{"id":447,"date":"2023-06-26T12:00:00","date_gmt":"2023-06-26T12:00:00","guid":{"rendered":"https:\/\/moneywithkatie.com\/the-business-of-babies\/"},"modified":"2025-08-30T01:36:43","modified_gmt":"2025-08-30T01:36:43","slug":"the-business-of-babies","status":"publish","type":"post","link":"https:\/\/moneywithkatie.com\/the-business-of-babies\/","title":{"rendered":"The Business of Babies"},"content":{"rendered":"<div class=\"sqs-html-content\" data-sqsp-text-block-content>\n<p class=\"\" style=\"white-space:pre-wrap;\">If you\u2019re a millennial on the fence about becoming a parent, you\u2019ve probably heard the phrase, \u201cIt costs <a href=\"https:\/\/business.time.com\/2009\/09\/18\/1-1-million-cost-to-raise-a-child-from-birth-through-college\/\" target=\"_blank\"><span style=\"text-decoration:underline\">$1 million<\/span><\/a> to raise a child through college.\u201d (*insert white guy blinking meme*, gee, no wonder the American birth rate just <a href=\"https:\/\/www.brookings.edu\/2023\/05\/31\/us-births-are-down-again-after-the-covid-baby-bust-and-rebound\/#:~:text=Before%20the%20pandemic%2C%20births%20had,2007%E2%80%94a%2013%25%20reduction.\" target=\"_blank\"><span style=\"text-decoration:underline\">keeps getting lower<\/span><\/a>.)<\/p>\n<p class=\"\" style=\"white-space:pre-wrap;\">While that\u2019s not <em>necessarily<\/em> true, the average middle-income family with two children will spend <a href=\"https:\/\/www.brookings.edu\/blog\/up-front\/2022\/08\/30\/its-getting-more-expensive-to-raise-children-and-government-isnt-doing-much-to-help\/\" target=\"_blank\"><span style=\"text-decoration:underline\">$310,605<\/span><\/a> to raise a child born in 2015 up to age 17, according to the Brookings Institution. To my knowledge, these costs <a href=\"https:\/\/www.investopedia.com\/articles\/personal-finance\/090415\/cost-raising-child-america.asp\" target=\"_blank\"><span style=\"text-decoration:underline\">include housing<\/span><\/a>, which\u2026I mean\u2026you\u2019re probably paying for that anyway, right? But it highlights how the decision to start a family usually means opening a big, fat tab.&nbsp;&nbsp;<\/p>\n<p class=\"\" style=\"white-space:pre-wrap;\">So you can imagine my surprise when I learned that even <em>physically birthing a baby<\/em> was probably going to run at least a four-figure bill, even with insurance. (<em>USA! USA!<\/em>)&nbsp;<\/p>\n<\/div>\n<hr \/>\n<div class=\"sqs-html-content\" data-sqsp-text-block-content>\n<h2 style=\"white-space:pre-wrap;\">So how much does having a baby cost?<\/h2>\n<p class=\"\" style=\"white-space:pre-wrap;\">Several months ago, we polled our Instagram audience about the biggest \u201csurprise\u201d costs they\u2019ve ever incurred. Here\u2019s some news that <em>won\u2019t<\/em> be surprising to parents and homeowners the world over: The most frequent expenses pertained to things like roofs, HVACs, and, yes, having babies.<\/p>\n<h3 style=\"white-space:pre-wrap;\">Totals without health insurance<\/h3>\n<p class=\"\" style=\"white-space:pre-wrap;\">While the costs of childbirth widely vary, the Peterson-Kaiser Family Foundation Health System Tracker (a quippy name if I\u2019ve ever heard one) found that the <a href=\"https:\/\/www.healthsystemtracker.org\/brief\/health-costs-associated-with-pregnancy-childbirth-and-postpartum-care\/\" target=\"_blank\"><span style=\"text-decoration:underline\">average cost<\/span><\/a> of giving birth\u2014including pregnancy, delivery, and postpartum care\u2014is <strong>$18,865<\/strong> for people without health insurance.<\/p>\n<p class=\"\" style=\"white-space:pre-wrap;\">The average cost of vaginal deliveries is $14,768, and the average cesarean runs a staggering $26,280.&nbsp;<\/p>\n<p class=\"\" style=\"white-space:pre-wrap;\">Fortunately, under the <a href=\"https:\/\/www.webmd.com\/health-insurance\/pregnancy-childbirth-coverage\" target=\"_blank\"><span style=\"text-decoration:underline\">Affordable Care Act<\/span><\/a>, pregnancy, labor, delivery, and newborn baby care must be covered by all health insurance plans. Similarly, all preventive and prenatal services must be provided <a href=\"https:\/\/www.thebump.com\/a\/affordable-care-act-pregnancy\" target=\"_blank\"><span style=\"text-decoration:underline\">without copays<\/span><\/a>, to make this experience more affordable. (So, like\u2026we\u2019re moving in the right direction, I guess?)<\/p>\n<h3 style=\"white-space:pre-wrap;\">Totals with health insurance<\/h3>\n<p class=\"\" style=\"white-space:pre-wrap;\">Rockin\u2019 that fancy UnitedHealth plan via your benevolent corporate benefactor? Incredible news for you, Glen Coco! Your average out-of-pocket cost drops to <strong>$2,854<\/strong>\u2014not exactly cheap, but a hell of a lot better than the near-$20,000 bill we were running before. (For vaginal deliveries, the average is $2,655 and cesareans are $3,214, for context.)<\/p>\n<p class=\"\" style=\"white-space:pre-wrap;\">But take it from me, your favorite non-mother: Having a baby is\u2026kinda unpredictable. <\/p>\n<p class=\"\" style=\"white-space:pre-wrap;\">You don\u2019t exactly get briefed a week ahead of time by your medical virtual assistant that Baby\u2019s going to prefer a C-section over a vaginal birth. That means you may not <em>really<\/em> know your final amount owed for several months after delivery, and that can shock you out of baby bliss and back to reality pretty quickly. Baby better pick up a shift or two.<\/p>\n<\/div>\n<hr \/>\n<div class=\"sqs-html-content\" data-sqsp-text-block-content>\n<p class=\"\" style=\"white-space:pre-wrap;\">Here are the <em>known<\/em> factors you can plan for:<\/p>\n<ul data-rte-list=\"default\">\n<li>\n<p class=\"\" style=\"white-space:pre-wrap;\"><strong>Where do you plan to deliver?<\/strong> Costs vary by state, hospital, and healthcare plan\u2014often mandated by said state\u2014so you want to get familiar with the averages in your area. For example, according to <a href=\"https:\/\/www.forbes.com\/advisor\/health-insurance\/average-childbirth-cost\" target=\"_blank\"><span style=\"text-decoration:underline\">Forbes Advisor<\/span><\/a>, South Dakota, Nebraska, Idaho, and Alaska are the most expensive states to give birth in (South Dakota? Really?), and Washington, DC; Michigan; and Maryland are among the lowest. (Bonus: If you give birth in Maryland, you can raise your kiddos on crab cakes!) Home births with a midwife may be <a href=\"https:\/\/www.washingtonpost.com\/news\/to-your-health\/wp\/2015\/08\/21\/giving-birth-at-home-is-cheaper-than-at-hospitals-study-says-but-is-it-safe\/\" target=\"_blank\"><span style=\"text-decoration:underline\">more affordable<\/span><\/a> than hospital stays, but of course, consider factors like risk tolerance, safety, etc.<\/p>\n<\/li>\n<li>\n<p class=\"\" style=\"white-space:pre-wrap;\"><strong>Do you anticipate any additional charges?<\/strong> This could include complications or situations like high-risk pregnancies (triplets!), gestational diabetes, cesarean deliveries, NICU care for the baby post-birth, etc. Again, it\u2019s not always easy to know what you might need, but your doctor may be able to help provide some additional context or realities of what to expect based on your pregnancy.<\/p>\n<\/li>\n<li>\n<p class=\"\" style=\"white-space:pre-wrap;\"><strong>What is your healthcare plan and coverage?<\/strong> It\u2019s very possible that your insurance maximum or deductibles could be reached by the time you go into labor, so hey, if you\u2019ve been waiting on that rotator cuff surgery\u2026might as well just stack the year with deductible-busting care! #Efficiency. Check out your healthcare plan documents and get familiar with your plan to understand what you may be on the hook for during pregnancy, delivery, and postpartum, as well as the coverage for your new baby in your plan. (Surprise: <em>Your baby<\/em> has their own deductible, because after they\u2019ve been in this world for <a href=\"https:\/\/www.ehealthinsurance.com\/resources\/individual-and-family\/health-insurance-for-newborn-babies\" target=\"_blank\"><span style=\"text-decoration:underline\">approximately a month<\/span><\/a>, they, too, get to experience the joys of being exploited by privatized healthcare. You can add Baby into your family\u2019s plan as part of the <a href=\"https:\/\/www.healthcare.gov\/blog\/special-enrollment-period-child-birth\/\" target=\"_blank\"><span style=\"text-decoration:underline\">Special Enrollment Period<\/span><\/a>.)<\/p>\n<\/li>\n<\/ul>\n<p class=\"\" style=\"white-space:pre-wrap;\">To minimize any increases in cost, you can also try to prioritize in-network providers and to compare hospitals and doctors for the lowest prices. The <a href=\"https:\/\/www.cms.gov\/nosurprises\" target=\"_blank\"><span style=\"text-decoration:underline\">new \u201cNo Surprises\u201d legislation<\/span><\/a> should prevent you from getting a bill for an out-of-network doctor at an in-network hospital\u2014but check your state laws, because there may be <a href=\"https:\/\/www.npr.org\/sections\/health-shots\/2023\/02\/28\/1159786893\/a-surprise-billing-law-loophole-her-pregnancy-led-to-a-six-figure-hospital-bill\" target=\"_blank\"><span style=\"text-decoration:underline\">loopholes<\/span><\/a> and <a href=\"https:\/\/www.cms.gov\/newsroom\/fact-sheets\/no-surprises-understand-your-rights-against-surprise-medical-bills\"><span style=\"text-decoration:underline\">ambiguities<\/span><\/a>.<\/p>\n<\/div>\n<figure class=\"block-animation-site-default\">\n<blockquote data-animation-role=\"quote\" \n<p>   ><br \/>\n    <span>\u201c<\/span>The majority of insurance plans in the US will cover many of your expenses.<span>\u201d<\/span>\n  <\/p><\/blockquote>\n<\/figure>\n<div class=\"sqs-html-content\" data-sqsp-text-block-content>\n<p class=\"\" style=\"white-space:pre-wrap;\">After your child has graced the world with its presence, the following items are also likely to come up on your running balance sheet:<\/p>\n<ul data-rte-list=\"default\">\n<li>\n<p class=\"\" style=\"white-space:pre-wrap;\">Newborn visits<\/p>\n<\/li>\n<li>\n<p class=\"\" style=\"white-space:pre-wrap;\">Medications or follow-up appointments for the parent (or longer hospital stays if there are complications)<\/p>\n<\/li>\n<li>\n<p class=\"\" style=\"white-space:pre-wrap;\">Breastfeeding equipment (the good news is that, thanks to the Affordable Care Act (ACA), health insurers must cover the cost of a breast pump\u2026but why do breast pumps cost up to $400?)<\/p>\n<\/li>\n<\/ul>\n<p class=\"\" style=\"white-space:pre-wrap;\">The majority of insurance plans in the US (thanks to the aforementioned Affordable Care Act) will cover many of your expenses, though you should deep dive into your <em>own<\/em> coverage to be sure. To make things easier and as you work with an OB-GYN or midwife on a birth plan, you can ask your healthcare company questions like:<\/p>\n<ol data-rte-list=\"default\">\n<li>\n<p class=\"\" style=\"white-space:pre-wrap;\">Which common delivery needs are or aren\u2019t covered by my policy?<\/p>\n<\/li>\n<li>\n<p class=\"\" style=\"white-space:pre-wrap;\">Does my policy cover a private room?&nbsp;<\/p>\n<\/li>\n<li>\n<p class=\"\" style=\"white-space:pre-wrap;\">How long a stay is covered after delivery? (Word on the street is they punt you outta there <em>quick<\/em>, so don\u2019t get too cozy.)<\/p>\n<\/li>\n<\/ol>\n<p class=\"\" style=\"white-space:pre-wrap;\"><a href=\"https:\/\/www.nerdwallet.com\/article\/health\/medical-bills-101-from-pregnancy-to-delivery\" target=\"_blank\"><span style=\"text-decoration:underline\">Nerdwallet<\/span><\/a> has a robust list of questions you can pose\u2014and to be safe, getting your provider\u2019s responses in writing and\/or always noting (a) who you talked to and (b) when can help cover your you-know-what later.<\/p>\n<\/div>\n<hr \/>\n<div class=\"sqs-html-content\" data-sqsp-text-block-content>\n<h2 style=\"white-space:pre-wrap;\">If you\u2019re having a baby and don\u2019t have access to health insurance<\/h2>\n<p class=\"\" style=\"white-space:pre-wrap;\">If you don\u2019t have access to insurance, you can consider asking for a discounted cash rate from your provider. You might also consider government health insurance (like Children\u2019s Health Insurance Program, or CHIP) or programs similar to <a href=\"https:\/\/hfs.illinois.gov\/medicalprograms\/allkids\/momsandbabies.html\" target=\"_blank\"><span style=\"text-decoration:underline\">Moms &amp; Babies<\/span><\/a> in Illinois for potential coverage.<\/p>\n<p class=\"\" style=\"white-space:pre-wrap;\">If you don\u2019t plan to have a child in the immediate future but it\u2019s on your radar, you can check out <a href=\"https:\/\/moneywithkatie.com\/blog\/how-im-budgeting-for-healthcare-in-the-united-states-in-the-least-frustrating-way\" target=\"_blank\"><span style=\"text-decoration:underline\">this piece<\/span><\/a> Money with Katie did on budgeting for healthcare in the US to help navigate your premiums, out-of-pocket expenses, and deductibles when the time comes.<\/p>\n<p class=\"\" style=\"white-space:pre-wrap;\">If you have access to an HSA, you could set aside pre-tax dollars for this impending expense. <a href=\"https:\/\/moneywithkatie.com\/blog\/category\/HSAs\" target=\"_blank\"><span style=\"text-decoration:underline\">The HSA<\/span><\/a> will roll over year after year so it can help offset a larger bill, if you need, though ideally you\u2019d pay out of pocket and allow your HSA to continue compounding tax-free for later if at all possible. (Just a little \u201coptimization\u201d tip that might work better in theory than in practice, but still worth noting.)<\/p>\n<\/div>\n<hr \/>\n<div class=\"sqs-html-content\" data-sqsp-text-block-content>\n<p class=\"\" style=\"white-space:pre-wrap;\">Finally, the Kaiser Family Foundation <a href=\"https:\/\/www.healthsystemtracker.org\/brief\/many-households-do-not-have-enough-money-to-pay-cost-sharing-in-typical-private-health-plans\/#Median%20liquid%20assets%20of%20households%20and%20maximum%20out-of-pocket%20limit%20allowed%20in%20private%20plans%20for%20in-network%20services,%20by%20household%20size,%202019\" target=\"_blank\"><span style=\"text-decoration:underline\">found<\/span><\/a> that 45% of single-person households didn\u2019t have more than $2,000 in liquid assets available to pay medical bills. Even <em>with<\/em> insurance, most single parents wouldn\u2019t be able to incur the costs of childbirth without potentially disastrous financial outcomes.&nbsp;<\/p>\n<p class=\"\" style=\"white-space:pre-wrap;\">While that\u2019s a larger issue to unpack another time, I can\u2019t help but notice how necessary new humans are for society (and the economy) to continue functioning. Charging $18,000 for childbirth just prices more and more people out of being <em>able<\/em> to have children, let alone to raise them.&nbsp;<\/p>\n<p class=\"\" style=\"white-space:pre-wrap;\">We\u2019re also covering the costs of infertility and accessing fertility treatments like intrauterine insemination (IUI), in-vitro fertilization (IVF), and adoption over on <a href=\"http:\/\/podcast.moneywithkatie.com\" target=\"_blank\"><span style=\"text-decoration:underline\">The Money with Katie Show podcast<\/span><\/a> this week. And on our <a href=\"https:\/\/youtube.com\/moneywithkatie\" target=\"_blank\">YouTube channel<\/a>, we\u2019re talking about ways to afford those fertility treatments. We\u2019re all about being comprehensive over here\u2014so check it out if you\u2019re curious.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>If you\u2019re a millennial on the fence about becoming a parent, you\u2019ve probably heard the phrase, \u201cIt costs $1 million to raise a child through college.\u201d (*insert white guy blinking meme*, gee, no wonder the American birth rate just keeps getting lower.) While that\u2019s not necessarily true, the average middle-income family with two children will [&hellip;]<\/p>\n","protected":false},"author":178814,"featured_media":2413,"comment_status":"closed","ping_status":"open","sticky":false,"template":"si-template-single-post-relationships-and-family.php","format":"standard","meta":{"footnotes":""},"categories":[36],"tags":[41],"class_list":["post-447","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-spending-and-saving","tag-relationships-and-family"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The Business of Babies - Money with Katie<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/moneywithkatie.com\/the-business-of-babies\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The Business of Babies - Money with Katie\" \/>\n<meta property=\"og:description\" content=\"If you\u2019re a millennial on the fence about becoming a parent, you\u2019ve probably heard the phrase, \u201cIt costs $1 million to raise a child through college.\u201d (*insert white guy blinking meme*, gee, no wonder the American birth rate just keeps getting lower.) 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