Verbatim response from Perplexity
HRT through an online clinic typically costs $79 to $200 per month for an all-in subscription plan that includes consultations and monitoring, though prices can range from $30 to over $299 per month depending on the provider, tier, and whether medication is included [2][3][4].
Key cost breakdowns by model:
| Model Type | Monthly Cost Range | What's Included |
|---|---|---|
| All-in Subscription (Medication Included) | $177–$229/month | Consultations + medication + monitoring (e.g., Hone Health) [2][8] |
| All-in Subscription (Medication Separate) | $79–$200/month | Consultations + monitoring; medication billed separately [2][3][6] |
| Pay-Per-Visit | $49–$259/visit + $20–$60/month meds | One-time consultation fee; no monthly membership; meds via pharmacy [2] |
| Lowest Cash-Pay Options | $25–$49/month (service only) | Basic tier memberships; labs and meds excluded or extra (e.g., Hone, Evernow, Alloy) [1][9] |
Specific provider examples (2026 cash-pay):
- PlushCare: ~$240/year ($20/month) for service only; prescriptions filled at local pharmacy [1]
- Evernow: $35–$49/month membership; additional costs for meds and labs [1][9]
- Hone Health: $25/month basic tier (labs-included specialist option at $177–$229/month with meds) [1][8]
- Alloy: $49/month ($588/year) + ~$150/year for labs [1]
- Winona: $99/month ($1,188/year) with bioidentical hormones shipped directly [1]
With insurance, costs drop significantly to $15–$75 per month after copays, making it cheaper than most cash-pay options for those with pharmacy benefits [4]. Medication alone (without clinic services) can range from $10 to $500+ per month, depending on type and dosage [8][17][18].
The total monthly cost depends heavily on whether you choose a bundled plan (medication included) or a membership-only plan (medication paid separately at your pharmacy).