| Alabama |
$14,480 |
-9.5%
|
▾
|
- 2024: 34.7% of Alabama live births were Cesarean deliveries.
- UAB Hospital (Birmingham): "Center of Excellence" for obstetric anesthesia.
- UAB Hospital (Birmingham): rated "high-performing" for maternity care.
- Princeton Baptist Medical Center (Birmingham): low-risk C-section rate nearly half the state average.
- USA Health Children's & Women's Hospital (Mobile): offers "gentle C-sections".
|
| Alaska |
$17,392 |
+8.7%
|
▾
|
- Alaska: C-section rate was 23.2% of live births in 2024.
- Providence Alaska Medical Center (Anchorage): recognized for maternity care.
- Geneva Woods Birth Center (Anchorage): C-section rate of 4% for labors started there.
- Alaska Native Medical Center (Anchorage): boasts exceptionally low C-section rates.
- Black women in Alaska: C-section rate of 32%.
|
| Arizona |
$16,128 |
+0.8%
|
▾
|
- 29.5% of Arizona live births in 2024 were Cesarean deliveries.
- Arizona C-section rates increased over 6% in the last decade.
- Banner - University Medical Center Tucson: lowest C-section rates, highest VBAC success.
- St. Joseph's Hospital and Medical Center (Phoenix): recognized for maternity care.
- TMC Healthcare (Tucson): recognized for high-performing maternity care.
|
| Arkansas |
$14,592 |
-8.8%
|
▾
|
- Northwest Medical Center - Bentonville: VBAC Center of Excellence
- Siloam Springs Regional Hospital: VBAC Center of Excellence
|
| California |
$18,128 |
+13.3%
|
▾
|
- 107 California hospitals: Recognized on Maternity Honor Roll in 2023
- 12 Sutter Health campuses: Recognized on Maternity Honor Roll in 2023
- UCI Medical Center (Orange County): 22% C-section rate for low-risk pregnancies
- UCI Medical Center (Orange County): 25% VBAC rate
|
| Colorado |
$16,832 |
+5.2%
|
▾
|
- Colorado C-section rate: 21.9%, lower than the national 2030 target
- Delta County Memorial Hospital: C-section rate of 10.3%
- St. Thomas More Hospital (Cañon City): C-section rate of 32.5%
- Denver Health: C-section rate of 20.9%, offers a doula program
- UCHealth University of Colorado Hospital: offers "gentle C-sections"
|
| Connecticut |
$17,568 |
+9.8%
|
▾
|
- The Hospital of Central Connecticut: "High Performing" for maternity care
- St. Vincent's Medical Center (Bridgeport): postpartum C-section rehab program
- UConn Health: dedicated Placenta Accreta Spectrum Program
- MidState Medical Center (Meriden): America's Best Hospitals for Obstetrics
|
| Delaware |
$16,400 |
+2.5%
|
▾
|
- ChristianaCare’s Christiana Hospital: "High Performing" for maternity (U.S. News).
- Christiana Hospital: Delaware's sole high-risk delivering hospital.
- Christiana Hospital: Level III neonatal intensive care, over 6,100 babies annually.
- The Wilmington Surgery Center: Delaware Ambulatory Surgery Center (ASC) option.
|
| District of Columbia |
$17,680 |
+10.5%
|
▾
|
- District of Columbia: 36.3% of 2024 live births were Cesarean deliveries
- MedStar Georgetown University Hospital: recognized for low C-section rates
- George Washington University Hospital: SOAP Center of Excellence for labor/delivery
- Sybil Memorial Hospital: delivers the most babies in D.C.
- MedStar Washington Hospital Center: offers a comprehensive maternal-infant program
|
| Florida |
$16,048 |
+0.3%
|
▾
|
- HCA Florida Oak Hill Hospital: 18% C-section rate for first-time mothers in 2024
- Tampa General Hospital: First US Maternal Center of Excellence for VBAC/placenta accreta
- Premier Women's Care of Southwest Florida: Offers "gentle C-sections"
|
| Georgia |
$15,680 |
-2.0%
|
▾
|
- North Fulton Hospital: C-section rates at 11.7%, below Georgia’s 23.9% average
- Northside Hospital (Atlanta): advanced C-section delivery rooms and Level III NICUs
- Southeast Georgia Health System: "gentle C-sections" with clear drapes, skin-to-skin
- Emory Decatur Hospital: recognized for maternity care quality
- Atrium Health Floyd Medical Center: received top scores based on C-section rates
|
| Hawaii |
$18,624 |
+16.4%
|
▾
|
- Kapiolani Medical Center: delivers the most babies in Hawaii
- Kapiolani Medical Center: 24-hour neonatologist care available
- Kaiser Permanente Moanalua (Honolulu): high-performing maternity care
- Molokaʻi General Hospital: no C-sections performed on-site
- Rural Hawaii hospitals: 18.5% primary C-section rate for low-risk women
|
| Idaho |
$15,552 |
-2.8%
|
▾
|
- St. Joseph Regional Medical Center (Lewiston): VBAC support rate 20.5 points above state average
- St. Luke's Boise Medical Center: 22.1% C-section rate for first-time mothers
- Eastern Idaho Regional Medical Center (Idaho Falls): dedicated C-section suites and Level III NICU
|
| Illinois |
$16,192 |
+1.2%
|
▾
|
- Northwestern Memorial (Chicago): recognized for avoiding unnecessary C-sections
- Rush Copley Medical Center: offers "gentle C-sections"
- Advocate and Endeavor Health facilities: recognized for high-performing maternity care
- Chicago hospitals: primary C-section rates vary from 7.4% to 24.6%
- Silver Cross Hospital (New Lenox): has dedicated Cesarean suites
|
| Indiana |
$15,328 |
-4.2%
|
▾
|
- 31.0% of Indiana live births in 2024 were Cesarean deliveries.
- St. Catherine Hospital (East Chicago): "high performing" C-section outcomes (Black patients).
- Franciscan Health Michigan City: offers "Gentle C-sections."
- IU Health Paoli Hospital (Orange County): "High Performing" for Maternity Care.
|
| Iowa |
$15,280 |
-4.5%
|
▾
|
- Iowa C-section rate: 29.9% in 2024.
- University of Iowa Health Care Medical Center (Iowa City): Level IV maternal care.
- University of Iowa Health Care Medical Center delivers ~3,000 babies annually.
- Mercy Medical Center (Cedar Rapids): offers "gentle C-section" options.
- Iowa Medicaid: may cover travel >50 miles, including meals/lodging.
|
| Kansas |
$15,168 |
-5.2%
|
▾
|
- University of Kansas Health System (Kansas City): 21.6% C-section rate.
- University of Kansas Health System: "High Performing" for Maternity Care.
- AdventHealth Shawnee Mission: "High Performing" for Maternity Care.
- Newton Medical Center: Blue Distinction® Center+ for Maternity Care.
- Kansas nurses developed a "Skin to Skin C-Section Drape".
|
| Kentucky |
$14,768 |
-7.7%
|
▾
|
- Kentucky: C-section rate of 34.7% is among the nation's highest.
- Baptist Health Louisville: "High Performing" maternity care (U.S. News & World Report).
- Norton Women's Care (Louisville): "High Performing" maternity care (U.S. News & World Report).
- UK Birthing Center (Central Kentucky): region's only Level IV NICU.
- Baptist Health Paducah: utilizes "Spinning Babies" techniques.
|
| Louisiana |
$14,912 |
-6.8%
|
▾
|
- Ochsner Medical Center – New Orleans: recognized for high-performing maternity care
- Ochsner St. Anne Hospital (Raceland): recognized for high-performing maternity care
- Ochsner Medical Center – Kenner: known for managing C-section rates effectively
|
| Maine |
$16,608 |
+3.8%
|
▾
|
- MaineHealth Maine Medical Center Portland: 26.4% C-section rate as of June 2025.
- Northern Light Mercy Hospital: "High Performing in Maternity Care" status.
- Central Maine Medical Center: "High Performing in Maternity Care" status.
|
| Maryland |
$17,088 |
+6.8%
|
▾
|
- Maryland: C-section rate is 35%, higher than the national average
- Shady Grove Medical Center (MD): ERAC protocol launched Oct 2024
- Shady Grove Medical Center: Joeyband used for 70%+ of C-section patients
- Garrett Regional Medical Center (Oakland) recognized for maternity care
|
| Massachusetts |
$17,840 |
+11.5%
|
▾
|
- Blue Cross Blue Shield Blue Distinction Centers: 32% lower C-section rate for first-time mothers.
- Beth Israel Deaconess Medical Center: recognized for minimizing avoidable C-sections.
- Mount Auburn Hospital: boasts largest midwifery practice in eastern Massachusetts.
- Massachusetts General Hospital: recognized for high performance in maternity care.
|
| Michigan |
$15,920 |
-0.5%
|
▾
|
- Women's Excellence (southeastern MI): 11.46% C-section rate for all births
- Bronson Battle Creek Hospital: 18.4% C-section rate (first-time, low-risk)
- Corewell Health Lakeland (St. Joseph): 30.5% C-section rate (low-risk, first-time)
- Michigan Medicine's Von Voigtlander: intravascular balloons for high-risk cases
- Corewell Health Lakeland (Niles): 5.9% C-section rate (low-risk, first-time)
|
| Minnesota |
$16,560 |
+3.5%
|
▾
|
- United Hospital (St. Paul): recognized for high-performing maternity care
- M Health Fairview Southdale: recognized for high-performing maternity care
- University of Minnesota Medical Center: provides "gentle" C-sections
|
| Mississippi |
$14,160 |
-11.5%
|
▾
|
- North Mississippi Medical Center Women's Hospital (Tupelo): emphasizes skin-to-skin contact after C-sections.
- Merit Health Woman's Hospital (Flowood): provides C-section management and high-risk pregnancy care.
- Merit Health Wesley's Birth Center: recognized for quality maternity care, including C-sections.
|
| Missouri |
$14,688 |
-8.2%
|
|
| Montana |
$15,600 |
-2.5%
|
▾
|
- Community Medical Center (Missoula): dedicated C-section operating suites
- St. Luke Community Healthcare (Polson): dedicated C-section operating suites
- Northeast Montana Health Services: renovated operating rooms
- Northeast Montana Health Services: participates in The Meadowlark Initiative
- Central Montana Medical Center (Lewistown): comprehensive postpartum care
|
| Nebraska |
$15,440 |
-3.5%
|
▾
|
- Methodist Women's Hospital (Omaha): High Performing Hospital for Maternity Care (3 years)
- Nebraska Medicine (Omaha): 89-95% success rates for VBAC attempts
- 13 Nebraska medical centers: Blue Distinction Centers for Maternity Care status
|
| Nevada |
$16,080 |
+0.5%
|
▾
|
- 27.5%: Nevada C-section rate for low-risk, first-time mothers in 2024.
- Centennial Hills Hospital (Las Vegas): 19.2% C-section rate for lower-risk pregnancies.
- Sunrise Hospital (Las Vegas): 19.0% C-section rate for lower-risk pregnancies.
- Spring Valley Hospital excels in maternity care.
- Las Vegas region: Negotiated out-of-pocket C-section prices available online.
|
| New Hampshire |
$16,880 |
+5.5%
|
▾
|
- Elliot Hospital (Manchester): most commercial deliveries in NH
- Elliot Hospital: second-highest C-section rate in NH
- Dartmouth Hitchcock (Lebanon): recognized for lower C-section rates
- Monadnock Community & Wentworth-Douglass: VBAC options available
- Wentworth-Douglass: 60-80% VBAC success rate for those attempting it
|
| New Jersey |
$17,520 |
+9.5%
|
▾
|
- University Hospital (Newark): low C-section rates and VBAC success
- Valley Health System: offers "gentle C-sections"
- NJ Medicaid: covers doula care to help reduce C-section rates
|
| New Mexico |
$15,008 |
-6.2%
|
▾
|
- New Mexico: C-section rate was 28.5% in 2024.
- UNM Hospital (Albuquerque): New Mexico's only Level 4 maternity hospital.
- UNM Health System: Offers "gentle C-sections".
- Lovelace Health System: Offers "gentle C-sections".
|
| New York |
$18,048 |
+12.8%
|
▾
|
- New York state: 28.3% low-risk C-section rate
- Village Obstetrics: offers "gentle C-sections"
- NYU Langone: pioneering "endometrium-free closure technique"
|
| North Carolina |
$15,808 |
-1.2%
|
▾
|
- North Carolina: C-section rate was 30.8% of live births in 2024.
- Duke Birthing Center (Durham): offers "gentle Cesarean sections".
- WakeMed & UNC Health (Chapel Hill, Raleigh): efficient maternity care.
|
| North Dakota |
$15,232 |
-4.8%
|
▾
|
- 27.0% of North Dakota live births in 2024 were Cesarean deliveries.
- Sanford Fargo performed 882 C-sections in 2024.
- Altru Health System (Grand Forks): Cesarean Birth Operating Suite, Level III NICU
- Sanford Family Birth Center (Bismarck): upgraded operating rooms for C-sections
- Essentia Health-Fargo: High Performing Hospital for Maternity Care, lower C-section rates
|
| Ohio |
$15,728 |
-1.7%
|
▾
|
- Ohio: 2023 C-section rate was 31.5%, slightly below the national average.
- Mount Carmel Grove City (Columbus): C-section rate of 17.5% in 2023.
- Memorial Hospital (Marysville): C-section rate of 28.7% in 2023.
- Ohio State University Wexner Medical Center: 23.9% C-section rate for first-time mothers.
- MetroHealth (Cleveland): C-section rate under 23.9% for low-risk pregnancies.
|
| Oklahoma |
$14,848 |
-7.2%
|
▾
|
- Norman Regional: 23% NTSV C-section rate via TeamBirth process.
- Norman Regional: Perinatal Center of Excellence designation.
- Mercy Hospital Oklahoma City: U.S. News "Best Hospital" for maternity.
- Hillcrest Medical Center (Tulsa): Offers "Gentle C-Section" program.
- OU Health's Mother & Baby Center: Supports VBACs.
|
| Oregon |
$17,200 |
+7.5%
|
▾
|
- Oregon: 29.5% statewide C-section rate in 2024.
- Oregon: 24.0% low-risk C-section rate is below the national average in 2024.
- Kaiser Westside (Hillsboro): low C-section rates for low-risk pregnancies.
- McKenzie-Willamette Medical Center (Springfield): recognized for obstetrics.
|
| Pennsylvania |
$16,288 |
+1.8%
|
▾
|
- 31.2% of Pennsylvania live births in 2024 were Cesarean deliveries.
- Bryn Mawr Hospital offers "gentle C-section" techniques.
- Pennsylvania Hospital (Philadelphia): 24/7 midwifery services.
- Chester County Hospital: surgical suites and maternal-fetal medicine specialists.
|
| Rhode Island |
$16,768 |
+4.8%
|
▾
|
- Newport Hospital: lowest C-section rates in Rhode Island.
- South County Hospital: 5-Star Ratings from HealthGrades for C-Section Delivery.
- Women & Infants Hospital: Blue Distinction Center for Maternity Care.
- Kent Hospital: Blue Distinction Center for Maternity Care.
- South County Hospital: Blue Distinction Center for Maternity Care.
|
| South Carolina |
$14,960 |
-6.5%
|
▾
|
- MUSC Health University Medical Center (Charleston): "High Performing" for maternity care.
- MUSC Health Florence Medical Center: "High Performing" for maternity care.
- South Carolina: C-sections accounted for 32.6% of live births in 2023.
- South Carolina (2023): Low-risk C-section rate at 25.2%.
- Tidelands Waccamaw Community Hospital: expanded labor/delivery unit.
|
| South Dakota |
$15,488 |
-3.2%
|
▾
|
- South Dakota: 24.4% C-section rate of live births in 2023
- South Dakota: 16.2% primary C-section rate in 2023
- South Dakota: 23.1% VBAC rate, higher than national average
- Sanford USD Medical Center (Sioux Falls): Recognized for maternity care
- Monument Health's Rapid City Hospital: Recognized for maternity care
|
| Tennessee |
$15,072 |
-5.8%
|
▾
|
- Parkwest Medical Center (Knoxville): recognized for maternity care and lower C-section rates
- Vanderbilt University Medical Center: offers "family-centered C-sections"
- TriStar Health facilities: offer "family-centered C-sections"
|
| Texas |
$15,392 |
-3.8%
|
▾
|
- Texas: C-section rate of 34.5%, higher than the national average.
- Valley Baptist Medical Center (Brownsville): C-sections on half of low-risk pregnancies.
- Texas Health Huguley Hospital Fort Worth South: Blue Distinction Center for Maternity Care.
- Premier OBGYN of Texas (San Antonio): Offers "gentle C-sections".
|
| Utah |
$15,872 |
-0.8%
|
▾
|
- Utah C-section rate: 24.7% of live births in 2024.
- University of Utah Health: "Heal at Home" postpartum care for repeat C-sections.
- Intermountain Health hospitals (Utah): U.S. News recognition for maternity care.
|
| Vermont |
$16,720 |
+4.5%
|
▾
|
- Vermont: low-risk C-section rate of 23.7% is below the national average
- UVM Medical Center (Burlington): Level 4 Maternal Care Center for complex cases
- Rutland Regional Medical Center: Blue Distinction Center for Maternity Care
- Central Vermont Medical Center: offers "gentle C-section" practices
- UVM Medical Center: labor induction with VBAC and VBAC after two C-sections
|
| Virginia |
$16,512 |
+3.2%
|
▾
|
- Virginia Hospital Center (Arlington): C-section rate reduced to 20.9%
- VCU Medical Center (Richmond): "High Performing" maternity care recognition
- VCU Medical Center: pioneered "family-centered C-sections"
- Centra Virginia Baptist Hospital (Lynchburg): excels in minimizing avoidable C-sections
|
| Washington |
$17,152 |
+7.2%
|
▾
|
- 2025: Washington's average NTSV C-section rate was 25.76%.
- UW Medical Center - Northwest: NTSV C-section rate of 24.3% in 2025.
- St. Joseph Medical Center (Tacoma): Delivers the most babies in South Puget Sound.
- 87.5% of Washington hospitals allow VBAC (vaginal birth after C-section).
|
| West Virginia |
$14,368 |
-10.2%
|
▾
|
- 35.1%: West Virginia's C-section rate for live births in 2024
- Raleigh General Hospital: VBAC (vaginal deliveries after C-section) offered
- Cabell Huntington Hospital: performs the most deliveries in West Virginia
- WVU Medicine Children's: Newsweek recognized for maternity care
- United Hospital Center: Newsweek recognized for maternity care
|
| Wisconsin |
$15,968 |
-0.2%
|
▾
|
- Wisconsin: C-section rate was 27.5% in 2024.
- Wisconsin: Primary Cesarean rate of 18.9% in 2024.
- Mile Bluff Medical Center: Offers "family-centered" C-sections.
- Froedtert Hospital (Milwaukee): Level IV Perinatal Center with 24/7 care.
|
| Wyoming |
$15,120 |
-5.5%
|
▾
|
- Wyoming: C-section rate was 27.4% of live births in 2024
- Wyoming: Primary C-section rate was 18.8% in 2024
- Wyoming Medical Center (Casper): Dedicated C-section operating suites
- Cheyenne Regional Medical Center: Dedicated C-section operating suites
- Powell Valley Healthcare (Big Horn Basin): Offers VBAC
|