Cost of a Vaginal Delivery Visit
in Massachusetts
Reviewed by Momentary Medical Group West PC
Massachusetts leads the nation in healthcare innovation but also ranks among the most expensive states for medical care, with costs running approximately 20% above national averages. For Vaginal Delivery services, patients typically pay between $80 and $6,642, with a median out-of-pocket cost of $3,009 based on negotiated insurance rates. With over 1,330 active Vaginal Delivery providers across the state, Massachusetts patients have access to extensive obstetric care options from Boston's renowned academic medical centers to community hospitals in the Berkshires.
Average
$3,244
Median
$3,009
Lowest
$80
Highest
$6,642
Providers
1,330
19% above national average
Compare Similar Procedures
How does vaginal delivery compare to related procedures in Massachusetts?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| C-Section Routine obstetric care including cesarean delivery | 59510 | $2,111 | $3,765 | $7,609 | 1,033 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 59400 — Routine obstetric care including vaginal delivery). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 59400 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 59400 (Routine obstetric care including vaginal delivery), as mandated by the CMS Price Transparency Rule.
What CPT 59400 covers: the provider's professional fee for vaginal delivery. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Top-Rated Hospitals in Massachusetts
These hospitals in Massachusetts are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
GREAT BARRINGTON, MA
BOSTON, MA
OAK BLUFFS, MA
BOSTON, MA
BOSTON, MA
Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.
Why Vaginal Delivery Visit Costs Vary Across Massachusetts
Healthcare costs in Massachusetts run approximately 20% above the national average, driven by the state's concentration of prestigious academic medical centers, high physician salaries, and expensive real estate markets in metro Boston. The Commonwealth's stringent quality requirements and robust regulatory oversight also contribute to higher operational costs that are ultimately reflected in patient pricing.
Urban vs. Rural Provider Availability
The Greater Boston area offers the highest concentration of obstetric specialists and birthing facilities, while western Massachusetts and Cape Cod face more limited provider options that can drive up costs and reduce competition. Rural areas like the Berkshires may require patients to travel significant distances for specialized obstetric care, potentially adding transportation costs to overall delivery expenses. Urban areas benefit from multiple competing health systems, which can help moderate pricing through market competition.
Facility Type and Overhead Costs
Academic medical centers like Massachusetts General, Brigham and Women's, and UMass Memorial command premium pricing due to their research missions and resident training programs, while community hospitals typically offer more moderate rates. Independent birthing centers and midwifery practices generally provide the most cost-effective options for low-risk deliveries, though they may have transfer agreements with nearby hospitals for complications. Hospital-owned obstetric practices often charge facility fees on top of professional fees, significantly increasing total costs.
Insurance Market Competition in Massachusetts
The state's insurance market is dominated by BCBS MA, Tufts Health Plan, and Harvard Pilgrim Health Care, creating a relatively concentrated market that affects negotiated rates with obstetric providers. Massachusetts's strict insurance regulations and network adequacy requirements help maintain provider access but can also support higher reimbursement rates. The state's individual mandate and employer coverage requirements create a stable insured population that allows providers to maintain premium pricing.
Physician Supply and Demand in Massachusetts
With over 1,330 active Vaginal Delivery providers statewide, Massachusetts maintains one of the highest obstetrician-to-population ratios in the nation, particularly concentrated in the Boston metropolitan area. This robust provider supply helps moderate costs in urban areas, though rural regions still face access challenges that can drive up pricing. The state's prestigious medical schools and residency programs ensure a steady pipeline of new obstetric providers, though high living costs may push some practitioners toward higher-paying specialties.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Vaginal Delivery Costs in Massachusetts
What is the average cost of a Vaginal Delivery visit in Massachusetts without insurance?
Does Massachusetts Medicaid cover Vaginal Delivery visits?
How do I find an affordable Vaginal Delivery near me in Massachusetts?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Vaginal Delivery visit in Massachusetts?
How does telemedicine affect the cost of seeing a Vaginal Delivery in Massachusetts?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 59400)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Iowa Range: $85 – $11,188 | $5,279 |
| 2 | Minnesota Range: $85 – $11,188 | $4,597 |
| 3 | New York Range: $2,008 – $7,603 | $4,362 |
| 4 | Wisconsin Range: $73 – $12,731 | $4,300 |
| 5 | Nebraska Range: $2,326 – $5,554 | $4,148 |
| 6 | Wyoming Range: $2,183 – $6,118 | $3,956 |
| 7 | Maine Range: $2,601 – $4,647 | $3,796 |
| 8 | New Hampshire Range: $1,920 – $5,340 | $3,754 |
| 9 | New Mexico Range: $1,784 – $4,994 | $3,267 |
| 10 | Vermont Range: $2,060 – $4,966 | $3,258 |
| 11 | Connecticut Range: $1,400 – $5,340 | $3,252 |
| 12 | Massachusetts Range: $80 – $6,642 | $3,244 |
| 13 | Illinois Range: $80 – $7,218 | $3,232 |
| 14 | New Jersey Range: $1,665 – $5,247 | $3,148 |
| 15 | Georgia Range: $85 – $6,427 | $3,137 |
| 16 | District of Columbia Range: $1,530 – $4,330 | $3,091 |
| 17 | Washington Range: $80 – $5,802 | $2,909 |
| 18 | North Dakota Range: $80 – $5,554 | $2,827 |
| 19 | Maryland Range: $2,100 – $4,031 | $2,802 |
| 20 | Oregon Range: $80 – $5,606 | $2,769 |
| 21 | South Dakota Range: $85 – $5,554 | $2,753 |
| 22 | Rhode Island Range: $80 – $5,207 | $2,707 |
| 23 | Colorado Range: $85 – $4,892 | $2,635 |
| 24 | Utah Range: $80 – $4,321 | $2,562 |
| 25 | Indiana Range: $80 – $5,326 | $2,535 |
| 26 | Pennsylvania Range: $80 – $5,069 | $2,528 |
| 27 | Virginia Range: $1,420 – $3,924 | $2,526 |
| 28 | West Virginia Range: $85 – $4,966 | $2,450 |
| 29 | Missouri Range: $1,776 – $2,975 | $2,384 |
| 30 | Kentucky Range: $85 – $4,752 | $2,379 |
| 31 | Idaho Range: $80 – $4,606 | $2,374 |
| 32 | Kansas Range: $1,776 – $3,042 | $2,325 |
| 33 | Texas Range: $80 – $4,562 | $2,325 |
| 34 | Hawaii Range: $80 – $4,160 | $2,307 |
| 35 | North Carolina Range: $80 – $4,459 | $2,302 |
| 36 | Ohio Range: $1,155 – $3,726 | $2,297 |
| 37 | Louisiana Range: $1,188 – $3,446 | $2,285 |
| 38 | Delaware Range: $80 – $4,353 | $2,278 |
| 39 | Arizona Range: $1,400 – $3,576 | $2,253 |
| 40 | California Range: $80 – $4,266 | $2,207 |
| 41 | Tennessee Range: $805 – $3,556 | $2,206 |
| 42 | Nevada Range: $1,400 – $3,378 | $2,176 |
| 43 | Mississippi Range: $1,580 – $2,945 | $2,159 |
| 44 | South Carolina Range: $80 – $4,008 | $2,095 |
| 45 | Michigan Range: $80 – $4,266 | $2,073 |
| 46 | Arkansas Range: $85 – $3,479 | $2,022 |
| 47 | Alabama Range: $80 – $3,069 | $1,704 |
| 48 | Oklahoma Range: $70 – $3,087 | $1,681 |
| 49 | Alaska Range: $80 – $4,089 | $1,416 |
| 50 | Montana Range: $80 – $3,476 | $1,212 |
| 51 | Florida Range: $35 – $3,365 | $1,152 |