Understanding  Midwifery Services Cost and Discounts

I charge $3,000 dollars for my services. My services cover prenatal care, blood testing (lab fees not included), prenatal instruction, two ultrasounds included, labor, birth, postnatal care to six weeks, cell phone call/text availability, educational lending library, handouts, birth pool lending, and birth equipment. This does not cover any care by your doctor or hospital, in rare occurrence (6%) of transfer or referral, lab processing fees, the assistant Midwife fee, or transportation fees (see below). In the case that you need to change to a different care giver during your pregnancy, due to health reasons before 36 weeks, we can negotiate an arrangement for a partial refund from the total of $3,000. If we transport during labor, I am still considered your primary care provider and 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. There are no other refunds. 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 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. Click here to see the updated 2019 financial form.

Assistant Midwife and Student: I have found it valuable to have two heads in stead of one, in some cases imperative for example VBAC, baby mal-positioned, first time moms, moderate risk.

I support Future Midwives by training a student. Please help by allowing a student during your prenatal and birth care. Your space and privacy will always be respected. You ultimately have the right to choose not to have a student present unless the assisting midwife can not make it to your birth.

Assisting Midwife

Julie Lynn Derwart Reh CPM

Extra Fees & Charges
Assistant Fee $300    
Registering after 35 weeks requires payment in full and previous prenatal record  $200    
If no prenatal record can be provided after 36 weeks, due to extra risk factor  $100  
Late Fee or bounced check  $30    
Room Rental for Birth  $100    
Room Rental for a client of a different midwife $300    
Rental for the month + $100 Utilities $400 

♥Referrals  (free massage 1 hour/ $50 value)   Free     
♥For Every 4 children  $100    
♥Pay by the 20th week of PG    $100 

Transportation Fees: There are usually 2 appointments
in your home. They are included with the cost of care
above. If you live west of the Appalachian Trail I will try to do home visits wherever possible. If you live east of the Appalachian Trail then you will need to come to the new office in New Oxford,PA. 


Extra Fun Care
Prenatal Massage 30 min - 60 min   $30-$50    
Postnatal Massage 30 min - 60 min  $30-$50    
Foot soak, Scrub and Massage  $40  


Extra Fees to be determined after the birth

Extra Fees to be determined as needed such as extra care, medications, or emergency care    
1. First trimester ultrasounds  $100

2. Second trimester ultrasounds and sex determination. $150

3. Ultrasound with NST and BPP Checking Baby well being. $200

Insurance rarely reimburse for midwifery care in the our of hospital setting.

We accept Payments from health accounts and Medishare does usually reimburse their clients.

If you believe you are in a single or low income bracket please ask for our Spin down program that bases the global fee on 5% of your  income. Click here for spin down form.

Make Payments Here

Pay By Check

Made out to

Valerie R Monterrey

mailed to:

419 West Main st

Waynesboro, PA 17268

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using the button  to the right.

Pay By Zelle                             Pay By Venmo

Pay By Credit Card 

In the office or by phone.

Pay on a Square.com card reader

Health account cards usually accepted.

Did you know Square is now offering credit to our clients so they can pay over time?

Insurance Payments

I am often asked if I accept insurance. The right question is not if I accept payments from insurance companies, but are the insurance companies willing to reimburse for prenatal care and home delivery to a Certified Professional Midwife.

Well we have exciting news we now collaborated with  CBO Billing, Childbirth Options and Midwife Billing Services. To see if your pre-approved with your insurance fill out the form at the link below.


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Mon - Thu 10am - 6pm