Median
€7,450
gross per month, full-time
Employed
116,071
people in this job
Occupation: Doctors without specialisation – highly complex tasks [Ärzte/Ärztinnen (ohne Spezialisierung) - hoch komplexe Tätigkeiten] (KldB 2010 81404). Covers doctors the BA files under KldB 8140: Arzt/Ärztin, Assistenzarzt/-ärztin (doctors in specialty training) and general practitioners (Facharzt Allgemeinmedizin); other specialists have their own codes. The upper quartile lies above the contribution ceiling of 8,050 € a month nationally and in most Länder, so the BA does not publish it there. The TV-Ärzte/VKA table is for a 40-hour week at municipal hospitals; on-call duty and allowances come on top. Full-time employees subject to social insurance (core group) on 31 December 2025, before tax and social contributions; civil servants and the self-employed are not included. Employers report pay only up to the pension contribution ceiling of 8,050 € a month, so figures above it are not published; nor are figures for fewer than 500 employees.
TV-Ärzte/VKA – pay table for doctors at municipal hospitals
| Grade | Pay |
|---|---|
| Ä 1 doctor (Ärztin/Arzt), incl. specialty training; Stufe 1 to Stufe 6 after 5 years | €5,722–€7,355 |
| Ä 2 specialist (Fachärztin/Facharzt); Stufe 1 to Stufe 6 after 12 years as specialist | €7,552–€9,699 |
| Ä 3 senior physician (Oberärztin/Oberarzt); Stufe 1 to Stufe 3 | €9,460–€10,811 |
| Ä 4 deputy head of department (leitende Oberärztin/leitender Oberarzt); Stufe 1 to Stufe 2 | €11,128–€11,923 |
gross per month, full-time · 1 June 2026 · Source
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By state
| # | State | Median | Employed |
|---|---|---|---|
| 1 | Saarland | €7,689 | 1,792 |
| 2 | North Rhine-Westphalia | €7,664 | 27,997 |
| 3 | Bremen | €7,636 | 1,093 |
| 4 | Rhineland-Palatinate | €7,573 | 4,810 |
| 5 | Hesse | €7,547 | 8,173 |
| 6 | Baden-Württemberg | €7,470 | 14,753 |
| 7 | Lower Saxony | €7,460 | 9,639 |
| 8 | Thuringia | €7,384 | 2,483 |
| 9 | Schleswig-Holstein | €7,336 | 3,688 |
| 10 | Bavaria | €7,329 | 18,892 |
| 11 | Hamburg | €7,268 | 3,976 |
| 12 | Saxony | €7,257 | 5,273 |
| 13 | Berlin | €7,223 | 6,173 |
| 14 | Saxony-Anhalt | €7,117 | 2,643 |
| 15 | Brandenburg | €7,079 | 2,522 |
| 16 | Mecklenburg-Western Pomerania | €7,052 | 2,161 |
gross per month, full-time · 31 Dec 2025 · Source
More salaries
Working there
Sources
- Earnings: Bundesagentur für Arbeit (Federal Employment Agency) – Entgeltatlas 2025 (pay atlas), Statistik der BA
- Pay scale: VKA – Tarifvertrag für Ärztinnen und Ärzte an kommunalen Krankenhäusern (TV-Ärzte/VKA), Lesefassung Stand 1 January 2026, Anlage zu § 18
Figures as published. PassPeers doesn't estimate, convert or adjust salaries; amounts are before tax and other deductions.