What does HRT cost per month through an online clinic?

Short answer: It depends a lot on the medications, monitoring tests, and whether you use insurance. Typical out‑of‑pocket monthly totals through an online clinic run roughly:

• Low end: about $20–60/month (generic oral meds, inexpensive generics, no pricey shipping or compounding).
• Typical: $50–150/month (common regimens + routine lab monitoring amortized over months).
• High end: $150–400+/month (brand-name/topical formulations, compounded hormones, frequent labs, or private membership fees).

What drives the cost

• Provider fees / membership (one‑time visit vs. per‑month membership or subscription).
• Medication type: generic tablets/injections are cheapest; branded gels, patches, or compounded bioidentical formulas cost more.
• Labs: baseline and ongoing bloodwork (every 3–6 months at first) may be billed separately.
• Insurance: many online clinics can bill insurance for visits and meds; out‑of‑pocket costs fall if covered.
• Shipping/pharmacy choice and whether you use generics or brand names.

Examples of online services (why you might pick them)

• Plume — focused on gender‑affirming HRT with guided monitoring and mental‑health/care coordination; good if you want a trans‑specific program and supportive care.
• Folx Health — specializes in gender‑affirming care and often works with insurance; good if you want a community‑focused provider with insurance options.
• Maven Clinic — broad women’s health and menopause telehealth services; good for perimenopause/menopause hormone therapy and multi‑disciplinary support.
• PlushCare / Forward — general telehealth/primary care platforms that can prescribe HRT and often accept insurance; good if you want one provider to manage overall primary care plus HRT.
• Hims & Hers (Hers) — consumer‑facing telehealth with simpler workflows and clear pricing for common treatments; good if you prioritize convenience and transparent pricing.

How to get an exact price

1. Decide the likely medications (oral estradiol vs patch vs gel; spironolactone vs testosterone injections, etc.).
2. Contact the clinic or start their intake—ask for a detailed quote including initial visit, membership fee, expected lab costs, and medication cost for the specific formulation/dose.
3. Ask whether they bill your insurance (and whether labs/meds can be billed). Use GoodRx or pharmacy discount cards to compare medication prices.
4. Plan for higher upfront cost the first month (visit + baseline labs), then lower recurring cost for months when only medication is needed.

If you tell me whether this is for menopause HRT or gender‑affirming HRT, and whether you have insurance, I can give a tighter price estimate and point to the best clinics for your situation.