Frequently Asked Questions:
We believe in being fully transparent about the cost of care so you can make informed, confident decisions.
With Insurance: Your cost will depend on your plan, including deductible and coinsurance. *see below
Without Insurance: Discounted rate of $6,500 covers your care with us. From all routine prenatal visits, to labor support, to postpartum care for you and your baby for six weeks.
(Labs and ultrasounds are an additional cost if not covered by insurance)
Our services are divided into two parts, similar to how care is billed in a doctor or hospital setting.The professional fee is comparable to a doctor’s fee. It covers your comprehensive midwifery care, including prenatal visits, labor and birth support, and postpartum care.
The facility fee of is comparable to a hospital facility charge. It covers the use of the birth center, including the space, supplies, equipment, and the supportive environment prepared for your labor and birth.
This structure allows you to clearly see how your care is provided, while still receiving personalized, relationship-centered midwifery care.
These amounts are not necessarily what you will pay out of pocket. They are the amounts billed to your insurance. Your actual cost will depend on your individual plan, including your deductible, coinsurance, and any copays. We are considered an out-of-network provider but will do everything we can to help you to get our services covered with your in-network benefits
If you do not have insurance or choose not to use it, we offer a discounted self-pay rate of $6,500 for all routine care. This does not include the cost of ultrasounds or routine lab work.
Insurance can cover midwifery care, but it really depends on the specific plan and the type of care you’re receiving. If you can utilize it upfront or if you would
need to pay the out of pocket cost during your pregnancy will depend on your specific insurance plan and coverage. At this time: we are unable to take medicaid
Many insurance companies recognize midwifery as a valuable, evidence-based model of care that supports physiologic birth, continuity, and whole-person
wellness. Private insurers often cover care provided by midwives! Your coverage just depends on your benefits!
Coverage may include prenatal visits, labor and birth, and postpartum care. Even doula support can be covered by insurance.That said, not all midwifery models are reimbursed equally. Care in hospital-based settings is more commonly covered, while out-of-hospital options like birth
centers or home birth may be considered out-of-network depending on the plan. Some families choose midwifery care outside of insurance because they value
the longer visits, individualized support, and relationship-centered approach. We do support families on trying to get a GAP coverage to be able to utilize their
in network coverage benefits.
f you’re exploring your options, it can be helpful to:
• Ask your insurance provider directly what types of midwives and birth settings are covered - We can do this in house for you too for a $20 fee
• Inquire about out-of-network benefits or reimbursement options
• Speak with your midwife about superbills, payment plans, or global fees. If insurance wouldnt cover it upfront, many patients are able to get partially or fully
reimbursed for their careAt its heart, midwifery care is about honoring the natural rhythms of pregnancy and birth while providing safe, skilled support. Insurance sometimes aligns with
that model, and sometimes families choose the care that feels most aligned and then navigate the financial piece alongside it.Whether you are working toward paying your deductible or covering an out of pocket balance, we offer payment plans to help make care more manageable for your family. Payments can be spread out over the course of your pregnancy, with the remaining balance due by 32 weeks of pregnancy.
That’s such a thoughtful question, and one that really deserves to be explored with care and nuance.
In general, you may be a good candidate for an out-of-hospital birth if your pregnancy is considered low-risk and has been unfolding in a healthy, uncomplicated
way. This usually includes things like a singleton baby, head-down positioning, term gestation, and no significant medical conditions that would increase the need
for continuous medical intervention.Midwives also look at the whole picture, not just the clinical checklist. Your overall health, prior birth history, emotional readiness, support system, and how close
you are to a hospital all play a role. Someone who feels informed, supported, and aligned with the process of physiologic birth often tends to do well in an
out-of-hospital setting.There are certain situations where a hospital birth may be the safer option, such as high blood pressure disorders, insulin-dependent diabetes, significant anemia,
concerns about baby’s growth or well-being, or a history of complications that may recur. Safety isn’t about location alone, it’s about choosing the setting that
best matches your unique needs.
A good next step is to sit down with a midwife and have a personalized risk assessment. They can walk through your history, answer your questions, and help
you understand what options feel both safe and aligned for you.
At the end of the day, the goal is the same in every setting: an experience where you feel respected, supported, and cared for through all of your decisions
of keeping yourself and your baby as healthy as possible.That’s a really important question, and one where your awareness and participation truly matter.
“Low risk” isn’t something that is assigned to you without your involvement. It’s something you come to understand through being informed, asking questions,
and staying engaged with your body and your care.In general, a low-risk pregnancy is one that is unfolding in a healthy, physiologic way, without signs that additional medical support is likely to be needed.
This often includes things like stable blood pressure, normal lab work, a single baby growing well, and a term, head-down pregnancy without significant
complications.
Birth centers are specifically designed for low-risk families. They exist to support healthy, uncomplicated pregnancies in a setting that prioritizes physiologic birth,
comfort, autonomy, and individualized care. That means part of choosing a birth center also involves you understanding whether your pregnancy fits within that
low-risk model and being willing to stay engaged in that process throughout your care.
At the same time, part of being low risk is your willingness to stay informed and involved. That looks like attending your visits, reviewing your labs, understanding
your options, and communicating openly about anything that feels off physically or intuitively. Your provider brings clinical knowledge, but you bring lived
awareness of your body and your experience.There are also situations that may move a pregnancy out of the low-risk category, such as developing high blood pressure, gestational diabetes requiring insulin
medication, concerns about baby’s growth, or other complications. If that happens, you still have autonomy. It simply means you have more information to
consider as you decide what level of care and setting feels safest and most aligned.
Ultimately, knowing whether you are low risk is a shared process, but you are an active decision-maker in that process. You have the right to understand your
health, to ask for clear information, and to choose the care and setting that align with both your values and your safety.Not necessarily.
If you’re receiving care with a midwife and your pregnancy remains low risk, your midwife can be your primary provider throughout prenatal care, birth, and postpartum. We follow the same general care schedule and offer the same standard labs, screenings, and testing options that you would have with an OB, so you’re not missing out on medical oversight. The difference is often in the approach, with more time, education, and individualized, relationship-centered care.
During a low-risk, uncomplicated pregnancy, there is typically no need to see an OB in addition to your midwife.
That said, part of midwifery care is recognizing when something falls outside of that low-risk scope. If certain situations arise, such as gestational diabetes, high blood pressure, or other concerns, we may recommend a consultation with a physician. If needed, your midwife will refer you to a local OB or Maternal Fetal Medicine specialist so you can receive the appropriate level of care while staying informed and involved in your decisions.
Some families choose to include a physician in their care from the beginning for their own peace of mind, while others feel fully supported with midwifery care unless something changes.
At its core, this is about having the right level of support at the right time. If your pregnancy is healthy and uncomplicated, your midwife can guide your care. And if anything shifts, you’ll be supported in understanding your options and choosing what feels safest and most aligned for you.
We do not offer epidurals or IV pain medications during labor.
Birth in the birth center setting is supported as a natural, physiologic, and spontaneous process. Rather than numbing the experience, our approach
is to surround you with support so you can move through labor in a way that feels safe, grounded, and connected to your body.
We offer a variety of comfort measures to help you cope with labor, including water immersion, movement and positioning, acupressure, massage, breathwork,
and continuous, attentive support. These tools work with your body’s natural rhythms and often help create a sense of flow and confidence as labor unfolds.
We do, however, use lidocaine when needed to gently numb any tissue that requires repair after the birth, so your comfort is supported in those moments as well.
Your autonomy is always at the center. If at any point you feel that medical pain management is the right choice for you, we will support a transfer to the hospital
so you can access those options. Our role is to walk alongside you, offering support, information, and presence, so you can choose what feels most aligned for
your body and your birth.Yes, we do offer water birth, and it’s a central part of the experience for many families. In fact, over 90% of our babies are born in the water.
You have full access to water throughout your labor and birth, wherever and however you choose. Whether you want to start in the tub, move between the shower and birthing pool, or use water just for comfort during certain stages, we support you in making the environment work for your body and your preferences.
Our birthing center is fully stocked with everything you might need to make your labor and birth easier and more comfortable. From water immersion to movement aids, support tools, and relaxation resources, we provide options that empower you to follow your body’s natural rhythm while feeling safe, supported, and in control.
Water birth isn’t just a technique—it’s an invitation to birth in a way that honors your body, your baby, and your unique journey.Yes, out-of-hospital birth can be a safe and empowering choice for families whose pregnancies are low risk and uncomplicated. Safety in birth isn’t just about the building—it’s about the care, support, and skilled guidance you have throughout your journey.
Our birthing center is designed to support physiologic birth in a calm, nurturing environment, with everything you might need for comfort, movement, and relaxation. You are supported every step of the way by experienced midwives who monitor your and your baby’s well-being, and who know when to consult or transfer care if something unexpected arises.
Being just two blocks from the hospital gives an added layer of reassurance. If a situation ever requires additional medical support, a transfer can be swift and seamless, while still allowing you to begin your birth surrounded by the environment and support you’ve chosen.
Research shows that for low-risk pregnancies, planned out-of-hospital births with qualified midwives have excellent outcomes for both parents and babies, often with fewer interventions and a more personalized, connected birth experience.
Ultimately, safety and empowerment go hand in hand. With the right support, preparation, and access to skilled care, out-of-hospital birth can be a safe, natural, and deeply satisfying way to welcome your baby.
A midwife and a doula both offer invaluable support during pregnancy, birth, and postpartum, but in different ways.
A midwife is a trained healthcare professional who provides full prenatal care, guides labor and delivery, and cares for you and your baby afterward. They monitor your health, make clinical decisions, and step in if something unexpected arises. Their role is to ensure safety while supporting your body’s natural process.
A doula, on the other hand, focuses on emotional, physical, and informational support. They help you feel empowered, calm, and confident, offering continuous presence, comfort measures, guidance, and advocacy—but they do not provide medical care or make clinical decisions.
Both roles are essential and complementary. A midwife supports your safety and health, while a doula nurtures your confidence and comfort. Together, they create a holistic, supportive environment that honors your body, your baby, and your unique birth journey.
In an emergency, your safety and your baby’s well-being are always our top priority, and your choices remain central. As experienced midwives, we are trained to respond calmly and effectively to unexpected situations during pregnancy, labor, birth, and postpartum. We carry the skills, medications, and equipment needed to support you and your baby in the moment.
Because our birth center is just two blocks from the hospital, we have a clear plan for a smooth, rapid transfer if higher-level medical care becomes necessary. This ensures that you have access to any additional support without delay, while still being fully informed and involved in every decision.
Even in urgent situations, we stay with you, guide your support people, and advocate for your preferences. Our approach is grounded in care, presence, and respect, helping you feel supported, empowered, and held even when unexpected events arise.
Austin Rooted
Birth and Wellness
Contact Us
AustinRooted@gmail.com
Tel. 512-886-7340
Fax. 915-232-9611
711 w. 38th Street
Suite C2
Austin, Texas 78705
711 W. 38TH STREET, SUITE C2, AUSTIN TEXAS 78705
Built with pride
and lots of coffee
© 2026 by Austin Rooted
