Midwifery & Birth Services Pricing

Please keep scrolling for info about:
-Video Appointments
-Doula/Montrice Services 
-a la carte services  

....coming soon in 2020...full spectrum entertainment AND diagnostic maternity ultrasound - in house....stay tuned!

Family Tree Midwifery offers full service care for the entire childbearing year: Maternity, Home/Water Birth, Postpartum and Newborn Care with a California Medical Board Licensed Midwife for $4500-

***Payment plans, discounts and insurance billing available...please see the bottom of the home birth section.***  

The following services are provided:

Prenatal care includes monthly visits that commence at approximately week 10-12 and continue every 3-4 weeks until week 30. From week 30-36 bi-monthly visits will occur and at approximately week 36, weekly visits will occur until birth. Some circumstances may require more frequent visits. 60 minutes (sometimes more) are spent at each prenatal with extensive individualized care including options for the same testing and ultrasound examinations that are standard care elsewhere. 

Labor and Birth: Physical and emotional support for active labor is provided with special care to incorporate all family members you desire present. We will assist in the birth of the baby and placenta and monitor the baby and mother's immediate transition. Emergency medical equipment and advanced skills are brought to every birth, and yet space and faith are held with the belief that birth is and should be a natural process, as undisturbed as possible...Importance is placed on family bonding and the strong belief that birth should be centered around mother, baby and family, not medical protocols.  

Immediate postpartum care: Mother and baby are monitored for normal transition, and space is held for bonding and attachment for the new family. Any birth canal tears incurred by the mother (this is prevented as best as possible) will be numbed and repaired and the general birthing space left clean and dry. We will stay with the family for at least 3-4 hours after the birth to ensure mother and baby have safely transitioned from labor to postpartum recovery. A full head to toe newborn exam, verbal and written postpartum instructions for mother and baby, and an appointment for the follow up will be made prior to the our departure.

One of our FAVORITE parts of Midwifery: Follow up postpartum care! Mother and baby are seen 24-48 hours following delivery, 3-5 days following delivery, and 7-8 days following delivery in your home! An optional check in visit is offered at 3 weeks, (more visits are offered as needed) with a final visit occurring at 6 weeks postpartum which includes PAP smear/yearly exam for mom (if needed or desired) and discussion and referrals for future family planning needs. 

The most common referrals during the postpartum time are for a pediatrician to address a concern, physician follow-up or assessment for the mother, chiropractic or other alternative care (CST or Bowen etc), and lactation specialists. Other resources and referrals are given as needed or requested. These additional services are not financially covered as part of your care with Family Tree Midwifery.

Midwives are licensed by the California Medical Board to be the primary care providers for healthy, normal, and low risk mothers and babies for an entire six weeks following the birth! Many mothers assume they are high risk for things such as past miscarriage or being over age 30...this may be true for billing reasons (high risk = more expensive bills to insurance) BUT this is NOT true for home birth eligibility! Please ask us, we are very familiar in what is appropriate for home birth or not.

In other words: Your care from pre-pregnancy/conception counseling through 6 weeks postpartum, a whole year worth of services for mom and for baby all with the same provider, is all included!

Please note that the cost of the following services/items are NOT included: (this is NOT an all inclusive list): lab work of any kind, ultrasound, screening or testing for mother or baby, birth kit and supplies, water birth tub/accessories, childbirth education classes (STRONGLY recommended for first time parents), transport by ambulance, hospital care for mother or baby, birth certificate fees, RhoGam Injections, lactation specialists, fees for any services referred to...essentially our fees only cover what's listed above. If you have questions about what is or is not covered, we are happy to chat more in a free one hour consultation or via email.

FINANCES: What you really want to know...the financial nitty gritty! Read below to get an idea of how our fee structures work. 
Deeper details, refund policy etc will be agreed upon in a financial contract upon signing up for care. Please feel free to reach out to us for clarification....we understand that the medical billing/fees/insurance etc side of things can be quite confusing!

Fees: While most families utilize our Prompt Pay and Green Cash Discounts, Family Tree Midwifery Care (FTMC) does accept most forms of electronic payment through our invoicing system which has the ability to set up a monthly auto-debit if preferred.

PROMPT PAY DISCOUNT: Family Tree Midwifery Care charges a “prompt pay discount” of $4500.00 for services if paid by 37 weeks gestation. (Please keep in mind that legally we must bill the insurance rate to anyone not using a “discount” which is why we have this “prompt pay discount” that is used by 99% of our families.) Families may pay in whatever payment plan they prefer with at least $300 paid each visit and all fees paid by 37 weeks. (note that $300 per visit will not equal $4500 by 37 weeks-you’ll have to do your own math based on your due date and budget to reach the prompt pay discount amount by 37 weeks gestation) This discount is ONLY valid for families paying by 37 weeks gestation.

CASH - GREEN CASH: Additionally we offer a $500 discount for paying with actual cash (no checks or electronic payments - green cash only) This ONLY applies to families using the prompt pay discount above. Grand total for families paying by 37 weeks and paying in green cash: $4000. Families paying with HSA/Health savings type of accounts will not be eligible for the green cash discount (unless your HSA allows for green cash withdrawals), but can still utilize our prompt pay discount! Prompt Pay + Green Cash discount totals $4000 and is our least expensive and most commonly used “plan.”

DEPOSIT: All families: A $1000.00 non-refundable deposit is due at the first prenatal visit. All deposits are applied toward your balance, they are not additional fees, they simply “hold your place” in our calendar and once full we will decline other requests to reserve our services in the month you are due. For that very reason, deposits are not refundable.

As will all maternity care insurance billing, all families must pay in full before the mother reaches 37 weeks gestation, and families with insurance will be seeking REIMBURSEMENT for fees they have paid up front to Family Tree Midwifery.

We are happy to answer questions via email or in a free one hour consultation with you!!

Families planning and experienced in Freebirth/UC are welcome to contact Family Tree Midwifery for A la carte services. Please note that a la carte services do NOT include pro-rated/birth/delivery services and are NOT a way to try and piece together homebirth at a cheaper rate. Due to legal/liability reasons: UNDER NO CIRCUMSTANCES WILL A MIDWIFE SHOW UP FOR "JUST THE BIRTH" we will not respond to requests for this service. You will be asked to fill out a chart with pertinent medical information and sign informed consent documents based on what your specific needs are. 

Families signing up for care at 38 weeks receive the same pricing as families signing up for care at 4 weeks. Often there is more work to do in gathering necessary labs and reports and "catching up" when a family comes on late for care-therefore-no additional discounts are offered for signing on late for care. 

No discounts are offered for using "shadow care" and seeing another care provider at the same time. Sometimes insurance will cover lab fees and desired/needed ultrasound by doing this method of care, but our fees will not be discounted, just the same as other providers do not discount their fees for families seeing us. 

Video/Long Distance/Email Advice/Second Opinion/Education

I am excited to be able to offer video/long distance appointments as well as email support! This is a lovely way to get a Midwife's perspective, information/education and ongoing support for all kinds of things! My most frequently used appointments are for: fertility troubleshooting and advice, a second opinion and information regarding a current situation - or advice you received but are uncertain of, thoughts and questions you felt you didn't have time to get answered at your last Doctor's appointment, herbal and supplement advice or recommendations for fertility; normal menstrual cycling; pregnancy; breastfeeding; children (or spouses) etc. 



Parents have used these services to help with decision making in bringing their ill newborn to urgent care or continuing to treat at home, and/or to discuss infant supplementation of vitamins, probiotics, and other suggestions from various sources or advice regarding a specific symptom such as rashes or thrush.

Mothers have used these services seeking breastfeeding advice and referrals, supplemental advice from general pregnancy support to specific advice ie: "how to pass GBS screening," natural treatment options for yeast, thrush, mastitis, uti etc and for referrals to local birth professionals that are natural minded.

Doulas have used these services to broaden their own wisdom around pregnancy, birth and newborn related topics as well as for specific, confidential advice regarding a situation/client of their own. (Please keep in mind I offer Doula support services FOR DOULAS: from phone/email support to labor checks at home while your client is under your care to debriefing and feedback following delivery!)

Friends and Family of current or past clients tend to use these services the most! 

Video/phone chat fees: $20

Ongoing email support available $5/mo 

Doula/Montrice Services

Many families want the advice and natural birth expertise that Midwives have to offer, and want to take advantage of a wealth of information about herbal, homeopathic and essential oil remedies, but prefer, or have to birth in a hospital or birth center setting, We offer a wonderful hybrid service that combines the best of both worlds.

Prenatal Care: 2-3 visits are included and packed full of prenatal advice, childbirth education, and help creating a birth plan. Email and text support is unlimited for additional questions and discussion. (More visits can be added if desired-please request pricing info)

Birth Support: We will come to your home or meet at the hospital to labor with as planned during our prenatal sessions. Some mothers want to just meet at the hospital, some want to stay home longer or even as long as possible before heading in. We offer "montrice services" during labor away from the hospital: examinations to assess dilation as desired, assessing mother and baby to ensure labor is safely progressing. These services are one thing that makes hybrid care so unique and desired: A Doula alone is not legally allowed to provide such examinations and assessments, however Licensed Midwives can! Additionally we will carry essential oils, massage oils and herbal remedies as needed to help with progress and transition, comfort and support. Every birth receives the wealth of experience in supporting women during natural childbirth. We will caravan with you and your partner/family to the hospital or birth center and continue to support you for the duration of labor and delivery. 

Postpartum: We don't run away as soon as baby's born! We will stay to help initiate breastfeeding and make sure you are comfortable and settled before departing. 

Follow up: 1 postpartum follow up is included once you are discharged from the hospital. Typically at about 2 weeks. We are happy to offer weight checks/examinations for baby during this time or help with any breastfeeding or postpartum hurdles. We will remain available during this two week time frame for text and or email support. More visits can be added as needed or desired (please ask for pricing information if desired)

Pricing for this service is the same as our home birth pricing as we will retain a "due date" space in our practice for you and will decline interested home birthing families, so we are available. 

Payment plans are available. Please fill out the form in the contact section to set up a free consultation for these services!

A la carte services

Individual visits or services are available for all families. Typically these are PAP smear visits, lactation support, prenatal or newborn exam for freebirthing families, RhoGam injections, assessment and letter for vital statistics (to help obtain birth certificate) etc. Fees start at $200 per visit. 

Please fill out a contact form and let me know what you are looking for and how we can best serve you! 

Please note: A la carte services do not cover in any way, shape or form "birth services" and are not a way to get a Midwife attended home birth at a discounted rate. For legal/liability reasons, a Midwife will NEVER show up "just for the birth."