Cash-pay women's health is growing across obstetrics and gynecology. Concierge midwifery, direct-pay prenatal care, functional gynecology, women's hormone optimization, and postpartum wellness programs all collect payment directly from patients. Brooke handles prenatal package billing, multi-visit series scheduling, women's health intake, and direct checkout at $99 a month flat.
Cash-pay women's health services span the full OB/GYN scope. On the obstetric side, concierge midwifery and direct-pay prenatal care offer personalized birth support and prenatal visits on a package billing model. On the gynecology side, functional gynecology, hormone optimization, women's wellness exams, and fertility wellness programs operate on direct-payment without insurance billing for these services.
A direct-pay prenatal care program typically involves ten or more prenatal visits spread across forty weeks of pregnancy. The billing model is a package fee — collected at the initial prenatal visit or at the first prenatal consultation — that covers the full care program from booking to birth. Each visit is documented individually inside the package program record, not as an isolated appointment.
Cash-pay gynecology extends well beyond obstetrics. Women's hormone optimization, annual wellness exams priced as packages, functional gynecology assessments addressing root causes of hormonal imbalance, and fertility wellness coaching all operate on direct-payment billing. These services use recurring visit scheduling, package or membership billing, and per-visit checkout — all of which Brooke handles natively.
A direct-pay prenatal program packages all prenatal visits into a single care fee. Brooke schedules every visit, sends automated reminders, and documents each appointment against the prenatal program record.
First Trimester Weeks 4–12 2–3 Initial intake, dating, labs review, consent, and program package fee collected Second Trimester Weeks 13–27 3–4 Growth, anatomy documentation, nutritional support, and birth planning visits Third Trimester Weeks 28–40 4–6 Increased visit frequency, birth preparation, and labor support documentation Postpartum Weeks 1–6+ 2–4 Postpartum assessment, infant feeding support, and wellness follow-up Total prenatal visit count varies by program. All visits are scheduled at enrollment with automated reminders and documented in the patient's program record.
Digital intake forms covering obstetric and gynecological history, reproductive history, current medications, nutritional status, and care goals — sent before the first visit and stored in the patient record for every subsequent appointment. Prenatal intake includes prior pregnancy history and birth preferences. Gynecology intake covers hormonal and reproductive history in full.
Per-visit documentation for prenatal check-ins, gynecology consultations, and women's wellness visits, all stored in the patient's chart and viewable across the full care relationship. A midwife reviewing a patient at week 36 sees every prenatal visit from week 8 in one chart view without searching a separate archive.
All prenatal visits in the care program are scheduled at enrollment with automated reminders before each appointment. A woman enrolled in a direct-pay prenatal care program at week 8 has every prenatal visit through the postpartum period booked in advance, with reminders keeping attendance consistent through all forty weeks.
Prenatal care package fees collected at the first prenatal visit. Women's wellness membership fees charged on a recurring card on file for ongoing gynecology care. Per-visit checkout for hormone optimization follow-ups and wellness consultations. All payment types in the same checkout at the close of each appointment with same-day revenue deposit.
Prenatal supplements, postpartum support products, hormone therapy materials, and in-office products tracked automatically with lot number capture and low-stock alerts. A midwifery practice that dispenses prenatal vitamins, iron supplementation, or postpartum herbal support products tracks inventory per SKU with automatic lot documentation.
Digital consent forms for prenatal care, birth support services, and gynecology procedures — signed before the first visit and stored in the patient's chart. GFE templates for any cash-pay gynecological procedure, with state-specific compliance workflows and tamper-proof audit trails inside the record.
Direct-pay midwifery care for home birth and birth center clients. Full prenatal program package fee at enrollment, series scheduling for all prenatal visits, labor support documentation, and postpartum follow-up visits. The full midwifery care relationship in one chart from first prenatal visit to postpartum discharge.
An OB or CNM offering direct-pay prenatal care outside the insurance billing system. Prenatal package billing at enrollment, comprehensive visit documentation per appointment, and postpartum follow-up scheduling at the final prenatal visit.
Cash-pay gynecology addressing hormonal imbalance, metabolic gynecological conditions, and reproductive health through root-cause functional approaches. Comprehensive intake, per-visit protocol documentation, supplement inventory, and direct checkout for consultation and dispensing fees.
Cash-pay women's hormone optimization — BHRT, thyroid support, and adrenal health — delivered on a direct-payment model. Membership billing for ongoing hormone management, supplement inventory with lot capture, and per-visit documentation for check-in appointments.
Annual women's wellness exams, preventive gynecology, fertility wellness coaching, and preconception consultation on a direct-pay model. Annual wellness package billing, per-visit checkout for follow-ups, and digital intake covering full reproductive and hormonal history.
Direct-pay postpartum care programs covering physical recovery, infant feeding support, hormonal restoration, and emotional wellbeing in the postpartum period. Package billing for the full fourth trimester program, scheduled visit series, and supplement dispensing with inventory tracking.
A cash-pay prenatal program collects the care package fee at the first prenatal appointment — not through ten separate invoices billed per visit. Brooke's package billing handles the full prenatal program fee at enrollment. The full visit series is tracked against the package and each prenatal visit is documented inside the program record.
A prenatal patient who has every appointment scheduled at enrollment — with automated reminders before each visit — attends more consistently than one who has to call to schedule each appointment individually. Brooke sequences the full prenatal care schedule at the first visit with reminders keeping attendance rates high through all forty weeks.
A solo midwife and a three-provider women's health group practice both pay $99 per location. Adding a second midwife, a women's health nurse practitioner, or an administrative coordinator does not change the software bill. Brooke's price is per location, not per provider.
A woman who receives prenatal care, birth support, postpartum care, and ongoing gynecology wellness from the same practice has her complete care history in one Brooke chart from the first prenatal visit forward. No archiving gap, no separate postpartum record, no need to reconnect care episodes that belong in a single longitudinal record.
A midwifery or direct-pay prenatal care practice that bills the full program as a package at enrollment should not be working around a per-visit billing system. Package billing needs to be native — the program fee is applied at the first visit, all visits are tracked against it, and the program record is viewable in one chart.
Ten or more prenatal visits scheduled manually one at a time creates administrative overhead that a midwifery or direct-pay prenatal practice cannot afford. The EHR should sequence all visits at enrollment with automated reminders before each appointment.
A women's health intake for obstetric and gynecology care needs to cover reproductive history, prior pregnancies, hormonal history, current medications, nutritional status, and care goals. This intake should be completed digitally before the first appointment and available in the chart at every subsequent visit.
Women's health records — covering reproductive history, hormonal health, and obstetric care — are among the most sensitive records in healthcare. HIPAA compliance should not be an add-on for a higher tier. Every Brooke plan includes compliant infrastructure from day one at the flat $99 price.
What percentage of scheduled prenatal visits are attended by enrolled patients. For a direct-pay prenatal care practice, prenatal visit attendance is the primary measure of whether the automated scheduling and reminders are working. A prenatal patient who misses multiple visits is at risk of an incomplete documentation record and a gaps-in-care situation.
What percentage of initial prenatal or gynecology consultations convert to enrolled program patients. For a midwifery practice or a direct-pay prenatal program, the consultation-to-enrollment rate tells the practice whether the program presentation and pricing are resonating with prospective patients.
What percentage of postpartum patients who completed prenatal and birth support care continue with postpartum wellness or gynecology wellness services. For a full-scope women's health practice, postpartum patient retention into ongoing gynecology care represents significant recurring revenue from patients who already have an established relationship with the practice.
Which women's health program categories — prenatal care, postpartum wellness, hormone optimization, or functional gynecology — generate the most revenue per enrolled patient. A women's health practice expanding its service offering uses this report to identify which programs to develop and which to scale.
+ integrated payments · Per location · No contracts
No tiers. No per-provider fees. No appointment caps. No contracts.
From enrollment through postpartum and into ongoing gynecology wellness — one chart, one platform, one flat price per location regardless of provider count.
No setup fee. No credit card required to start.
$99/mo · Same as always
$99/mo · Still $99. Always.
$99/mo · No per-provider fee
$99/mo · Price never changes
We switched from Aesthetic Record and never looked back. My injectors actually enjoy using it. Setup took one afternoon.
The GFE documentation alone was worth switching. Everything is compliant, auditable, and takes half the time it used to.
$99 flat. Unlimited providers. Everything works. I don't know why anyone pays $400 a month for the same features wrapped in a terrible UI.
The best EHR for a cash-pay women's health practice handles prenatal package billing at enrollment, series scheduling for all prenatal visits with automated reminders, comprehensive women's health intake, per-visit prenatal and gynecology documentation, supplement inventory with lot capture, and direct checkout for consultations and dispensed products. Brooke provides all of these at $99 a month flat with unlimited providers, no appointment caps, and no contracts.
Yes. A concierge midwifery practice that charges a package fee covering the full prenatal care program uses Brooke's package billing at the first prenatal appointment. All prenatal visits, birth support, and postpartum follow-up visits are scheduled at enrollment with automated reminders. The full midwifery care relationship is documented in one patient chart from first visit through postpartum discharge.
Yes. Brooke's series scheduling sequences all prenatal visits at enrollment with automated reminders before each one. A prenatal patient enrolled at week 8 has every appointment through postpartum scheduled before leaving the first visit, without the midwife or practice coordinator manually booking each appointment one at a time.
Yes. Cash-pay functional gynecology practices addressing hormonal imbalance, reproductive health, and metabolic gynecology through root-cause functional approaches use Brooke for comprehensive intake, per-visit consultation documentation, supplement inventory with lot tracking, and direct checkout for consultation and dispensing fees combined.
Yes. Cash-pay women's hormone optimization practices use Brooke for recurring membership billing on card on file, per-visit documentation for check-in appointments, supplement and hormone product inventory with lot capture, and direct checkout for additional services beyond the membership scope.
Yes. Postpartum wellness programs covering physical recovery, infant feeding support, hormonal restoration, and emotional wellbeing in the fourth trimester use Brooke for program package billing, scheduled follow-up visit series, supplement dispensing with inventory tracking, and per-visit documentation for each postpartum wellness appointment.
No. Brooke charges $99 a month per location regardless of how many midwives, gynecologists, nurses, or staff are on the platform. A solo midwife and a three-provider women's health group pay the same price.
Yes. A midwifery or women's health practice that dispenses prenatal vitamins, iron supplementation, postpartum herbal support, or hormone therapy materials tracks every SKU in Brooke automatically with lot number capture and low-stock alerts. The dispensing record is part of the visit note for every dispensed product.
$99 a month per location. Unlimited providers and staff included. No per-provider fees, no appointment caps, no setup fee, and no contracts.
Yes. Brooke migrates patient records, intake forms, and visit history from any current system at no cost. A women's health practice switching platforms does not rebuild the patient database from scratch or recreate prenatal care records manually.
Prenatal package billing, series scheduling, women's health documentation, and direct checkout in one platform at one flat price. Book a 15-minute demo or start your free trial today.
