Comparing The Cost of Hormone Replacement Programs
Currently, the prices for hormone replacement therapy (HRT) programs range from a low of $395 a month up to $5,000 a month for a top-shelf program. To understand this wide price variance, you need to understand the different moving parts that may or may not be included in the cost of a hormone replacement program.
Initial evaluation and diagnostic testing: Your initial consult may be a cursory saliva test for low testosterone or it could be a complete blood profile and diagnostic workup. The cost of a saliva test is around $60, but a saliva test is not an accurate measurement of low testosterone. You can order a blood test kit for total and free testosterone from Accesa for $95, but this will not measure other hormone deficiencies.
Most cut-rate low T clinics charge around $695 for a basic initial exam and diagnostic tests for low testosterone and IGF-1. Discount HRT clinics will charge at least $895 for a more complete set of lab tests which include a thyroid panel. DHEA level, lipid profile, CBC (complete blood count), estradiol level, urinalysis, homocysteine level, and spirometry. This is the rock bottom price for a diagnostic testing.
The most expensive program in the U.S. charges around $5,000 for a day-long evaluation with all the bells and whistles, including some which you may not actually need.
Monthly cost of testosterone injections: A “factory” low T clinic will charge a bare minimum of $200 a month for in-office testosterone injections, including basic monthly labs (testosterone, estradiol, PSA and CBS).
A top-notch hormone replacement clinic will charge around $1000-$1500 a month for comprehensive monthly testing and injectable testosterone, thyroid hormone, and possibly DHEA.
You can think of these costs like dining out. The cheapest discount clinics are “dining at McDonalds,” because they depend on volume for a profit and the quality is minimal. Likewise, the impact on your health is less than desired. You can also “dine at a chain restaurant” where the costs are affordable, the emphasis is mass market, and the quality is better but not outstanding. Finally, you can choose “gourmet dining” which offers the best quality with a price tag to match.
Monthly cost of nutraceuticals: Bargain low T clinics are in the business of selling testosterone injections and not providing optimal wellness. So important features such as nutraceuticals are ignored.
The most established and most respected programs in the country charge around $1,000 a month for nutraceuticals. The actual costs for a core HRT program of testosterone, thyroid, and DHEA replacement hormone plus nutraceuticals is difficult to determine because most programs do not have a one-size-fits all price for hormone replacement therapy. You have to go in, get the tests, and a staff member will then tell you the cost of your individualized HRT program.
Monthly cost of growth hormone: There is no doubt human growth hormone can have almost miraculous benefits for many people. There is also no doubt that real growth hormone is expensive.
The very cheapest clinics charge at least $500-$700 a month for growth hormone injections. This is for a minimal cycle and in reality you will probably need more. Also recognize that many discount clinics may cut corners on the quality of growth hormone, perhaps using a non-FDA approved Chinese brand instead of a legitimate FDA-approved product. They will also charge around $399 a month for check ups and testing. So, even if you go to a HGH mill, you will spend around $1200 a month for growth hormone. You can, of course, buy black market HGH online, but this is not legal and not safe, so we won’t even go there.
Typically, at an established and well-regarded HRT program, the drug cost for injectable growth hormone is around $1500-$2,000 a month. This is for real, FDA-approved growth hormone such as Norditropin or Genotropin. Monthly monitoring is usually $500. Most of these programs give you a prescription you fill yourself at a local pharmacy and show you how to inject yourself.
The cost of benchmark evaluations: Once you are enrolled in an HRT program, you will need periodic benchmarking. Usually this involves a complete check-up once or twice a year. The least expensive programs charge $495 for a 4-month or 7-month checkup. This would be for a healthy male with no extenuating conditions, such as high cholesterol.
If you have health conditions (for example, arthritis, high cholesterol, asthma, diabetes, heart disease) you should not have complex HRT unless you go to a very good program with highly experienced doctors. Benchmark evaluations done by these programs are thorough and individualized. Many will work hand in hand with your physicians and specialists. The cost for this level of medical care is typically $2,000=$3,900 a year at the very best programs.
The bottom line: If you want HRT that includes testosterone, thryoid, DHEA, and human growth hormone, you will need an initial exam, monthly tests, monthly drug costs, monthly nutraceutical costs, and annual benchmarking costs.
The very cheapest HRT program will run $900 a year diagnostic tests and supervision. More likely, you will spend around $2,700 a year for the physician component of a basic HRT program. The most expensive HRT program in the U.S. charges around $8,000 a year for testing and physician monitoring.
Drug costs are pretty much standard, especially for commonly prescribed injectable testosterone, thyroid, and DHEA. Drug costs depend on how much you need per month. Discount clinics advertise testosterone as low as $40-$80 a month, but this is a low ball price and you will probably need twice that for a minimal hormone replacement regimen. More reasonably, expect to pay around $700-$1000 a month for drugs (testosterone, thyroid, DHEA) and another $500-$1000 for pharmaceutical grade nutraceuticals.
Growth hormone drugs are an additional cost. Legitimate, FDA-approved growth hormone typically costs $1,500-$2,500 per month. If you are spending less, you need to question whether you are getting the real thing.
The best programs include ancillary services such as help with weight management, nutrition, and fitness. These programs are focused on achieving optimal wellness, not just “selling injections,” so your total wellness factor is taken into account.