WE ARE COMMITTED TO MAKING HOMEBIRTH CARE ACCESSIBLE & AFFORDABLE TO AS MANY PEOPLE AS POSSIBLE.

We do this in a few ways:

1) We place everyone on a sliding scale, with higher-income clients paying a higher amount to subsidize our lower-income clients

2) we can work with your insurance company to see what coverage/reimbursement might be possible.

3) We provide individualized extended payment plans as needed

4) Clients have access to our Community Fund to pay for services, supplies, and other forms of support

Fees & Insurance

  • Pregnancy, birth, postpartum, and newborn care services are bundled together under a global fee. This fee is based on a sliding scale, dependent on pre-tax income, with higher income clients paying more to subsidize our lower income clients. This is a form of community care to make home birth care more accessible for clients of all income levels, and ensure we can cover our costs. For clients who do not wish to disclose income details, the global fee is $9000.

    Sliding Scale

    $4000-$9000, based on household income level*

    *Household pre-tax income levels are determined by documentation that shows your current household income.

    We offer payment plans on an individual basis.

    We take some medicaid plans and are in-network with some major private insurance companies, including Aetna, Humana, and UnitedHealthcare. Please read the Financial FAQ to see detailed information about insurance and Home Birth.

    While we are not able to be in network with BCBS plans, we have had frequent success gaining network benefit exceptions which may lower your out of pocket cost.

    We are always happy to sit down and discuss your specific plan to see how it may work for you.

  • GYN and Primary Care fees are based on a sliding scale, dependent on pre-tax income, with higher income clients paying more to subsidize our lower income clients. This is a form of community care to make services more accessible for clients of all income levels, and ensure we can cover our costs. For clients whose combined household income is greater than $150,000/year or the client does not desire to disclose income details, the new patient visit fee is $400.

    Sliding Scale

    New Visit: $80-$400

    Return Visits: $54-$250

    Sliding scale for self-pay is based on yearly household pre-tax income:

    For gynecologic care we are in-network with Aetna, United Heathcare, Humana, and Medicaid. We are unable to be in-network with BCBS. We will happily provide a superbill for reimbursement if we are not in-network with your insurance company.

  • The work of providing fertility care is incredibly fulfilling. The work I do with you or on your behalf varies widely based on if I am assisting you with IUI through a bank or a known donor or just simply helping you optimize fertility in your own relationship. Some care requires lots of phone calls, emails, coordinating care, ongoing lab or chart interpretation, while some requires very little if any extra follow up from me.

    Initial Consult: a 60 minute appointment, priced by sliding scale. See “gyn care” pricing

    Follow ups: 30 minute appointments for cycle chart reviews, lab interpretation, and planning next steps, priced by sliding scale, see “gyn care” pricing

    In-home intrauterine insemination: IUI procedure is billed on a sliding scale. There is a $150 fee for sperm washing (fresh sample only). A $50 deposit is required the month of your insemination that goes towards the overall fee. Up to 45 minutes of travel time included. Travel times over 30 minutes will be billed at $30 per 15 additional minutes of travel.

  • Heather is in network with The Lactation Network (TLN) and Medicaid and is able to bill most major insurances, meaning that the out-of-pocket cost for clients will be minimal, if any. Click the link above to check eligibility and get pre-approved for visits!

    If your insurance is not in network we can provide a bill for potential reimbursement. The cost for out-of-network visits is listed below;

    Prenatal Consultations & Planning

    $100 in office, $150 in home

    Postpartum Lactation & Feeding

    $150 in office, $200 in home

    (typical visit time is 90 min)

    Pumping Consultation / Flange fitting

    $100 in office

  • Home Birth Preparation (6-7 hours) $250 per pregnant person, $200 for HRM clients

    Nourishing Postpartum (6-7 hours) $250 per pregnant person, $200 for HRM clients

  • 60-90 Minute In Home Sessions

    $150

These are general questions about the financial side of Home Birth. We will schedule a personalized financial call with each new client prior to scheduling your first appointment to answer all of your questions.

Homebirth Financial FAQ

    • If we are in-network with your insurance plan that means we can bill for the care you receive for prenatal and postpartum visits and possibly some of the birth. Private insurance may cover a portion of your care, but not all. Every plan is different and some plans put covered care toward your deductible or charge a coinsurance. Even with in-network insurance, there is a minimum out-of-pocket cost of $5000 depending where you fall on the sliding scale

    • If we are not in-network with your insurance, we may still be able to bill on your behalf to attempt to get out-of-network benefit coverage for your care. Again, all plans are different and some plans have out-of-network benefits and some do not.

    • In either case, we cannot guarantee a level of coverage, payment, or reimbursement from your particular insurance plan and the client is ultimately responsible for their full global fee. 

    • For the medicaid plans we are in-network with (State Medicaid, Healthy Blue, AmerihealthCaritas, Caroline Complete Health, UHC Community Plan) we can bill your medicaid plan for prenatal and postpartum visits, and a portion of the birth. Some plans will pay a portion of the birth and some will not. For medicaid patients, the minimum out-of-pocket cost is $4000 depending on where you fall on the sliding scale.

    • For most birth facilities (hospital, birth center) the majority of your bill is under what is called a “facility fee”. This pays for things like doctor/midwife support, nurses/birth assistants, medications, supplies, etc. Since the facility for home birth is the patient’s home, we cannot bill insurance under this blanket fee and they consider these things “non-covered services”. Things that are not covered by your insurance or medicaid are an out-of-pocket cost.

    • We are happy to bill your insurance and medicaid on your behalf for in-network plans and some out-of-network plans. If a bill is denied due to a billing error on our part, we will correct it and submit it again. If a bill is denied due to your benefits, coverage level, deductible amount, etc. we will not appeal on your behalf. If you would like to appeal your claims and need documentation or records, we are happy to provide those for you.

    • If you need to transfer to either a hospital based practice or to the hospital for induction, cesarean, during labor etc. the full global fee is still due. As a small practice we have a very limited number of spots for home birth and we spend a lot of time with our clients! If you need to transfer, the midwife will accompany you to the hospital and we will still provide your postpartum care at home.

    • The average out-of-pocket cost of a vaginal birth in the hospital in North Carolina is $6,750 with insurance and $11,991 without insurance.

    • Home birth midwives provide a high level of care that is centered around your family and your wants and needs. Their time is valuable and the work needs to be sustainable in order to continue to provide care for years to come. The cost of home birth in our area ranges from $4000 to $9000 depending on the attendant, prenatal and postpartum care, and many times based on a sliding scale. Because of insurance restrictions surrounding home birth and the low rate of reimbursement, most home birth providers do not accept insurance. 

    • The home birth fee does not include your birth kit, lab work and ultrasounds, or a birth tub.