This chapter describes some elements of birth center care that contribute to lower cost care for low-risk women. It discusses long-term cost savings due to improved health measures and reduced societal costs associated with birth center care. In many parts of the country, expensive facility fees may present a barrier to accessing care. Freestanding birth centers are an attractive solution for delivering care to the plurality of low-risk mothers at a substantially lower cost. These potential savings can be attributed to four factors: difference in facility costs; difference in staffing; differences in intervention rates, especially in the case of cesarean births; and differences in patient population. In the era of value-based health care, health care delivery systems are increasingly taking ownership of the need to ensure that each patient receives the right care at the right time in the right place from the right provider.