Payment Info

We are committed to being accessible to all families.

We offer individualized financial agreements and agree on a payment plan with each client.

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

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


San Francisco Birth Center is an out-of-network provider. You are responsible for paying for your care at San Francisco Birth Center. We do accept FSA/HSA cards.

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 is dependent upon your out-of-network deductible, co-pay, and the 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.