Special Report

Most Expensive States to Have a Child

Methodology

To determine how much childbirth costs in each state, 24/7 Wall St. reviewed data on average out-of-pocket cost of childbirth in 2020 for health insurance plan members from Forbes, which sourced the data from Health Care Cost Institute. Only 45 states had data. The data also broke down cost per delivery type, C-section or vaginal birth. We also added the average employer-sponsored health insurers paid for deliveries in 37 states, using data from Health Care Cost Institute for 2020. 

Data from the Centers for Disease Control and Prevention included infant deaths and infant death rate per 1,000 live births for 2020, maternal deaths and maternal death rate per 100,000 live births for 2018-2020, and number of births in 2020. Infant deaths are deaths of children under one year of age. Maternal deaths include deaths of women while pregnant or within 42 days of termination of pregnancy from any cause related to or aggravated by the pregnancy or its management, but not from accidental or incidental causes. From the Census Bureau’s American Community Survey we added 2021 uninsured rate.

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