Compare with SoftLayer which has decided to charge through the nose for their RAM upgrades: going from 16 to 64GB RAM on their E5 servers is an additional $1200/month. They're far more expensive than e.g. Rackspace there for some reason.
I haven't looked at SoftLayer's offerings re: RAM but the most important thing to note with Hetzner is that only some of their dedicated machines have error-correcting code (ECC) memory. Hetzner's 16GB machine[1] (89 Euros/month) has ECC memory for example. Whilst this might not sound like an enormous issue, DRAM errors are surprisingly common in real deployments[2] and can result in scary things happening to your da…
See this Stanford ee380 talk: http://stanford-online.stanford.edu/courses/ee380/100922-ee3...
The part about DRAM errors is about 57 minutes in.
Abstract here: http://www.stanford.edu/class/ee380/Abstracts/100922.html
Also, AFAIK most hosting providers don't even have ECC ram as an option for servers, e.g. Amazon.