How much do your Homebirth Midwives charge? - Mothering Forums

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Old 07-15-2009, 10:32 AM - Thread Starter
 
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I met with my midwives yesterday. I guess my insurance won't cover a home birth. The midwives charge $3600 for total prenatal and birth care.
Is this a standard rate? How much do your midwives charge?
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Old 07-15-2009, 10:48 AM
 
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My midwife charges $25 for each prenatal visit and $600 for delivery. I'm responsible for buying my own supplies which should cost around $200, but she provides the basics (birth pool, fetoscope, scale to weigh baby, etc...)

She's a DEM or lay midwife, I believe they tend to charge less, however that is not why we chose her.

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Old 07-15-2009, 10:52 AM
 
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$3,700 here.

But the last one 5 years ago in a different state (TX) was "only" $2,000.

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Old 07-15-2009, 11:06 AM
 
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$3,000 for prenatals and delivery. I also pay the fees on tests she can't run herself (ultrasound, for example), so probably another $300 or so.

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Old 07-15-2009, 11:32 AM
 
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$2500 for prenatals, postpartums, and delivery. We have to buy our own birth supplies and a birthing pool if we want it.

She also doesn't offer much testing, beyond urine strips and hemoglobin.

She is a lay midwife too, I suppose it might be different if she owned or worked out of a birth center or worked through a clinic or hospital.
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Old 07-15-2009, 11:36 AM
 
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$2500 for prenatals, postpartums, and delivery. We have to buy our own birth supplies and a birthing pool if we want it.

She also doesn't offer much testing, beyond urine strips and hemoglobin.

She is a lay midwife too, I suppose it might be different if she owned or worked out of a birth center or worked through a clinic or hospital.
Mine does this exactly - $2500 for all appointments and the delivery. We had to get all our birthing supplies (ended up being around $50). Also doesn't do much testing - that didn't include an ultrasound, GD, GBS, etc.
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Old 07-15-2009, 11:37 AM - Thread Starter
 
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$3600 does seem like a really high price. considering all we do is meet once a month and basically chat, and then they attend the birth.
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Old 07-15-2009, 11:39 AM
 
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some around here charge almost $5000 (eta they're CNMs not CPMs/LMs)
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Old 07-15-2009, 11:40 AM
 
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Moved from I'm Pregnant to Homebirth

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Old 07-15-2009, 11:47 AM
 
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I've heard that $3500 or so is pretty standard. My midwife charges $2200 and I've heard from homebirth parents that that is pretty low compared to most.

Proud Army wife and Momma of two.
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Old 07-15-2009, 11:50 AM
 
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$3600 does seem like a really high price. considering all we do is meet once a month and basically chat, and then they attend the birth.
It doesn't seem all that high to me. If seeing a doctor in the hospital you could expect to pay about $200 or more for each prenatal appointment, a few thousand for standard tests and ultrasounds, about $6,000-15,000 for the birth and hospital stay (if no complications), and then extra for more postpartum visits.

So 3600 for a full course of care seems like a real steal to me.

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Old 07-15-2009, 11:53 AM
 
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FWIW, the fee before insurance for the hospital mws I'm using this time is around 3000. That doesn't include testing or hospital fees, just the mw fee for prenatal care.
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Old 07-15-2009, 11:56 AM
 
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Mine charges $4200... our insurance covers $2500 of that.

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Old 07-15-2009, 12:00 PM
 
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1800 for cpm in baltimore
4000 for cnm in baltimore

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Old 07-15-2009, 12:08 PM - Thread Starter
 
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Good to know mine are in the normal range. I think everything costs more than I expect it to these days!
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Old 07-15-2009, 12:11 PM
 
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Originally Posted by Katie34 View Post
I met with my midwives yesterday. I guess my insurance won't cover a home birth. The midwives charge $3600 for total prenatal and birth care.
Is this a standard rate? How much do your midwives charge?
DS was born at home in CA with two DEMs/CPMs. We are planning a HB in IL with a CNM (the only type of MW legally allowed to practice in IL). Both charge about the same price you were quoted.

~ deb, BFAR mommy to ds1 Dec 7, 2003, Jan 08, ds2 Sept 20, 2009
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Old 07-15-2009, 12:29 PM
 
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My MW gives an early payment discount- the cost basically increases $100 every 4 weeks after 20 wks.
For a mom who's had a vag delivery, it's $2700 paid by 20 wks, or $3200 after 36 wks.
For vag delivery first timer (incl. VBAC) it's $3200 paid by 20 wks, or $3700 after 36 wks.

Her fees include basic prenatal labs, supplements (incl. Greenlife, calcium pills, and flax oil capsules), and birthkit. I think it's a good deal!

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Old 07-15-2009, 12:41 PM
 
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Our midwives charge $3600 for prenatal, birth, and postpartum care. They discount it down to $2800 if its paid in full by 36 weeks. Its a real bargain for what they do.

Heather Mike Married 8/1/99 Mom to Charlotte Aug 04, Nov 06, and Katherine Oct 07
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Old 07-15-2009, 12:44 PM
 
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Wow, we're really getting a deal. Since we paid early, before 36 weeks, we paid $2,000. This includes all the prenatal visits, the delivery and birth kit (not a labor tub, if you want one), and a couple of post-partum visits. She doesn't do the labs or ultrasound, so we have our CNM order them for us, which our insurance pays most of. After the birth, our MW will submit the bill to our insurance, so we expect to get some of our money back at that point, too.

We used the same MW with our last birth, six years ago, and only paid $1,200, so $2,000 seemed like a lot at first.

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Old 07-15-2009, 01:06 PM
 
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Around here, the range seems to be from $3800-4500. My MW charges $4000, as do most of them.

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Old 07-15-2009, 01:40 PM
 
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Around here, the range seems to be from $3800-4500. My MW charges $4000, as do most of them.
I think where I went would have been $4,500 if the insurance didn't cover most of it! Thankfully it did!

Perpetually breastfeeding or pregnant ENFP mom to a lot of kids...wife to a midwestern nice guy...living in tropical paradise...pink cats and homebirths rock!

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Old 07-15-2009, 01:41 PM
 
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Oh, and I think there is a HUGE difference where there is regulation...it seems like most regulated states you see 3,500-4,500. My friends who are in non-regulated states I seem to see rates more like 1,500-2,500.

Perpetually breastfeeding or pregnant ENFP mom to a lot of kids...wife to a midwestern nice guy...living in tropical paradise...pink cats and homebirths rock!

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Old 07-15-2009, 01:56 PM - Thread Starter
 
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I just looked into what my insurance will cover. I guess each midwife has to be registered with the particular insurance to get coverage. In my area there are 3 registered nurse midwives that accept my insurance but none of them are homebirth midwives, they are all hospital birth and with the same practice. Hmm. I wonder why my HB MW doesn't register with my insurance- it is a very common insurance around here. I will have to ask her.
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Old 07-15-2009, 02:30 PM
 
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$1500.00 (returning client) for birth and post natal care, 45.00 for prenatal visits, once a month until 30 some weeks, the bi-weekly, then weekly until birth.

Really, dh and I wouldn't go any other route at this point, she could have charged us anything! LOL

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Old 07-15-2009, 02:33 PM
 
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It really depends on where you live. Cost of living will affect how much the MW charges. Mine charges $2,700, labs and the birth kit are extra. Some of the other midwives charge more, but most are around $3K. We actually got our insurance to cover some of her fees and the labs and the sonogram (which would have been a couple of thousand out of pocket) at the "out of network" rate. Some MW are also willing to barter services if there's something they need done that you can do (like painting their house, or doing website stuff...never hurts to ask!). Also, MW are usually willing to work with you on a payment plan and some also have a sliding-scale fee depending on your income. They are generally very flexible when it comes to negotiating their fees.

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Old 07-15-2009, 02:37 PM
 
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$4500, which in my case was almost totally covered by insurance. In the practice I use you choose two midwives, both of whom come to every appointment and the birth.

I know for a fact that they are NOT getting rich on that.

I am in a regulated state.

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Old 07-15-2009, 03:17 PM
 
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I just looked into what my insurance will cover. I guess each midwife has to be registered with the particular insurance to get coverage. In my area there are 3 registered nurse midwives that accept my insurance but none of them are homebirth midwives, they are all hospital birth and with the same practice. Hmm. I wonder why my HB MW doesn't register with my insurance- it is a very common insurance around here. I will have to ask her.
It's common for homebirth midwives to avoid that game altogether. When a provider becomes a participating/preferred/in-network provider, they agree to accept a huge financial cut in exchange for the theoretical increased business they will get for being in-network. With the demand for home birth what it is, the extra status in no way makes up for the pay cut.
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Old 07-15-2009, 04:05 PM - Thread Starter
 
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It's common for homebirth midwives to avoid that game altogether. When a provider becomes a participating/preferred/in-network provider, they agree to accept a huge financial cut in exchange for the theoretical increased business they will get for being in-network. With the demand for home birth what it is, the extra status in no way makes up for the pay cut.
Oh, I figured it was something along those lines.
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Old 07-15-2009, 04:08 PM
 
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i was seeing a group of mw's who charged $1000, the rest covered by insurance. i'm now seeing a hb ob who charges $500.

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Old 07-15-2009, 04:40 PM
 
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i'm now seeing a hb ob who charges $500.
Where are you located, if you don't mind?

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