Out-of-pocket expenditure in Germany
Germany: Out-of-pocket expenditure was 10.7% in 2024. ▼ Falling
Out-of-pocket expenditure in Germany, 2000–2024
Source: Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO). Measured in % of current health expenditure.
Analysis
In 2024, out-of-pocket expenditure in Germany stood at 10.7%.
That represents a change of down 3.1% on the previous year and down 13.3% over ten years.
Over the whole period, out-of-pocket expenditure in Germany peaked at 13.9% in 2006 and was at its lowest, 10.4%, in 2022.
Germany ranks 164th of 193 countries on this measure, in the bottom quarter.
The long-run direction has been consistently falling across the 25 years of available data.
Out-of-pocket expenditure in Germany, year by year
| Year | % of current health expenditure | Change |
|---|---|---|
| 2000 | 11.8% | — |
| 2001 | 11.8% | -0.2% |
| 2002 | 12.0% | +2.3% |
| 2003 | 12.3% | +1.8% |
| 2004 | 13.5% | +10.0% |
| 2005 | 13.6% | +0.5% |
| 2006 | 13.9% | +2.4% |
| 2007 | 13.8% | -1.0% |
| 2008 | 13.5% | -2.2% |
| 2009 | 13.3% | -1.5% |
| 2010 | 13.3% | +0.3% |
| 2011 | 13.3% | +0.2% |
| 2012 | 13.5% | +1.3% |
| 2013 | 12.7% | -6.0% |
| 2014 | 12.4% | -2.6% |
| 2015 | 12.4% | +0.0% |
| 2016 | 12.2% | -1.3% |
| 2017 | 12.0% | -1.4% |
| 2018 | 12.2% | +1.3% |
| 2019 | 12.4% | +1.6% |
| 2020 | 11.3% | -8.4% |
| 2021 | 11.4% | +0.2% |
| 2022 | 10.4% | -8.2% |
| 2023 | 11.1% | +6.0% |
| 2024 | 10.7% | -3.1% |
Germany compared with similar countries
- Germany's 10.7% is below the median for high income countries, which is 16.8%, 64% of the median. (64 countries reporting)
- Germany's 10.7% is below the median for Europe & Central Asia, which is 21.8%, 49% of the median. (52 countries reporting)
Averages by decade
| Decade | Average | Lowest | Highest | Years |
|---|---|---|---|---|
| 2000s | 12.9% | 11.8% | 13.9% | 10 |
| 2010s | 12.6% | 12.0% | 13.5% | 10 |
| 2020s | 11.0% | 10.4% | 11.4% | 5 |
Countries ranked near Germany
More health data for Germany
- Un projection of annual infant deaths, annual growth rate -2.13 % change on previous year (2100)
- Heat deaths vs projected death rates, annual growth rate -0.9955 % change on previous year (2090)
- Estimated changes in temperature-related death rates compared to projected death rates 1,164 deaths per 1,000 people (2090)
- Number of infants who die before age 1 368 deaths (2100)
- Neonatal tetanus - number of reported cases, gaps filled 0 (2000)
- Population ages 00-04, female, annual growth rate -2.18 % change on previous year (2025)
- Population ages 00-04, female, per unit of GDP 0 units per US$ of GDP (2025)
- Population ages 00-04, female, per capita 0.0216 units per person (2025)
- Population ages 00-04, male, annual growth rate -2.2 % change on previous year (2025)
- Population ages 00-04, male, per unit of GDP 0 units per US$ of GDP (2025)
Frequently asked questions
- What is out-of-pocket expenditure in Germany?
- Out-of-pocket expenditure in Germany was 10.7% in 2024, according to Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO).
- What is the highest out-of-pocket expenditure recorded in Germany?
- The highest recorded value was 13.9% in 2006.
- What is the lowest out-of-pocket expenditure recorded in Germany?
- The lowest recorded value was 10.4% in 2022.
- How does Germany rank for out-of-pocket expenditure?
- Germany ranks 164th out of 193 countries with data for 2024.
- Is out-of-pocket expenditure rising or falling in Germany?
- Over the last ten years it is down 13.3%. The long-run trend across the full record is falling.
- Where does this Germany data come from?
- The figures come from Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO), published as part of Out-of-pocket expenditure (% of current health expenditure). Statizoid updates them automatically from the source API.
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About this data
Share of out-of-pocket payments of total current health expenditures. Out-of-pocket payments are spending on health directly out-of-pocket by households.