Services and Fees

Complete Midwifery Care

My home birth services include comprehensive prenatal care (12 visits in most cases), support before, during, and after labor, and four postpartum visits. Most appointments usually occur at my office in southwest Denver (with the exception of your prenatal home visit and two postpartum visits), but other arrangements can be made on an individual basis. I can provide referrals for ultrasound or any necessary physician consultation, but routine visits with a doctor are not required.

Full fee: $3800
Due by 34 weeks

Discount for self-pay: $200
Discount for early payment by 24 weeks: $300

Additional fees
Additional fee for routine maternal lab work not covered by insurance: $250
Additional fee for newborn screen not covered by insurance*: $100
Additional fee for Rh- mothers: $200
Additional travel fee for families greater than 60 miles from my home: $200
Non-routine labwork will incur separate charges as applicable.
Additional fees are due by 34 weeks

Other expenses
You will be given a list of supplies to gather before the home visit, including a birth kit to be purchased from a midwifery supply company. You may already own many of the other supplies. If you wish to set up a birth tub, you will be responsible for obtaining the tub and related equipment.

Physician, hospital, and ultrasound visits are not included in my fee. You must make payment arrangements with those providers separately.

Note: The only insurance that I am in-network with is CHP+. I do not accept Medicaid. In some cases a portion of the fee may be reimbursable by a private insurance company, but the fee is due in full before insurance is billed. My services are usually out-of-network, though occasionally an in-network exception may be approved. I utilize an insurance biller to work with insurance claims.

*Newborn screen specimens must be delivered directly to the state lab or Quest Diagnostics. If insurance isn’t billable through Quest, fee must be paid directly.

Lactation Consultation

As an IBCLC, I offer in-depth, skilled lactation consultation. These visits can be in your home or my office. They generally take 1.5-2 hours and include a thorough history and assessment. Follow up visits are shorter, usually about an hour, and are meant to touch base and fine tune the breastfeeding plan as needed.

Home LC Visit: $150
Office LC Visit: $125
Follow up LC Visit: $75

Note: lactation services are now covered expenses through the Affordable Care Act. I will provide a super bill upon request, which you submit on your own to your insurance company.

Doula Services

Home birth is not the right choice for every family. As my schedule allows, I provide doula (labor support) services for those planning hospital births. As your doula, I am in communication with you as you labor at home, and we make a plan to meet at the hospital, where I generally stay with you until baby has nursed. As well, you will receive two prenatal and two postpartum visits as part of my doula services.

Doula fee: $1000

Monitrice Services

Like a doula, a monitrice provides labor support to the mother. A monitrice, though, has additional training to perform limited clinical assessments. This is a good option for the woman who wants to labor at home as long as possible. As your monitrice, I will labor with you at home (monitoring your and the baby’s well-being), and we will move to the hospital at the appropriate time, where I will remain in a doula role. As well, you will receive two prenatal and two postpartum visits as part of my monitrice services services.

Monitrice fee: $1500

For more information about the differences between doulas and monitrices, see my article here.