates that the country remains one of the most popular destinations for receiving medical care abroad [5]. Several key factors can explain this consistent demand:
- Advanced medicine and expertise: German clinics integrate the latest clinical research and efficiently adopt innovative therapies (e.g., proton therapy, immunotherapy, and stem cell applications).
- German doctors and specialists, many of whom are involved in international research, provide care at the highest professional standards. They collaborate with multidisciplinary teams, which helps ensure that patients are accurately diagnosed and effectively treated.
- Advantage of transparent pricing: The total cost of treatment is clearly outlined at the beginning of care and does not increase during hospitalization. Patients therefore benefit from predictable financial planning.
We want to invite our readers to watch this interview with Viorica Coroban. In it, she shares how she went from an unexpected diagnosis of mitral valve prolapse in Moldova to a successful heart surgery in Germany. Her story shows why so many patients choose German clinics for their expertise and compassionate care. Watch her journey to discover what makes treatment in Germany so exceptional.
How German Clinics Change Lives: Viorica’s Heart Surgery Journey
Comparing Different Hospitals
Different hospitals in Germany may specialize in certain fields. Yet, one thing is common: they all operate under strict oversight by the Federal Ministry of Health and the Federal Medical Association. Some of the best German hospitals are:
- University Hospital Rechts der Isar, Munich offers minimally invasive surgery and gynecologic oncology.
- LMU Klinikum, Munich provides access to one of the largest cardiovascular centers in Europe, along with programs in neurosurgery and oncology.
- University Hospital Freiburg is known for its outcomes in hematology, oncology, and stem cell transplantation, as well as immunotherapy research.
- University Hospital RWTH Aachen specializes in advanced radiology, cardiology, and interventional oncology.
- ViDia Christliche Kliniken Karlsruhe (Academic Hospital of Freiburg University) is recognized for its high standards in oncology, orthopedics, and urology.
Each of these clinics has built their reputation for outstanding care and outcomes in specific specialties. Therefore, patients have the freedom to receive their treatment at the medical center that best matches their diagnosis and personal needs.
A Medical Journey: Every Step of the Way With Booking Health
Navigating the international healthcare environment can be overwhelming. Many patients arrive in Germany after exhausting traditional options in their home countries, uncertain about how to choose the right clinic, manage documentation, or calculate potential expenses. This is where Booking Health GmbH provides crucial support.
With more than 10 years of experience and certification under ISO 9001, Booking Health specializes in organizing personalized treatment programs in Germany. The company negotiates with hospitals directly, ensuring cost transparency and protecting patients from unforeseen expenses with insurance coverage of up to €200,000. This approach not only builds trust but also helps patients save money while accessing high-quality medical services.
Booking Health provides a complete range of services, including:
- Professional assessment of medical reports.
- Tailored treatment program development.
- Selection of the most suitable clinic or medical center.
- Preparation and translation of medical documentation.
- Visa, travel, and accommodation support.
- Personal coordinators and interpreters with 24/7 assistance.
- Transparent budgeting with no hidden charges.
Germany is considered one of the most reliable destinations for international healthcare, offering innovative therapies, advanced technology, and a transparent pricing structure. The country's hospitals are not only equipped with modern facilities but also staffed by highly trained specialists and English-speaking doctors who provide individualized treatment plans tailored to each patient's needs.
For international patients, Booking Health serves as a bridge to this trusted system, ensuring organizational support and comprehensive assistance. From document preparation to interpreter services and insurance against unforeseen expenses, the company provides everything needed to make treatment in Germany both efficient and safe.
When choosing Germany for your medical care, you can rely on Booking Health as your partner in achieving better health and quality of life. In addition, with Booking Health, you never pay hidden charges, as all expenses are agreed upon in advance.
Contact Booking Health today to receive a personalized treatment plan, transparent cost estimate, and full support at every stage of your medical journey in Germany.
Every Patient Has a Story: Booking Health Treatment Journeys that Inspire
Frequently asked questions of our patients
Send request for treatmentInternational patients can pay through international insurance coverage or specialized medical tourism facilitators.
Yes, it is possible. International patients can access German healthcare through medical tourism agencies that handle visa arrangements and treatment coordination. The German Medical Visa (Schengen C-Visa) specifically allows entry for planned medical procedures.
Booking Health provides comprehensive financial protection by managing all medical bills and serving as your dedicated payment guarantor throughout the treatment process. As your trusted healthcare facilitator, they handle direct hospital payments, ensure cost transparency, and protect your financial interests through their refundable margin system.
The cost of treatment in Germany is strictly regulated at the national level. To ensure transparency and fairness, prices are determined by official fee schedules. These are developed under the supervision of the Federal Ministry of Health and the Federal Medical Association. As a result, the healthcare system applies the same pricing to both German citizens and international patients.
Treatment cost in Germany is influenced by several factors, including hospital stays and length of inpatient care; the number of specialists and senior consultants involved; the complexity of procedures or therapies; and additional costs (e.g., companion accommodation, rehabilitation services, etc.). These elements explain why some treatments (e.g., oncology surgeries or neurological interventions) are more expensive than basic check-ups. Nonetheless, all costs remain regulated across German hospitals.
Booking Health cost support helps international patients access medical care abroad. The company provides full organizational services and negotiates directly with hospitals. It also includes insurance against unforeseen expenses up to €200,000. Briefly put, Booking Health manages documentation, budgeting, and logistics. This helps patients focus on recovery while also saving money through predictable pricing.
Choose treatment abroad, and you will get the best results for sure!
Authors:
This article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova, and Dr. Bohdan Mykhalniuk. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!
Our editorial policy, which details our commitment to accuracy and transparency, is available here. Click this link to review our policies.
Sources:
[1] Worldometer. Life Expectancy of the World Population. https://www.worldometers.info/demographics/life-expectancy/
[2] Destatis. Germany Has Highest Health Expenditure in EU. https://www.destatis.de/Europa/EN/Topic/Population-Labour-Social-Issues/Health/HealthExpenditure.html
[3] World Health Systems Facts. Germany: Coverage and Access. https://healthsystemsfacts.org/national-health-systems/bismarck-model/germany/germany-health-system-coverage/
[4] World Health Systems Facts. Germany: Health System Expenditures. https://healthsystemsfacts.org/national-health-systems/bismarck-model/germany/germany-health-system-expenditures/
[5] NCHStats. What Makes German Hospitals the Global Benchmark for Advanced Healthcare. https://nchstats.com/german-hospital-advanced-healthcare/
Read:
Article menu:
- How Treatment Costs Are Set in Germany
- Factors Influencing Medical Costs
- Average Costs by Specialties in 2026
- Stem Cell Therapy
- Public vs Private Healthcare in Germany
- Why International Patients Choose Germany
- A Medical Journey: Every Step of the Way With Booking Health
- Frequently asked questions of our patients
Don't know where to start?
Contact Booking Health
