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Childbirth Cost in Nebraska (2026 Price Guide)

What does a childbirth cost in Nebraska?

You could pay $662 or $1,532 for the same childbirth in Nebraska — depending entirely on which facility you choose. The median cash price across 44 reporting hospitals is $920. This data comes directly from hospital price transparency files published under federal law.

How prices are distributed across Nebraska hospitals:
  • Bottom 25% of hospitals: under $634
  • Median: $920
  • Above median (top 30%): $1,532+

That's a 2× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.

Example — two patients in Omaha:
  • Patient A (high-cost facility): ~$1,532
  • Patient B (lower-cost facility): ~$662
Same procedure. Same week. $870 difference.

Cheapest Childbirth Providers in Nebraska

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
5 CHERRY COUNTY HOSPITAL NE $522 -$398
6 Howard County Medical Center St. Paul, NE $523 -$397
7 Franciscan Care Services West Point, NE $542 -$378
8 Memorial Community Health, Inc Aurora, NE $542 -$378
9 Methodist Fremont Health Fremont, NE $587 -$333
10 Fillmore County Hospital Geneva, NE $601 -$319
11 Henderson Health Care Services, Inc. Henderson, NE $632 -$288
12 CHI Health Plainview Plainview, NE $635 -$285

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.

Compare all procedure costs   → Childbirth costs nationwide

Check YOUR hospital's pricing → Estimate YOUR exact cost →

Worth knowing: A small number of hospitals report very high prices above $4,036, which pulls the overall range wider than what most patients encounter. The typical range above is a better guide for planning.
Every hospital in this dataset offers a cash price — with a median of $920. If your deductible hasn't been met, always ask for the self-pay rate before scheduling.

What you'll actually pay — example scenarios

Your situation Estimated out-of-pocket
Deductible not yet met (pay in full) ~$920
Deductible met — 20% coinsurance ~$184
Out-of-network provider $2,024+

Based on the state median of $920. Your actual cost depends on your plan deductible, coinsurance rate, and network tier. Get YOUR personalized estimate →

What this means for you

If you haven't met your deductible, you are effectively a cash-pay patient.

That means:

  • You should shop prices directly — the same way you'd compare any major purchase
  • Insurance may not get you a better deal than the cash price
  • The cheapest facility can save you $900+ vs. the median.

This is the single biggest lever most patients have to reduce their cost.

Lower-cost options in Nebraska start around $634 or below. Most hospitals cluster between $634 and $1,995. A smaller group reports prices above that — often academic medical centers or high-cost markets.

If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: Children's Hospital & Medical Center in Omaha (cash price from $510); CHI Health St. Mary's in Nebraska City (cash price from $511); Howard County Medical Center in St. Paul (cash price from $523). These are declared cash prices — contact each facility for a formal quote before scheduling.

Where childbirth costs vary in Nebraska

Each pin represents a hospital that filed price transparency data. Green pins are below the state cash-price average; red are above. Click any pin for facility name and price details.

Below state avg Above state avg Click a pin for facility details.

Estimate YOUR exact out-of-pocket cost →

Quick decision guide:
  • Best value hospitals (lowest prices): HARLAN COUNTY HEALTHSYSTEM: $20; Lexington Regional Health Center: $117; Children's Hospital & Medical Center: $510
  • Most expensive: Genoa Medical Facilities: ~$4,889; Chase County Hospital: ~$4,635

→ Choosing the right facility can save $900+ vs. the state median.

Nebraska Childbirth prices by facility

All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.

How we calculate "Your Price" — We prioritize the most actionable price in this order:
  1. Cash price — the self-pay rate you can actually negotiate and pay
  2. Negotiated rate — if reported by the hospital across insurance contracts
  3. Gross charge — fallback only; this is the inflated list price few people pay

This reflects the real prices patients encounter — not inflated chargemaster rates.

# Facility City Your Price vs Median Gross Charge
#1 HARLAN COUNTY HEALTHSYSTEM NE $20 -$900 $155
#2 Lexington Regional Health Center Lexington, NE $117 -$803 $235
#3 Children's Hospital & Medical Center Omaha, NE $510 -$410 $445–$8,933
#4 CHI Health St. Mary's Nebraska City, NE $511 -$409 $235–$2,661
#5 CHERRY COUNTY HOSPITAL NE $522 -$398 $232–$5,797
#6 Howard County Medical Center St. Paul, NE $523 -$397 $127–$10,840
#7 Franciscan Care Services West Point, NE $542 -$378 $245–$6,857
#8 Memorial Community Health, Inc Aurora, NE $542 -$378 $150–$5,085
#9 Methodist Fremont Health Fremont, NE $587 -$333 $190–$4,772
#10 Fillmore County Hospital Geneva, NE $601 -$319 $140–$4,213
#11 Henderson Health Care Services, Inc. Henderson, NE $632 -$288 $145–$4,420
#12 CHI Health Plainview Plainview, NE $635 -$285 $235–$2,393
#13 CHI Health Schuyler Schuyler, NE $643 -$277 $235–$2,393
#14 Community Hospital - McCook NE $664 -$256 $371–$5,061
#15 Box Butte General Hospital Alliance, NE $882 -$38 $981–$3,762
▼ Show 29 more Nebraska hospitals
#16 CHI Health Creighton University Medical Center - Bergan Mercy Omaha, NE $920 +$0 $454–$6,504
#17 CHI Health Immanuel Omaha, NE $920 +$0 $454–$6,504
#18 CHI Health Midlands Papillion, NE $920 +$0 $454–$6,504
#19 CHI Health Lakeside Omaha, NE $920 +$0 $454–$6,504
#20 Lasting Hope Recovery Center Omaha, NE $920 +$0 $454–$10,506
#21 CHI Health St. Elizabeth Lincoln, NE $920 +$0 $454–$4,431
#22 CHI Health Nebraska Heart Lincoln, NE $920 +$0 $160–$3,562
#23 CHI Health St. Francis Grand Island, NE $920 +$0 $454–$5,574
#24 CHI Health Good Samaritan Kearney, NE $920 +$0 $454–$5,574
#25 Boys Town National Research Hospital Boys Town, NE $1,170 +$250 $495–$8,348
#26 Great Plains Health North Platte, NE $1,188 +$268 $1,980–$27,888
#27 Memorial Community Hospital NE $1,280 +$360 $1,600–$2,794
#28 Dundy County Hospital Benkelman, NE $1,434 +$514 $126–$4,643
#29 Jennie M Melham Memorial Medical Center NE $1,500 +$580 $1,500–$2,520
#30 Boone County Health Center Albion, NE $1,516 +$596 $1,516–$11,771
#31 Memorial Hospital NE $1,531 +$611 $149–$5,211
#32 Mary Lanning Healthcare NE $1,541 +$621 $182–$5,838
#33 Columbus Community Hospital Columbus, NE $1,977 +$1,057 $140–$5,801
#34 Brodstone Memorial Hospital Superior, NE $2,049 +$1,129 $2,157–$29,547
#35 Faith Regional Health Services Norfolk, NE $2,358 +$1,438 $3,768–$4,842
#36 Gordon Memorial Hospital Gordon, NE $2,570 +$1,650 $2,570–$7,650
#37 Johnson County Hospital Tecumseh, NE $2,612 +$1,692 $2,612–$4,375
#38 Cozad Community Hospital Cozad, NE $3,254 +$2,334 $3,615–$3,984
#39 Avera St. Anthony's Hospital O'Neill, NE $3,379 +$2,459 $3,484
#40 Butler County Health David City, NE $3,650 +$2,730 $3,650–$23,841
#41 Gothenburg Health Gothenburg, NE $4,410 +$3,490 $256–$5,050
#42 Beatrice Community Hospital Beatrice, NE $4,450 +$3,530 $4,450–$27,251
#43 Chase County Hospital Imperial, NE $4,635 +$3,715 $4,635–$5,098
#44 Genoa Medical Facilities Genoa, NE $4,889 +$3,969 $5,432

Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.

Received a bill? Check it for errors → Estimate YOUR cost before you go →

Compare other procedures in Nebraska:

Where you can save the most on childbirth in Nebraska

These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.

Facility City Your Price vs Median
HARLAN COUNTY HEALTHSYSTEM NE $20 -$900
Lexington Regional Health Center Lexington, NE $117 -$803
Children's Hospital & Medical Center Omaha, NE $510 -$410
CHI Health St. Mary's Nebraska City, NE $511 -$409
CHERRY COUNTY HOSPITAL NE $522 -$398

How to choose a lower-cost facility

  • Choose independent outpatient centers when possible — freestanding ASCs (ambulatory surgical centers) consistently charge less than hospital outpatient departments for identical procedures.
  • Ask for the cash price if your deductible isn't met — self-pay rates are often lower than what insurance pays before your deductible is satisfied, especially at facilities that have a high cash-price discount.
  • Avoid hospital outpatient departments for routine cases — hospital-owned locations add a facility fee that freestanding centers don't charge, often adding $500–$1,500 to the same procedure.
Important: Many procedures are done at ambulatory surgical centers (ASCs) that are often 30–60% cheaper than hospital outpatient departments with the same clinical quality. Most ASCs are not in this hospital dataset — meaning your cheapest option may not even appear here. Ask your doctor if the procedure can be done at a freestanding ASC.

Most expensive childbirth providers in Nebraska

These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.

Facility City Price vs Median
Genoa Medical Facilities Genoa, NE $4,889 +$3,969
Chase County Hospital Imperial, NE $4,635 +$3,715
Beatrice Community Hospital Beatrice, NE $4,450 +$3,530
Gothenburg Health Gothenburg, NE $4,410 +$3,490
Butler County Health David City, NE $3,650 +$2,730

Why prices vary this much

A small number of hospitals (4) report very high prices above $4,036, which drives much of the overall price range. Excluding these, most facilities cluster in a significantly tighter band.

The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.

Learn more:
Allowed amount vs negotiated rate — what your EOB is really saying
How to read your medical bill
Why hospital prices are so hard to find — and what to do about it

How insurance changes what you actually pay

Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.

Understand your cost before you go:
Deductible vs out-of-pocket max
EOB vs medical bill — complete guide
How to stop medical bill problems before they start (in-network vs out-of-network)

Compare childbirth costs in nearby states

Explore all childbirth cost data

See childbirth costs across all states


CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
Analyze your medical bill for errors
How to negotiate your medical bills
Track and manage your healthcare costs (free account)

Other Procedure Costs in Nebraska

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published May 10, 2026 · Updated May 10, 2026

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