2024 Cost Information for Maternity Care: Delivery at an Inpatient Hospital Setting
Note: Visit our Copayment and Cost-Share Information page to view 2023 costs.
The cost information below is for maternity care (office visits and hospitalization for delivery planned in a hospital inpatient setting). The inpatient cost-shares below include the covered prenatal and postnatal care provided in the office. See newborn cost information for newborn care after delivery.
- TRICARE Young Adult costs are based on the sponsor's status.
- Transitional Assistance Management Program (TAMP) beneficiaries (service members and their family members) follow the active duty family member copayment/cost-share information, based on the TRICARE plan type.
Note: Cost-shares are a percentage of the contracted rate for network providers and the maximum TRICARE allowable for non-network providers on certain types of services.
If delivery is not planned in a hospital inpatient setting, please see the following list to determine which costs apply for maternity care:
TRICARE Prime and TRICARE Prime Remote (not including TRICARE Young Adult)
Active Duty Family Members |
Retirees and Their Family Members |
---|
Group A: $0
Group B: $0
|
Group A: $188 per admission
Group B: $188 per admission
|
TRICARE Select (not including TRICARE Young Adult)
Active Duty Family Members |
Retirees and Their Family Members |
---|
Group A: $22.30 per day ($25 minimum charge)
Group B:
Network Provider: $75 per admission
Non-Network Provider: 20%
|
Group A:
Network Provider: Lesser of $250 per day or 25%, plus 20% of professional fees
DRG Non-Network Provider: Lesser of $1,221 per day or 25%, plus 25% of professional fees
Group B:
Network Provider: $219 per admission
Non-Network Provider: 25% of allowable charges
|
TRICARE Reserve Select (TRS) and TRICARE Retired Reserve (TRR)
TRS |
TRR |
---|
Network Provider: $75 per admission
Non-Network Provider: 20% |
Network Provider: $219 per admission
Non-Network Provider: 25% of allowable charges |
TRICARE Young Adult (TYA)
TYA Prime |
TYA Select |
---|
Active Duty Family Members |
Retiree Family Members |
Active Duty Family Members |
Retiree Family Members |
$0 |
$188 per admission
|
Network Provider: $75 per admission
Non-Network Provider: 20% |
Network Provider: $219 per admission
Non-Network Provider: 25% of allowable charges |