There are two parts to the costs of your maternity care: the professional fees for your midwifery care and the facility fee. Our midwives are already contracted with most insurance companies in Washington, including Regence, Premera, Lifewise, First Choice, Kaiser Permanente, Cigna and Community Health Plan of Washington. 

Salmonberry Birth Center is currently contracted with Kaiser Permanente, Premera, Lifewise, First Choice and Community Health Plan of Washington. We are pursuing other contracts as well. In many cases we are able to bill many insurance companies for your facility fee on an out-of-network basis. We encourage you to thoroughly read our financial policies and speak with your insurance company to determine what out-of-pocket expenses you can expect. If you have any questions you can call our insurance specialist Victoria Malloy at Alternative Medical Billing at 206-932-0870.


The hallmark of midwifery care is a commitment to the provision of personal and individualized care to clients. We believe that this attention to relationship and detail makes a difference to your experience of your care and to our excellent health outcomes. At a time when the costs of providing healthcare are rising and insurance reimbursement are falling, we have had to adjust our course to keep our founding commitments intact. All clients, planning births either at home or the birth center are billed an $800.00 fee which is not covered by insurance, but will allow us to keep our practice financially sustainable and covers the cost of important components of your care which we are unwilling to compromise on. At this time these things include:

  • 24/7/365 Telephone availability of your midwives 
  • Longer appointment times and additional prenatal visits as needed
  • Time and attention dedicated to shared decision making and health promotion
  • All birth centers in Washington are required by Washington Administrative Code (WAC 246-329-095) to ensure a second trained person is immediately available in the birth center during each birth. To provide for this and ensure optimal safety for each birth it is our policy to reserve a qualified birth assistant on your behalf. Birth Assistants (BA’s) are trained in both neonatal and adult resuscitation, birth center procedures and are available to assist at your birth whenever it may occur. 
  • Support during transfer to the hospital in labor as needed
  • Expanded postpartum care through 6-8 weeks postpartum, including at least one routine home visit 

We have a fee assistance program available for people for whom this is a financial hardship, and we are happy to set up payment plans.


All clients giving birth to their first baby at Salmonberry Birth Center are strongly advised to obtain the services of a labor support professional (Doula) and take comprehensive childbirth education classes geared towards unmedicated childbirth. These measures have been shown to dramatically reduce the likelihood that you will require transport to hospital for pain relief during your labor. Some insurances will reimburse a portion of your doula and childbirth education fees, but often they are not covered. Families should expect to pay between $800 and $1000 for their doula and childbirth classes. We will provide you with a list of community doulas and classes. Most offer payment plans, sliding scale, and discounts for low income families. 


We are gradually becoming contracted with most insurance plans in Washington State. We are currently contracted with Group Health, Premera and Community Health Plan of Washington. If we are not yet contracted with your insurance plan, you should call your insurance carrier to see if they offer out of network coverage. To assist you with these inquiries our procedure code is 59400SG. You may be surprised by how little your out of pocket expenses may be, especially when compared with the costs of a hospital birth.


We are contracted with Community Health Plan of Washington and can also take Molina and Amerigroup Plans as well.

Once you are enrolled with Apple Health of WA you will be assigned an insurance plan automatically if you do not select one. We suggest that you consider choosing Amerigroup, Molina or Community Health Plan of Washington as this tends to simplify processing and billing.

If you have DSHS Insurance, you do not have to provide credit card information at the time of registration, however, a modified Midwifery Services Fee is still required. This is because the state required birth assistant is considered a non-covered service by insurance.


At this time Salmonberry Birth Center cannot contract with Tricare insurance. Families with Tricare insurance are offered a substantial time of service discount of the facility fee which is due at or before 36 weeks of pregnancy. This reduces your cost of all midwifery care and birthing at Salmonberry Birth Center to $5000, plus the Midwifery Services Fee. Other cash paying clients are eligible for a 15% discount off both the Professional Fee ($4000) and Birth Center Facility Fee ($3200) if paid in full by 36 weeks. 


It is our policy to have our insurance specialist work with your insurance to estimate your out of pocket costs (deductible and co-insurances). They will work with you to devise a payment plan for each registered client with insurance. You should plan on that estimate being paid in full by 36 weeks of pregnancy.  After your birth our Insurance/Billing specialist will bill your insurance. Once your insurance paid its portion, you will receive a statement for any balance owing. Any balance owing will be due by your final postpartum visit, and we will refund any overpayment by that time as well.

We accept many forms of payment including Visa, Mastercard, Discover Card, money orders, personal checks and cash. A $45.00 insufficient funds fee will be charged for all returned checks.

Note:  Clients with DSHS/Apple Health Insurance are not required to provide credit card information.