Are healthcare and health insurance expensive in Nordrhein-Westfalen?

"Healthcare and health insurance in Nordrhein-Westfalen are generally considered to be quite expensive. The cost of health insurance is determined by a variety of factors, such as age, income, and the type of coverage chosen. Healthcare costs can also vary depending on the type of care needed, with some treatments and procedures being more expensive than others. In general, however, healthcare and health insurance in Nordrhein-Westfalen are more expensive than in other parts of Germany," remarked another expat in Nordrhein-Westfalen, Germany.