VBAC delivery cost without insurance
The median hospital cash price for vaginal birth after cesarean (VBAC), including prenatal and postpartum care is $5,143.88 across 125 US hospitals; most list between $2,203.32 and $10,725.89. The lowest outpatient cash price in any of 81 markets is $697.00. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Nov 6, 2026 Each price links to its source file All Pregnancy and birth costs
Cash or insurance?
If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for VBAC delivery, the highest negotiated rate in a hospital's file has a median of $6,266.45 and the lowest a median of $2,257.25. At 87 of 112 hospitals that publish both, the cash price is below the highest negotiated rate.
With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.
Plan's rate starts at the median highest negotiated rate and cash at the national median; put in your own numbers. Nothing you type leaves your device. To price a whole year with premiums, use the insurance or cash calculator.
What is CPT 59610?
This is a 'global' maternity code for routine prenatal care, a vaginal birth after a previous cesarean (VBAC), and postpartum care. It covers the doctor's services throughout pregnancy and delivery.
What the price covers
It covers the delivering clinician's care. The hospital labor stay, anesthesia, labs, ultrasounds and newborn care are billed separately.
Why prices differ
Fewer hospitals offer VBAC, and prices depend on monitoring requirements, what the hospital bundles, and whether the plan changes to a repeat cesarean.
What to ask
Ask whether the self-pay price for CPT 59610 covers the hospital stay, and what the price becomes if the delivery ends up as a repeat cesarean.
Prices by state
Among 9 states with at least 5 hospitals listing a cash price, the median is lowest in Michigan ($2,939.84), Minnesota ($3,804.00) and Illinois ($4,713.45), and highest in Georgia ($12,187.00), Texas ($7,970.66) and Pennsylvania ($7,542.15).
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$4,098.00, 3 hospitals
- Arkansas$5,056.23, 1 hospital
- California$1,852.17, 2 hospitals
- Georgia$12,187.00
- Idaho$4,952.00, 1 hospital
- Illinois$4,713.45
- Iowa$5,650.50, 2 hospitals
- Kansas$2,562.98, 2 hospitals
- Maine$13,826.00, 1 hospital
- Michigan$2,939.84
- Minnesota$3,804.00
- Missouri$2,734.30, 2 hospitals
- Montana$5,215.59, 4 hospitals
- Nebraska$5,279.25, 2 hospitals
- New Hampshire$2,810.20, 2 hospitals
- New Jersey$5,224.50
- New Mexico$3,147.25, 2 hospitals
- New York$6,661.94
- North Carolina$3,300.00, 1 hospital
- North Dakota$7,285.20, 1 hospital
- Ohio$4,920.00, 3 hospitals
- Oklahoma$1,509.20, 1 hospital
- Pennsylvania$7,542.15
- South Carolina$4,398.85, 1 hospital
- South Dakota$5,745.00, 1 hospital
- Texas$7,970.66
- Utah$2,751.71, 1 hospital
- Vermont$3,129.75, 1 hospital
- Washington$4,453.68, 2 hospitals
- West Virginia$6,086.00, 1 hospital
- Wisconsin$5,143.88
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Akron, OH | 1 | $4,920.00 | $4,920.00 | $4,920.00 | 1.0× |
| Appleton, WI | 2 | $5,143.88 | $5,143.88 | $5,143.88 | 1.0× |
| Asheboro, NC single city | 1 | $3,300.00 | $3,300.00 | $3,300.00 | 1.0× |
| Atlanta-Sandy Springs-Roswell, GA | 7 | $12,187.00 | $12,187.00 | $12,187.00 | 1.0× |
| Austin-Round Rock-San Marcos, TX | 7 | $7,970.66 | $7,970.66 | $7,970.66 | 1.0× |
| Bakersfield-Delano, CA | 1 | $2,767.71 | $2,767.71 | $2,767.71 | 1.0× |
| Beatrice, NE | 1 | $5,334.00 | $5,334.00 | $5,334.00 | 1.0× |
| Berlin, WI single city | 1 | $5,143.88 | $5,143.88 | $5,143.88 | 1.0× |
| Birmingham, AL | 2 | $1,965.00 | $4,080.00 | $6,195.00 | 3.2× |
| Bozeman, MT | 2 | $7,000.80 | $7,000.80 | $7,000.80 | 1.0× |
| Brenham, TX | 1 | $7,970.66 | $7,970.66 | $7,970.66 | 1.0× |
| Buffalo-Cheektowaga, NY | 1 | $6,661.94 | $6,661.94 | $6,661.94 | 1.0× |
| Cadillac, MI | 1 | $5,109.35 | $5,109.35 | $5,109.35 | 1.0× |
| Cambridge, NE single city | 1 | $5,224.50 | $5,224.50 | $5,224.50 | 1.0× |
| Champaign-Urbana, IL | 1 | $6,920.00 | $6,920.00 | $6,920.00 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 3 | $1,039.39 | $2,678.05 | $5,042.10 | 4.9× |
| College Station-Bryan, TX | 1 | $7,970.66 | $7,970.66 | $7,970.66 | 1.0× |
| Corydon, IA single city | 1 | $4,192.00 | $4,192.00 | $4,192.00 | 1.0× |
| Demopolis, AL single city | 1 | $4,098.00 | $4,098.00 | $4,098.00 | 1.0× |
| Des Moines-West Des Moines, IA | 1 | $7,109.00 | $7,109.00 | $7,109.00 | 1.0× |
| Detroit-Warren-Dearborn, MI | 2 | $3,579.68 | $3,579.68 | $3,579.68 | 1.0× |
| Duluth, MN-WI | 1 | $2,848.00 | $2,848.00 | $2,848.00 | 1.0× |
| El Paso, TX | 2 | $1,293.65 | $1,293.65 | $1,293.65 | 1.0× |
| Ellensburg, WA | 1 | $3,837.75 | $3,837.75 | $3,837.75 | 1.0× |
| Farmington, NM | 1 | $5,072.50 | $5,072.50 | $5,072.50 | 1.0× |
| Fergus Falls, MN | 1 | $4,057.95 | $4,057.95 | $4,057.95 | 1.0× |
| Fond du Lac, WI | 1 | $5,143.88 | $5,143.88 | $5,143.88 | 1.0× |
| Freeport, IL | 1 | $4,384.80 | $4,384.80 | $4,384.80 | 1.0× |
| Gallup, NM | 1 | $1,222.00 | $1,222.00 | $1,222.00 | 1.0× |
| Grand Rapids-Wyoming-Kentwood, MI | 1 | $2,300.00 | $2,300.00 | $2,300.00 | 1.0× |
| Harrisburg-Carlisle, PA | 3 | $6,552.07 | $8,630.96 | $9,086.23 | 1.4× |
| Johnstown, PA | 1 | $3,970.40 | $3,970.40 | $3,970.40 | 1.0× |
| Killeen-Temple, TX | 3 | $7,970.66 | $7,970.66 | $7,970.66 | 1.0× |
| Kiryas Joel-Poughkeepsie-Newburgh, NY | 1 | $15,449.00 | $15,449.00 | $15,449.00 | 1.0× |
| Lancaster, PA | 1 | $7,950.80 | $7,950.80 | $7,950.80 | 1.0× |
| Lansing-East Lansing, MI | 2 | $2,300.00 | $2,300.00 | $2,300.00 | 1.0× |
| Lebanon-Claremont, NH-VT | 2 | $2,244.00 | $2,810.20 | $3,376.40 | 1.5× |
| Lima, OH | 1 | $3,859.20 | $3,859.20 | $3,859.20 | 1.0× |
| Los Angeles-Long Beach-Anaheim, CA | 1 | $936.62 | $936.62 | $936.62 | 1.0× |
| Lyons, KS single city | 1 | $1,275.00 | $1,275.00 | $1,275.00 | 1.0× |
| Machias, ME single city | 1 | $13,826.00 | $13,826.00 | $13,826.00 | 1.0× |
| Marble Falls, TX single city | 1 | $7,970.66 | $7,970.66 | $7,970.66 | 1.0× |
| McAlester, OK | 1 | $1,509.20 | $1,509.20 | $1,509.20 | 1.0× |
| McPherson, KS | 1 | $3,850.96 | $3,850.96 | $3,850.96 | 1.0× |
| Moab, UT single city | 1 | $2,751.71 | $2,751.71 | $2,751.71 | 1.0× |
| Morgantown, WV | 1 | $6,086.00 | $6,086.00 | $6,086.00 | 1.0× |
| Morris, MN single city | 1 | $3,804.00 | $3,804.00 | $3,804.00 | 1.0× |
| Moscow, ID | 1 | $4,952.00 | $4,952.00 | $4,952.00 | 1.0× |
| Moultrie, GA | 1 | $4,244.00 | $4,244.00 | $4,244.00 | 1.0× |
| Myrtle Beach-Conway-North Myrtle Beach, SC | 1 | $4,398.85 | $4,398.85 | $4,398.85 | 1.0× |
| Nacogdoches, TX | 1 | $1,384.00 | $1,384.00 | $1,384.00 | 1.0× |
| New London, WI single city | 1 | $5,143.88 | $5,143.88 | $5,143.88 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 15 | $2,176.20 | $5,339.00 | $25,368.66 | 11.7× |
| Oshkosh-Neenah, WI | 2 | $5,143.88 | $5,143.88 | $5,143.88 | 1.0× |
| Pampa, TX | 1 | $697.00 | $697.00 | $697.00 | 1.0× |
| Pearsall, TX single city | 1 | $5,403.00 | $5,403.00 | $5,403.00 | 1.0× |
| Peoria, IL | 1 | $11,819.00 | $11,819.00 | $11,819.00 | 1.0× |
| Pine Bluff, AR | 1 | $5,056.23 | $5,056.23 | $5,056.23 | 1.0× |
| Platteville, WI | 1 | $4,083.00 | $4,083.00 | $4,083.00 | 1.0× |
| Polson, MT single city | 1 | $3,066.40 | $3,066.40 | $3,066.40 | 1.0× |
| Port Angeles, WA | 1 | $5,069.60 | $5,069.60 | $5,069.60 | 1.0× |
| Reading, PA | 1 | $7,133.50 | $7,133.50 | $7,133.50 | 1.0× |
| Roseau, MN single city | 1 | $6,666.00 | $6,666.00 | $6,666.00 | 1.0× |
| Sandersville, GA single city | 1 | $2,827.50 | $2,827.50 | $2,827.50 | 1.0× |
| Shawano, WI | 1 | $5,143.88 | $5,143.88 | $5,143.88 | 1.0× |
| Sidney, MT single city | 1 | $3,430.37 | $3,430.37 | $3,430.37 | 1.0× |
| Snyder, TX | 1 | $13,598.00 | $13,598.00 | $13,598.00 | 1.0× |
| Springfield, MO | 1 | $3,489.60 | $3,489.60 | $3,489.60 | 1.0× |
| St. Johnsbury, VT single city | 1 | $3,129.75 | $3,129.75 | $3,129.75 | 1.0× |
| Staples, MN single city | 1 | $2,898.50 | $2,898.50 | $2,898.50 | 1.0× |
| Ste. Genevieve, MO single city | 1 | $1,979.00 | $1,979.00 | $1,979.00 | 1.0× |
| Sweetwater, TX | 1 | $3,444.00 | $3,444.00 | $3,444.00 | 1.0× |
| Temple, TX single city | 1 | $7,970.66 | $7,970.66 | $7,970.66 | 1.0× |
| Trenton-Princeton, NJ | 1 | $5,110.00 | $5,110.00 | $5,110.00 | 1.0× |
| Upper Sandusky, OH single city | 1 | $5,221.84 | $5,221.84 | $5,221.84 | 1.0× |
| Utica-Rome, NY | 1 | $1,812.00 | $1,812.00 | $1,812.00 | 1.0× |
| Waco, TX | 1 | $7,970.66 | $7,970.66 | $7,970.66 | 1.0× |
| Watford City, ND single city | 1 | $7,285.20 | $7,285.20 | $7,285.20 | 1.0× |
| Waupaca, WI single city | 1 | $5,143.88 | $5,143.88 | $5,143.88 | 1.0× |
| Wild Rose, WI single city | 1 | $5,143.88 | $5,143.88 | $5,143.88 | 1.0× |
| Winner, SD single city | 1 | $5,745.00 | $5,745.00 | $5,745.00 | 1.0× |
Common questions
What is CPT code 59610?
CPT 59610 is the billing code for vaginal birth after cesarean (VBAC), including prenatal and postpartum care. This is a 'global' maternity code for routine prenatal care, a vaginal birth after a previous cesarean (VBAC), and postpartum care. It covers the doctor's services throughout pregnancy and delivery.
What if the VBAC turns into a cesarean?
It is then billed with a different code (59618), which usually costs more.
Do all hospitals offer VBAC?
No. Some hospitals do not offer a trial of labor after cesarean; ask the hospital and your doctor.
Is it cheaper to pay cash or use insurance for VBAC delivery?
It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for VBAC delivery has a median of $6,266.45 and the lowest a median of $2,257.25; at 87 of 112 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.
Which states have the cheapest VBAC delivery?
Among 9 states with at least 5 hospitals listing a cash price, the median is lowest in Michigan ($2,939.84), Minnesota ($3,804.00) and Illinois ($4,713.45), and highest in Georgia ($12,187.00), Texas ($7,970.66) and Pennsylvania ($7,542.15). Prices vary as much between hospitals in the same state, so compare hospitals near you.
Other pregnancy and birth prices
Median hospital cash price, one per hospital.