>> i knew that once i delivered him, i wouldn't have long before i had to say goodbye. it was hard. >> reporter: not long after, the medical bills started pouring in for ultrasounds, medical tests, and parts of the labor and delivery not covered by her insurer. the couple's total out-of-pocket spending? some $4500, more than the cost of her other son's full-term birth. about nine months later, as we sit here, you are still paying for the pregnancy loss. >> yeah. i am paying for delivery of my baby who had died, and that's hard. >> reporter: it's not uncommon for women to have out-of-pocket expenses for miscarriage procedures, because costs for vaginal deliveries, c-sections, or surgical d & cs can vary, depending on the location, level of anesthesia, and the different co-pays and deductibles. but for grieving families, it's often too much. >> i didn't feel like we were going to lose her that day.