Global HRT & Private Menopause Clinic True-Cost Calculator (2026)
Compare 12-month & 24-month total costs across US Telehealth (Midi, Winona, Alloy, Cost Plus Drugs), UK Private CQC Clinics (Newson Health, My Menopause Centre), NHS £19.80 HRT PPC Shared-Care, and Testosterone/Lab rules.
📩 Email My 24-Month HRT & Clinic Price Sheet + Wholesale Rx Guide
Get this custom breakdown, exact pharmacy discount codes, and our doctor question checklist sent to your inbox. (Zero health symptom data stored).
Unlock Your Printable Doctor-Visit Survival Pack or Workplace Policy Toolkit
75% of doctors receive fewer than 4 hours of menopause training. Walk into your appointment armed with exact clinical guidelines, insurance/NHS billing codes, and your scored 21-symptom clinical chart.
The Doctor-Visit Survival, Greene Clinical Score & Shared-Care Transfer Pack
- Pre-Written NHS GP Shared-Care Transfer Request Letter (UK) or US Insurance Prior-Auth Appeal Letter
- Exact Diagnostic & Lab Codes: ICD-10 (
N95.1,E28.39), CPT Venous Hormone Codes & NICE NG23 / NAMS 2026 Citations - Printable 21-Symptom Clinical Greene Climacteric Scorecard (generated 100% privately in your browser)
- Wholesale Pharmacy & Testosterone Bridging Cheat Sheet (how to cut Testogel/AndroFeme & patch costs by 75%)
2026 Workplace Menopause Action Plan, Equality Act & PWFA Compliance Toolkit
- Turnkey 2026 Corporate Menopause Policy Template aligned with UK Equality Act 2010 Section 20 & EHRC Guidance
- US EEOC Pregnant Workers Fairness Act (PWFA) & ADA Reasonable Accommodation Protocol
- Sickness-Absence Trigger Adjustment Matrix (prevents uncapped Employment Tribunal disability/sex discrimination claims)
- Line-Manager Sensitive Conversation Script & Workplace Risk Assessment Checklist
🩺 Free Clinical Menopause Symptom Severity Scorer (Greene Scale Reference)
🔒 100% Browser-Local Privacy (Never Sent to Any Server)Private menopause clinics use the validated Greene Climacteric Scale to measure vasomotor, psychological, and somatic severity before titrating estradiol or adding testosterone. Rate your main symptoms below to attach your clinical score to your printed sheet:
How Much Does HRT and Private Menopause Care Actually Cost in 2026?
| Provider / Clinical Route | Country & Model | Initial Consult | 3-Mo Review | Monthly HRT Rx | Blood Panel | Year-1 Total | Year-2 Total | Action |
|---|---|---|---|---|---|---|---|---|
|
Midi Health (Insured) + Mark Cuban Cost Plus Drugs
🏆 Lowest 24-Mo US Insured Cost
Combines in-network NP/PA specialist copays ($20–$75) with wholesale generic Estradiol Patches ($14/mo) + Micronized Progesterone ($8/mo).
|
US Insurance Copay + Wholesale Generic Rx |
$45 | $45 | $22/mo | Optional / $0 | $399 | $309 | Compare / Check Slot → |
|
Midi Health (Self-Pay) + GoodRx Generic Pharmacy
Best Uninsured Clinical Care
$250 initial visit + $150 follow-up; prescriptions sent to local pharmacy where GoodRx drops generic estradiol patches to ~$26–$38/mo.
|
US Self-Pay Telehealth + Retail Discount Card |
$250 | $150 | $38/mo | $145 | $1,001 | $606 | Compare / Check Slot → |
|
Winona (bywinona.com) All-Inclusive DTC Subscription
Fastest Async Approval (No Labs)
Includes free doctor review and direct shipping; $89/mo for compounded estrogen/progesterone cream or $119–$149/mo for patches + oral progesterone.
|
US Cash-Pay Bundled Subscription (HSA/FSA) |
$0 | $0 | $89/mo | Optional / $0 | $1,068 | $1,068 | Compare / Check Slot → |
|
MyAlloy (myalloy.com) FDA-Approved Direct Delivery
100% FDA-Approved Molecules
Specializes in FDA-approved estradiol patches, gel, evamist spray, and micronized progesterone shipped in 90-day supply packs.
|
US Cash-Pay Evaluation + 3-Month Shipments |
$49 | $0 | $75/mo | Optional / $0 | $949 | $949 | Compare / Check Slot → |
|
Evernow Membership + Pharmacy Fulfillment
Unlimited Clinician Messaging
$49/mo membership ($35/mo annual plan) plus $20–$55/mo medication cost (or $0–$15 Rx copay if routed to your insured local pharmacy).
|
US Monthly Care Membership + Rx Cost |
$0 | $0 | $89/mo | Optional / $0 | $1,068 | $1,068 | Compare / Check Slot → |
|
Local Bioidentical Hormone Pellet Clinic (Biote / EvexiPEL)
⚠️ Highest Cost ($2,400+/yr Trap)
Requires minor gluteal pellet insertion every 12–16 weeks ($375–$650 per insertion) + mandatory comprehensive blood panels ($250–$350).
|
US In-Clinic Subcutaneous Pellet Insertion (Every 3–4 Mos) |
$275 | $0 | $165/mo | $295 | $2,550 | $2,155 | Compare / Check Slot → |
|
Veozah (Fezolinetant 45mg) Non-Hormonal Rx
Non-Estrogen Rx (Requires Liver Labs)
Cash retail is ~$550/mo ($6,600/yr!), but eligible commercially insured patients pay $0–$30/mo with Prior Auth + baseline/3m/6m/9m hepatic ALT/AST blood labs.
|
US Brand-Name NK3 Receptor Antagonist (With vs Without Savings Card) |
$150 | $95 | $30/mo | $180 | $785 | $545 | Compare / Check Slot → |
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My Menopause Centre (Initial) -> Month-4 NHS GP Shared-Care + HRT PPC
🏆 Lowest 24-Mo UK Strategy (Save £1,340)
Book private initial (£290) + 3-month stabilization review (£170), pay 3 months private body-identical Rx (~£78 total), then transfer to NHS GP on the £19.80/yr HRT PPC.
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UK Private Fast-Track Diagnosis -> NHS £19.80/yr HRT PPC Bridge |
£290 | £170 | £9/mo | Optional / $0 | £558 | £20 | Compare / Check Slot → |
|
Newson Health (The Menopause Charity Founder Clinic)
UK Market Leader (Key-Worker Discount)
Initial Doctor consult £295 (Nurse/Pharmacist £195); 3-month follow-up £230 (£165 Nurse); £37 private prescription admin fee (£70 annual repeat) + CloudRx medication.
|
UK Dedicated CQC Specialist Clinic (Doctor vs Nurse/Pharmacist Tier) |
£295 | £230 | £28/mo | £125 | £1,023 | £603 | Compare / Check Slot → |
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My Menopause Centre (CQC Outstanding Rated Online Clinic)
£0 Rx Fee Inside Consultations
Initial consult £290, 3-month review £170 (or £110 nurse review); prescription fee is £0 during consultations (£35 standalone repeat between visits).
|
UK Private Specialist Stay (No NHS Transfer) |
£290 | £170 | £26/mo | £139 | £911 | £517 | Compare / Check Slot → |
|
Menopause Care (Dr Naomi Potter BMS Specialist Network)
BMS-Accredited Doctors (NHS Discount)
Consultations from £190 (Nurse/Pharmacist) to £295–£350 (BMS Doctor); offers NHS & Emergency Services discounts.
|
UK BMS-Accredited Video & London Clinic |
£295 | £195 | £28/mo | £145 | £991 | £561 | Compare / Check Slot → |
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Direct Venous Hormone & Thyroid Blood Panel (Medichecks / Forth)
Save 40% on Clinic Blood Tests
Ordering your UKAS-accredited Oestradiol, Testosterone, SHBG, Free T3/T4 & Ferritin venous panel before your appointment saves £70–£110 vs in-clinic pathology markups.
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UK At-Home or Superdrug Nurse Venous Draw (Pre-Clinic Savings) |
£0 | £0 | £0/mo | £129 | £129 | £129 | Compare / Check Slot → |
|
Felix Health / Science & Humans (Canada Telehealth HRT)
Top Canadian Virtual HRT Route
Science & Humans charges CA$150 initial + CA$200/qtr with lab requisitions; Felix charges CA$99 evaluation with direct pharmacy delivery covered by private benefits.
|
CA Canadian Virtual Hormone Clinic + Provincial/Extended Health Rx |
CA$150 | CA$200 | CA$35/mo | CA$50 | CA$970 | CA$820 | Compare / Check Slot → |
|
WellFemme / Australian Menopause Centre (Telehealth + Medicare/PBS)
Medicare Rebate + PBS Estrogel/Prometrium
After Medicare telehealth rebate, out-of-pocket initial consult is ~AU$185; Estrogel Pro stabilization & AndroFeme (Australian-licensed female testosterone!) are dispensed via pharmacy.
|
AU AMS-Trained Telehealth GP (Medicare Rebate + PBS Scripts) |
AU$185 | AU$110 | AU$32/mo | Optional / $0 | AU$679 | AU$494 | Compare / Check Slot → |
Midi Health (Insured) + Mark Cuban Cost Plus Drugs
Combines in-network NP/PA specialist copays ($20–$75) with wholesale generic Estradiol Patches ($14/mo) + Micronized Progesterone ($8/mo).
Midi Health (Self-Pay) + GoodRx Generic Pharmacy
$250 initial visit + $150 follow-up; prescriptions sent to local pharmacy where GoodRx drops generic estradiol patches to ~$26–$38/mo.
Winona (bywinona.com) All-Inclusive DTC Subscription
Includes free doctor review and direct shipping; $89/mo for compounded estrogen/progesterone cream or $119–$149/mo for patches + oral progesterone.
MyAlloy (myalloy.com) FDA-Approved Direct Delivery
Specializes in FDA-approved estradiol patches, gel, evamist spray, and micronized progesterone shipped in 90-day supply packs.
Evernow Membership + Pharmacy Fulfillment
$49/mo membership ($35/mo annual plan) plus $20–$55/mo medication cost (or $0–$15 Rx copay if routed to your insured local pharmacy).
Local Bioidentical Hormone Pellet Clinic (Biote / EvexiPEL)
Requires minor gluteal pellet insertion every 12–16 weeks ($375–$650 per insertion) + mandatory comprehensive blood panels ($250–$350).
Veozah (Fezolinetant 45mg) Non-Hormonal Rx
Cash retail is ~$550/mo ($6,600/yr!), but eligible commercially insured patients pay $0–$30/mo with Prior Auth + baseline/3m/6m/9m hepatic ALT/AST blood labs.
My Menopause Centre (Initial) -> Month-4 NHS GP Shared-Care + HRT PPC
Book private initial (£290) + 3-month stabilization review (£170), pay 3 months private body-identical Rx (~£78 total), then transfer to NHS GP on the £19.80/yr HRT PPC.
Newson Health (The Menopause Charity Founder Clinic)
Initial Doctor consult £295 (Nurse/Pharmacist £195); 3-month follow-up £230 (£165 Nurse); £37 private prescription admin fee (£70 annual repeat) + CloudRx medication.
My Menopause Centre (CQC Outstanding Rated Online Clinic)
Initial consult £290, 3-month review £170 (or £110 nurse review); prescription fee is £0 during consultations (£35 standalone repeat between visits).
Menopause Care (Dr Naomi Potter BMS Specialist Network)
Consultations from £190 (Nurse/Pharmacist) to £295–£350 (BMS Doctor); offers NHS & Emergency Services discounts.
Direct Venous Hormone & Thyroid Blood Panel (Medichecks / Forth)
Ordering your UKAS-accredited Oestradiol, Testosterone, SHBG, Free T3/T4 & Ferritin venous panel before your appointment saves £70–£110 vs in-clinic pathology markups.
Felix Health / Science & Humans (Canada Telehealth HRT)
Science & Humans charges CA$150 initial + CA$200/qtr with lab requisitions; Felix charges CA$99 evaluation with direct pharmacy delivery covered by private benefits.
WellFemme / Australian Menopause Centre (Telehealth + Medicare/PBS)
After Medicare telehealth rebate, out-of-pocket initial consult is ~AU$185; Estrogel Pro stabilization & AndroFeme (Australian-licensed female testosterone!) are dispensed via pharmacy.
Check Local Menopause Specialist, Hormone Pellet or Shared-Care Clinic Availability
Want a verified fee quote and earliest appointment slot from an accredited menopause clinic or bioidentical hormone specialist in your ZIP/Postcode? Your calculator selections attach automatically.
Statutory Rules, Insurance Codes & UK NHS Shared-Care Frequently Asked Questions
Why is Female Testosterone (Testogel / AndroFeme) excluded from England’s £19.80 NHS HRT Prepayment Certificate?
Under NHS Business Services Authority (NHSBSA) statutory drug tariff rules, the £19.80 annual HRT Prepayment Certificate (HRT PPC) only covers medicines licensed specifically for HRT in the UK (oestrogens and progestogens such as Oestrogel, Evorel, Estradot, and Utrogestan). Because testosterone gel (Testogel, Tostran) is licensed for male hypogonadism and prescribed off-label for female menopausal low libido/brain fog under NICE NG23, and AndroFeme 1% cream is imported unlicensed from Australia, neither is covered by the £19.80 HRT PPC. Private AndroFeme costs £85–£130 per tube (~£290/year), whereas bridging onto an NHS GP prescription for Testogel (1/8th sachet daily) costs just one £9.90 NHS charge every 8–10 months.
How do I get my NHS GP to accept a Private Menopause Clinic Shared-Care Agreement?
NHS GPs frequently refuse shared-care requests when private clinics prescribe non-formulary doses, compounded bioidentical creams, or private-only AndroFeme without a NICE NG23 compliant titration summary. To maximize NHS GP acceptance at Month 4, request standard NHS-formulary body-identical medications (e.g., Oestrogel or Evorel patches + micronized Utrogestan capsules) during your initial private appointment, and submit a formal NICE NG23 Shared-Care Transfer Request Letter after your 3-month stabilization review.
Why do US telehealth subscriptions charge $99–$149/month when Cost Plus Drugs charges $21/month?
Direct-to-consumer cash platforms (Winona, MyAlloy, Evernow) bundle asynchronous clinician messaging and shipping into a recurring monthly medication margin. If you instead book an insurance-covered telehealth visit via Midi Health ($25–$60 copay) or an independent NAMS practitioner and ask them to e-prescribe generic estradiol transdermal patches (0.05mg) and oral micronized progesterone (100mg) directly to Mark Cuban Cost Plus Drugs or Amazon Pharmacy, your medication cost drops to ~$21.40/month ($256/year).
Explore All 16 Global HRT, Clinic & Workplace Calculators
- HRT & Menopause Clinic Cost Calculator
- US Telehealth HRT Cost Calculator
- UK Private Menopause Clinic & NHS Shared-Care Calculator
- Hormone Pellet Therapy Cost Calculator
- Estradiol Patch, Gel & Progesterone Pharmacy Price Calculator
- Night Sweats Bed Cooling vs. AC Electricity Cost Calculator
- Midi Health vs. Winona Cost Comparison
- MyAlloy vs. Evernow Pricing & Prescription Cost Audit
- Biote Pellets vs. Estradiol Patch Cost & Safety Audit
- Newson Health vs. My Menopause Centre Cost
- Private Menopause Hormone Blood Test Cost
- Cost Plus Drugs vs. GoodRx HRT Prices
- Veozah Cost With & Without Insurance vs. Generic HRT
- Eight Sleep Pod 4 vs. BedJet 3 for Menopause Night Sweats
- Is Testosterone Covered by the £19.80 NHS HRT PPC?
- Workplace Menopause Action Plan & Tribunal Risk Calculator