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Childbirth Cost in Tennessee (2026 Price Guide)

What does a childbirth cost in Tennessee?

You could pay $694 or $835 for the same childbirth in Tennessee — depending entirely on which facility you choose. The median cash price across 53 reporting hospitals is $789. This data comes directly from hospital price transparency files published under federal law.

How prices are distributed across Tennessee hospitals:
  • Bottom 25% of hospitals: under $664
  • Median: $789
  • Above median (top 30%): $835+
Example — two patients in Chattanooga:
  • Patient A (high-cost facility): ~$835
  • Patient B (lower-cost facility): ~$694
Same procedure. Same week. $141 difference.

Cheapest Childbirth Providers in Tennessee

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

# Facility City Price vs Median
5 TRISTAR STONECREST MEDICAL CENTER Smyrna, TN $607 -$182
6 TRISTAR HENDERSONVILLE MEDICAL CENTER Hendersonville, TN $607 -$182
7 TRISTAR ASHLAND CITY MEDICAL CENTER Ashland City, TN $607 -$182
8 TRISTAR NORTHCREST MEDICAL CENTER Springfield, TN $607 -$182
9 TRISTAR HORIZON MEDICAL CENTER Dickson, TN $607 -$182
10 TRISTAR SOUTHERN HILLS MEDICAL CENTER Antioch, TN $607 -$182
11 PINEWOOD SPRINGS Columbia, TN $607 -$182
12 STRHS Pulaski TN $615 -$174

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 $1,289, 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 $789. 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) ~$789
Deductible met — 20% coinsurance ~$158
Out-of-network provider $1,736+

Based on the state median of $789. 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 $627+ vs. the median.

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

Lower-cost options in Tennessee start around $664 or below. Most hospitals cluster between $664 and $914. 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: Erlanger Health System in Chattanooga (cash price from $566); TRISTAR STONECREST MEDICAL CENTER in Smyrna (cash price from $607); TRISTAR HENDERSONVILLE MEDICAL CENTER in Hendersonville (cash price from $607). These are declared cash prices — contact each facility for a formal quote before scheduling.

Where childbirth costs vary in Tennessee

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): Johnson County Community Hospital: $162; STRHS Winchester | SRTHS Sewanee: $532; St Jude Children's Research Hospital: $543
  • Most expensive: Trousdale Medical Center: ~$2,016; HH Health System Lincoln Inc: ~$1,562

→ Choosing the right facility can save $627+ vs. the state median.

Tennessee 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 Johnson County Community Hospital Mountain City, TN $162 -$627 $561–$1,982
#2 STRHS Winchester | SRTHS Sewanee TN $532 -$257 $1,773
#3 St Jude Children's Research Hospital TN $543 -$246 $102–$5,405
#4 Erlanger Health System Chattanooga, TN $566 -$223 $100–$7,291
#5 TRISTAR STONECREST MEDICAL CENTER Smyrna, TN $607 -$182 $144–$21,593
#6 TRISTAR HENDERSONVILLE MEDICAL CENTER Hendersonville, TN $607 -$182 $607–$20,393
#7 TRISTAR ASHLAND CITY MEDICAL CENTER Ashland City, TN $607 -$182 $607–$5,531
#8 TRISTAR NORTHCREST MEDICAL CENTER Springfield, TN $607 -$182 $607–$20,252
#9 TRISTAR HORIZON MEDICAL CENTER Dickson, TN $607 -$182 $475–$20,806
#10 TRISTAR SOUTHERN HILLS MEDICAL CENTER Antioch, TN $607 -$182 $607–$24,985
#11 PINEWOOD SPRINGS Columbia, TN $607 -$182 $607–$5,050
#12 STRHS Pulaski TN $615 -$174 $2,102–$3,924
#13 Maury Regional Hospital Columbia, TN $648 -$141 $447–$6,800
#14 Williamson County Hospital District Franklin, TN $662 -$127 $141–$7,819
#15 Maury Regional Hospital Marshall Medical Center Lewisburg, TN $671 -$118 $125–$5,942
▼ Show 38 more Tennessee hospitals
#16 Maury Regional Hospital Waynesboro, TN $685 -$104 $337–$10,066
#17 Blount Memorial Hospital Maryville, TN $695 -$94 $2,243–$5,328
#18 Hardin Medical Center Savannah, TN $720 -$69 $1,700–$3,753
#19 METRO NASHVILLE GENERAL HOSPITAL Nasville, TN $720 -$69 $250–$11,025
#20 Saint Thomas West Hospital TN $733 -$56 $394–$13,101
#21 Erlanger Health System Pikeville, TN $765 -$24 $219–$5,341
#22 Claiborne Medical Center Tazewell, TN $782 -$7 $105–$2,609
#23 Hawkins County Memorial Hospital Rogersville, TN $789 +$0 $480–$5,756
#24 Holston Valley Medical Center Kingsport, TN $789 +$0 $480–$5,756
#25 Sycamore Shoals Hospital Elizabethton, TN $789 +$0 $561–$5,756
#26 Bristol Regional Medical Center Bristol, TN $789 +$0 $480–$5,756
#27 Greeneville Community Hospital Greeneville, TN $789 +$0 $480–$5,756
#28 Franklin Woods Community Hospital Johnson City, TN $789 +$0 $561–$5,756
#29 Indian Path Community Hospital Kingsport, TN $789 +$0 $561–$5,756
#30 Johnson City Medical Center Johnson City, TN $789 +$0 $561–$5,756
#31 Parkwest Medical Center Knoxville, TN $808 +$19 $105–$2,609
#32 Morristown-Hamblen Hospital Association Morristown, TN $808 +$19 $105–$2,609
#33 Cumberland Medical Center, Inc. Crossville, TN $808 +$19 $105–$2,609
#34 Methodist Medical Center of Oak Ridge Oak Ridge, TN $808 +$19 $105–$2,609
#35 Fort Sanders Regional Medical Center Knoxville, TN $808 +$19 $105–$2,609
#36 Roane County Medical Center Harriman, TN $808 +$19 $105–$2,609
#37 LeConte Medical Center Sevierville, TN $808 +$19 $105–$2,609
#38 Fort Loudoun Medical Center Lenoir City, TN $834 +$45 $105–$2,609
#39 Hancock County Hospital Sneedville, TN $847 +$58 $307–$3,683
#40 Saint Thomas Regional Hospitals TN $895 +$106 $923–$5,600
#41 Starr Regional Medical Center - Athens TN $921 +$132 $4,702–$7,909
#42 Saint Thomas Regional Hospitals TN $923 +$134 $923–$5,600
#43 Saint Thomas Regional Hospitals TN $923 +$134 $923–$5,600
#44 Saint Thomas Regional Hospitals TN $923 +$134 $923–$5,600
#45 Saint Thomas Hickman Hospital TN $954 +$165 $954–$5,600
#46 Big South Fork Medical Center TN $1,031 +$242 $348–$12,491
#47 Shelby County Health Care Corporation Memphis, TN $1,093 +$304 $1,700–$15,877
#48 Sumner Regional Medical Center TN $1,111 +$322 $4,771–$12,223
#49 PARKRIDGE VALLEY HOSPITAL Chattanooga, TN $1,150 +$361 $497–$4,365
#50 Riverview Regional Medical Center TN $1,295 +$506 $3,974–$11,202
#51 STRHS Lawrenceburg TN $1,362 +$573 $1,079–$5,472
#52 HH Health System Lincoln Inc Fayetteville, TN $1,562 +$773 $3,297–$6,122
#53 Trousdale Medical Center TN $2,016 +$1,227 $3,977–$11,206

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 Tennessee:

Where you can save the most on childbirth in Tennessee

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
Johnson County Community Hospital Mountain City, TN $162 -$627
STRHS Winchester | SRTHS Sewanee TN $532 -$257
St Jude Children's Research Hospital TN $543 -$246
Erlanger Health System Chattanooga, TN $566 -$223
TRISTAR STONECREST MEDICAL CENTER Smyrna, TN $607 -$182

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 Tennessee

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
Trousdale Medical Center TN $2,016 +$1,227
HH Health System Lincoln Inc Fayetteville, TN $1,562 +$773
STRHS Lawrenceburg TN $1,362 +$573
Riverview Regional Medical Center TN $1,295 +$506
PARKRIDGE VALLEY HOSPITAL Chattanooga, TN $1,150 +$361

Why prices vary this much

A small number of hospitals (5) report very high prices above $1,289, which drives much of the overall price range. Excluding these, most facilities cluster in a significantly tighter band.

Among the cities with the most reporting hospitals, Chattanooga has a median reported price of $858 across 2 facilities, while facilities in Columbia tend to report lower prices (median: $628). City-level variation within a state often reflects local market structure, not procedure complexity.

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 Tennessee

Interested in understanding healthcare costs and managing your medical expenses?

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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