Cost of Midwifery Services

olivia and ari





Childbirth Education $100
Baby Tea Time Free- all are welcome to join
Home Birth $2,000 to $3,200 -sliding scale fee
Birth @ The Birth House $2,000 to $3,200 -sliding scale fee
Birth Doula Determined on individual basis
Postpartum Birth Doula Determined on individual basis

Midwifery Care Package: The fee for birth includes:

  • Prenatal appointments: Monthly appointments until 28 weeks of pregnancy, every two weeks from 28 weeks to 36 weeks of pregnancy, the birth team meeting at The Birth House or in your home at 36 weeks, and weekly appointments from 36 weeks until birth.
  • Birth Care for client and baby during your labor, birth and immediate postpartum (average 2-6 hours after the birth) with a supervising Certified Professional Midwife, the midwifery intern, and a student apprentice.
  • Use of The Birth House facility for your labor and birth, including the use of our birthing tub.
  • Postpartum visits: We provide complete care to you and your newborn until 6 weeks post-partum.
  • Home Visits: We conduct 2-4 visits in your home around the time of your birth: one before the birth (for home births) and 2-3 in the week after you give birth (all clients).
  • Midwife on-call availability 24/7 for emergencies and from 37-42 weeks of pregnancy for labor/birth.
  • Supplies: Birth supplies are provided by The Birth House.
  • Resource Library books, videos, and CDs are available

The fee does not include:

•Newborn Metabolic Screen ($110)

•Birth tub rental ($100)

•Lab fees (typically covered by insurance)

•Ultrasound fees (typically covered by insurance)


•Rh Immunoglobulin for Rh (-) women

•Childbirth Education Classes ($100, optional)

Calculate Your Cost

$76,000+ $3,600 Full fee
$51,000-$75,000 $3,300 (8% reduced fee)
$41,000-$50,000 $2,900 (19% reduced fee)
$31,000-$40,000 $2,500 (31% reduced fee)
$21,000-$30,000 $2,200 (39% reduced fee)
Under $20,000 $2,000 (44% reduced fee)

Payment Schedule

A deposit of $350 is due at the initial prenatal appointment. The full fee is due by the 37th week of pregnancy.

Payment Methods

We accept cash or check.

We cannot accept insurance as payment directly, but we work with insurance companies after your birth to ensure that you are reimbursed for a cash or check payment. Contact your insurance company prior to seeking care for a guarantee that they will reimburse home or birth center births.

Currently, New Hampshire Medicaid pays for midwifery services for one midwife. Clients paying with NH Medicaid must provide an additional $500 for services, like the midwifery assistant, not covered by the insurance.

Refunds/Transfer of Care

If you transfer care before going into labor, the fee will be prorated depending on the Birth House services we’ve already provided. You will receive a partial refund. A breakdown of fees is available upon request.

If you transport to the hospital before you arrive at the Birth House, the Birth House will refund your facility fee. In the cases of transport to the hospital from the Birth House, the facility fees and midwifery service fees will not be refunded. In the case of a transport, your midwife will stay with you and continue to provide care.