Opinion: How much does it cost to give birth in the U.S.?

What does it cost to have a baby in the United States? This question has always vexed me. I’ve tried unsuccessfully to prospectively price deliveries for family and friends over the years. After insurance, deliveries can range from a few hundred dollars to a couple of thousand. If you’re underinsured or have a more complex birth, it can cost more than $10,000 out of pocket. With nearly 3.6 million babies born in 2023 in the U.S., you’d think we as a country would have this one figured out. We don’t.

Thanks to the Lower Costs, More Transparency Act and the No Surprises Act, which incentivize hospitals and insurance companies to compete on pricing simplicity for these common shoppable services, estimates are getting easier. But it’s still tricky business.

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