Self-pay guide

Giving birth without insurance

Having a baby without insurance can feel overwhelming, but you have more options than you might think. In Dallas–Fort Worth, 8 hospitals publish a self-pay price of $5,722–$11,935 for a vaginal birth. Here's how to plan and pay less.

2026 prices · checked October 25, 2026 · Where our numbers come from

Self-pay prices at DFW hospitals

Hospitals are supposed to publish a self-pay price, but most DFW hospitals leave it blank for having a baby. These 8 hospitals publish one (hospital stay only, for an uncomplicated birth):

HospitalVaginal birthC-sectionBaby's stayFull sticker price
vaginal birth
Dallas Regional Medical Center$8,693$10,742$5,278—
Methodist Celina Medical Center$9,541$14,630$1,748$19,082
Methodist Dallas Medical Center$10,279$16,557$1,723$20,558
Methodist Mansfield Medical Center$8,957$14,099$1,921$17,913
Methodist Midlothian Medical Center$5,722$13,123$1,321$11,444
Methodist Richardson Medical Center$9,938$13,490$1,612$19,876
Methodist Southwest Medical Center$11,935$16,487$2,868$23,870
Parkland Memorial Hospital$6,623$12,783$2,137$16,557

The "full sticker price" is what the hospital lists before any discount. From our analysis of the price data each hospital is required to publish, updated 2026-10-25.

Baylor Scott & White, Texas Health, Medical City and UT Southwestern don't publish a self-pay price for having a baby, but you can still ask for one. Call and ask for their self-pay package price. As a rough guide, insurance companies typically pay DFW hospitals $10,280 for a vaginal birth and $11,934 for a C-section, and self-pay prices are often in the same range.

What else to budget for

A hospital's self-pay price usually covers only your stay. Plan for these too:

Five ways to pay less

  1. Ask for a Good Faith Estimate. It's a written estimate you have a right to by law. If your bill comes in $400 or more above it, you can dispute it.
  2. Ask for a package price from the hospital and your OB, in writing, and ask what happens if you need a C-section.
  3. Ask about financial help. Nonprofit hospitals must offer financial assistance. Ask for the application before your due date.
  4. Consider a birth center if your pregnancy is low-risk. Prices are often lower. Ask how they'd handle a hospital transfer.
  5. Check Medicaid and CHIP first. Many families who think they won't qualify actually do.

Texas Medicaid and CHIP for pregnancy

Texas Medicaid covers pregnancy for women with lower incomes, and CHIP Perinatal helps some families who don't qualify for Medicaid. Coverage after the birth now lasts 12 months. Apply at YourTexasBenefits.com or call 2-1-1 for free help.

Getting insurance

Marketplace plans cover pregnancy and birth, but being pregnant usually doesn't let you sign up outside open enrollment (November to mid-January). The birth does, though: you can add your baby, and often yourself, within 60 days.

Have insurance? See what you'd pay with your plan.

Where these numbers come from: our analysis of the price data each hospital is required to publish (updated 2026-10-25), the federal No Surprises Act, and Texas Health and Human Services. More about our data.

Frequently asked questions

How much does it cost to give birth without insurance?

The hospital stay alone usually costs several thousand dollars or more. DFW hospitals that publish self-pay prices charge $5,722–$11,935 for a vaginal birth and $10,742–$16,557 for a C-section. You'll also have your doctor's fees, your baby's own bill and prenatal care.

Can I get a price before I give birth?

Yes. If you don't have insurance or you're paying yourself, hospitals and doctors must give you a written Good Faith Estimate when you ask for one or schedule care. If your final bill is $400 or more above it, you can dispute it.

Can I get pregnancy Medicaid in Texas?

Many families can. Texas Medicaid covers pregnancy for women with lower incomes, and CHIP Perinatal covers some families who don't qualify for Medicaid. Postpartum coverage now lasts 12 months. Apply at YourTexasBenefits.com or call 2-1-1.

Can I buy insurance once I'm pregnant?

Pregnancy usually doesn't let you sign up outside open enrollment, but the birth does. You can add your baby, and often yourself, within 60 days. You can also apply for Medicaid or CHIP at any time.