Services and Fees

Comprehensive reproductive wellness services with an emphasis on evidence-based, holistic, and accessible care

Fees & Insurance at a Glance

Clinical Services

Annual Reproductive Wellness Visit & Gynecology

  • Focused visits for issues (e.g., infection, painful periods)
  • Pap smears
  • STI testing

Learn more about my holistic gynecology care →

Contraception & Family Planning

  • Hormonal and non-hormonal options
  • IUD and Nexplanon placement and removal
  • Diaphragm fittings and prescriptions

Midlife Care

  • Perimenopause and menopausal care and support
  • Management of hormonal imbalances
  • Menopause hormone therapy

Fertility Care

  • Preconception counseling & fertility care
  • IVF journey support

Pregnancy

  • Pregnancy confirmation
  • Early pregnancy care
  • Pregnancy options counseling
  • Pregnancy Risk & Care Planning
  • Provider & Birth Setting Guidance

Postpartum Care

  • Postpartum support and planning

Inclusive Care

  • Care for trans and nonbinary individuals

Ancillary Services

  • On-site lab tests (sent to in-network laboratories)
  • Referrals for specialty services to in-network providers
  • Imaging referrals to in-network providers
  • HPV self-testing

High-Touch Pregnancy & Birth Care

Limited Capacity

To guarantee deeply attentive, unhurried, and continuous care, I accept a strictly limited number of birth clients per month.

Learn About Birth Care at EKD Midwifery

Fee Structure & Practice Model

Elaine at her office desk

Individual Consultations & Routine Care

Service New Clients Established Clients Duration Notes
Annual Gynecology Visit $285 $215 60-75 minutes
Follow-up Visit N/A $125 30 minutes Established clients only
Contraception Consultation/Initiation Typically billed similar to GYN visit rates. IUD insertions: additional $25 to the visit cost. 60-75 minutes New clients must establish care first which requires two visits (first visit can be virtual)
Reduced Rate GYN Visit Inquire to discuss rates. Sliding scale based on individual need. 30 minutes
Student Discount Midwifery and nursing students receive a special discounted rate.

Specialized Care Packages

Perimenopause & Midlife Wellness Support

New Clients: $375  |  Established: $300

Navigating perimenopause shouldn't mean guessing your way through changing hormones. Together, we'll cut through the noise and design a personalized, evidence-based, and holistic roadmap to help you feel grounded, vibrant, and fully like yourself again.

What's Included:

  • Deep-Dive Initial Consultation: A comprehensive 1 to 1.5-hour visit to map your symptoms, history, and goals.
  • Targeted Testing: Full lab ordering and precision interpretation, plus imaging referrals as needed.
  • A Dedicated 30-Minute Follow-Up: To review results, adjust your plan, and ensure you're thriving.
  • Continuous Access: Ongoing email support between visits so you're never left wondering about next steps.
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Holistic Gynecology & Cycle Wellness

New Clients: $285  |  Established: $215

Healthcare shouldn't feel like a quick transaction. Designed for those seeking a proactive, body-literate approach to reproductive health, this comprehensive visit combines holistic care, symptom evaluation, and custom wellness planning in an unhurried, compassionate environment.

What's Included:

  • Unhurried 60-75-Minute Consultation: Ample time to discuss cycle health, birth control choices, pelvic wellness, sexual health, or preventative care without feeling rushed.
  • Targeted Testing & Exams: Preventive screenings (including Pap test/HPV screening if indicated), routine pelvic/breast exams, and comprehensive lab ordering/interpretation.
  • Customized Cycle & Body Roadmap: Tailored lifestyle, supplement, and nutrition recommendations tailored to your unique hormonal baseline.
  • 2 Weeks of Post-Visit Email Access: Direct access for follow-up questions as you review lab results or implement your care plan.

Learn more about holistic gynecology care →

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The Birth Blueprint: Comprehensive Pregnancy Roadmap

New Clients: $575  |  Established: $495

The ultimate strategic program designed to guide you seamlessly from your very first thoughts of conceiving through your early pregnancy milestones. Instead of navigating the overwhelming healthcare system alone, this comprehensive roadmap provides expert preconception planning, early pregnancy care, and professional navigation to help you find the perfect birth setting and provider team aligned with your core values.

What's Included:

  • End-to-End Strategic Planning: A cohesive program bridging proactive preconception health optimization and early pregnancy confirmation.
  • System Navigation & Insider Matching: Personalized, vetted guidance to help you confidently select the ideal birthing space and care providers in your local community.
  • Clinical Optimization & Support: Comprehensive lab ordering, precision interpretation, early pregnancy wellness resources, and symptom management.
  • Continuous Expert Continuity: High-touch correspondence and steady, reassuring guidance to anchor you through every critical milestone of early expansion.
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Early Pregnancy Confirmation & Guidance

New Clients: $350  |  Established: $260

The very early weeks of pregnancy are filled with excitement—and a lot of questions. Skip the clinical rush and get the warm, comprehensive, and expert care you deserve right from the start. We will confirm your pregnancy, ease early symptoms, and help you intentionally map out your path ahead.

What's Included:

  • 1.5-Hour Tailored Visit: In-person (ideal for a cozy, hands-on experience) or virtual to fit your life.
  • Clinical Confirmation: Reliable pregnancy confirmation via blood or urine testing.
  • Birth & Provider Matching: Expert guidance to help you navigate your local options and choose the perfect birthing space and provider for your values.
  • Symptom Management & Resources: Immediate, vetted tips for early pregnancy wellness, plus curated provider referrals.
  • Ongoing Email Support: Peace of mind in your inbox as your body begins this massive transition.
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Preconception Planning & Preparation

New Clients: $300  |  Established: $250

Preparing your body and mind for pregnancy is a beautiful, powerful step. Whether you are looking to optimize your health before trying or want an insider's guide to navigating the local birth landscape, we will build a strong, conscious foundation for your future pregnancy.

What's Included:

  • Personalized Strategy Session: A focused 60-minute session for new clients (or two 30-minute touchpoints for established clients).
  • Your Custom Preconception Plan: Tailored lifestyle, supplement, and wellness recommendations.
  • Clinical Optimization: Lab ordering and expert interpretation to ensure your body is thriving.
  • System Navigation: Insider assistance with selecting the right birth setting and provider style for your goals.
  • Email Correspondence: Access for follow-up questions as you implement your plan.
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The Perinatal Partnership

Membership Fee: $195 / month (3-Month Minimum)

Pregnancy and early parenthood are profound transitions that deserve unhurried, expert attention. If your routine medical visits feel rushed or impersonal, or if you simply desire the depth of midwifery-led care to complement your primary provider, this partnership is your safety net. This is far more than traditional doula support—it is a continuous, high-touch clinical mentorship that ensures you have an expert in your corner to navigate your choices, decode medical jargon, and find confidence at every milestone.

What's Included:

  • Monthly Virtual Visit: One dedicated 20-minute consultation per month, scheduled at your preference to bridge the gaps between your primary OB or midwife appointments.
  • Personalized Follow-Up: A detailed email summary after every visit, outlining key takeaways, next steps, and tailored guidance for your records.
  • Direct Midwife Email Access: Ongoing asynchronous email support for routine questions, research sharing, and peace of mind (includes up to 1 hour of total midwife workload per month).
  • Partner Collaborations: Access to a signature community network and exclusive discounts.
  • Practice Resource Library: Full, exclusive access to a library of clinical handouts, birth planning tools, evidence-based research, and vetted specialist referrals.
  • Flexible Add-Ons: Optional in-home postpartum visits available for an additional fee to support your recovery in the comfort of your own home.
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Pregnancy Loss Care & Healing

New Clients: $300  |  Established: $225

Navigating a pregnancy loss requires gentle, comprehensive, and unhurried care. In this safe and compassionate space, we will focus equally on your physical recovery and your emotional healing, ensuring you never feel alone in the dark.

What's Included:

  • Unhurried Consultation: A dedicated 60-minute (new) or 30 to 45-minute (established) gentle visit focused entirely on your needs.
  • Comprehensive Healing Plan: A holistic approach to your physical recovery, hormonal transition, and emotional well-being.
  • Clinical Continuity: Coordination of necessary ultrasound or bloodwork referrals.
  • Immediate, Dedicated Access: 24/7 phone access and text/email support for 2 full weeks following your visit—because questions and feelings don't keep office hours.
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Connected Postpartum Care

Flat Fee: $250

The birth of a baby is also the birth of a parent. This virtual package acts as your ultimate postpartum safety net, offering expert clinical guidance, resource matching, and a steady reassuring voice in your pocket during the profound first twelve weeks at home.

What's Included:

  • 30-Minute Virtual Intake: To assess your recovery, immediate needs, and household rhythm.
  • Continuous Digital Support: High-touch text and email access for non-urgent questions about healing, newborn transitions, and parenting rhythms.
  • Curated Resources & Referrals: Direct access to vetted local/virtual specialists and exclusive partner discount codes.
  • Optional Add-On: 24/7 Urgent Phone Support — Immediate, on-call peace of mind when the unexpected arises. (Pricing is tailored to where you are in your postpartum timeline—inquire for a personalized quote.)
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IVF Journey Support & Advocacy

New Clients: $375  |  Established: $300

The fertility journey can feel overwhelming, clinical, and deeply isolating. This specialized support provides a dedicated, holistic space to process the emotional weight, optimize your physical health, clarify your priorities, and confidently advocate for yourself every step of the way.

What's Included:

  • Comprehensive 1.5-Hour Intake: A holistic review of your medical history, current protocols, and emotional landscape.
  • A Dedicated 30-Minute Follow-Up: Timed to support you through critical pivot points in your cycle.
  • Clinical & Integrative Oversight: Lab ordering, expert interpretation, and curated referrals to trusted practitioners (such as fertility acupuncture).
  • Ongoing Email Partnership: Compassionate, timely correspondence to ground you through the waiting periods and decisions.
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Note: Additional visits outside of packages are billed at the regular rate for established clients.

Lab & Radiology Services

Referrals given to in-network locations:

Have Questions About My Services?

I'm happy to discuss my services and help you determine if EKD Midwifery is the right fit for you.

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