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San Ramon & the Tri-Valley · Founded by a Former Surrogate
Surrogacy in San Ramonand the Tri-Valley
Third-party medical screening. 3–6 month matching. $65,000–$90,000+ surrogate compensation. Real timelines, not vague promises.
Made in the USA Surrogacy, Sacramento-based, serving San Ramon, the Tri-Valley, and all of California.

“MUSA was the only agency that could tell us their matching timeline and walk us through screening step by step.”
— James and Priya T., intended parents, Tri-Valley
The Tri-Valley has a concentration of fertility clinics that most people outside the East Bay don't realize exists. San Ramon, Danville, Dublin, and Pleasanton are home to clinics from RSC, Spring Fertility, RMA, Kaiser, and Collab. What this corridor doesn't have is a surrogacy agency with a dedicated Tri-Valley presence that will tell you exactly what screening involves and how long matching takes.
Made in the USA Surrogacy is headquartered in Sacramento. Every surrogate in our program lives in California, including surrogates in the Tri-Valley and East Bay. Our screening goes deeper than a requirements checklist. Our matching timeline is backed by data. And our founder, Samantha Giermek, built this agency from personal surrogacy experience.
Whether you're considering becoming a surrogate in San Ramon or you're intended parents evaluating agencies, here are the specifics most surrogacy agencies leave out.
Local Resources
Surrogacy in San Ramon and the Tri-Valley
The Tri-Valley corridor offers some of the strongest fertility clinic access in the East Bay. For gestational surrogacy, your fertility clinic handles the IVF cycle, embryo transfer, monitoring, and coordination with your OB through delivery. California's surrogacy laws provide the strongest legal framework in the United States.
Fertility Clinics in the Tri-Valley
Reproductive Science Center (RSC, San Ramon)
State-of-the-art San Ramon facility specializing in third-party reproduction including gestational surrogacy. IVF, ICSI, PGT, and egg freezing with integrative medicine support.
Spring Fertility (Danville)
905 San Ramon Valley Blvd
Patient-centered care with consistently high success rates and a full range of fertility services.
RMA Northern California (Danville)
Part of the national RMA network with IVF, IUI, and comprehensive fertility services.
Kaiser Permanente Centers for Reproductive Health (San Ramon)
State-of-the-art fertility treatments at a convenient San Ramon location.
Collab Fertility (Walnut Creek/Alamo)
State-of-the-art IVF lab with multiple East Bay locations in Lafayette, Alamo, Danville, and Walnut Creek.
Delivery Hospitals
San Ramon Regional Medical Center
Family Birthing Center with Level II Special Care Nursery. Private birthing suites and a neonatologist on call 24/7.
Stanford Health Care Tri-Valley (Pleasanton)
Birth Center with Level II NICU serving Pleasanton, Dublin, Livermore, and surrounding communities.
California Legal Framework
Pre-birth parentage orders mean both parents are on the birth certificate before the baby is born, regardless of marital status or genetic connection. No post-birth adoption. No waiting period. No uncertainty.
Tri-Valley families and surrogates benefit from California's strongest-in-the-nation legal protections plus access to outstanding local fertility clinics and delivery hospitals. Learn more about California surrogacy laws.
Our Difference
Why Families and Surrogates in the Tri-Valley Choose Us
Other agencies will describe their screening as “comprehensive” and their matching as “efficient.” Here's what we tell you that they don't.
Third-Party
Medical Screening
Screening That Most Agencies Won't Describe
Every surrogate in our program completes comprehensive medical evaluation including third-party IVF nurse review of complete OB/GYN records for all pregnancies—not just the most recent. Every candidate also undergoes psychological assessment, financial stability verification, background screening, and unannounced nicotine testing.
We do this because the quality of the match matters to everyone involved—surrogates, intended parents, and the baby. A thorough process protects all three.
Every Surrogate Lives in California
No cross-state coordination. No conflicting legal frameworks. When your surrogate is a California resident with proximity to Tri-Valley fertility clinics, the journey stays within the strongest surrogacy legal protections in the country.
For surrogates, it means local support from an agency rooted in Northern California.
100%
California-Based
3–6 Months
Avg. Match Time
Matching in 3–6 Months, Not 6–12+
The industry average for surrogate matching is 6–12 months. Some intended parents wait over a year. We typically match in 3–6 months because our surrogate compensation—$65,000+ base for first-time surrogates—attracts a deeper pool of qualified candidates.
More candidates means more potential matches and faster, better outcomes for everyone.
Founded by a Former Surrogate
Samantha Giermek became a surrogate before she built this agency. She knows what the process feels like from the inside, what support actually looks like versus what agencies claim, and what women need to know before they commit. That experience informs our screening, our case management, and the way we communicate. Read more about our story.
“We live in Dublin and wanted an agency that understood our area. MUSA was the only one that could tell us their matching timeline and walk us through screening step by step. We were matched in under five months.”
— James and Priya T., intended parents, Tri-Valley
Since 2017
Surrogate-Founded
For Surrogates
Become a Surrogate in San Ramon
If you're a woman in San Ramon or the Tri-Valley thinking about surrogacy, you're weighing whether it's meaningful enough to give your body and your time, and whether the financial side reflects what the commitment actually requires. We don't ask you to pick one or the other. Both matter.
Surrogate compensation: $65,000–$90,000+. First-time surrogates start at $65,000+ base. Experienced surrogates start at $70,000+. Total compensation, including monthly allowances, milestone payments, and full coverage of pregnancy-related expenses, reaches $90,000 or more depending on your situation.
What the Process Looks Like
Application
Takes about 10 minutes. We review your basic qualifications and health history.
Screening
Medical records review by a third-party IVF nurse, psychological assessment, background check, and more. Our team guides you through every step.
Matching
We connect you with intended parents based on values, preferences, and compatibility.
Medical clearance
Your fertility clinic, often one of the Tri-Valley clinics above, confirms readiness for embryo transfer.
Legal
Independent legal representation for you, paid for by the intended parents. Your rights and compensation are locked in before anything medical begins.
Pregnancy and delivery
Ongoing support from your case manager, from transfer through postpartum.
For full details, visit our surrogate requirements page or see the complete compensation breakdown.
For Intended Parents
Find a Surrogate in San Ramon
At Made in the USA Surrogacy, every surrogate has cleared comprehensive medical, psychological, and background screening before being presented to intended parents. We review complete OB/GYN records for every pregnancy, not abbreviated summaries. Our gestational surrogacy success rate is 99.3%–99.5%, and that reflects the depth of our screening process.
How the Process Works for Intended Parents
Free consultation
A conversation about your goals, timeline, and questions. No pressure.
Matching
We identify surrogate candidates aligned with your preferences, values, and medical needs. Typical timeline: 3–6 months.
Medical clearance
Your fertility clinic evaluates the surrogate's readiness for embryo transfer.
Legal agreements
Both parties receive independent legal counsel. Contracts are finalized before any medical procedures.
Embryo transfer and pregnancy
Coordinated with your fertility clinic, with ongoing support.
Birth and parentage
California's pre-birth parentage order means both parents are on the birth certificate before delivery.
The full journey from consultation to birth is typically 18–24 months. Our step-by-step surrogacy process page has the complete breakdown.
Investment
San Ramon Surrogacy Costs
Total surrogacy investment typically starts at $160,000+, covering surrogate compensation, agency fees, IVF and medical expenses, legal fees, and insurance.
Total Estimated Investment
$160,000+
For a full breakdown, visit our detailed cost guide.
Tri-Valley & East Bay Coverage
Serving the Tri-Valley and Beyond
We serve families and surrogates throughout San Ramon, the Tri-Valley, the East Bay, and all of California.
Danville
Tri-Valley
Dublin
Tri-Valley
Pleasanton
Tri-Valley
Livermore
Tri-Valley
Walnut Creek
East Bay
Alamo
East Bay
Learn more about surrogacy in California across all the cities we serve.
Questions
Frequently Asked Questions
How do I become a surrogate in San Ramon?
Start with an application that takes about 10 minutes. Requirements include being 21–40 years old, having carried at least one pregnancy to term, having a healthy pregnancy history, being a non-smoker, and having a stable living situation. See our full surrogate requirements.
How much does surrogacy cost in San Ramon?
Total surrogacy costs typically start at $160,000 and can exceed $200,000 depending on medical needs. See our full full cost breakdown.
Are there surrogacy agencies in the Tri-Valley?
Most surrogacy agencies serving the Tri-Valley are headquartered elsewhere. Made in the USA Surrogacy is Sacramento-based with surrogates throughout the Bay Area, including the Tri-Valley corridor.
How much do surrogates earn in San Ramon, California?
At Made in the USA Surrogacy, base compensation starts at $65,000+ for first-time surrogates and $70,000+ for experienced surrogates. Total compensation can reach $90,000 or more. See our full compensation details.
What fertility clinics near San Ramon work with surrogacy agencies?
The Tri-Valley has outstanding fertility clinics including Reproductive Science Center (San Ramon), Spring Fertility (Danville), RMA Northern California (Danville), Kaiser Permanente (San Ramon), and Collab Fertility (Walnut Creek). These clinics coordinate with surrogacy agencies on IVF cycles and embryo transfers.
Start a Conversation
Whether you're exploring surrogacy for the first time or comparing agencies serving the Tri-Valley, we'd rather answer your questions honestly than pitch you.
For Surrogates
The application takes about 10 minutes. No commitment. It's the first step in finding out if surrogacy is right for you.
See If You QualifyFor Intended Parents
A free consultation is a conversation, not a sales call. We'll walk through your situation and answer your questions.
Free ConsultationMade in the USA Surrogacy is headquartered in Sacramento, California. Founded by Samantha Giermek, a former surrogate. Serving families and surrogates throughout San Ramon, Danville, Dublin, Pleasanton, Livermore, Walnut Creek, Alamo, and all of California.