Payment + Fees

Home Birth

Our total fee for prenatal care, labor and birth and postpartum care is $6000. We currently do not accept insurance so all clients are considered self- pay. We work with a biller who can submit a claim on your behalf at the end of your care to get some of your fee reimbursed by your insurance company. We offer a sliding scale to help make our fees accessible to people from all economic backgrounds. See below for sliding scale info.

Our fee includes:

  • $600 deposit at the initial prenatal visit to hold your spot in our practice

  • The total fee includes the $600 assistant fee, common with other midwifery practices

  • The remainder of the fee must be paid by 36 weeks gestation, unless we have a payment plan or barter in place. We will terminate care / transfer care to another provider if not paid in full by 36 weeks.

We encourage those with access to financial wealth (including access to family wealth) to pay our full fee. Please use the image below to help determine where you fall on the sliding scale.

Those with the financial resources are encouraged to contribute to our equity fund (see below) and pay an additional 10-50% of the full fee to support accessible midwifery care for all people.

Sliding Scale options

For those with less financial resources, please use the image above to place yourself on the sliding scale. We accept a limited number of clients at the reduced sliding scale rates.

Sliding Scale Option 1

$5000 total fee for prenatal, labor and birth and postpartum care. This is appropriate for those who self-identify with the middle bottle above.

Sliding Scale Option 2

$4000 total fee for prenatal, labor and birth and postpartum care. This is appropriate for those who self-identify with the right-most bottle above.

For information and intentions behind sliding scale, please check out the Worts and Cunning Apothecary article by Alexis Cunningfolk. Thanks to Wildflower Midwifery for the midwifery care sliding scale models.

Insurance

Due to the change in our practice, we can no longer accept insurance reimbursement.


Additional Birth Services

Placenta Encapsulation: $250


fertility + insemination

Fertility Consultations

  • 1.5 hour initial consultation visit with 3 months of phone / email support: $150

  • 1 hour on-going fertility consultations: $100

Intrauterine Inseminations (IUI)

Package Fee: $600 - $800 for frozen sperm, $800 - $1000 for fresh sperm (includes a sperm washing process). Includes:

  • 1.5 - hour fertility consult with 3 months of phone / email support

  • 2 IUIs (can be in one cycle or two)

IUI non-package Fees

  • Frozen sperm:

    • $250 - $450 sliding for 1 IUI

    • $150 for additional IUI per cycle

  • Fresh sperm:

    • $350 - $550 sliding for 1 IUI

    • $200 for additional IUI per cycle


Well Body care

These services are included in your total birth fees + any labs needed (insurance covers labs in most cases). Contact us for more information.


Miscarriage + Pregnancy Loss

Miscarriage + pregnancy loss consult: $150 + lab fees. Includes 1.5 hour consult + 3 months of phone/email support

1 hour follow up consults: $100

In person support for miscarriage or pregnancy loss: $200 for three hours + $50 for each additional hour


Equity Fund

We are committed to making our care accessible for people of all income levels, economic access and lived realities. To support sliding scale and free midwifery care we have established an equity fund.

Our equity fund asks those with access to socioeconomic resources to contribute to making sure that midwifery care is financially accessible to all those who want it. We believe no person should be turned away due to lack of funds, but to do that we need community support.

Families who pay above the listed fee are a key part of what allows us to continue to offer sliding scale and bartering options to as many families as possible. Any amount donated will go directly to supporting the care of families receiving discounted fees.

Up to $1000 donations allow us to offer discounted options, such as free miscarriage support and well body care to those who need it.

Donations of $1000 and above allow us to offer families discounted care for home birth and the potential to expand the number of families we can offer these free and low-cost services to.

Please send your equity fund donation via paypal to: thresholdmidwives at gmail dot com or pay below: