ENThere is no single price list for neurological rehabilitation in Germany: the cost is a clinic’s daily rate times the number of days, plus items outside the rate. A family needs arithmetic: what the total depends on and whether it can be known before travelling — it can, from the clinic’s estimate.
Below: how the rate works, what changes it, what it excludes and how to get an estimate. Stroke has its own page, stroke rehabilitation cost in Germany; this one covers all neurological diagnoses — brain injury, brain and spine surgery, multiple sclerosis, Parkinson’s disease, spinal cord and peripheral nerve damage. The programme itself: neurological rehabilitation in Germany.
Why it is priced per day, not per course
Because a German rehabilitation clinic sells a day of stay, not a procedure: the Tagessatz, or daily rate. It covers room and meals, medical supervision, nursing and all therapy scheduled that day.
The day follows a timetable: physiotherapy and gait training, occupational and speech therapy, neuropsychology, physical therapy, robotic trainers. Clinics differ in price mainly by therapy hours per day, not by interior.
For a budget, multiply the rate by the days and add the extras. A programme is usually planned for three to four weeks and extended if the patient’s condition requires it; the doctor decides. General reference: rehabilitation prices in Germany.
What raises and what lowers the daily rate
The rate rises with the level of supervision and falls as the patient grows more independent. Phase B, early rehabilitation after acute hospital care (phase A), takes severely ill patients, say with a tracheostomy (a breathing tube in the neck), tube feeding or an unstable condition; it keeps intensive care on standby and, by Germany’s official procedure classification, needs an average of at least 300 minutes of therapy and nursing care a day. Phase C patients still need nursing help; in phase D they largely manage alone, and a day costs less.
Diagnosis and care needs come second. Spinal cord damage and spine surgery need a neuro-urologist (bladder specialist), pressure-sore prevention and wheelchair training; multiple sclerosis and Parkinson’s, medication adjustment and balance training; severe head injury, memory and behaviour work (see rehabilitation after traumatic brain injury). Swallowing disorders need their own programme and equipment; some clinics have dedicated centres.
The clinic sets the phase, and so the rate, from the discharge summary, independence scales and the neurologist’s report. For early rehabilitation the same classification requires an early-rehabilitation Barthel index (Frühreha-Barthel-Index) of at most 30 points at the start. So a monthly price comes only after the documents are read. Phases are also described in a German Society for Neurorehabilitation guideline on early rehabilitation.
What the daily rate does not cover
The rate does not cover comfort the patient chooses, head-physician treatment, some examinations or devices. A single or upgraded room and separate catering are extras. Treatment by the head physician or a professor needs a separate contract, billed under the GOÄ fee schedule.
Examinations on admission or later — MRI, vascular ultrasound, EEG, lab tests, other specialists’ consultations — are also billed under the GOÄ if the rate excludes them. Each service carries a number of points, each worth 5.82873 cents in 2026, and the total is multiplied by a factor capped in the GOÄ itself: 2.5 for MRI, 1.3 for lab tests.
Orthoses, wheelchairs, standing frames, speech communicators, a relative’s lodging, a medical interpreter and transfers are paid separately. Some aids are lent for the programme, others bought, such as a made-to-measure orthosis; settle this before travelling.
How to obtain an estimate and compare clinics
The clinic prices the case from the patient’s documents; estimates are best compared by therapy hours, not totals. Send the discharge summary from the hospital that treated the underlying condition, DICOM imaging, the medication list and notes on independence, speech and swallowing. The clinic then assigns a phase and issues a Kostenvoranschlag, a cost estimate.
Check the daily rate, number of days, deposit and separate lines. Payment goes to the clinic’s account given in the estimate; after discharge the clinic recalculates and refunds the difference or issues an itemised extra invoice. The main lines:
| Cost item | Depends on | Guide figure |
|---|---|---|
| Daily rate | phase, diagnosis, therapy hours | clinic estimate |
| Days | plan, extension | clinic estimate |
| Single room, catering | patient’s choice | clinic estimate |
| Head physician, examinations | contract, orders, GOÄ points | clinic estimate |
| Aids | lent or bought | clinic estimate |
| Relative, interpreter | lodging, hours | clinic estimate |
Ask clinics three questions: how many therapy hours a day the rate includes, who pays for aids, and what an extension involves, including the document confirming it for the visa. Clinics of this profile: neurology clinics in Germany. No estimate promises recovery: the outcome depends on the diagnosis, time since onset and the patient’s condition.
Frequently asked questions
How much does neurological rehabilitation in Germany cost?
There is no single price: it is the daily rate times the number of days, plus items outside the rate — a single room, head-physician treatment, examinations, aids. Early rehabilitation costs most, the late phase least. The clinic states the exact figure in its estimate after a doctor reviews the records.
Can the cost of rehabilitation be reduced?
Yes, by dropping what is not treatment: a single room, separate catering and a head-physician contract are optional, and aids can be borrowed where the clinic lends them. Cutting therapy hours changes the programme itself, so decide that only with the doctor.
What if the programme is extended or ends early?
The bill is recalculated on actual days and services. The doctor decides on an extension by progress; ask for a supplementary estimate for the extra days and a document confirming the extension for the visa. If the programme ends early, the clinic refunds the unused deposit after discharge.
How AlenMed arranges rehabilitation
AlenMed matches the clinic to the patient’s phase and diagnosis. It has 86 partner hospitals in 38 cities, 345 doctors and an office in Munich. Partners include Kliniken Schmieder (six sites in Baden-Württemberg, about 14,000 patients a year, all degrees of severity), the Godeshöhe neurological rehabilitation centre in Bonn, and the m&i Fachklinik Bad Heilbrunn in Bavaria, with an early neurological rehabilitation department and a swallowing disorders centre.
The company translates records, requests the phase and estimate, arranges the visa invitation, meets the patient and drives them to the clinic. A medical interpreter joins rounds and therapy; the final documents go to the neurologist at home.
This material is for information only and is not an offer. The phase, length and content of the programme are set by a doctor after an in-person examination.