What does HRT cost per month through an online clinic?

Do you mean menopause HRT (estradiol/progestin for perimenopause/menopause) or gender‑affirming HRT (testosterone or estradiol for trans/ nonbinary care)? Costs also depend a lot on your country and whether you have insurance — tell me which and I’ll give a tighter estimate.

Quick US‑focused overview (typical ranges you’ll see from online clinics)

• Initial telemedicine visit: $0–$150 (many telehealth services include an initial consult in a subscription or bill to insurance).
• Labs (baseline + some monitoring): $50–$200 one‑time at a commercial lab; repeated labs every 3–6 months may add $0–$150 each.
• Medication monthly (self‑pay, generic vs brand, route):
  • Menopause: generic oral estradiol often $10–$50/month; estradiol patches $30–$150/month; compounded formulations much higher ($100–300+/month). If a progestin is needed add $5–$40/month.
  • Gender‑affirming: oral estradiol + antiandrogen (spironolactone) often $30–120/month; transdermal estradiol or patches more expensive; injectable testosterone (generic) often $20–80/month (med cost only); gels/patches $50–200+/month.
• Clinic subscription/management fees: some clinics charge $0–100+/month for ongoing care (or a one‑time visit plus per‑visit billing).
• Typical total out‑of‑pocket monthly cost (self‑pay, after initial labs): around $20–300+/month depending on meds and whether a subscription fee applies. With insurance it can be much lower.

Specific online clinics to consider (why)

• Plume — focused on gender‑affirming HRT, offers ongoing telehealth follow‑up and medication delivery; good for trans care navigation and community resources.
• Folx Health — trans & nonbinary care with flexible payment options and access programs; provides hormone prescriptions and care coordination.
• Gennev — specializes in menopause care and menopause‑focused HRT programs/education and telehealth for midlife women.
• Maven Clinic — broad women’s health telemedicine including perimenopause/menopause care; useful if you want a full women's‑health platform and care coordination.
• PlushCare — general telemedicine/primary care that can prescribe HRT and can bill many insurers; good if you prefer lower upfront telemedicine fees and insurance use.

Money‑saving tips

• Ask for generics (many HRT meds are generic and inexpensive).
• Use GoodRx or pharmacy discount cards for out‑of‑pocket savings.
• Check whether the online clinic can bill your insurance or if they offer a lower‑cost subscription that includes meds.
• Compare whether the clinic includes labs in the program or charges separately (that can swing first‑month costs).

If you tell me which type of HRT you mean, your insurance status, and your country (or ZIP code if US), I’ll give a more exact monthly estimate and suggest 2–3 clinics that best match your needs.