Endovascular Coiling Cost in Germany

The cost of endovascular coiling in Germany typically ranges from $25,000 to $60,000 USD, depending on the hospital, city, and type of procedure.

Endovascular coiling treats a brain aneurysm by filling it with small platinum coils passed through a catheter, so that blood no longer flows into it. In Germany, the total depends on:

• Aneurysm size and shape: which affect the devices needed.
• Stents or flow diverters: which add cost and medicines.
• Anaesthesia and monitoring: general anaesthetic and a high dependency stay.
• Follow-up imaging: to check the aneurysm stays closed.

UCLH explains that coiling is done under general anaesthetic with a catheter passed from the groin or wrist, and takes 1 to 3 hours. Patients spend time in a high dependency unit and at least one day in hospital.

If a stent is used to hold the coils, aspirin and prasugrel are needed for several months. Other devices such as WEB devices or flow diverters are alternatives.

The risk of stroke is about 5 in 100. Most people need 1 to 2 weeks off work.

Severe headache, vomiting or drowsiness after treatment need urgent medical care.

International patients are usually treated in Germany as self-paying patients: the hospital reviews the medical reports, sends a cost estimate and asks for an advance payment before admission, then settles the final bill after discharge.

Inpatient hospital care in Germany is billed under the German DRG system, which depends on the main diagnosis, other diagnoses and the procedures carried out, so the final amount is known only after the stay.

The federal Bundes-Klinik-Atlas, launched in May 2024, shows hospital case numbers by department, nursing staff levels and selected certificates.