There are two parts to the costs of your maternity care: the professional fees for your midwifery care and the facility fee for clients that choose to birth in the birth center. Our midwives are already contracted with most insurance companies in Washington, including Community Health Plan of Washington (CHPW), Cigna, DSHS / Apple Health, First Choice, Kaiser, Molina, Premera, Regence, Lifewise, and are able to get authorizations from Amerigroup. 

Salmonberry Birth Center, the facility, is also contracted with most of the above insurers and pursuing both Prime and Select Tricare plans and hope to have them in place soon.  In many cases we can bill insurance companies 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 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. No fee is assessed for clients transferring out of our care at or prior to 24-weeks of pregnancy. If care is transferred at or prior to 36-weeks of pregnancy, the fee is reduced to $500.


All clients giving birth to their first baby at Salmonberry Birth Center are strongly encouraged 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. 


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. This discount is not applied to the Client Services Fee.

The Active-Duty Military discount is $3000 for the Professional Fee and $2000 for the Birth Center Facility Fee. 


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.