Law library  /  KHEntgG
German health law in English
Hospital Remuneration Act

KHEntgG in English: the German Hospital Remuneration Act

Krankenhausentgeltgesetz (KHEntgG) – Gesetz über die Entgelte für voll- und teilstationäre Krankenhausleistungen

25 provisions, complete · English side by side with the current German text · German text as of 29 October 2026 · translation edited by Alexander Baranov

The Krankenhausentgeltgesetz governs how German hospitals are paid for inpatient care: DRG case-based flat rates and supplementary charges, hospital budgets, the nursing budget, the new provision remuneration and service groups from the 2024 hospital reform, and — in section 6(2) — the NUB charges that let hospitals bill new examination and treatment methods before they enter the DRG system.

Each page shows the English and the German side by side, sentence by sentence, with a link to every provision. The German text is copied from the official consolidated version; our English is an unofficial working translation.

In practice: NUB application step by step · Getting a medical device reimbursed · Hospital and tender access.

Part 1 · General provisions

  1. § 1Scope of applicationAnwendungsbereich
  2. § 2Hospital servicesKrankenhausleistungen

Part 2 · Remuneration of hospital services

  1. § 3PrinciplesGrundlagen
  2. § 4Agreement of a revenue budgetVereinbarung eines Erlösbudgets
  3. § 4aDetermination of a revenue volume for the care of children and adolescentsErmittlung eines Erlösvolumens für die Versorgung von Kindern und Jugendlichen
  4. § 5Agreement and billing of supplements and deductionsVereinbarung und Abrechnung von Zu- und Abschlägen
  5. § 6Agreement of other chargesVereinbarung sonstiger Entgelte
  6. § 6aAgreement of a nursing budgetVereinbarung eines Pflegebudgets
  7. § 6bRemuneration of a provision budgetVergütung eines Vorhaltebudgets
  8. § 6cRemuneration of cross-sectoral care facilitiesVergütung von sektorenübergreifenden Versorgungseinrichtungen

Part 3 · Types of charges and billing

  1. § 7Charges for general hospital servicesEntgelte für allgemeine Krankenhausleistungen
  2. § 8Calculation of chargesBerechnung der Entgelte

Part 4 · Agreement procedure

  1. § 9Agreement at federal levelVereinbarung auf Bundesebene
  2. § 10Agreement at state level; power to issue ordinancesVereinbarung auf Landesebene, Verordnungsermächtigung
  3. § 11Agreement for the individual hospitalVereinbarung für das einzelne Krankenhaus
  4. § 12Provisional agreementVorläufige Vereinbarung
  5. § 13Arbitration boardSchiedsstelle
  6. § 14ApprovalGenehmigung
  7. § 15Period of applicationLaufzeit

Part 5 · Separately chargeable physician and other services

  1. § 16(repealed)(weggefallen)
  2. § 17Optional (elective) servicesWahlleistungen
  3. § 18Affiliated physicians (Belegärzte)Belegärzte
  4. § 19Reimbursement of costs by physiciansKostenerstattung der Ärzte

Part 6 · Other provisions

  1. § 20Competence of the health insurance funds at state levelZuständigkeit der Krankenkassen auf Landesebene
  2. § 21Transmission and use of dataÜbermittlung und Nutzung von Daten

Unofficial translation for information only. Only the German text is legally binding. German text: consolidated version from gesetze-im-internet.de, retrieved 29 October 2026. Where German statutes use “soll”, “shall” denotes an obligation that admits exceptions in atypical cases. Not legal advice.