Fee Schedule

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Fees paid by hospitals and birthing centers seeking the Baby-Friendly designation are the primary source of funding support for Baby-Friendly USA, Inc.

The fee structure is organized by phase and by facility type.

Due to one-time cost containment measures implemented during 2017, BFUSA is pleased to announce there will be no increase in the 4-D Pathway fees for the period of July 1, 2018-June 30, 2019.  (This does not apply to the 2019 AQI and Re-Designation fees to be announced in December 2018.)

Click here to view the 4-D Pathway Fee Schedule for new facilities entering at least the Development Phase between July 1, 2017 to June 30, 2019.

  • Each facility will pay a "Phase Fee" as it moves through the 4-D Pathway.
  • Currently, there is no fee for the first phase, Discovery.
  • The Phase Fee assumes that a facility will complete each phase within twelve months. If a facility takes more than twelve months to complete a single phase, additional fees will apply. If a facility completes a phase in less than twelve months, they may move on by submitting the fee for the next phase.
  • The Development, Dissemination and Designation Phase fees also include a portion of the on-site assessment fee. For single-site facilities, there will be an additional charge for travel-related expenses at the time of the on-site assessment. For multi-site facilities, in addition to travel-related expenses, a supplementary fee will apply.



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