What does HRT cost per month through an online clinic?

I can give a useful estimate, but first: do you mean gender‑affirming HRT (trans) or menopausal HRT? And which country or state are you in? Prices vary a lot by medication, monitoring needs, and local regulations.

Quick overview (typical US out‑of‑pocket ranges)

• Initial telehealth visit / intake: $0 (if covered by insurance) up to $100–300 if self‑pay.
• Follow‑up refill visits: often $0–$50 per visit or a monthly membership fee with some clinics.
• Medication cost: very wide — generics (oral estradiol, spironolactone, oral testosterone alternatives) can be as low as $10–$50/month; patches, branded topicals, or compounded formulations can be $50–$300+/month; injectable formulations are often cheaper per month than branded patches.
• Labs and monitoring: blood tests every 3–6 months typically $50–200 per panel (depending on insurance and lab).
• Shipping / pharmacy: $0–20 per order (some clinics include meds in the membership).

Typical total out‑of‑pocket: many people pay roughly $30–$250/month when self‑pay, but it can be lower if using insurance or higher if you need branded/compounded meds and frequent labs.

Named online clinics (US) — what they’re good for

• Plume — trans‑focused care with clinicians experienced in gender‑affirming HRT and an emphasis on care coordination and patient support. Good if you want specialized, ongoing trans healthcare.
• Folx Health — another trans‑focused telehealth provider; offers community resources and options for events, and works with some insurance plans.
• Hims & Hers (Hims) — mainstream telehealth that offers testosterone therapy for men and some menopause/HRT services for women; convenient, widely available platform.
• Ro (Roman / Ro) — offers men’s hormone therapy (TRT) through an established telehealth app; convenient for testosterone replacement.
• Lemonaid Health / PlushCare / K Health — lower‑cost telehealth options that can prescribe common HRT medications; good for straightforward, lower‑cost care and refills.
• Local pharmacy/compounding pharmacies plus telehealth: some people use a telehealth consult for a prescription and then a cheaper local pharmacy or GoodRx coupons for meds.

How to get a precise number

1. Pick the medication(s) you expect to use (e.g., estradiol pill vs patch vs injection; spironolactone; testosterone injections vs gels).
2. Check the specific clinic’s pricing page (or call) for intake and refill fees and whether meds are included in a membership.
3. Ask about labs: how often, which labs, and whether they bill insurance or you pay cash.
4. Compare cost at your preferred pharmacies (GoodRx, local chains, or mail‑order) for the actual med price.

If you tell me which kind of HRT you mean and where you’re located, I can give a tighter estimate and point to specific pricing pages or likely monthly totals.