What does HRT cost per month through an online clinic?

Short answer: it varies widely — expect roughly $20–$250+ per month through an online clinic, depending on which hormones and formulations you use, whether you choose generics or brand/compounded products, and whether labs and provider fees are included.

What drives the cost

• Medication type: pills are usually cheapest, patches/gels/brand-name products cost more, compounded bioidentical products are often the most expensive.
• Generic vs brand: generics are far cheaper.
• Initial/setup costs: many services charge an initial consult fee ($50–$200+) or a one‑time membership activation.
• Labs and monitoring: baseline and follow‑up blood tests can add $30–$300 per test (often done every 3–6 months at first).
• Shipping and refill frequency: monthly shipping or 90‑day supplies change totals.
• Insurance: some telehealth clinics will bill insurance (reducing cost); others are cash-pay only.

Typical price ranges (examples)

• Low end (generic oral estradiol or testosterone, or spironolactone): about $20–$80/month (meds + small subscription/visit fee).
• Mid range (patches, transdermal gels, brand-name generics): about $80–$250/month.
• High end (brand-name topical products, compounded formulations): $200–$500+/month.
• Startup costs: expect an initial consult ($50–$200) + baseline labs ($50–$300) the first month.

Examples of online clinics to check (and why)

• Plume — specializes in gender‑affirming HRT, patient-centered follow up and community resources. Good if you want a dedicated trans care provider.
• Folx Health — LGBTQ+ focused, offers gender‑affirming care and some insurance options; well-known and experienced.
• Maven Clinic — large women’s health telemedicine provider that offers menopause and midlife care; useful for menopausal HRT.
• Hims & Hers — consumer-facing telehealth with transparent pricing for some hormone treatments (men’s testosterone through Hims; women’s services through Hers).
• PlushCare / Teladoc — general telemedicine platforms that can manage HRT for many patients; may be useful if you want to use a broader primary-care telehealth service.

How to get an accurate price for you

1. Decide which hormones/formulation you prefer (example: estradiol pill vs patch; testosterone injections vs gel).
2. Contact 2–3 providers above and ask for a full price breakdown (initial visit, membership, med cost per month, lab fees, shipping).
3. Ask whether they bill insurance for consults/labs and whether they can prescribe generics.
4. If cost is a concern, ask about lower‑cost options (generic meds, 90‑day supplies, local lab pricing).

If you tell me which type of HRT you mean (menopausal HRT vs gender‑affirming HRT) and which formulation you prefer (pills, patch, gel, injections, compounded), I can give a tighter estimated monthly cost and point to specific offers/pricing pages.