How much does it cost to go through HRT? - Balance Hormone Clinic

The cost of hormone replacement therapy (HRT) can vary significantly depending on several factors:

What types of hormones you're taking

The main hormones used in feminizing HRT are:

• Estrogen - the key female sex hormone
• Anti-androgens like spironolactone or finasteride to block testosterone
• Progesterone - can help round out breast development and regulate cycles

While in masculinizing HRT, the main hormone is testosterone.

The costs per medication can range from:

• $4 per month for generic estrogen/spironolactone
• $30-60 per month for brand name estrogen
• Over $200 per month for testosterone

Your dosage and delivery method

Hormones come in various doses and can be taken by pills/patches/injections/gels. Injections and gels tend to be more expensive.

Associated medications needed

Other meds may be needed to supplement HRT:

• 5-alpha reductase inhibitors for hair loss
• Growth hormone for fat redistribution

Doctor visits and bloodwork costs

You'll need periodic visits and bloodwork to monitor hormone levels, which can cost:

• Doctor visits: $100-250 per visit
• Bloodwork: $100-500 per panel

Insurance coverage

Those with trans-inclusive insurance will pay less out-of-pocket vs self-pay.

Average Estimated First Year Costs

Here are rough estimates for the first year of HRT:

• Feminizing HRT:
  • Self-pay: $1,500
  • With insurance: $200 - $500
• Masculinizing HRT:
  • Self-pay: $2,500
  • With insurance: $500 - $1,500

Ongoing Annual Costs

After the first year, estimated recurring costs can be:

• Feminizing HRT:
  • Self-pay: $1,000 per year
  • With insurance: $500 per year
• Masculinizing HRT
  • Self-pay: $2,000 per year
  • With insurance: $1,000 per year

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Balance Hormone Clinic Therapy Clinic provides compassionate, judgment-free HRT care for transgender and non-binary people. Located in Los Angeles, Balance Hormone Clinic' physicians have over 10 years experience providing cutting edge, individualized hormone therapy to help members be their best, most authentic selves. Visit to learn more or book a risk free consultation today to get started!