Now accepting new surrogate applications in California—See if you qualify →
Sacramento-Based · Founded by a Former Surrogate
Surrogacy Agency ServingCitrus Heights, CA
Third-party medical screening. 3–6 month matching. $65K+ surrogate compensation. Fifteen miles from our Sacramento headquarters.
Sacramento-headquartered · California-focused · Helping families grow since 2017.

“Matched in four months after a year elsewhere.”
— Rebecca T., intended parent
Citrus Heights sits fifteen miles from our Sacramento headquarters, and that proximity shapes everything about how we work here.
This is not a city we researched for a landing page. It's the community where our team grabs coffee on Auburn Boulevard, where our case managers already know the route to Mercy San Juan, and where some of our surrogates live and deliver. When we say we serve Citrus Heights, we mean we're already here.
Made in the USA Surrogacy is a Sacramento-headquartered, California-focused surrogacy agency founded by Samantha Giermek, a former surrogate who built the agency she wished she'd had. Every surrogate in our program is a California resident, which means proximity to Citrus Heights fertility clinics, legal protection under the strongest surrogacy in California framework in the United States, and a support team that is local, not a phone number in another state.
Local Resources
Why Citrus Heights for Surrogacy
Citrus Heights is a family-oriented suburb of roughly 87,000 people in Sacramento County, bordering Roseville to the north and Carmichael and Fair Oaks to the south. It's practical, established, and well-connected to the Sacramento metro's medical infrastructure.
Fertility Clinics Serving Citrus Heights
Northern California Fertility Medical Center (NCFMC)
4320 Auburn Blvd, Sacramento · ~5 miles · Est. 1992
SART-listed, open 365 days a year, with board-certified reproductive endocrinology and infertility specialists. The closest fertility clinic to Citrus Heights and one of Northern California's most established reproductive centers.
California IVF Fertility Center
2590 Venture Oaks Way, Sacramento · ~12 miles
Full-service IVF, surrogacy, and egg donation.
Kaiser Permanente Centers for Reproductive Health
Full-service fertility treatment for Kaiser members throughout the Sacramento metro, including Citrus Heights.
UC Davis Health Reproductive Endocrinology
Academic medical center fertility program serving the greater Sacramento region.
Delivery Hospitals Near Citrus Heights
Mercy San Juan Medical Center (Dignity Health)
Carmichael · ~3 miles · Level III NICU
Directly adjacent to Citrus Heights. The hospital Citrus Heights residents already know.
Sutter Medical Center, Sacramento
~12 miles · Level IV NICU · US News Top Maternity
UC Davis Medical Center
~13 miles · Level IV NICU · Full academic medical center
Kaiser Permanente Roseville Medical Center
~7 miles · Labor and delivery for Kaiser members
California Legal Framework
- Pre-birth parentage orders: Both intended parents named on the birth certificate before the baby is born, regardless of genetic connection or marital status.
- Established legal framework: California Family Code Sections 7960–7962 make gestational surrogacy agreements fully enforceable.
- Protections for all: California surrogacy laws protect intended parents regardless of marital status or genetic connection.
- Local network: The Sacramento metro has a deep network of reproductive law attorneys, fertility clinics, and surrogacy-experienced OB/GYNs.
Our Difference
What Makes MUSA Different for Citrus Heights
Most surrogacy agencies describe their screening as “comprehensive” and leave it at that. We publish what comprehensive actually means.
Third-Party
Medical Screening
Screening That Protects Everyone Involved
Every surrogate in our program completes a medical evaluation that goes beyond standard ASRM guidelines. An independent, third-party IVF nurse reviews the complete OB/GYN records for all of her pregnancies—not just the most recent one. She also undergoes psychological assessment by a licensed mental health professional, financial stability verification, background screening, and undisclosed nicotine testing.
We do this because the quality of the match matters to everyone involved. Surrogates deserve an agency that invests in them thoroughly. Intended parents deserve confidence. And the baby at the center of every journey deserves both.
California-Resident Surrogates
Every surrogate in our program lives in California. For Citrus Heights surrogates, that means NCFMC on Auburn Boulevard is a short drive, not a cross-country flight. For intended parents, it means no cross-state legal coordination and a surrogacy journey that stays entirely within the strongest legal framework in the country.
For surrogates, it means local support, familiar hospitals like Mercy San Juan, and a team that understands California-specific insurance, legal, and medical systems.
100%
California-Based
3–6 Months
Avg. Match Time
Matching in 3–6 Months, Not 6–12+
Many agencies quote 6–12 months or longer for matching. Our matching timeline is typically 3–6 months. That's not a marketing claim; it's a function of our compensation ($65,000+ base attracts a deep applicant pool), our screening (thorough evaluation means we match with confidence, not hesitation), and our California-only focus.
More candidates means more potential matches. More matches means faster, better outcomes for everyone.
Founded by a Former Surrogate
Samantha Giermek didn't study surrogacy from a boardroom. She carried a baby for another family, experienced every step of the process firsthand, and then built an agency based on what she learned: what worked, what didn't, and what surrogates actually need to feel supported through one of the most significant commitments a person can make.
That experience informs how we screen, how we match, and how we support surrogates and families throughout the journey. Learn more about our story.
“We spent over a year with another agency and never got a match. Samantha's team matched us in four months. The screening gave us confidence we hadn't felt before, and the communication was completely different from what we'd experienced.”
— Rebecca T., intended parent
Since 2017
Surrogate-Founded
For Surrogates
Become a Surrogate in Citrus Heights
If you've been thinking about becoming a surrogate—maybe you've seen other surrogates share their stories online, or a friend mentioned it, or you've just been quietly researching for weeks—here's what you should know about working with MUSA as a Citrus Heights surrogate.
Surrogate compensation starts at $65,000+ base for first-time surrogates and $70,000+ for experienced surrogates. Total compensation can reach $100,000+ depending on your journey. All payments are managed through a dedicated escrow account.
Additional Compensation Includes:
What the Process Looks Like
Application
Takes about 10 minutes online. You'll share basic health history and personal information.
Screening
Medical evaluation, psychological assessment, pregnancy history review, and background check. Our team walks you through every step.
Matching
We introduce you to intended parents based on preferences, values, and what kind of relationship you're looking for during the journey. You have a say in who you carry for.
Legal
You'll work with your own independent attorney (paid for by the intended parents) to review and sign the surrogacy agreement. California law protects your rights at every stage.
Medical
Embryo transfer at your fertility clinic — for many Citrus Heights surrogates, that's NCFMC just minutes down Auburn Boulevard — followed by pregnancy confirmation and prenatal care.
Pregnancy & delivery
Regular check-ins with your MUSA case manager, monthly support, and coordination with your medical team through delivery at a hospital you likely already know, like Mercy San Juan.
The entire journey takes roughly 12–14 months from matching to delivery. It's not easy. The injections are uncomfortable, the early weeks can be anxious, and the emotional weight is real. But most MUSA surrogates describe it as one of the most meaningful experiences of their lives.
For full details, visit our surrogate requirements page or see the complete compensation breakdown.
For Intended Parents
Find a Surrogate in Citrus Heights
If you're an intended parent researching surrogacy in the Citrus Heights or Sacramento area, here's what working with MUSA looks like—and why the agency you choose matters as much as the clinic.
How the Process Works
Free consultation
A conversation about your situation, timeline, and questions. No pressure, no commitment.
Matching
We present surrogate profiles based on your preferences, location, and values. Our typical match happens in 3–6 months.
Medical clearance
Your surrogate completes additional medical evaluation at your chosen fertility clinic.
Legal agreements
Both parties work with independent attorneys to finalize the surrogacy agreement and file for a pre-birth parentage order.
Embryo transfer & pregnancy
Coordinated with your fertility clinic — NCFMC, California IVF, or any clinic of your choosing. 9 months of regular updates and surrogate support.
Birth & parentage
Both parents named on the birth certificate. No adoption. No waiting period. Your baby, your family, from day one.
Why the Agency Matters
Your fertility clinic manages the medical procedure. Your attorney handles the legal framework. But the agency is the thread that holds the entire journey together—screening surrogates, facilitating the match, managing communication, navigating complications, and supporting everyone through a process that is simultaneously clinical, emotional, legal, and deeply personal.
If you're comparing agencies, ask them to tell you exactly how they screen their surrogates. Ask for a matching timeline with a number attached. Ask whether their surrogates are local to California or scattered across multiple states. The answers will tell you everything.
The total journey typically takes 18–24 months from your initial consultation to bringing your baby home. MUSA maintains a 99.3%–99.5% success rate across all journeys. See our full surrogacy process page for the complete breakdown.
Investment
Citrus Heights Surrogacy Costs
Surrogacy is a significant financial investment. The total cost of a surrogacy journey in the Citrus Heights and Sacramento area typically ranges from $160,000 to $250,000+.
Total Estimated Investment
$160,000–$250,000+
California's clear legal framework can simplify—and sometimes reduce—legal costs compared to states where surrogacy agreements face more scrutiny. And higher surrogate compensation isn't just an expense; it attracts more qualified candidates, which means better matches, fewer complications, and a smoother journey overall.
For a detailed breakdown of what to expect, see our full surrogacy cost guide.
Our Reach
Surrogacy in the Sacramento Metro
Citrus Heights is at the heart of Sacramento County, and MUSA serves surrogates and intended parents throughout the Sacramento metro from our local headquarters.
Surrogacy in Sacramento
View details
Surrogacy in Roseville
View details
Surrogacy in Elk Grove
View details
Surrogacy in Folsom
View details
Learn more about surrogacy in California across all the cities we serve.
Questions
Frequently Asked Questions About Citrus Heights Surrogacy
How do I become a surrogate in Citrus Heights?
Start by completing MUSA's online application, which takes about 10 minutes. From there, our team guides you through medical evaluation, psychological assessment, pregnancy history review, and background screening. Once cleared, you'll be matched with intended parents, typically within 3–6 months. Citrus Heights surrogates benefit from proximity to NCFMC on Auburn Boulevard and delivery at nearby hospitals like Mercy San Juan in Carmichael. See our full surrogate requirements.
How much does surrogacy cost in Citrus Heights, California?
Total surrogacy costs in the Citrus Heights area typically range from $160,000 to $250,000+. This includes surrogate compensation, agency fees, IVF and medical costs, legal fees, and insurance. The range depends on your fertility clinic, the number of embryo transfers needed, and your specific insurance situation. See our full detailed cost breakdown.
Are there surrogacy agencies near Citrus Heights, California?
Yes. Made in the USA Surrogacy is headquartered in Sacramento, approximately fifteen miles from Citrus Heights. This is the closest full-service surrogacy agency to the Citrus Heights community. Our Sacramento headquarters means local case managers, in-person support, and established relationships with the fertility clinics and hospitals that Citrus Heights residents already use.
How much do surrogates earn in Citrus Heights, California?
MUSA surrogates receive $65,000+ in base compensation for a first journey, with total compensation reaching $100,000+ when bonuses and allowances are included. Experienced surrogates start at $70,000+ base. All payments are managed through a dedicated escrow account. See our full compensation breakdown.
What fertility clinics near Citrus Heights work with surrogacy agencies?
Northern California Fertility Medical Center (NCFMC) on Auburn Boulevard in Sacramento is approximately five miles from Citrus Heights and is the closest fertility clinic to the community. California IVF Fertility Center, Kaiser Permanente Centers for Reproductive Health, and UC Davis Health Reproductive Endocrinology also serve the area. Your choice of clinic is yours — MUSA coordinates with whichever fertility clinic you select.
Is surrogacy legal in Citrus Heights, California?
Yes. California has one of the most surrogacy-friendly legal frameworks in the United States. Gestational surrogacy agreements are fully enforceable under California Family Code Sections 7960–7962. Both intended parents are named on the birth certificate through a pre-birth parentage order — no post-birth adoption required. See our full California surrogacy laws.
Start Your Citrus Heights Surrogacy Journey
Whether you're a woman in the Citrus Heights area considering surrogacy for the first time, or an intended parent searching for an agency you can genuinely trust—the next step is the same. A conversation. No pressure, no pitch, just honest information about what this process really looks like.
For Surrogates
The application takes about 10 minutes. There's 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 help you figure out next steps—even if those steps aren't with us.
Free ConsultationMade in the USA Surrogacy · Sacramento-based · California-focused · Founded by Samantha Giermek, a former surrogate. Serving families and surrogates throughout Citrus Heights, Sacramento, Roseville, Elk Grove, Folsom, and all of California.