Calculator
Cash pay menopause visit price floor calculator
Find the lowest price a cash pay menopause consult can carry once the messaging and dose questions that follow it are counted as part of the visit.
Free tools
Calculators for menopause and midlife clinic owners
Two working calculators for the arithmetic that decides whether a midlife practice holds together: what a consult must cost, and how many follow-up hours your panel demands.
Menopause care carries a shape of work that most fee schedules were never built for. The visit is long, the labs are modest, and the real load lands afterward in messaging, dose questions, bleeding reports, and the check-ins you send at week two and week six. Price the visit without that tail and the practice quietly runs at a loss on its best patients.
Both calculators run in your browser, keep nothing, and start on defaults drawn from small cash pay clinics. Change the numbers to your own hourly cost, your own titration cadence, and your own panel size. The results are estimates for planning, not accounting advice, and they are most useful when you run them twice a year.
Calculator
Hormone therapy follow-up load calculator
See how many hours a week your first year hormone therapy check-ins consume once you count both the reviewing and the chasing.
Working document
The hormone therapy first year follow-up checklist
A stage by stage checklist for carrying a menopause patient from the initiation visit through month twelve without losing the record that justifies each dose.
The two sums every menopause clinic does by hand
You already run this arithmetic, usually on the back of a lab requisition between patients. What does a sixty minute menopause consult really cost once the patch that will not stick, the week five bleeding report and the progesterone dose that makes her groggy are counted as part of it. How many hours a week disappear into week two, week six and week twelve check-ins once you multiply them across every hormone therapy start on your books. Those sums decide whether the practice holds together, and neither one needs a sales call attached to it, so both calculators sit here with no account in front of them and no email box in the way.
They are worth running even if PauseNotes never reaches your clinic. The price floor gives you a figure you can say out loud when a patient asks why an hour of midlife care costs what it does, built from your own loaded hourly cost rather than from what the telehealth platforms advertise. The follow-up load figure gives you something to hold up when a colleague suggests taking another cohort of hormone therapy starts before the last one reaches month twelve. Nothing about your panel is stored, and if the numbers come back saying your fee and your titration cadence are already sound, that is a real answer and it cost you nothing.
If those figures came out worse than expected
Most clinicians run the price floor and find it sitting well above the fee currently on the schedule. Others stop at the weekly hours line, because the headroom came back negative. A demo shows where those same numbers land when the week two, week six and week twelve instruments send themselves, score on arrival and arrive with the non-responders already listed. Half an hour, your own titration cadence, nothing to change that day.