2026 Integrative Gynecology & Menopause Clinic Pricing Benchmark: 26 published fee schedules, side by side

01What 26 published fee schedules show

Most integrative gynecology and menopause clinics do not post prices. The 26 in this benchmark do: each one publishes at least one exact dollar figure — an initial consultation, a follow-up visit or a membership — on a public page that needs no patient login. We copied every figure as written, recorded the visit length, what is included and how the clinic handles insurance, and linked the exact source page on every row.

Four numbers summarize the field in 2026:

• Initial consultation: median $297.50 (mean $320.44) across 16 clinics that sell a standalone first visit. The middle half of clinics charge $250–$445.
• Follow-up visit: median $174.50 (mean $198.86) across 14 clinics with a per-visit follow-up price; middle half $136.25–$268.75.
• Standard membership: median $147.42 a month, or $1,769 a year (mean $140.91), across 18 published membership tiers; middle half $83–$168.75 a month ($996–$2,025 a year).
• Insurance structure: 19 of 26 clinics (73.1%) are out-of-network, cash-pay or membership practices; 4 (15.4%) bill in-network plans and also post self-pay prices; 3 (11.5%) are direct-to-consumer hormone therapy platforms.

The spread is wide because the clinics sell different things. A $49 online evaluation from a hormone therapy platform and a $700 comprehensive intake credited toward an annual membership are both “initial consultations,” but one is an asynchronous prescription review and the other is a long in-person visit with a physician who will follow you all year. The table below keeps those details next to every price, so you can compare like with like. To see how a given fee becomes your real cost after insurance, run it through the insurance and superbill estimator.

02Initial consultations: what $250 to $445 usually buys

The typical first visit at a clinic in this dataset costs about the same as two or three standard specialist copays combined, but it is a different visit. Most out-of-network and direct-care practices in the table book 50 to 90 minutes for a new patient, against roughly 11–15 minutes in a busy in-network OB/GYN schedule. Integrative Women’s Health SF books up to 80 minutes for $450; Reverent Women’s Health books 90 minutes for $275; Good Energy Women’s Health books 60 minutes for $300.

Three patterns sit at the edges of the range:

• Low published intakes are usually tied to a membership or a prescription. The Menopause Clinic in Louisiana charges $50 for a 60-minute video visit or $100 in the office and credits it toward the first month; Alloy charges $49 for a physician evaluation and earns its revenue on the prescription.
• High published intakes often bundle more. Balanced Medical’s $700 consultation is applied to the first year’s membership dues; Evora Women’s Health charges $429–$625 for a 60-minute physician visit.
• Multi-visit onboarding packages are priced as one fee and are not counted in the median: Innate Integrative Medicine’s $900 package (about 90 minutes plus a lab review) and Functional GYN’s $1,400 three-visit discovery package.

Labs are almost always extra. Unless a membership names them, the clinics bill serum panels through your insurance or at cash rates, and specialty tests such as DUTCH or GI-MAP separately. Our lab panel builder prices that part of the first year, and the DUTCH vs serum comparison explains which tests insurance tends to cover.

If you have a PPO with out-of-network benefits, a 60-minute intake is usually billed as 99205, often with 99417 for extra time. Ask the clinic before you book whether it issues an itemized superbill: six clinics in the table say so on their pricing page, and 22 of the 26 mention HSA/FSA payment.

03Follow-up visits versus memberships: where the yearly cost is decided

The first visit is a one-time cost. What you pay over a year depends on how follow-up care is sold, and the dataset shows two very different answers.

Per-visit follow-ups

Fourteen clinics post a per-visit follow-up price, with a median of $174.50. The low end is short visits: $45 for 30 minutes at Duni Women’s Healthcare, $90 for 45 minutes at Reverent, $95 for a non-member visit at Seraphym Healthcare. The common middle is $150–$199 at Midi Health, SheWellRX, Good Energy and Gennev. The top is $299–$360 for 30 minutes with a physician at Evora and $350 for a 50-minute return visit at Integrative Women’s Health SF. Four follow-ups a year at the median come to about $698.

Memberships

Eighteen published membership tiers have a median of $147.42 a month. They fall into three bands:

• Navigation and portal add-ons, about $21–$49 a month: Integrative Women’s Health SF’s $250-a-year optional membership, Tia Signature at $25, Evernow at $29–$49.
• Direct-care and hormone memberships, $65–$249 a month: Duni ($65 for ages 45–64), Good Energy ($100), Seraphym ($119), The Menopause Clinic ($129, then $89 from month five), Concierge Medicine of Westlake ($1,750 a year), Allara Complete Care ($149), Parsley Health ($150), Innate, Lamorinda HRT Care and Her Health Premium (each $150), Refined Women’s Health ($199–$249) and Renewed Women’s Health ($225).
• Full concierge retainers, $250–$600 a month equivalent: Evora ($250–$299 for one physician), Perlow Concierge ($3,500 a year), Her Health Elite ($300), Lamorinda Menopause Mastery ($5,200 a year) and Concierge Circle ($7,200 a year).

A membership fee buys access, not coded visits, so insurers do not reimburse it on a superbill; the visits inside it may or may not be billable. Before you sign, read what the agreement includes and how cancellation works — our membership agreement questions list the clauses to check, and the estimator set to a $150 membership shows the yearly total next to a per-visit plan.

04In-network, out-of-network or direct-to-consumer: how the 26 clinics bill

How a clinic handles insurance changes your real cost more than its headline fee. The 26 clinics fall into three groups.

Table 2 · Shares of N = 26 verified clinics, November 10, 2026.

Out-of-network and membership clinics trade insurance contracts for time: the long first visits in this dataset come almost entirely from this group. They typically hand you an itemized superbill using codes such as 99205 and 99215, which a PPO may reimburse in part after your out-of-network deductible. The superbill and HSA/FSA guide walks through what a payable superbill must contain.

In-network clinics with self-pay prices converge on the same self-pay intake: $250 at both Midi Health and Gennev, with follow-ups at $150 and $199. If your plan is in their network you pay your usual copay or deductible instead; see the Midi vs Tia vs Parsley comparison for how each bills.

Direct-to-consumer platforms price the prescription rather than the visit: Alloy’s $49 evaluation, Winona’s free online evaluation with treatment from $89 a month, Evernow’s $29–$49 monthly membership. The Winona vs Evernow vs Alloy comparison covers what each prescribes and what a year costs.

05Regional patterns in the published prices

This is a sample of clinics that publish prices, not a census of every metro, so treat regional differences as examples rather than averages. Still, the published figures line up with the usual cost-of-living gradient.

• West Coast: Integrative Women’s Health SF charges $450 for an 80-minute intake and $350 for a return visit; Lamorinda Gynecology in the East Bay lists $295–$850 office visits and memberships from $1,800 to $7,200 a year; Perlow Concierge near Los Angeles charges $3,500 a year; Innate Integrative Medicine in West Hollywood charges $900 to start and $150 a month after. See the San Francisco Bay Area and Los Angeles guides.
• New York: Balanced Medical on Long Island charges $700 for a comprehensive consultation credited toward membership; Functional GYN in Manhattan sells a $1,400 three-visit package. See the New York City guide.
• Midwest: Good Energy Women’s Health near Chicago pairs a $300 first visit with a $100-a-month membership; Evora in St. Louis charges $429–$625 to start and $250–$299 a month; Concierge Medicine of Westlake near Cleveland charges $1,750 a year. See the Chicago guide.
• South and Texas: Refined Women’s Health near Houston charges $349 for a non-member visit and $199–$249 a month; The Menopause Clinic near New Orleans starts at $50–$100 with $129 then $89 a month; Duni Women’s Healthcare in the DC suburbs of Maryland ties its membership to age, $25–$85 a month. See the Houston and Washington DC guides.
• Colorado: Her Health Gynecology lists $450–$750 annual exams and $150 or $300 monthly memberships. See the Denver and Boulder guide.

Out-of-network reimbursement also changes by region, because insurers set allowed amounts by zip code. The estimator’s metro tier setting reflects that, so the same $450 intake can return noticeably more in San Francisco than in a regional market.

06How to use this benchmark with a quote you were given

A quote is easier to judge when you can place it on a range. Here is a short way to use the table.

1. Match the model first. Filter the table to the same care model as your quote — a membership, per-visit care, or an in-network clinic — before comparing numbers.
2. Compare the visit, not just the price. Check the visit length and inclusions column. A $450 intake of 80 minutes and a $250 intake of 30 minutes are different products.
3. Place the quote on the range. Under about $250 for an intake or $83 a month for a membership is in the lowest quarter of this dataset; above about $445 or $169 a month is in the highest quarter. Neither is wrong, but a high quote should come with more time or more included care.
4. Price the whole year. Add follow-ups, labs and prescriptions. The superbill estimator totals a year and subtracts likely PPO reimbursement and HSA/FSA tax savings.
5. Ask for the terms in writing. Cancellation, auto-renewal and what happens to a prepaid year matter as much as the fee; the membership agreement questions give you the wording to ask for.

Clinicians pricing a new practice can use the membership column the same way: published direct-care and concierge memberships cluster between $100 and $300 a month, which is the range the practice transition simulator models. The OB/GYN practice transition blueprint covers panel size and overhead.

07Methodology, limits and how to cite this dataset

Inclusion criteria

• An active US clinic or telehealth medical group focused on integrative or functional gynecology, perimenopause and menopause hormone care, PCOS or endometriosis care, or direct specialty and concierge gynecology.
• At least one exact dollar fee — initial consultation, follow-up visit or membership — published on the clinic’s own public website.
• The source page returned HTTP 200 and showed the quoted figure without a patient login when checked on November 10, 2026.

How the medians are computed

Each median uses one figure per clinic and fee type: the standalone, entry or standard clinical tier. Multi-visit packages, free or $0 evaluations, insurance-billed visits, visits included in a membership and published industry benchmark ranges are left out of the medians but kept in the table. Where a clinic publishes two standard membership phases (The Menopause Clinic’s $129 and $89), both enter the membership median. Annual fees are converted to a monthly equivalent by dividing by 12. Interquartile ranges use the exclusive quartile method. The CSV includes the exact figure each row contributes, in the columns ending in _in_median, so anyone can reproduce every number on this page.

Limits

Clinics that publish prices may differ from those that do not, so this is a benchmark of transparent pricing rather than of every practice. Fees reflect the clinic’s published schedule on the verification date and can change at any time; confirm the current price with the clinic before you book. Unless a tier names them, lab panels, specialty tests, imaging and prescriptions are billed separately. Inclusion is not an endorsement, and IntegrativeGyn.com is not affiliated with any clinic listed.

Cite and reuse

Suggested citation

IntegrativeGyn.com. 2026 US Integrative Gynecology, Menopause & Direct Specialty Care Pricing Benchmark (N = 26 verified clinics). Verified November 10, 2026. https://integrativegyn.com/guides/integrative-gynecology-menopause-clinic-pricing-benchmark-study/

The dataset is free to reuse under the Creative Commons Attribution 4.0 licence with a link to this page. This page is educational and is not individual medical, insurance or financial advice.