My fees aren't on my website. I sometimes lower my fee based on someone's situation. I like to meet the family and get a feel for them, for their commitment to OOH birth. Also, instead of a sliding scale, I have a slight discount and a generously extended payment plan for my medicaid or special circumstances clients (military rank below e-5, for example). Also, if I post my fees on my website, then if I increase them, I feel like I need to explain why on my website. I also feel like if I charge more than everyone else in the area (which I do, last time I checked, by $300.00), then the other midwives in the area will feel like it's an affront to them. I dunno...I just think fees are too personal and individual to have a one size fits all answer on the website. I do say on the website that I prefer to discuss fees in person, that I am priced competetively, that I accept some insurance, and that I have a discount for some circumstances and medicaid. I have some people call or e-mail me about the fee, wanting to know what it is before they schedule a consult. In that case, I tell them and 9 times out of 10 they consult with me anyway.
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