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The real cost of having a baby with no Maternity Insurance, no Medicaid, and no help.

by Tarzan on February 7, 2009 · 19 comments

monthly-costs-of-having-a-babyI just created a new page that you can see on the top of our blog called, Cost of Having a Baby.  We decided to create this page to help give other soon-to-be parents, who are in our situation, an idea of how much it costs to have a baby – and what you can roughly expect to spend monthly.

As explained on the cost of having a baby page, we live in a large city, so the monthly costs for having a baby may be higher for us compared to someone who lives in a small town.  So this will at least give you an idea of what’ll be coming as far as doctor bills, hospital bills, blood work, ultrasounds, and whatever else there is.

Jane is 16 weeks pregnant and a a full-term pregnancy is 36-40 weeks.  So we have a good 21 to 25 weeks of pregnancy to go.

And as of this very moment, we’re under $100 away from breaking the $2,000 mark on out-of-pocket money spent thus far.  However, if you take in consideration for the money I’ve spent on gas (Doctor is 40+ minutes away from us) then we’re over $2,000 mark on money spent so far.

We have another $250+ pending that may need to be paid for blood work that was done at the first pregnancy appointment.  I’ll know what the deal is on that next week.  I’m hoping it is a billing mistake on their end.

pregnancy-doctorIn two weeks, we have our ultrasound to check in on our baby, and find out if we’ll be having a boy or girl.  That appointment isn’t at Jane’s Doctor’s office, it’s done at the hospital.  That’s going to be about $900.  OUCH.  The cost of having a baby will soon be jumping by leaps and bounds here.

We’re paying Jane’s doctor $528 every time we go for an appointment.  That money goes towards both the current appointment and Jane’s Doctor’s cost of delivering our baby.

The largest bills will obviously come from the hospital when our baby is born.  Jane will be in the hospital for a couple of days (I guess 2 days is average?) and there will be bills from the hospital, blood work people, drug people, and other people.  (I’m not sure of the proper name of all of the departments that the bills will be coming from, sorry.)

And as per a good recommendation from one of our pregnancy blog readers, I’ll be trying to wheel and deal with the hospital and any other places where we get bills from.  Hopefully I can get them to take at least 50% of the bill if I paid right then and there.

Now I don’t have the cash for those bills now, but even if I did when the time comes, here’s my plan to…

Save Thousands (I hope!) On
The Cost Of Having A Baby

1. Let everywhere we get bills from (or talk to the billing department before hand) know that we’re self-employed, we cannot qualify for Medicaid, and there are no plans in place a for nice, sweet, responsible, hard-working, appreciative (soon-to-be or current) parents like us who had one too many jello shots on Halloween.

2. Tell them all I can do is give them 40% of the bill right now, or else I’m going to have to make small payments that could take years to get the entire bill paid.

3. Negotiate with them.  Try to get 60% off the bill, if that doesn’t work, I’ll settle for 50% off.

interest-free-credit-paying-baby-costs4. Take one of those offers I keep getting from my bank where I can get a several thousand dollars interest free for 8-10 months or whatever it is.  Use that money to pay off the hospital, doctor, blood people, drug, people, etc. to drive down the overall and monthly cost of having a baby.

5. I will do my best to pay off this little loan (which basically goes on my credit card, but is interest free – up to a certain point, which I need to find out how much I can get) as fast as I can.  I hope to have this balance paid off before before the interest free period ends – or else they tack on all of the interest, sneaky little #&%’s.

6. If I do not have the balance paid in full, then I will use another one of those offers from another credit card I have where I can do a balance transfer and get 6 or 12 or whatever months interest free.  I’ll then pay off the balance on the other credit card with this new “interest free loan” and do all I can to pay that off during the interest-free time period.  If I’m unable to, then I’ll do it again so I can make sure that I never have to pay interest on this money spent to have our baby.

spermbankThe above is my plan right now, but we of course have several months of pregnancy and several months of bills to go through.  So the above plan may change a little, or it could change a lot.  But at this very moment, I think it’s a pretty good plan to lower the overall cost of having a baby – which of course is a very, very good thing… especially in this economy.

One possible idea to negotiate with the hospital is letting them know that I have (or will soon have) living breathing proof that my boys can swim.  Maybe I could stop by once a week and work off my debt by providing them a fine specimen of the fruit of my loins, since I obviously have nice, strong, healthy little swimmers.  kidding.

If any of you have any ideas, tips, or suggestions that we can do now to lower our cost of having a baby, or ideas that we can keep in mind once the BIG hospital bills start pouring in, we’re all ears.  Thank you!  :)

You might also want to read:

  1. The real cost of having a baby without maternity insurance: Major news here! Spoke to the hospital today.
  2. Final Cost To Have A Baby Without Maternity Insurance And Now Health Insurance! The One-Two Punch!
  3. 30 weeks pregnant: A very expensive day indeed, but Little Tarzan has been paid for!
  4. The cost of having a baby has broken the $2,000 mark thanks to a surprise bill
  5. Cost To Have A Baby: We Broke The $10,000.00 Mark. Plus, Is Pregnant Jane In Labor?
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I had to giggle when someone suggested seeing a "bigger tax return" next year as a result of a pregnancy. We never get tax returns, as we're self-employed. Instead, we pay quarterly estimated tax. Deductions for a "new kid" don't even begin to make up for the expenses. (i.e. kids are not a good idea for a tax break) This last June 15th, we could only pay 1/2 of our estimated tax, because of prenatal cost expenses. The government doesn't care that we're having a baby. It just says, "Oh? You made X amount last year? Okay, pay 45% of your income every 3 months." It would almost be funny, if it weren't for the fact that my patients are on Medicaid, and none of them pay a dime for their health care, and some of them have 4-6 babies. Whee. :) If nationalized health care goes this route, heck, we might have 4-6 babies too. I have a feeling if health care is nationalized though, it will be a slow process, and self-employed people won't qualify because their income is too high (no matter than most of their income goes towards capital for their businesses).

So honestly, nationalized health care scares me, because we're already paying out the wazoo for taxes, and we probably still won't be covered until I'm already in menopause, the way they decide who gets priority.

I do hope things work out for you though.

Oh, and be careful with switching balances from credit card to credit card. I tried doing that last fall, to a no-interest account for six months, as you mentioned. They hit me with "transfer-of-balance fees." That's in the fine print they forget to tell you about.

I agree with the poster who stated that you do not have to have all the tests that the dr. office will suggest. They can be refused. If you go with a midwife you have less chances for a c-section (high cost). If you really want to avoid c-section, do not agree to any interventions such as many ultrasounds, stripping membranes, doctors worrying you about big baby and must induce, inductions, watching the clock at the hospital, etc. I say let go of this doctor: there is no guarantee he/she will be on duty when baby arrives. AND you do not want your wife to agree to be induced by this doctor whom she loves just so that she/he can "deliver" the baby. That is one huge domin0-effect of a path to a c-section. (baby gets distressed from drugs and dr. then saves baby with a c-section.......) At the very least, find a doula in training who will assist both of you and help explain things, and be a calmimg familiar person should you still go the dr. route.

Just wanted to add that if you think taxes are high HERE, what do you think they are in Canada and other socialized countries?

Yeah, the medical/health insurance industry's pretty messed up here, but I'm really not sure I'd want to pay MORE taxes. Further, you think you're paying for others to have babies in the US? What do you think is happening in the socialized countries?

Not trying to argue, just bringing another perspective...

Oh, good point by previous commenter re: immunizations. We ran our deductible out by the time our daughter was 6 months old, and had to pay out-of-pocket for her immunizations. The cost was around $500 a visit - but we only paid that once before being told that the Health Department had the very same thing for free (a small donation if you could).

I don't have a lot of advice, other than to tell you that the hospital will probably be very happy to set up a payment plan with you. I had a surprise c-section, and even with insurance it was much more costly than we'd planned for. So I wish I'd known to look into that cost in advance, just in case.

I second the thought about midwives - I had one and she was WONDERFUL. She was with me the entire time, and was a very reassuring presence. Much preferred to the ob-gyn only experience - I only saw my doctor maybe 3 times, and I was in the hospital for four days!!

Hey Helen,

First, welcome to WordPress land! (RE: Your latest blog post) I've been using WP for a few years and it's the best blogging software in the world. And you can't beat the free price tag!

As far as your comment... NO KIDDING.

I 100% agree moving to Canada would make a lot of sense. Over the last few years I've paid for MANY babies to be born thanks to super high taxes. We had a few really good years before things began to hit a year ago and it drives me crazy to think how much I paid in taxes - and how we'll be paying for our baby 100% out pocket.

So the way the system works in the US for self-employed business owners:

1. Have a great year financially? Nice! Congrats. Now pay 40% of what you made to me, Mr. Uncle Sam.

2. Oh, you knocked your wife up and you both own your own business? And you didn't purchase maternity insurance beforehand? Shame on you! Do not pass go. Do not collect your $200. Your punishment is that you are required to pay for 100% of your hospital bills on your own. Good luck buddy.

3. Ahhh, the economy has slowed down. Your business is doing 1/5 of the business it was doing 2-3 years ago? Oh well. And you have to sell your house in order to make sure you can cover all of the bills related to your wife's pregnancy? Who gives a rats a$$! Now pay us your 2008 taxes by April 15th or else!

Want to know how messed up this US healthcare and Government healthcare systems are?

Check this out....

I am FORCED to make a choice (and I know that there are many, many others) over paying for Jane's doctor bills now and make sure everything is OK... OR putting that money towards the big tax bill I need to pay in April.

Which one do you think that I and anyone else in this situation is choosing?

That's right. I'll file an extension this year. I have to. Our baby is my # 1 priority. And you know what will happen then? I'll get hit with a ton of fees and interest. Yet another freaking slap in my face.

The system needs to be set up to encourage people to go out on their own and start businesses. That's what fuels the economy FAST. That's what creates growth. That's what creates jobs. That's what creates tax money. As it's set up now as far as health care is concerned, it's completely pointless for hard working people.

If you live just above the poverty level (not my words, words used by the Medicaid website here in Texas) then you can qualify to have everything paid for 100%. There are so many people who take advantage of that system it's sickening.

I know Jane and I are not the only people in this situation thanks to the Government and current healthcare system. Later this year once numbers come in from the crowd that no one has heard form yet (the tens of millions of self employed people) and they make noise... and their situations are brought to light (after tax time in April) watch... We're going to witness massive, massive foreclosures happening around the country later this year. Sadly many of those people will be small business owners. Sadly, many of those could have avoided losing their home if it wasn't for healthcare related costs... especially all of those who are in our boat (and believe me, there are a lot of them for sure).

I had a conversation with Jane's father about this yesterday. He works in healthcare and is the first to admit how backwards everything is set up. Those who are lazy and take advantage of the system and get a free ride are sitting fat and pretty. Those who work their ass off 7-days a week with a dream to create a great life for their family are getting skinny and ugly. Hell, I've lost 14 pounds now since Jane got pregnant. So I'm on my way to getting skinny. I'm not sure if I've gotten ugly look-wise (will have to ask Jane), but I know I have attitude-wise.

I've got to put this in here as I did above: I 100% believe in Medicaid and other system to help lower income people who need it. As I mentioned above, I had a very close family member who heavily relied on Medicaid and other Government and state health programs. Without them, things would have not been good at all. It would have been the worst thing you could imagine. So I don't want anyone to take me the wrong way with all of my rants here. I know many of these systems are needed - especially for the disabled.

But... on the flip side, the way it's set up now is hurting more people now and will hurt more people in the end.

God forbid if Jane needs a c-section. BOOM. There's $50,000 or $60,000 or more. God forbid if our baby is born a few days early and needs to spend 2-3 days in ICU or something (with everything being OK - just needs something very little or something) knock on wood, salt over my shoulder, click my heels, that none of this will happen, but bills would quickly get into the six figures.

I never allow myself to think about that stuff at all. However, that has happened to people sadly, because of the current system.

Jeesh - you guys have to stop commenting on this post! As you can see, this is a VERY sore spot for me because we're getting _________ by the hand that feeds.

Ooooooo Canada!

However, I'm a fighter. I'm a very, very hard worker. I'm an Entrepreneur. And no matter what, I'll make things happen and get through this - no matter what. I have a very supportive wife, which is a HUGE plus. And if you look back through history, it's when people faced impossible odds and had their backs to the wall, is when they made what previously seemed impossible, possible. I'll be taking all of this anger, frustration, stress, etc. and bottling it up to make a super motivation juice to fuel me to make big things happen... fast.

I haven't read everything yet, but I am going to suggest at least meeting with some mid-wives. I think Jane will be pleasantly surprised and impressed. Unfortunately, labour and birth is still treated like an illness in many hospitals and by a lot of doctors. A midwife knows that birth is a natural, normal event. You aren't sick. I had a mid-wife attending both of my deliveries, even though they were in hospitals with an HMO in California. In both cases, those women were incredible caregivers. No episiotomies- even with the first one. Wonderful care, even though I needed to be induced and had epidurals. I highly recommend a midwife!
Changing the subject-- if anyone wants some incredible reading, check out this blog I found by an American midwife, who is living and working in Africa. Go back in the blog history and read her incredible stories. She needs to write a book! http://babycatching.blogspot.com

Helen’s last blog post..Gonna Be a Wordpress Girl

This is going to be REALLY not helpful for you, but here is my advice: Move to Canada.
I just had to comment because I think it's just awful the way people in the US have to struggle to afford what your taxes should be paying for- safe, reliable and accessable medical care for everyone! I know there are different opinions on this, but I have lived in both countries and I would terrified to get a serious illness in the US. The co-pays alone are bankrupting people. I think it's just disgraceful. When I became pregnant the first time I had no medical insurance (I had both of my children when I was living in California) I remember the doctor giving me a breakdown of the costs for prenatal care and vaginal delivery in hospital. I think it was something like $3000. That was 1989, so I can't imagine what it's like now. Luckily, I was about to be included on my husband's medical insurance from his employer at the time so we didn't have any out of pocket expenses other than that first prenatal visit.
You have really great ideas there for managing the costs Tarzan. I just wish you didn't have to worry about money and more bills now when you have this wonderful event looming in your lives:-)

oh, I just realized- that $3000 was probably JUST the doctor's charges! Yikes--- I really am so thankful to be Canadian and this is just one of the reasons.

Helen’s last blog post..Gonna Be a Wordpress Girl

Hey Natalja, $9,000 would be OK. PenguinSix just posted on the page where I'm keeping track of how much we've spent: http://www.hisboyscanswim.com/baby-cost and his cost was $16,188 JUST from labor to the time he and his wife left the hospital.

You bring up a great point about the costs of everything else once our baby is born. Wehhoooaaa my head is starting to spin...

Not having a medical insurance is very tough. I remember my only hospital bill was something around $9,000. Lyckily I do have an insurance through my hubby. But I did hear that you can bargain and huggle with billing companies to reduce your bills. Try, it's definitely worth it to give it a shot.
Theere is another thing that is not mentioned here that your baby's bills will start piling up the minute s/he is born. Just circumcision is $300 if it's a boy, then baby's hearing test, blood works, pediatrician check-up and other stuff. And then endless baby shots, a lot.
When it comes to monthly baby expense it's not too bad when you get a hang of it. It's mainly baby formula (if you need it) which is about $100/month and diapers. (we use Organic Earth's Best, it doesn't have chemicals that were basted a little while ago in other brands). You can get it all from www.diapers.com and shipping is free on orders over $100 (and no tax), which is handy and delivered to your door. Buy in bulk, it's cheaper. However check the prices first with your local store. Sometimes it's cheaper to buy from the store ONLY when they do specials. And dont' forget taxes.

Hi all - thanks for all of your replies. Jane is researching midwife info now. There's a lot of info we need to learn and a lot of factors to consider. For one, Jane has had her doctor for many, many, many years and she's also her mom's doctor. I know that the whole 'comfort' factor plays a very big roll here. Second, home birth is not an option at all - not anything we want to do. But we will continue to research/think about it and very much appreciate the feedback.

@MVP ... LOL no worries. The cruise we talked about wouldn't have to be paid until six or so months down the road. Believe you me, we will be in a better financial position to be able to make those decisions then. However, when I blogged about that before, we were trying figure out if that was even an option, to bring our baby with us. I'm not even thinking about the cost aspect on that; no need to, too far down the road.

As far as the mom summit, one thing that I did not mention in that post is that I'd no doubt be able to pick up several clients for my business there. That conference is a perfect fit for parts of my business. So there's a nice potential of making money - and that's what we need to do. :)

Back about 6-7 years ago before I had met Jane, I was unemployed and was literally living off of cans of tuna fish for every meal. With my back against the wall, I used the last few hundred dollars I had and created a few things online. A few months later I had earned more than I had in my entire life all together up to that point. I then took a couple years off.

Sometimes in life when your back is against the wall you need to take risks, including financial. And more often than not, those have the largest payoffs. Over the years, I've met people at conferences who have brought me a lot of business over the years. I've met a lot of people who are now friends. So usually they are very good investments for people willing to get out of their comfort zone and network with people - something I don't like to do, but when your back is against the wall, it suddenly becomes easier!

And as far as Jane spending money on maternity clothes, she had to; she doesn't have many at all. And of course, she won't be buying expensive jeans at the place where she has a big gift certificate from her parents. She'll spread it out and get a bunch of things.

I just wanted to explain the above because I could see how some of our posts may look like we may be spending money on things that aren't needed, but I can assure you, we're being very smart. Jane has to have clothes. I don't want a pregnant wife who runs around naked all the time. Well, not in public anyway. LOL :)

I'd agree that a midwife is definitely a more economical option. You can choose one who delivers in a hospital if that's what you prefer.

But also, there are lots of tests in pregnancy you can decline, which will save you $. You can decline the quad screen, which really only tells you the chances - not for sure - that your child will have certain diseases. These tests have a high rate of false positives. And if you get a positive, it'll lead to more tests, which cost more $, and frankly are often not necessary. We declined them and our OB didn't blink twice.

Also, the more interventions you decline, the more $ you'll save. For example, don't get any unnecessary ultrasounds. Be proactive and ask the doctor if the test/intervention is necessary and why it's necessary. Even getting induced will cost extra money. Just be sure to do lots of research so you know when you can say no.

Also, sorry for this, but I just have to say, buckle down and stop buying extra stuff you don't need, at least till the baby comes and your bills are paid off. For example, the cruise, the mom summit, pricey new maternity clothes, etc.

You can find excellent quality maternity clothes and baby items on craigslist or ebay for a fraction of the cost of new. Also, we've already bought a crib and breastpump off craigslist, immediately saving us several hundred bucks. And don't foget, Jane will probably get a baby shower or two, so don't worry a whole lot about getting baby stuff at this point.

This is an awesome book that can help with some smaller things. Now and after baby is here. Just thought I'd pass along the info. I love this book! :)

http://www.amazon.com/1000-Best-Bargains-Kimberly-...

Young Momma’s last blog post..Just a bit of Knowledge (with a lil bit of cussing)

This may or may not apply but I was in the hospital last year for unspecified abdominal pain and due to low income at the time we were able to work out a payment plan with the hospital billing department where we pay $70 a month for my visit. It was over $5000 total. Because my husband got laid off right after I got pregnant I was able to qualify for AHCCCS here in Arizona. My mom owns an OB/GYN office and so we get all but free care there which is nice since I am considered high risk at the moment.
My mom doesn't know I'm pregnant though! Everyone at the office is bursting to tell her and I don't want them too! She is quite sick and I am terrified the added stress with jepordize her health, I feel terrible not telling her though. I wish I could walk to relieve stress like you but at 35 degrees outside I'm keeping my fat pregnant butt on the couch!

I definitely wanted to go with a midwife this pregnancy. So much cheaper, only $2000-4000 total, but I'm not eligible because of the twins. If Jane's not high risk, it's definitely the way to go.

I only stayed 1 night in the hospital. I wanted OUT. That helped cut the cost. Also, take ALL the diapers you can. They would hardly give us any because Adia needed the preemie size and they had to get them from another department. It was annoying.

Be glad, once I hit 20 weeks, I'll have doctor's appointments every 2 weeks and high tech ultrasounds every 4. That is seriously going to be adding up.

Crysi’s last blog post..Finger Paint

Tarzan,

The things is that your midwife is not like a doctor. She quickly becomes your friend. My prenatal appointments were easily 2 to 3 hours a piece, depending on whether I was busy or not. We'd sit, in my own living room, folding laundry and chatting about my kids or breastfeeding or where to get a good deal on farmers markets, or our favorite brand of shoes. I didn't have to worry about getting dressed, driving, waiting in a waiting room. My midwife showed up with everything she needed, including snacks! :-)

I also knew that when it came time to give birth I didn't have to worry about getting to the hospital in labor (easily one of the most uncomfortable experiences of my life), or hoping that my husband remembered to pack my toothbrush, or worry about getting my other children to a sitter or that my doctor was not on call that day to deliver. I didn't have to worry about having the baby in a certain time period, or if my nurse was grouchy or if they'd let my husband stay in the room with me or if the food that day would be especially gross. (Okay, I admit - never-ending hot water at the hospital was absolute pure bliss after delivery.)

My midwife was also a Naturopathic MD. She came to my house to do all those postnatal baby appointments. I never had to pack a teeny baby into a carseat to go to pediatricians appointments. There are at least 4 in the first 6 weeks alone. We're still great friends. I watch her kids for her while she's doing prenatal appointments and she keeps a tab for me, to pay off my next homebirth! Bartering is not something a hospital will typically do!

Homebirth has been proven over an over again to be a safe, inexpensive alternative option to a typical hospital birth for low risk mothers. I'd be more than willing to provide links if you or Jane are interested.

But other than that, no tips. Once the baby arrives your tax return might jump quite a bit. You can also try and use that to pay off hospital bills? Maybe relatives would be willing to pitch in? After my second baby was born early, we threw a Baby Celebration, instead of gifts we asked for frozen dinners! That helped save us a little bit of money at least.

Best Wishes guys!!

Katie’s last blog post..This goes without saying…

Most Dr's office's have a MIDWIFE on staff ASK its very important ..... i never asked and never knew so it was all so strange to me after having my first child my dr. said ALicia have you met our staffed midwife she loves your story and wants to meet you and WALLAH 5 children later and all natural child births my midwife and i are .....oh i just love her!

A few things you should know the laws of your state {via insurance your not allowed out of bed grrr...}and the hospitals policy's which lets face it not alot of women know ...i did not even know until i had my first child! If you have a regular state mandated dr. you will not be allowed to get out of bed you will spend your whole labour experience in a bed which for me was 22 hours with my first :( twice i was allowed to get up and walk up and down a narrow hall with an iv attached to me! EEKK! So with all of my other children using my midwife/dr. i was allowed to get up sit on a birthing ball ...sit on a horseshoe birthing stool.walk... its a totally diffrent ...wonderful experience! :)

Hi Cavy,

Thanks for the idea. I'm new to all this and didn't know about the mid-wife option. I'm sure Jane knows a heck of a lot about it then me. I'll be talking to her about this. Not sure if Jane would be up for something like this since she wanted to stick to her normal Doctor for everything since day one and not go to a hospital/doctor that is less than 10 minutes away. If she's not comfortable with a stranger delivering our baby and stress would be added to her, then I wouldn't want to go that route. I know the more comfortable she is and the less stress she has the better all around - especially when it comes to delivering. But something tells me that this wouldn't be a way she'd want to go. We shall see! Thanks again - and congrats on your pregnancy!

Have you thought about going with a certified professional midwife instead of a OB? The costs of prenatal visits would be significantly cheaper and a birthing center may be an option in your area, which would also be much cheaper. Most birthing centers offer many of the things hospitals do (monitoring, drugs) without the high costs because of the interventions and services that a hospital also offers. As long as Jane's pregnancy is considered low-risk, she doesn't need quite as many blood tests and interventions.

I am almost 16 weeks. We are paying for a midwife (out of pocket) and it is $40 per visit - this will be especially nice when we have to start going once a week. Blood tests aren't done as often and should only end up costing us about $100. We're having a homebirth, which should cost us about $2500 but I know thats not an option for everyone. A birthing center birth would have cost about the same, if not less because we wouldn't have to rent certain equipment.

Just a thought.

Cavy’s last blog post..False Spring

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