The true cost of menopause care.
Not just the monthly fee.
Monthly prices are advertised. Labs, follow-ups, shipping, and insurance gaps are not. Calculate your total first-year cost — including the fees most women do not see coming.
What will you actually pay?
Enter your situation. We will estimate your total first-year cost for each provider, including the hidden fees that do not show up in ads.
Estimates based on public pricing as of May 2026. Verify directly with providers.
Insurance vs. cash-pay.
The real difference.
| Provider | Monthly cost | With insurance | Cash-pay total (1st year) | Hidden fees |
|---|---|---|---|---|
Midi Health Insurance + video visits |
$0–$250 per visit |
Often $0–$50 copay per visit with PPO. Labs may be covered. | $500–$1,500+ Highly variable without coverage |
Labs $150–300/yr Follow-ups $100–250 Medication separate |
Alloy Flat fee, all 50 states |
$75/mo flat, billed quarterly |
Not accepted Cash or HSA only |
~$949/yr Everything included |
None disclosed Cancel anytime |
Winona Compounded bioidentical |
$54–$199/mo medication only |
Not accepted Compounded = no insurance |
$648–$2,388/yr Wide range by dose |
Consult included No labs required Shipping may apply |
Evernow Membership + meds |
$35/mo membership |
Meds may be covered Membership is cash |
~$600–$1,200/yr Membership + meds |
Medication extra Labs may be required Limited states |
Compounded is cheaper.
Is it, though?
Winona advertises $54/month. Alloy charges $75/month. On the surface, compounded looks cheaper. But the total cost of ownership tells a different story.
True first-year cost comparison
The reality: Alloy's $75/month flat fee includes consultation, medication, shipping, and ongoing async messaging. Winona's $54–199/month is medication-only. If you need a dose adjustment or have questions, you may pay extra. And because compounded HRT is not covered by insurance, every dollar comes out of pocket.
| Cost category | Alloy (FDA-approved) | Winona (Compounded) |
|---|---|---|
| Monthly medication | Included in $75/mo | $54–$199/mo |
| Initial consultation | Included | Included |
| Follow-up visits | Async messaging included | Async messaging included |
| Lab work | Not required per their process | Not required |
| Shipping | Included | May be extra |
| Insurance coverage | Not accepted (flat fee) | Not accepted (compounded) |
| Year 1 total (mid-range) | ~$949 | ~$1,200–$1,800 |
Winona can be cheaper at the lowest dose ($54/mo = $648/yr) but costs escalate quickly at higher doses. Alloy's price never changes. Evernow's $35/mo membership plus medication often lands in the same range as Alloy.
The fees most women never see coming.
These line items rarely appear in marketing. Ask about them before you sign up.
Pro tip: Always ask: "What is the total cost in year one, including labs, shipping, and any required follow-ups?" If a provider cannot give you a straight answer, that is useful information too.
Cost per month of relief.
Price alone is not the whole story. Here is what each provider delivers for the cost.
Ready to find your best-value provider?
Our Access Finder Quiz matches you based on your insurance, state, symptoms, and budget. Takes 90 seconds. No account required.