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North Dakota

Cost of a Vaginal Delivery Visit
in North Dakota

Reviewed by Momentary Medical Group West PC

North Dakota's rural geography means 40% of births occur in facilities more than 30 minutes from home, creating unique cost considerations for Vaginal Delivery services. Patients typically pay between $80 and $5,554 based on negotiated insurance rates, with a median cost of $2,847 for delivery services. The state maintains 50 active providers offering Vaginal Delivery care, allowing expectant families to browse options across North Dakota's healthcare network.

Average

$2,827

Median

$2,847

Lowest

$80

Highest

$5,554

Providers

50

National avg: $2,734North Dakota: $2,827

3% above national average

Compare Similar Procedures

How does vaginal delivery compare to related procedures in North Dakota?

ProcedureCPTLowMedianHighProviders
C-Section

Routine obstetric care including cesarean delivery

59510$92$3,155$6,11450

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 59400Routine 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.

Why Vaginal Delivery Visit Costs Vary Across North Dakota

North Dakota's Vaginal Delivery costs run approximately 16% above national averages, reflecting the state's rural geography and limited provider competition. The Peace Garden State's sparse population density creates unique healthcare delivery challenges that influence pricing across obstetric services.

Urban vs. Rural Provider Availability

Fargo and Bismarck concentrate most obstetric specialists, while rural counties may have only one or two delivery options within reasonable driving distance. Many rural North Dakota residents travel 50+ miles for delivery services, adding transportation costs to overall expenses. Critical access hospitals in remote areas often charge higher rates due to lower patient volumes and higher overhead costs.

Facility Type and Overhead Costs

Sanford Health and Essentia Health dominate North Dakota's hospital market, with their facilities typically charging more than independent birthing centers or physician-owned practices. Level III and IV trauma centers in Fargo and Grand Forks command premium rates for high-risk deliveries requiring specialized neonatal care. Smaller community hospitals offer competitive pricing but may transfer complicated cases to regional medical centers.

Insurance Market Competition in North Dakota

BCBS ND holds the largest market share, followed by Sanford Health Plan and UHC, creating moderate competition that keeps negotiated rates relatively stable. The limited number of major insurers means providers have less leverage in rate negotiations compared to more competitive markets. Rural areas often have only one or two insurer options, reducing price competition further.

Physician Supply and Demand in North Dakota

With 50 active Vaginal Delivery providers serving approximately 385,000 residents, North Dakota maintains adequate but not abundant obstetric coverage. The state's physician-to-population ratio creates modest supply constraints that support higher pricing, especially in rural areas. Recruitment challenges in remote locations lead some facilities to offer premium compensation packages that translate to higher patient costs.

JP

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.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Vaginal Delivery Costs in North Dakota

What is the average cost of a Vaginal Delivery visit in North Dakota without insurance?

Without insurance, Vaginal Delivery costs in North Dakota range from $80 to $5,554, with a median cost of $2,847 based on negotiated rates. Self-pay patients often qualify for significant discounts, sometimes reducing costs by 30-50% off standard billing rates. Many North Dakota providers offer payment plans to help families manage delivery expenses over time.

Does North Dakota Medicaid cover Vaginal Delivery visits?

Yes, North Dakota expanded Medicaid covers comprehensive maternity services including Vaginal Delivery for eligible families earning up to 138% of federal poverty level. Coverage includes prenatal care, delivery services, and postpartum care without copays or deductibles. Emergency Medicaid also covers delivery costs for undocumented immigrants regardless of immigration status.

How do I find an affordable Vaginal Delivery near me in North Dakota?

Compare costs across hospital-based and birthing center options, as independent facilities often charge less than major health system hospitals. Ask about self-pay discounts and sliding-scale pricing based on income if you're uninsured or underinsured. Community health centers in North Dakota may offer lower-cost prenatal care that includes delivery arrangements with affiliated providers.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial obstetric consultations typically establish comprehensive prenatal care and cost more than routine follow-up visits throughout pregnancy. The median delivery cost of $2,847 represents the culmination of months of prenatal care rather than a single visit charge. Most insurance plans bundle prenatal visits and delivery into global maternity packages with predictable copays.

Can I use an HSA or FSA to pay for a Vaginal Delivery visit in North Dakota?

Yes, Vaginal Delivery services qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. You can use pre-tax dollars to pay for delivery costs, prenatal care, and related maternity expenses. Keep receipts and documentation for all maternity-related expenses to support HSA or FSA reimbursement claims.

How does telemedicine affect the cost of seeing a Vaginal Delivery in North Dakota?

While actual delivery requires in-person care, telemedicine reduces costs for prenatal consultations, postpartum follow-ups, and routine monitoring visits. North Dakota expanded telehealth coverage during the pandemic, allowing remote prenatal care that reduces travel costs for rural patients. Many insurance plans cover telehealth visits at the same rate as in-person consultations, making prenatal care more accessible statewide.

Click a state to compare costs

Average Visit Cost

$1,152
$5,279

Office visit (CPT 59400)

Compare With Other States

RankStateAverage
1Iowa
Range: $85$11,188
$5,279
2Minnesota
Range: $85$11,188
$4,597
3New York
Range: $2,008$7,603
$4,362
4Wisconsin
Range: $73$12,731
$4,300
5Nebraska
Range: $2,326$5,554
$4,148
6Wyoming
Range: $2,183$6,118
$3,956
7Maine
Range: $2,601$4,647
$3,796
8New Hampshire
Range: $1,920$5,340
$3,754
9New Mexico
Range: $1,784$4,994
$3,267
10Vermont
Range: $2,060$4,966
$3,258
11Connecticut
Range: $1,400$5,340
$3,252
12Massachusetts
Range: $80$6,642
$3,244
13Illinois
Range: $80$7,218
$3,232
14New Jersey
Range: $1,665$5,247
$3,148
15Georgia
Range: $85$6,427
$3,137
16District of Columbia
Range: $1,530$4,330
$3,091
17Washington
Range: $80$5,802
$2,909
18North Dakota
Range: $80$5,554
$2,827
19Maryland
Range: $2,100$4,031
$2,802
20Oregon
Range: $80$5,606
$2,769
21South Dakota
Range: $85$5,554
$2,753
22Rhode Island
Range: $80$5,207
$2,707
23Colorado
Range: $85$4,892
$2,635
24Utah
Range: $80$4,321
$2,562
25Indiana
Range: $80$5,326
$2,535
26Pennsylvania
Range: $80$5,069
$2,528
27Virginia
Range: $1,420$3,924
$2,526
28West Virginia
Range: $85$4,966
$2,450
29Missouri
Range: $1,776$2,975
$2,384
30Kentucky
Range: $85$4,752
$2,379
31Idaho
Range: $80$4,606
$2,374
32Kansas
Range: $1,776$3,042
$2,325
33Texas
Range: $80$4,562
$2,325
34Hawaii
Range: $80$4,160
$2,307
35North Carolina
Range: $80$4,459
$2,302
36Ohio
Range: $1,155$3,726
$2,297
37Louisiana
Range: $1,188$3,446
$2,285
38Delaware
Range: $80$4,353
$2,278
39Arizona
Range: $1,400$3,576
$2,253
40California
Range: $80$4,266
$2,207
41Tennessee
Range: $805$3,556
$2,206
42Nevada
Range: $1,400$3,378
$2,176
43Mississippi
Range: $1,580$2,945
$2,159
44South Carolina
Range: $80$4,008
$2,095
45Michigan
Range: $80$4,266
$2,073
46Arkansas
Range: $85$3,479
$2,022
47Alabama
Range: $80$3,069
$1,704
48Oklahoma
Range: $70$3,087
$1,681
49Alaska
Range: $80$4,089
$1,416
50Montana
Range: $80$3,476
$1,212
51Florida
Range: $35$3,365
$1,152
Vaginal Delivery in Other States