What does HRT cost per month through an online clinic?

Do you mean gender‑affirming HRT (for trans people) or menopausal HRT (estrogen/progesterone for menopause)? Costs vary a lot by type of hormone, whether you have insurance, and which state/pharmacy you use. Below are typical U.S. price ranges and some named online clinics to consider.

Typical cost components and approximate ranges (U.S., per month)

• Initial telehealth visit / intake: $0–$200 one‑time (many clinics offer a free or low‑cost first visit or bill insurance).
• Ongoing telemedicine follow‑ups / membership: $0–$100/month (some clinics charge a monthly membership or per‑visit fee; others bill insurance).
• Labs and monitoring: $0–$100+/month averaged (labs are episodic but factor into monthly cost).
• Medication cost (generic vs brand):
  • Feminizing HRT (estradiol + anti‑androgen such as spironolactone):
    • Generic oral estradiol: roughly $10–$50/month.
    • Estradiol patch: $30–$200+/month (brand patches are more).
    • Spironolactone (generic): $10–$40/month.
  • Masculinizing HRT (testosterone):
    • Generic injectable testosterone (cypionate/enanthate, self‑injection): roughly $20–$80/month.
    • Topical testosterone gel (brand like AndroGel): $150–$400+/month (brand gels are much pricier; generics still costly).
  • Menopausal HRT:
    • Oral estradiol or transdermal patch: $10–$200+/month depending on form and brand.
    • Progesterone (if needed): $20–$150+/month.

Examples of online clinics (why people choose them)

• Plume — focused on gender‑affirming care; offers telehealth visits, care coordination, and medication delivery. Good if you want a trans‑specific service.
• Folx — trans and queer health clinic; can bill insurance in many states and offers community orientation and navigation.
• Thriva/PlushCare/Hims & Hers — general telehealth platforms (Hims & Hers has a simple subscription model and clear pricing; Hims for men’s testosterone care, Hers for women’s care).
• Maven Clinic or Gennev — good options for menopause HRT and broader women’s health support.
• GoodRx / Honeybee Health — not clinics, but useful for comparing and lowering pharmacy costs if paying cash.

Ways to lower cost

• Use insurance (pick a clinic that bills insurance, like Folx in some states).
• Ask for generic formulations (usually much cheaper).
• Compare local pharmacies and GoodRx coupons.
• For injections, using multi‑dose vials and doing home injections often reduce monthly cost vs brand gels.

If you tell me which type of HRT you mean (gender‑affirming vs menopause), what state you’re in, and whether you have insurance, I can give a more specific estimate and recommend one or two clinics with approximate total monthly cost.