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How Much does it cost to have a baby at home with a Midwife?

In my research in Pennsylvania and near states, the cost of Midwifery could be anywhere from $1,600 to $5,000.

 The cost of my services is $3,000. That is also called a basic package, or global fee. That means this one charge covers prenatal, limited ultrasound, lab draws, assistant to the birth(if available), labor and delivery, and postpartum care up to six weeks.

See the break down below.

Charge at the hospital.

The cost of going to the hospital is double to three times the cost of a home birth for an uncomplicated low risk delivery.  That is some where from $4,500-$15,000. Going to a Hospital isn’t always straight forward. Your doctor may offer a global fee that may include all the care he gives you, but this often does not include the Hospital fee or a sundry fees for every item used at your birth from gauze to a Tylenol. See the struggle of one father who tried to pin down the hospital for the Cost of a Hospital Birth that he could plan on

My Fee and what it covers

I charge $3,000 dollars for my services. My services cover prenatal care, labor, birth, postnatal care, prenatal
instruction, cell phone/beeper availability, birth kit, assist fee, educational library and birth equipment. This does not cover any care
by your doctor or hospital in the case of transfer or referral, lab work, or transportation fees (see below). In the case
that you need to change to a different care giver before 36 weeks, due to health reasons, we can negotiate
an arrangement for partial refund from the total of $3,000.

If we transport after or during labor, I am still considered your primary care giver and I will still expect to be paid the full amount. I will still be with you, giving emotional, physical and educational support, during the birth, and postpartum up to 4-6 weeks. There are no other refunds for any other reason. You are responsible to pay the full amount by 36 weeks of pregnancy, unless other
arrangements are made. I will really try to work with you if, you really want a home birth.

If you register late in your pregnancy, your payments will be higher and fewer checks to finish before the 36th week. If for some reason you are unable to pay one of your payments on time, we will try to work with you as best as we can. Even if you have insurance your copay and unpaid services could be more than a home birth.

The out of pocket cost for a home birth is $3,000. A $300 (registration) nonrefundable deposit is due once you decide to home birth with us. This holds your date as we only take 6-8 clients per month. Then $1,700 ( total prenatal care, classes, and postpartum care) is due prior to 34 weeks. The remainder $1000 (birth fee) is due by 36 weeks when we go on call for you. If for medical reasons you transfer out of care before 36 weeks any you had already paid the birth fee then the $1,000 is refunded to you.

Help for low income families.

Most people use 5% of their income for extras like eating out, movies, and other entertainment. Most families can use that same 4% of their income for the satisfying experience of a home birth.
The below chart is called a spin down. My base line is $2000. So if you make $40,000 a year
or under the total cost for my services is $2000
However if you make $60,000 a year my total cost is $3,000

see the chart below. To download the Financial Agreement here.

Download Spin Down document here


Yearly Income--- Cost of Service
----$45,000------- $2,250
----$50,000------- $2,500
----$55,000------- $2,750
----$60,000------- $3,000


Extra Fees:
• $300 room rental, 

• $100 if entering care after 36 weeks
• $100 if no record can be provided before 36
weeks, due to extra risk factor

Transportation fees:  

Transportation fees can be avoided if all appointments happen in my office except one prenatal and on postnatal.

•$150 for all prenatal visits <25
miles/minuets from my office

•$300 all for prenatal
visits <50 miles/minuets. Add $50 for every <10
miles/minuets more than 50.

Discounts:
• $50 for referrals (Payable as a discount for future service or massage.)
• $100 for every 4 children
• $100 if paid by the 20th week of PG

Spa Services

Basic Packages

$2,300 Services cover prenatal care, labor, birth, postnatal care, prenatal
instruction, cell phone/beeper availability, educational library and birth equipment.

Princess Package

$2,500 this includes everything in the Basic Package, prenatal care, labor, birth, postnatal care, prenatal
instruction, cell phone/beeper availability, educational library and birth equipment, plus two, 1hr, prenatal massages and one foot soak and massage

Queens Deluxe package

$2,775 this includes everything in the Basic Package, prenatal care, labor, birth, postnatal care, prenatal
instruction, cell phone/beeper availability, educational library and birth equipment, plus Princess Package, two prenatal massages and one foot soak, Sugar scrub and massage, Pulse 2, 30 min, postpartum massages.

Prenatal Massage

Prenatal Massage focuses on the special needs that arise during pregnancy, reducing discomforts and concerns such as backache, swelling and leg cramps. This massage enhances the physiologic and emotional well-being of both mother and baby. Extra care and attention are given to the mother’s comfort and stage of pregnancy, featuring our unique and amazing body cushion and reclined positions.

30 min~ $25, 60 min ~$50

Postnatal Massage

This treatment is specially-designed for the new mother and can be performed about two weeks after the delivery. The massage focuses on healing, restoration, and balance of the body. During the birthing experience a woman will have used vital resources often leaving her feeling exhausted, undernourished, lacking in energy, and often on an emotional roller coaster due to hormonal fluctuations.

30 min~ $25, 60 min ~$50

Leg and Feet  Treatments

Hot Leg wrap, foot soak, Sugar scrub, exfoliation and massage

30 min~$30

Head Ache

Benefits of Relieving Tension-Related Headaches

  • Decreases occurrences of tension headaches, sleep disturbances and distress symptoms

  • Allows one to maintain a level of relaxation and stress-relief, reducing the chances of stress induced migraines

  • Massage for headaches can also reduce muscle spasms and trigger points

30 min~$30

Paraffin Hand Treatments (Must be included with general body treatment)

$10

Hydrotherapy Treatments Respiratory chest and back

1 hour ~ $80

Limb, Legs or arms

1 hour $50