Root-cause integrative gynecology and hormone care — built around your biology and your coverage.

01Check your coverage before your first visit

Three numbers decide what a year of integrative gynecology care costs you: the clinic’s fee, the part your plan’s out-of-network allowable recognises after your deductible, and the share you can pay with pre-tax HSA/FSA dollars. A $2,134 fee-for-service care year in Manhattan can come down to about $650; a $3,000 membership with no billable visits stays near $2,300, because a membership fee itself is not reimbursable.

The estimator below runs that math with CMS 2026 Medicare baselines and metro-specific commercial PPO benchmarks. Every change updates the page link, so you can share your exact care plan with a partner or care coordinator — or print a care and coverage summary to bring to your consult.

02Five ways integrative gynecology care is delivered

Before you compare clinics, know the care model. It decides how long your visits are, how labs are ordered, and whether a superbill can be submitted to your PPO.

2026 published price ranges; confirm current pricing with each provider.

Go deeper: Midi vs Tia vs Parsley, Winona vs Evernow vs Alloy, and pellets vs FDA-approved patches. Considering a membership? Read the seven questions to ask before you join.

03Labs and hormone therapy: where care plans differ most

Labs: serum markers (estradiol, testosterone, SHBG, thyroid, insulin) belong on an insurance requisition with the right ICD-10 codes; only true specialty tests such as DUTCH and GI-MAP need to be paid separately. Splitting them this way typically saves $650–$1,400 per workup — build your panel in the hormone & lab panel builder. Hormone therapy: quarterly pellets with bundled supplements run about $5,000 a year at default inputs, versus a few hundred dollars for FDA-approved transdermal estradiol and micronized progesterone through insurance — compare them in the BHRT treatment cost comparator.

04Insurance & pricing: the four codes on your superbill

The most common denial: 99404 billed the same day as 99205 without modifier 25, or pointed at N95.1 instead of a preventive Z-code such as Z71.89. The insurance, superbill & HSA/FSA guide walks through a complete superbill, a Letter of Medical Necessity template and the appeal steps.

05For OB/GYNs & clinicians: a 60-minute practice

An insurance OB/GYN seeing 24–32 patients a day at $40–$46 per wRVU, with 58–66% overhead and OB call, typically nets $310,000–$420,000. A GYN-only integrative practice of 300 members at $200 a month, plus a supplement dispensary and specialty services, grosses about $951,000 at 28–34% overhead — roughly $640,000–$680,000 net on four clinic days, with no labor-and-delivery call.

Model your own numbers in the practice transition simulator, then read the OB/GYN practice transition blueprint on CPOM, Medicare opt-out, malpractice tail and EMR stack.

06Our clinical and coverage standards

Clinical protocols follow The Menopause Society, ACOG, the Endocrine Society and ASRM where they have positions, and every page says where integrative practice goes further and how strong the evidence is. FDA-approved hormone options are always named alongside compounded ones. Medicare figures come from the CMS Physician Fee Schedule 2026; commercial PPO ranges, clinic fees and lab prices are benchmarks built from 2026 published pricing and are labelled as estimates. Read the full clinical standards & methodology. Nothing here replaces care from a licensed clinician who knows your history.