A hospital vaginal birth in the Cleveland area costs between $7,000-20,000 and may include significant out of pocket costs that vary by insurance coverage. https://www.fairhealthconsumer.org/medical/results

Midwife led care and home birth have much lower costs overall compared to hospital birth, as well as increased client satisfaction and clearly proven healthy outcomes for birthing people and their babies. The industrialized, for-profit insurance system incentivizes and favors hospital birth and hospital based providers, however, despite the fact that most insurance plans include benefits for hospital birth, families are often surprised by large, unanticipated medical bills after their care is complete. There is little to no transparency from hospitals and insurance companies about expected out of pocket costs before care is received.

In the private midwifery model, families are asked to pay the fee up front over the course of pregnancy, but the fee is fixed, and all costs are known ahead of time. This allows for planning and budgeting, and avoids the shock of unexpected or higher than expected bills after the fact. The cost of midwifery care can sound high at first glance, but in truth it delivers far greater value in time spent and scope of support than the standard offered in hospitals.

At this time, we are choosing to remain out of network with all insurances in order to be able to provide the highest quality care for our clients, however many insurance providers will reimburse you for services provided by a certified nurse midwife. If seeking reimbursement, we recommend working with a “middle man” who can help navigate verifying benefits, filing claims, and following up to ensure timely and full payment. Reimbursify is a company dedicated to “out of network” services and you can find out more here: https://reimbursify.com/

Self Pay Rates:

Homebirth Midwifery Care

• $5,500 for all prenatal, birth, and postpartum care. This does not include labs, ultrasounds (both typically covered by insurance) and other referrals, or birth supplies. This fee may be paid in portions throughout prenatal care and is due in full by 36 weeks. For families needing longer term payment plans, please reach out.

Lactation Care

• 90-120 minute lactation support visits $160 (in office); $185 (in home)

Fertility & Preconception Counseling

• Initial: $160, 90 minutes, includes 3 months follow up care

• Follow up: $80, 60 minutes, includes 3 months follow up care

At-home Intrauterine Insemination (IUI) procedure (this service always begins with an initial fertility visit):

• $300

• Second procedure (same cycle) : $200

A La Carte Postpartum Midwifery Home Care

• First week home package, including 3 postpartum home visits and on-call phone/texting availability for 7 days: $550

Well-Body GYN Care and Holistic Support

• 60-minute appointment: $160 (does not include lab work, which is usually covered by insurance)

Discounts

We strive to make community midwifery care as transparent and accessible as possible. We offer discounted home birth fees using a sliding fee scale to a limited number of families each year. We can also offer extended payment plans. Please bring this up in our initial interview if this is a need for you.