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Childbirth Cost in Washington (2026 Price Guide)

What does a childbirth cost in Washington?

You could pay $1,285 or $3,130 for the same childbirth in Washington — depending entirely on which facility you choose. The median cash price across 63 reporting hospitals is $1,690. This data comes directly from hospital price transparency files published under federal law.

How prices are distributed across Washington hospitals:
  • Bottom 25% of hospitals: under $1,049
  • Median: $1,690
  • Above median (top 30%): $3,130+

That's a 3× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.

Example — two patients in Seattle:
  • Patient A (high-cost facility): ~$3,130
  • Patient B (lower-cost facility): ~$1,285
Same procedure. Same week. $1,845 difference.

Cheapest Childbirth Providers in Washington

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

# Facility City Price vs Median
6 Lake Chelan Health Hospital WA $553 -$1,137
7 CH Moses Lake Ambulatory Surgery Centers WA $553 -$1,137
8 CH Omak Ambulatory Surgery Center WA $553 -$1,137
9 ISLAND HOSPITAL WA $588 -$1,102
10 Coulee Medical Center Grand Coulee, WA $600 -$1,090
11 Odessa Memorial Healthcare Center Odessa, WA $655 -$1,035
12 Grant County Public Hospital District 1 Moses Lake, WA $789 -$901
13 Kadlec Regional Medical Center Richland, WA $815 -$875

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 $6,382, 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 $1,690. 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) ~$1,690
Deductible met — 20% coinsurance ~$338
Out-of-network provider $3,718+

Based on the state median of $1,690. 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 $1,189+ vs. the median.

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

Lower-cost options in Washington start around $1,049 or below. Most hospitals cluster between $1,049 and $3,182. 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: Legacy Salmon Creek Medical Center in Vancouver (cash price from $510); Mid-Valley Hospital in Omak (cash price from $518); Columbia Basin Hospital in Ephrata (cash price from $518). These are declared cash prices — contact each facility for a formal quote before scheduling.

Where childbirth costs vary in Washington

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): Astria Sunnyside Hospital: $501; Legacy Salmon Creek Medical Center: $510; Mid-Valley Hospital: $518
  • Most expensive: Alliance for South Sound Health: ~$9,094; Fred Hutchinson Cancer Center: ~$8,893

→ Choosing the right facility can save $1,189+ vs. the state median.

Washington 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 Astria Sunnyside Hospital WA $501 -$1,189 $880–$13,504
#2 Legacy Salmon Creek Medical Center Vancouver, WA $510 -$1,180 $100–$36,803
#3 Mid-Valley Hospital Omak, WA $518 -$1,172 $111–$19,222
#4 Columbia Basin Hospital Ephrata, WA $518 -$1,172 $111–$7,006
#5 Providence Health And Services - Washington Everett, WA $542 -$1,148 $348–$29,519
#6 Lake Chelan Health Hospital WA $553 -$1,137 $206–$9,741
#7 CH Moses Lake Ambulatory Surgery Centers WA $553 -$1,137 $312–$11,663
#8 CH Omak Ambulatory Surgery Center WA $553 -$1,137 $615–$11,663
#9 ISLAND HOSPITAL WA $588 -$1,102 $182–$4,700
#10 Coulee Medical Center Grand Coulee, WA $600 -$1,090 $237–$8,551
#11 Odessa Memorial Healthcare Center Odessa, WA $655 -$1,035 $124–$3,768
#12 Grant County Public Hospital District 1 Moses Lake, WA $789 -$901 $229–$8,800
#13 Kadlec Regional Medical Center Richland, WA $815 -$875 $152–$40,752
#14 Kittitas Valley Healthcare WA $973 -$717 $190–$5,413
#15 FORKS COMMUNITY HOSPITAL WA $996 -$694 $1,245–$9,597
▼ Show 48 more Washington hospitals
#16 Three Rivers Hospital Brewester, WA $1,021 -$669 $1,021–$2,908
#17 St. Anne Hospital Burien, WA $1,077 -$613 $1,077–$17,240
#18 Clallam County Public Hospital District #2 dba Olympic Medical Center Port Angeles, WA $1,123 -$567 $334–$9,764
#19 Whidbey Island Public Hospital District  WA $1,182 -$508 $224–$6,829
#20 St. Clare Hospital Lakewood, WA $1,354 -$336 $1,354–$21,669
#21 St. Anthony Hospital Gig Harbor, WA $1,354 -$336 $1,354–$21,669
#22 St. Francis Hospital Federal Way, WA $1,354 -$336 $1,354–$21,669
#23 St. Joseph Medical Center Tacoma, WA $1,354 -$336 $1,354–$21,669
#24 St. Elizabeth Hospital Enumclaw, WA $1,354 -$336 $1,354–$21,669
#25 Providence Health And Services - Washington Chewelah, WA $1,430 -$260 $310–$4,236
#26 Providence Health And Services - Washington Colville, WA $1,430 -$260 $310–$16,664
#27 Arbor Health Morton Hospital WA $1,439 -$251 $271–$3,054
#28 Lincoln Hospital and Clinics WA $1,483 -$207 $1,648
#29 Providence Health And Services - Washington Walla Walla, WA $1,502 -$188 $269–$31,605
#30 Providence Health And Services - Washington Spokane, WA $1,556 -$134 $446–$7,536
#31 Swedish Edmonds Edmonds, WA $1,638 -$52 $346–$33,490
#32 Astria Toppenish Hospital WA $1,690 +$0 $539–$14,080
#33 Newport Community Hospital Newport, WA $1,736 +$46 $1,929–$5,761
#34 Pullman Regional Hospital WA $1,766 +$76 $177–$6,070
#35 EAST ADAMS RURAL HOSPITAL WA $1,779 +$89 $2,372–$8,228
#36 Jefferson Healthcare Medical Center WA $2,139 +$449 $247–$9,039
#37 Public Hospital District No 4 King County WA Snoqualmie, WA $2,189 +$499 $3,475–$6,077
#38 St. Michael Medical Center Silverdale, WA $2,327 +$637 $3,700–$16,641
#39 QUINCY VALLEY MEDICAL CENTER WA $2,635 +$945 $2,635–$3,793
#40 Providence Health And Services - Washington Olympia, WA $2,769 +$1,079 $466–$28,916
#41 WHITMAN HOSPITAL AND MEDICAL CENTER WA $2,861 +$1,171 $332–$10,179
#42 Providence Health And Services - Washington Spokane, WA $2,985 +$1,295 $327–$30,831
#43 Chelan County Public Hospital District No 1 Leavenworth, WA $3,018 +$1,328 $446–$3,773
#44 Harborview Medical Center Seattle, WA $3,123 +$1,433 $4,462
#45 SKYLINE HOSPITAL WA $3,140 +$1,450 $4,361
#46 PeaceHealth Peace Island Medical Center Friday Harbor, WA $3,177 +$1,487 $4,889
#47 KAISER PERMANENTE CENTRAL HOSPITAL WA $3,180 +$1,490 $3,180
#48 Dayton General Hospital Dayton, WA $3,184 +$1,494 $3,538–$3,720
#49 Willapa Harbor Hospital South Bend, WA $3,241 +$1,551 $4,630
#50 Mason General Hospital Shelton, WA $3,317 +$1,627 $4,423
#51 King County Public Hospital District NO. 2 Kirkland, WA $3,398 +$1,708 $4,248–$9,398
#52 Providence Health And Services - Washington Spokane, WA $3,607 +$1,917 $327–$36,064
#53 Providence Health And Services - Washington Centralia, WA $3,748 +$2,058 $466–$31,764
#54 University of Washington Medical Center Seattle, WA $3,748 +$2,058 $3,748–$9,882
#55 Swedish Health Services Seattle, WA $3,748 +$2,058 $346–$33,490
#56 Swedish Health Services Issaquah, WA $3,759 +$2,069 $346–$33,490
#57 PeaceHealth St Joseph Medical Center Bellingham, WA $3,846 +$2,156 $5,918–$28,527
#58 PeaceHealth Southwest Medical Center Vancouver, WA $4,006 +$2,316 $6,164–$21,354
#59 PeaceHealth St John Medical Center Longview, WA $4,078 +$2,388 $6,275–$27,436
#60 Ferry County Health Republic Hospital WA $4,616 +$2,926 $5,431–$5,675
#61 Snohomish County Public Hospital District No. 1 Monroe, WA $4,745 +$3,055 $5,932
#62 Fred Hutchinson Cancer Center Seattle, WA $8,893 +$7,203 $9,882
#63 Alliance for South Sound Health Tacoma, WA $9,094 +$7,404 $9,094

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 Washington:

Where you can save the most on childbirth in Washington

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
Astria Sunnyside Hospital WA $501 -$1,189
Legacy Salmon Creek Medical Center Vancouver, WA $510 -$1,180
Mid-Valley Hospital Omak, WA $518 -$1,172
Columbia Basin Hospital Ephrata, WA $518 -$1,172
Providence Health And Services - Washington Everett, WA $542 -$1,148

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 Washington

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
Alliance for South Sound Health Tacoma, WA $9,094 +$7,404
Fred Hutchinson Cancer Center Seattle, WA $8,893 +$7,203
Snohomish County Public Hospital District No. 1 Monroe, WA $4,745 +$3,055
Ferry County Health Republic Hospital WA $4,616 +$2,926
PeaceHealth St John Medical Center Longview, WA $4,078 +$2,388

Why prices vary this much

A small number of hospitals (2) report very high prices above $6,382, 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, Seattle has a median reported price of $3,748 across 4 facilities, while facilities in Vancouver tend to report lower prices (median: $2,258). 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 Washington

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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