What does HRT cost per month through an online clinic?

Short answer: out of pocket HRT through an online clinic most often runs roughly $20–$300+ per month, depending on the drugs and delivery method (pills vs patch vs gel vs injection) and whether you need compounded medications or frequent lab testing.

What drives cost (brief breakdown)

• Medication type
  • Generic oral estradiol or progesterone: about $10–$60/month.
  • Estradiol patches: about $25–$200/month (brand patches cost more).
  • Topical gels/creams (estradiol or testosterone): ~$60–$300/month.
  • Injectable testosterone (generic): often ~$20–$100/month depending on dose and frequency.
  • Anti-androgens (e.g., spironolactone): ~$10–$40/month.
  • Compounded bioidentical mixes: commonly $50–$300+/month.
• Clinic fees and telehealth visits
  • Initial consult: $0–$150 (some services include first visit in a subscription).
  • Follow-up visits: sometimes included, sometimes $20–$100 each.
• Labs and monitoring
  • Baseline and ongoing bloodwork: $40–$200 per panel (frequency varies; often every 3–6 months initially).
• Shipping/pharmacy and insurance
  • Many clinics use partner pharmacies with variable pricing; GoodRx or insurance can lower medication costs. Some clinics will bill insurance for visits or labs, others are cash-pay only.

Online clinics and services (examples and why you might pick them)

• Plume — focused on gender-affirming care (trans and nonbinary). Known for specialized providers and support services; good if you want a trans-specific practice.
• Folx Health — transgender-focused and offers both subscription plans and insurance-billing options in some states; good if you want an inclusive clinic that can work with insurance.
• Roman (Ro) and Hims — mainstream telehealth brands that offer testosterone replacement therapy for men; convenient, straightforward platforms if you’re looking for male low-T treatment.
• Maven Clinic — virtual women’s health clinic that offers menopause/HRT care and may accept insurance; good if you want a broader women’s health platform and care coordination.
• Hers and Nurx — consumer telehealth providers that have expanded into menopause and other women’s hormone care; convenient and price-transparent for common regimens.
• Local compounding pharmacies / concierge clinics — useful if you need bioidentical compounded formulas but expect higher monthly costs.

How to get a precise price

1. Decide which HRT you need (menopausal HRT, feminizing HRT, masculinizing HRT, or treatment for low-T). Costs vary a lot by regimen.
2. Check a few providers’ pricing pages (most list program/subscription and medication examples).
3. Ask whether they bill insurance for visits and labs, and whether they use brand vs generic meds or compounding.
4. Price-check prescriptions at your preferred pharmacy and with discount services (GoodRx) before committing.

If you tell me which kind of HRT you’re asking about (menopause HRT, feminizing HRT, masculinizing/testosterone, or low‑T for cis men) and whether you have insurance, I can give a tighter monthly estimate and point to 2–3 specific clinics/pricing links.