How much does TRT cost?

A straight breakdown of what testosterone therapy costs, what drives the price, and why the cheapest option is rarely the lowest total.

The real price range

TRT in the United States generally runs anywhere from about $40 a month for a bare-bones online prescription to several hundred dollars a month for fully managed, physician-led care. That's a huge spread — and the gap is almost entirely about what's included.

A low monthly number usually covers the medication and little else. Labs, provider visits, and dose adjustments get billed separately, so the real total creeps up in ways you don't see at signup.

What actually drives the cost

  • Medication — injectable testosterone is inexpensive; creams and pellets cost more.
  • Lab work — proper monitoring means bloodwork several times a year. Billed separately, this adds up fast.
  • Provider oversight — a real physician reviewing your trends costs more than an algorithm, and is worth more.
  • Ancillary medications — managing estrogen or protecting fertility, when needed.

The hidden-fee trap

The entire TRT market's weak spot is unbundling. A clinic advertises a low monthly figure, then charges per lab draw and per visit. By the time you've paid for quarterly bloodwork and a couple of consults, the "cheap" option costs more than an all-in membership — with less oversight.

The AndroMD approach

AndroMD bundles everything into one flat monthly membership — labs, visits, and medication management included, with no surprise bills. See the three membership tiers, all cash-pay and transparent.

DS
David Shusterman, MD
Board-certified urologist · New York City
Medically reviewed content · Last updated May 2026

Frequently asked questions

Not always cheaper-as-in-medication, but cheaper-as-in-unmonitored is riskier. The savings usually come from skipping the oversight that keeps therapy safe.
Sometimes, with restrictions and prior authorizations. AndroMD is cash-pay by design to keep pricing transparent and avoid coverage fights.
Provider visits, lab work, and medication management at your tier — no separate per-visit or per-lab charges.
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