Is a Home Water Birth Expensive? Understanding the Costs

Home water birth has gained popularity as an alternative birthing method to hospital births. It promises a more natural, comfortable experience in the familiar surroundings of one’s home, surrounded by the people they love. But how does its cost compare to a traditional hospital birth? This blog explores the financial aspects of choosing a home water birth.

What is a Home Water Birth?

A home water birth involves giving birth in a special birthing pool or a tub filled with warm water, and set up in the comfort of one’s home. It’s often chosen for its potential benefits such as pain relief, a uniquely personalized experience, and less physical stress.

The ability to give birth in a familiar, private environment, with control over the setting, lighting, and who is present, contributes to its perception as a luxury.

Home births usually involve dedicated attention from a midwife or a small team, providing a more exclusive and personalized care experience compared to the standard hospital birth. This level of exclusive attention can not be matched by healthcare providers, who might be attending to multiple patients simultaneously. Home births also offer a more empowering experience in which you get to call the shots and have a voice in your own birthing experience.

Comparing Costs with Hospital Births

When comparing hospital births, it’s important to consider insurance coverage. Many insurance plans cover hospital births more comprehensively than home births. However, without insurance, a hospital birth can be significantly more expensive due to hospital fees, accommodation costs, and medical procedures.

Hospital Births: Apart from the base cost, private insurance may not cover all aspects of a hospital birth. Natural vaginal births, emergency procedures, or extended hospital stays can incur additional fees. These hidden costs can range from $5,000 to $30,000, not including the deductible.

Home Water Births: While usually significantly less expensive upfront, government insurance plans and most private insurance plans may not cover this cost. Meaning that your out-of-pocket pay may be more expensive. However, if you do not have insurance or if a hospital birth is not covered by your provider, then an at home birth may be significantly less expensive.

Insurance and Financial Assistance

Some insurance plans might partially cover home birth costs, however this varies greatly based on your provider. It’s important to discuss your coverance with your insurance provider and to make a plan that fits within your budget. Additionally, most midwives offer a payment plan structure or sliding scale fee based on income, making it more accessible for women who want a more natural birth experience.

Cost Components

The major cost components of a home water birth include:

  1. Midwife Services: The most significant expense is hiring a certified midwife. Prices vary based on location, experience, and services provided, ranging in several thousand dollars.
  2. Birthing Pool: The expense of renting or purchasing a birthing pool ranges from $100 to $500. To manage expenses, many expectant mothers opt for second-hand pools or consider renting them. While midwives often provide birthing pools, their availability is not guaranteed. Therefore, it’s advisable to inquire about this during your initial discussions with potential midwives.
  3. Medical Supplies: The cost of essential medical supplies is an additional consideration. These may include items like sterilization equipment, birthing kits, and emergency medical supplies, potentially adding a few hundred dollars to your budget. It’s worth noting that most midwives come equipped with their own set of medical supplies, although this can vary from one professional to another.

The cost of a home birth or water birth may be prohibitive for some, as it is not always covered by insurance. The expenses for hiring a midwife, supplies and additional needs can add up. Which is why it’s so important to first consider your budget and speak with your midwife before beginning on this journey.

Holistic and Crunchy Mom Influence

The increase in giving birth in the safety and comfort of your own home has increased throughout the years and has been popularized by several celebrities, which adds to its luxury status. Celebrities known to have had home water births include:

Cindy Crawford: The supermodel had both of her children at home in Los Angeles, enhancing her experience by building a relationship with a midwife.

Gisele Bündchen: Known for her modeling career and marriage to NFL star Tom Brady, Gisele had both of her children at home, opting for a water birth for at least one of them.

Demi Moore: The acclaimed actress chose to have all three of her children at home, contributing to the perception of home births as a luxury experience.

Meryl Streep: The Oscar-winning actress reportedly had at least one of her four children at home, highlighting the appeal of this method among high-profile individuals.

Maya Rudolph: The SNL star had a home birth with her second child, which was unexpected but turned out to be a positive experience.

Jennifer Connelly: The actress had a planned water birth at home for her daughter Agnes Lark, attended by a skilled midwife.

Alyson Hannigan: Known for “How I Met Your Mother,” Alyson had a drug-free home birth for her first child.

Lisa Bonet: The actress gave birth to all three of her kids at home, with her daughters Zoë Kravitz and Lola Iolani Momoa, and son Nakoa-Wolf Manakauapo Namakaeha Momoa.

Erykah Badu: The singer also chose home birth for all three of her children, emphasizing preparation and positive expectation.

Pamela Anderson: The actress and model had both of her sons at home in water, assisted by midwives and her then-husband Tommy Lee.


In conclusion, the decision between a home water birth and a hospital birth is not just a matter of personal preference and financial considerations, but also a choice that can reflect one’s status and desire for an empowering personal birth experience. Home water births have become indicative of a luxurious birthing experience. The comfort of one’s home, the personalized and exclusive care by a midwife, and the control over the birthing environment contribute to its appeal for expectant families, indeed a luxurious option.

Choosing a home birth with a skilled midwife can offer a more personal, less stressful, and often more cost-effective experience compared to hospital births. This is largely due to the comprehensive nature of midwife fees which cover a wide range of services, eliminating many hospital-related charges. However, it’s important to recognize that not everyone is an ideal candidate for a home birth.

At Birth Bliss Midwifery, we understand the importance of making an informed decision about your birthing experience. We advocate for thorough research and encourage you to interview multiple midwives to find the one who aligns best with your needs and expectations.

Are you in the San Antonio area or its surroundings and considering a midwife for your birth? Birth Bliss Midwifery is here to offer you a no-obligation consultation. Our dedicated team is committed to providing you with the information and support you need to determine if a home birth is right for you.

Reach out to Birth Bliss Midwifery today. Let us help guide you through your options and support you in choosing the path that’s best for you and your baby.