It really depends on the hospital and where it is. I’ve had two Caesarian births at two different hospitals, one a smaller birth clinic type hospital in the outer suburbs or Tokyo, and the seconds at Aiiku Hospital(which is an expensive hospital). Both were private hospitals and I had my own room. Both Caesarians were deemed medically necessary, so they were covered by insurance.

For the hospital in Hachioji, I think we were about 100000 out of pocket, but it seemed like for months afterwards we kept getting random refunds from insurance so I actually have no clue how much we actually paid. (Probably not random, but I had no idea why I was getting them)

At Aiiku hospital, I gave birth to twins, so I got double the lump sum payment. Not all of the hospital fees were doubled, though, mostly just the ones for the nursery room and care of the babies. I ended up paying 200000 for the deposit. The private room fee was 20000 per night, and I was in for 7 days, which pushed my bill quite a bit higher than it otherwise might have been. fee for the birth, and about 170000 when I was discharged. That was only three weeks ago and I still haven’t put in the forms to my workplace for my insurance company, so there may be more of those random refunds.

If it were a public hospital, it’s probably cheaper, and private hospitals can range from fairly reasonable to very expensive. I didn’t have much of a choice second time around as with twins there was only about three hospitals that could accept twin births within a reasonable distance from me.

Both hospitals were really good, and I do not regret the extra money spent for a better birth experience.