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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.
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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.
Between visit follow-up is the part of menopause practice that has no slot on the schedule and no line on the fee sheet, so it expands until evenings absorb it. Every patient you start on hormone therapy generates a run of scored check-ins across her first year, and each one has to be read, acted on, and sometimes chased twice before it comes back.
This calculator turns that invisible load into hours. Enter how many patients you start or re-dose each month, how many scored check-ins each one gets in year one, and how long a review takes. It returns the steady state volume, the chasing burden, and whether the hours you have set aside actually cover it.
Your result
Scored check-ins per month at steady state
108
Once twelve months of starts overlap, this is your recurring volume.
Check-ins needing a reminder each month
41
These are the patients most likely to stop therapy without telling you.
Weekly hours of follow-up work
3.5
Reviewing and chasing combined, spread across an average week.
Weekly headroom against your protected time
0.5
A negative figure is the number of hours going home with you.
Run this before you take on another cohort of hormone therapy starts, because the load arrives about twelve weeks behind the growth.
Why the load lags the growth
A month of new hormone therapy starts feels weightless at the time. The check-in burden from that cohort peaks weeks later and then keeps running until month twelve, which is why a clinic that added patients in the spring feels underwater in the fall without any obvious cause.
Modeling it at steady state fixes the timing illusion. Multiply monthly starts by the check-ins each patient receives across her first year and you get the recurring monthly volume you will be carrying once the cohorts overlap, which is the number worth staffing against.
Cutting the load without cutting the care
The chasing line is usually the cheapest one to reduce. Non-returned check-ins cost time twice, once in the reminder and once in the uncertainty at the next visit, and a scheduled send with an automatic reminder typically lifts the return rate more than any wording change to the questions.
The review line responds to structure rather than speed. When a check-in arrives already scored with subscales and a comparison to the previous one, the decision is usually visible in under two minutes. When it arrives as free text about how she has been feeling, it is never two minutes.
Questions about this calculator
How many scored check-ins does a first year patient really need?
Most clinics settle on something like week two, week six, and week twelve during titration, then quarterly through the first year. That is six touchpoints. Fewer than four tends to leave the twelve week dose decision resting on recall alone.
My return rate is much lower than the default. Is that unusual?
It is common in the first quarter, especially when questionnaires go out by email only and without a fixed schedule. Return rates usually climb once patients are told at the initiation visit exactly when to expect each check-in and why it drives the dose decision.
Can staff do the reviews instead of the prescriber?
Staff can triage, chase, and flag, which removes a large share of the hours. The clinical read on whether a vasomotor subscale has moved enough to change a dose stays with the prescriber, so plan on splitting the work rather than delegating all of it.
More free tools and working documents
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.
Now put that number against a real panel
The figure above came out of minutes you estimated once, sitting still. In PauseNotes it comes off the check-ins your menopause patients actually returned, with the vasomotor and sleep subscales already totaled and the chase list already built. Ask for a walk through and we will load one of your own titration schedules so you can see which part of that number is clinical work and which part is only sending and chasing.