Affiliate disclosure: Care Path Compare does not use direct affiliate links on this cost guide. Some provider reviews and comparison pages linked from this article may contain affiliate links. We may receive compensation from qualifying purchases at no extra cost to you. Compensation does not determine provider inclusion, order, or editorial findings.

Quick cost comparison

Prices below are the published figures we could verify through September 21, 2026. They are not treatment recommendations, guaranteed checkout totals, or quotes for any individual. Prescription eligibility, medication choice, insurance coverage, and state availability vary.

  • Alloy: $49 one-time doctor consultation. Current estradiol examples include pill from $39.99/month, gel $69.99/month, Evamist spray $69.99/month, and patch $100/month. The medication total depends on the prescribed plan.
  • Evernow: $150 self-pay video visit, or membership. The main FAQ lists $49 month-to-month, $129 for three months ($43/month), or $420 for twelve months ($35/month). Medication is extra. A current promotional landing page lists $348 for twelve months ($29/month), so verify checkout.
  • Gala Health: menopause treatment from $69/month. The reviewed HRT pathway describes medication when prescribed, provider review, ongoing care, and shipping as included for applicable plans. Confirm the exact pathway and checkout total.
  • Hers: current materials cite oral HRT from $79/month and patches from $134/month on twelve-month plans. Verify the amount due today, billing cadence, and renewal terms.
  • Hone Health: $65 initial advanced lab test; Basic membership $25/month or Premium membership $155/month. Medication is separate. Current examples include estradiol patch $58/month plus membership and progesterone $49/month plus membership. Confirm which membership tier the exact pathway requires.
  • Midi Health: $250 first self-pay visit and $150 returning self-pay visit. Many major commercial plans may be used for eligible visits, but medication, targeted labs, deductible, copay, and coinsurance can change the actual out-of-pocket cost.
  • Winona: no separate membership fee is advertised. Current product examples include progesterone capsules from $39/month, estrogen tablets from $54/month, several hormone creams from $89/month, and an estrogen patch from $149/month. Total cost depends on the actual prescription or combination of prescriptions.

Provider order is alphabetical. This guide does not identify a “best” or lowest-total-cost program because the published prices cover different combinations of visits, medication, labs, and insurance.

Why HRT prices are unusually easy to compare incorrectly

A monthly-looking number can describe very different things:

  • a consultation fee;
  • a recurring membership;
  • medication only;
  • medication plus clinician care;
  • a product-specific prescription charge;
  • a prepaid multi-month plan expressed as a monthly equivalent; or
  • a self-pay medical visit that may instead be billed through insurance.

That means a $69 bundled starting price and a $49 membership are not directly comparable if one includes prescribed medication and the other does not.

The useful question is not simply “What is the monthly price?” It is:

What will I actually be charged for the care model and medication I am eligible for?

Alloy: consultation plus product-specific medication pricing

Alloy’s current HRT page lists a one-time $49 doctor consultation fee. It separately publishes several estradiol prices, including:

  • estradiol pill from $39.99/month;
  • estradiol gel $69.99/month;
  • Evamist spray $69.99/month; and
  • estradiol patch $100/month.

Those figures should not be turned into one universal Alloy HRT total. A clinician may prescribe a different product or additional medication based on the patient’s history and needs.

The practical cost question is therefore:

consultation + exact prescribed medication(s) + any future changes in formulation or quantity.

Visit Alloy’s official HRT pricing page.

Evernow: pay-per-visit versus membership

Evernow currently offers two different access models.

Pay-per-visit

The main FAQ lists a $150 self-pay video visit for people who are uninsured or choose not to use insurance. Evernow also says eligible video visits may be covered by participating commercial insurance, subject to the member’s copay and deductible.

Membership

The main FAQ currently lists:

  • $49 month-to-month;
  • $129 for three months ($43/month); and
  • $420 for twelve months ($35/month).

Medication is not included in those membership prices.

Care Path Compare also found a current Evernow promotional landing page listing a $348 twelve-month total ($29/month). Because two official pages show different twelve-month prices, we are not silently choosing the lower number. Treat the difference as a checkout-verification issue.

Before paying, verify:

  1. whether you are using pay-per-visit or membership;
  2. whether insurance applies to the visit;
  3. the amount due for the selected membership term;
  4. the separate medication price; and
  5. whether the displayed amount is a standard rate or promotional landing-page rate.

Visit Evernow’s official FAQ.

Gala Health: a more bundled cash-pay model

Gala Health’s current Hormone Health page advertises menopause treatment from $69/month and says the applicable program price includes medication when prescribed, provider review, ongoing care, and shipping.

That makes Gala structurally different from a membership-plus-medication program. But the phrase “from $69/month” still needs qualification: it is a starting price, not a guarantee that every eligible patient or prescribed pathway will cost exactly $69.

Before checkout, confirm:

  • the exact monthly charge for the prescribed pathway;
  • whether any laboratory testing is required and separately billed;
  • the renewal date; and
  • the cancellation point for the selected plan.

For more detail, see our Gala Health HRT review.

Hers: monthly-looking prices tied to longer plans

Hers’ current menopause material says eligible customers can access oral HRT from $79/month and patches from $134/month on 12-month plans.

The important cost detail is the commitment behind the monthly-looking number. A monthly equivalent is not automatically the same thing as month-to-month billing.

Before enrolling, confirm:

  • the amount charged today;
  • whether the plan is billed monthly or in a larger installment;
  • the renewal amount and date;
  • which medications are included in the selected plan; and
  • the cancellation deadline before renewal or fulfillment.

Review the current Hers menopause pathway.

Hone Health: labs, membership, and medication are separate layers

Hone’s current women’s HRT page publishes several separate cost fields:

  • an initial $65 advanced lab test;
  • Basic membership at $25/month;
  • Premium membership at $155/month; and
  • medication prices listed separately with “+ membership.”

Examples currently shown on the HRT page include an estradiol patch at $58/month + membership and progesterone at $49/month + membership.

The key consumer issue is not to add the lowest membership price to one medication and assume that combination is available for every HRT patient. Hone says Premium includes regular lab testing, physician consultations, and full access to medications, while Basic has a different benefit structure.

Ask which membership tier is required for the exact women’s HRT pathway before using the $25 Basic price in a total-cost estimate.

For the broader care model, see our Hone Health women’s HRT review.

Midi Health: visit pricing and insurance rather than a bundled HRT subscription

Midi’s current pricing page lists:

  • $250 for a first self-pay visit; and
  • $150 for a returning self-pay visit.

Midi says it is in-network with many major commercial plans, but deductibles, coinsurance, and copays depend on the specific plan. It also states that Medicare beneficiaries can use Midi as self-pay patients but cannot submit Midi-related claims, and that Medicaid and Medi-Cal are not accepted.

Medication and targeted laboratory costs can sit outside the visit price depending on the care plan.

The correct comparison is therefore not “Midi costs $250 per month.” The $250 figure is a first-visit self-pay price.

Check Midi’s current insurance and self-pay pricing.

Winona: product-specific pill, capsule, cream, and patch pricing

Winona’s current catalog is useful for readers comparing oral and transdermal HRT formats because it publishes product-level prices rather than one universal HRT price. Current examples include:

  • progesterone capsules from $39/month;
  • estrogen tablets from $54/month;
  • estrogen body cream from $89/month;
  • estrogen body cream with progesterone from $89/month;
  • progesterone body cream from $89/month;
  • vaginal estrogen cream from $89/month; and
  • estrogen patch from $149/month.

Winona says there is no separate membership or platform charge and describes physician visits, follow-up messaging, and standard shipping as included. That does not make the lowest $39 figure a universal program price: the actual recurring total depends on which product or combination of products a clinician prescribes.

When comparing Winona with Hers, Hone, or Alloy, keep the route and the surrounding care fee visible. A patch price from one program is not directly comparable to a pill price from another if one program also requires a membership, consultation, or longer commitment.

For the FDA-approved-versus-compounded distinction, cancellation timing, and automatic-refill details, see our Winona HRT review.

Use a seven-field HRT cost worksheet

For any online menopause program, record these fields before enrolling:

  1. Amount due today — the exact checkout charge.
  2. Care fee — consultation, visit, or membership fee.
  3. Medication cost — included, separate, or not yet known until prescribed.
  4. Laboratory cost — required, optional, targeted, included, or separate.
  5. Insurance treatment — whether visits, medication, both, or neither can be processed through insurance.
  6. Commitment and billing cadence — month-to-month, multi-month prepaid, or another structure.
  7. Cancellation and renewal terms — when the next charge occurs and how far in advance cancellation must be submitted.

If one of those fields is not published, write Not confirmed instead of estimating it.

Do not compare only the first month

First-month or starting prices are useful, but they can hide the longer cash commitment.

A stronger cost comparison looks at:

  • what is charged today;
  • what the normal next charge is;
  • whether medication is separate;
  • whether a longer plan is required to get the advertised monthly rate;
  • whether laboratory testing creates an additional upfront charge; and
  • whether insurance can materially change the visit or pharmacy cost.

For a multi-month plan, keep both numbers visible:

upfront charge and monthly equivalent.

Do not replace one with the other.

Insurance can make two people pay very different amounts

Programs such as Midi and Evernow can involve insurance for eligible clinical visits, while other pathways such as Gala’s reviewed HRT program and Winona’s reviewed pathway are presented primarily as cash-pay.

Insurance participation alone does not tell you what your out-of-pocket cost will be. A person may still owe a deductible, copay, coinsurance, medication cost, or laboratory charge.

Before booking an insured visit, verify:

  • whether the provider is in-network for the exact plan;
  • whether the specific clinician or service is covered;
  • whether prescribed medication is on the plan formulary;
  • whether prior authorization applies; and
  • whether labs are billed through the same network.

Medication status and cost are separate questions

Price transparency does not establish whether a product is FDA-approved or compounded.

Likewise, FDA approval does not tell you the telehealth program’s membership, consultation, shipping, or cancellation cost.

When comparing menopause care, record both:

  • commercial status: what you pay and what is included; and
  • medication status: the exact prescribed product and whether it is FDA-approved or compounded.

Winona is a useful example of why this must be checked product by product: its current materials distinguish certain manufactured tablets, capsules, and patches from compounded cream formulations. See our Winona HRT review for the source conflict and verification details.

Use our FDA-approved vs compounded menopause HRT guide for the broader regulatory distinction.

Which price should you trust when official pages disagree?

Use the most specific page for the exact product or plan, but preserve conflicts when two current official pages disagree.

For example, Evernow’s main FAQ and one current promotional landing page show different twelve-month membership totals. In that situation, the safer editorial approach is to show both and tell the reader to verify checkout rather than assuming one has silently replaced the other.

The same rule applies to:

  • promotional first-order discounts;
  • “starting at” prices;
  • multi-month monthly equivalents;
  • medication pages that omit care fees; and
  • help-center pages that lag behind a live checkout flow.

Bottom line

Online menopause HRT pricing is best compared as a stack, not a single monthly number:

care + medication + labs + insurance exposure + commitment + renewal terms.

For a broader view of clinician model, hormone options, state availability, and insurance, use our online menopause and HRT program comparison.

For provider-level commercial details, continue with the Gala Health HRT review, Hone Health women’s HRT review, or Winona HRT review.

Important information

This guide is for general informational purposes and does not provide medical advice or determine whether hormone therapy is appropriate for any person. Treatment eligibility, product selection, laboratory testing, and prescribing decisions should be discussed with a licensed healthcare professional.