Payment Info

We are out-of-network providers and committed to being economically accessible.

We offer individualized financial agreements and payment plans.

Many of our clients use FSA/HSA cards for their birth center care.

We also work with a non-profit who helps subsidize the cost of care for our lower income clients; the grant application is available at our tours. Click here to register for one of our upcoming dates.


San Francisco Birth Center is an out-of-network provider. Fees for care are due directly to us. Our clients often use FSA/HSA cards to pay for part or all of their birth center care.

Your health insurance coverage (PPO, HMO, etc.) is an agreement between you and your insurer. Depending on the terms of your plan, you may be eligible for reimbursement for some portion of the cost of our services. Reimbursement varies and depends your out-of-network deductible, co-pay, and the specific terms of your plan.

Insurers treat pregnancy claims different from other medical visits. The first visit can be billed during pregnancy, while the majority of your care falls under what insurers refer to as ‘global’ obstetric services encompassing pregnancy, labor, delivery, and postpartum care all in one single code, which will be billed after your final visit.

If you have a PPO (or other plan that offers out-of-network coverage), our billing service will file your claims with your insurer once your care is complete. Our billing service will continue to follow up on your claims until they are processed correctly by your insurer.

Pregnancy Care Package

Our pregnancy service package includes prenatal, labor, delivery, and postpartum care.

  • Private Prenatals:
    – Three private 1 hour midwife visits upon initiation of care
    – An hour long Birth Team Meeting in your 36th week
    – As needed, 30 min office visits throughout care

  • Group Prenatals: Group prenatal visits in the second and third trimester that include education and guest speakers as well as clinical evaluation

  • Birth: One SFBC midwife will attend your labor and birth. A second licensed birth assistant will also be present during birth and immediately postpartum.

  • Postpartum Visits:
    – Three home visits in the first week postpartum
    – Postpartum visit at 2 weeks
    – Postpartum visit at 5-6 weeks.

  • Well Baby Care: Your baby will be assessed at our postpartum visits during the first month
    and we will refer you to a pediatric provider with any concerns. These visits do not replace
    your regular pediatric visits.

  • Lactation: We will assist you with general lactation support at the postpartum visits.

  • Excluded services: San Francisco Birth Center fee does not include some medications,
    ultrasounds performed by non-SFBC providers, laboratory tests, physician consultation visits, lactation consultants, hospital services, doulas, or childbirth classes.

Pre-conception and Gynecological Care

Payment is due in full at the time services are rendered. If you have a PPO (or other plan that offers out-of-network coverage), our billing service will file your claims with your insurer for any possible reimbursement to you.