The index at a glance
Each row is a median across the clinics that publish a price for that exact service. n is the number of distinct clinics behind the figure. A price that appears in more than one form at a clinic is counted once.
| Measure | Median | Range | Clinics (n) | Verified |
|---|---|---|---|---|
| GLP-1 weight-loss program, medication included | $262.50 | $100–$1000 | 18 | Jul 2026 |
| GLP-1 weight-loss program, medication billed separately | $159.50 | $65–$299 | 8 | Jul 2026 |
| Semaglutide program, medication included | $275 | $100–$575 | 12 | Jul 2026 |
| Semaglutide program, medication billed separately | $195 | $99–$199 | 3 | Jul 2026 |
| Tirzepatide program, medication included | $284 | $178.98–$1000 | 6 | Jul 2026 |
| Hormone therapy program, medication included | $199 | $109–$349 | 5 | Jul 2026 |
| Hormone therapy program, medication billed separately | $62 | $35–$89 | 2 | Jul 2026 |
| DEXA body-composition scan | $80 | $39.95–$255 | 40 | Jul 2026 |
| At-home lab panel, starting price | $59 | $20.95–$340 | 7 | Jul 2026 |
| At-home lab membership | $174 | $79–$499 | 6 | Jul 2026 |
Prices are estimates gathered from clinic websites — confirm directly with the provider.
GLP-1 weight-loss programs
Monthly cash-pay program prices, split by whether the medication is part of the fee. The split is the single most important thing in this dataset: a membership-only program and an all-in program can post the same headline number and cost very different amounts once the drug is added back in. Across 18 clinics publishing an all-in monthly price, the median is $262.50/mo. Across 8 clinics that bill medication separately, the median membership fee is $159.50/mo.
A further 2 clinics published a monthly price without stating whether medication is included. Those are counted here but never priced into either median.
Semaglutide programs
$275/mo
median with medication included · $100–$575/mo · n=12
Membership-only (medication billed separately): $195/mo median across 3 clinics.
Verified Jul 2026
Semaglutide cost: per-clinic prices →Tirzepatide programs
$284/mo
median with medication included · $178.98–$1000/mo · n=6
Verified Jul 2026
Tirzepatide cost: per-clinic prices →Browse the clinics behind these figures in the medical weight-loss directory, or see which programs sit at the bottom of the range in cheapest GLP-1 without insurance.
Hormone therapy programs
Monthly testosterone and hormone-therapy program prices, split on the same medication-included rule as the GLP-1 measures. Across 5 clinics publishing an all-in monthly price, the median is $199/mo, ranging from $109 to $349/mo. Membership-only fees, where the medication is billed separately, run a $62/mo median across 2 clinics.
This is the thinnest pool in the index. Most hormone clinics publish no price at all and quote only after a paid consult, which means the visible market skews toward value-positioned programs. Another 6 clinics posted a monthly price without stating medication inclusion; those are excluded from both medians.
See the clinics behind these figures in the hormone therapy directory or the TRT hub.
DEXA body-composition scans
One-time cash prices for a standard DEXA body-composition scan. Across 40 clinics that publish a scan price, the median is $80, ranging from $39.95 to $255. The spread is a market-structure fact, not noise: mobile scanning services price near the bottom of the range, while full-service studios bundle consults and additional metabolic testing at the top. Package deals and intro offers are excluded from the median.
By metro area
Metro areas where at least 3 clinics publish a scan price. Ranked by pool size, then by median.
| Metro | Median | Range | Clinics (n) |
|---|---|---|---|
| Los Angeles, California | $39.95 | $39.95–$255 | 4 |
| Austin, Texas | $70 | $39.95–$185 | 4 |
| Denver, Colorado | $80 | $39.95–$235 | 4 |
| New York City, New York | $179 | $39.95–$215 | 4 |
| San Diego, California | $39.95 | $39.95–$210 | 3 |
| San Francisco, California | $39.95 | $39.95–$39.95 | 3 |
| Seattle, Washington | $59.95 | $39.95–$195 | 3 |
| Chicago, Illinois | $75 | $39.95–$150 | 3 |
| Phoenix, Arizona | $149 | $99–$180 | 3 |
| Nashville, Tennessee | $150 | $39.95–$215 | 3 |
Find a location in the DEXA scan directory, or see the lowest verified prices in cheapest DEXA scan.
At-home and direct-access lab testing
Starting a-la-carte panel prices run a $59 median across 7 providers, from $20.95 to $340. The low end is a single marker ordered direct from a reference lab; the high end is a broad multi-biomarker panel with clinician review. Comparing them on price alone compares different products.
Membership and subscription plans run a $174 median across 6 providers ($79 to $499). Memberships bundle a set number of draws per year, so they are never pooled with per-panel prices in this index.
Compare providers and what each panel covers in the at-home lab testing directory.
Methodology
- Collection: published prices only
- A clinic enters the index only when it publishes a price on its own website. Nothing here comes from a survey, a phone quote, a press estimate, or a modeled figure. Each stored price carries the source URL, the verbatim quoted text, and the date it was read.
- Median, not average
- Cash-pay pricing is right-skewed. A handful of concierge programs sit far above the rest of the market, and an average would report those rather than what a typical buyer pays. The median is reported alongside the full low-to-high range so the skew stays visible instead of being hidden by a single number.
- One price per clinic
- A clinic listing several tiers contributes one representative price per measure, so a large menu never outweighs a small one.
- What is excluded
- Introductory and first-month offers, starting-at floors, and multi-month prepay packages are excluded from every median, because none of them is a steady-state price. Prices quoted in a non-monthly unit never enter a monthly measure. Medication-included and membership-only prices are reported as separate measures and never pooled.
- Publication threshold
- A measure is published only once at least 3 distinct clinics publish a comparable price (2 for a membership-only split line). Below that bar the row is dropped rather than reported with a caveat.
- Update cadence
- Prices are re-verified against clinic sites and the index is recomputed from the underlying store, so every figure moves when the source pages move. The as-of month shown on each row is the most recent verification date behind that measure. Current data is as of July 2026.
- Treat every figure as an estimate
- A published price can change without notice, and what a fee covers varies by clinic. Confirm the current price, and exactly what is included, directly with the provider before you pay. These figures describe what clinics advertise; they are not a quote and not a recommendation.
Cite this index
Reuse of these figures is welcome in articles, forum answers, and research. Include the as-of month, because the medians are recomputed as clinics repost prices.
Citation
Source: VitalityScout Cash-Pay Price Index, July 2026 — vitalityscout.com/price-indexLinking to https://vitalityscout.com/price-index keeps the citation pointed at the current numbers rather than a snapshot.
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Each month we recompute these medians from published clinic prices and send the updated figures, plus what moved and why.
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Frequently asked questions
How much does a GLP-1 weight-loss program cost without insurance?▼
Across the 18 cash-pay clinics that publish a monthly price with the medication included, VitalityScout verified a median of $262.50/mo, ranging from $100 to $1000/mo (verified July 2026). Membership-only programs that bill the medication separately are counted separately: $159.50/mo median across 8 clinics. Those are not the same product, so the index never pools them.
How much does a DEXA scan cost without insurance?▼
Across the 40 clinics that publish a standard cash price for a DEXA body-composition scan, the verified median is $80 per scan, ranging from $39.95 to $255 (verified July 2026). City-level medians differ widely because the mix of mobile scanning services and full-service studios differs by market.
Does the Cash-Pay Price Index use medians or averages?▼
Medians. Published cash prices are heavily skewed by a small number of concierge programs, and an average lets one outlier move the headline figure. Each clinic contributes exactly one representative price per measure, so a clinic that lists several tiers is counted once rather than weighted more heavily. Introductory offers, "starting at" floors, and multi-month prepay packages are excluded, because a first-month hook is not a steady-state price.
How do I cite the Cash-Pay Price Index?▼
Cite it as: Source: VitalityScout Cash-Pay Price Index, July 2026 — vitalityscout.com/price-index. Every figure is recomputed when the underlying clinic prices are re-verified, so include the as-of month with any number you quote.