Insurance & Fees

How much does a home birth cost? Home birth midwifery care for pregnancy, labor, birth, newborn, and postpartum care are offered as a package under a single global fee of $4,000. Many insurances with maternity care coverage may partially cover your fees, or apply the fee to your family’s annual deductible. Check with your insurance to see what your coverage is, and/or file a Verification of Benefits with your insurance at the beginning of your care to clarify your options.

While we partner in the care and births of our clients, Desirre and Tiffany operate our finances separately (scroll down). Make sure you check with each of us to clarify any questions you may have. We both accept cash, check, HSA/FSA accounts and major credit cards. Discounts available for active-duty military, full-time ministry, and repeat clients (see below).


What’s Included in the Global Fee:

  • 24-hour availability of your midwife
  • Lending library access
  • Prenatal, birth, newborn, and postpartum care as listed in our Summary of Services (given at consultation)
  • On-call availability for your birth from 37 weeks until your baby is born
  • Necessary birth equipment, medications, and medical supplies
  • Birth pool kit rental (if desired – includes pool, liner, tarp, air pump, and hose adapter)
  • Postpartum basics kit (Depends, OB pads, peri bottle, goldenseal for cord care, pretty birth certificate for footprints)
  • Birth certificate processing
  • Assistant fees


What’s Not Included:

  • Lab work (both routine and non-routine)
  • Newborn procedures
  • Referred services
  • Consultations with other providers
  • Hospital transport
  • General birth supplies (complete list provided at 28 weeks)


Tiffany Miller CPM, RM

I do not take insurance at this time. Instead, I offer a sliding scale cash pay discount based on household income (see below).  This helps to reduce the home birth cost to clients. Payments are made monthly from the beginning of care until paid in full at the 36 week home visit. I am able to provide a coded receipt for any and all services rendered, and you may submit a claim to your insurance or sharing ministry plan for potential reimbursement. 10% discount offered to active duty military, full-time ministry, and repeat clients. Discounts do not stack.


Sliding Scale Fees

Annual IncomeTotal Global FeeDiscounted
Cash Pay Fee*
$29,999 and below$4,000$2,500
$30,000 - $39,999$4,000$2,740
$40,000 - $49,999$4,000$2,970
$50,000 and above$4,000$3,200
*If paid in full by 36 weeks.


Desirre Andrews CPM, RM (Not currently taking clients with due dates after Dec 2019)

Fee: $3200 self-pay fee, due at 36 weeks. ($4000 is the full global fee). Flexible payment plans are available for self-pay clients.

Private insurance, Medical Sharing Plans (Medishare, Samaritan Ministries) may be billed after the birth through her contracted billing company after a Verification of Benefits is run during the pregnancy.


Request a consultation, where you can get all of your financial questions answered, and receive a detailed copy of our financial agreement.