Hormone Replacement Therapy (HRT) & TRT Clinics Near You

Across the clinics that publish a monthly hormone-program price, VitalityScout verified a median of $199/mo. National telehealth HRT and TRT programs commonly run about $99–$249/mo, and local clinics often more. The spread reflects what is bundled: a membership-only fee bills the medication separately, while an all-in program folds the hormones, supplies, and visits into one number. Most clinics quote only after a consult, so confirm the current figure and what it includes before committing.

TRT (testosterone replacement, most common in men) and broader HRT (estrogen, progesterone, and testosterone optimization, common in perimenopause and menopause) overlap on price. Standard telehealth TRT commonly runs about $99–$249/mo; comprehensive HRT and bioidentical-pellet protocols can run higher because more hormones and in-office procedures are involved. Labs are frequently an added cost either way, and a low membership fee that excludes medication can cost more all-in than a mid-priced all-inclusive program. See our verified TRT cost breakdown for the per-clinic table.

Browse the local clinics by state below to find in-person HRT and TRT providers near you, or compare national telehealth clinics that run at-home labs and ship medication to your door. In-person clinics make sense for pellet insertion, physical exams, and complex optimization; telehealth is usually the lower-friction, lower-cost path for standard testosterone or hormone replacement.

For women in perimenopause and menopause, hormone replacement therapy usually means estradiol plus micronized progesterone, prescribed to manage symptoms such as hot flashes and sleep disruption. Per ACOG and The Menopause Society, the distinction that matters most is FDA-approved versus compounded: many FDA-approved products are already bioidentical, while custom compounded bioidentical therapy is not FDA-regulated for quality or dosing. FDA-approved options such as generic estradiol and micronized progesterone commonly run roughly $15–$75/mo cash and are often covered by insurance; compounded therapy and pellets are typically cash-pay and higher, often several hundred dollars per pellet insertion. These are typical ranges that vary by pharmacy, dose, and clinic. Which therapy is appropriate is a clinical decision for a licensed clinician.

Judge a TRT clinic on monitoring and on what the price includes, not on the headline number. Ask whether baseline and follow-up bloodwork are included, who the prescribing clinician is and whether they are licensed in your state, whether the medication and injection supplies are in the monthly fee, and how side effects such as elevated hematocrit or estradiol are managed. Per the American Urological Association and Endocrine Society guidelines, testosterone therapy is for men with symptoms plus consistently low levels confirmed on two separate morning blood tests, with the AUA using a total testosterone threshold of 300 ng/dL. A clinic that will prescribe without confirmatory labs is a flag. This page is information, not medical advice.

Telehealth is usually cheaper and more convenient for standard hormone replacement: home labs, video visits, and medication shipped to you. A local clinic is worth it when you want pellets, peptides, in-person exams, or more personalized care for perimenopause and menopause. Many people start with telehealth and add a local clinic only if they need hands-on procedures. This page is information, not medical advice.