TRT Cost in Texas (2026): Pay-Per-Visit vs. Monthly Membership Clinics, Compared

Written by Dr. Casey Dean, DO, Board-Certified Family Medicine Physician | Medically reviewed by Dr. Kathryn Kline, MD | Trinity Family Medicine

Pricing reviewed: November 6, 2026

Key Takeaways: Texas TRT Cost Comparison (2026)

Quick answer: Among the six online TRT options compared here, first-year costs run from about $700 to about $2,400 all-in, depending on the clinic, medication, lab testing, and visit frequency. At Trinity Family Medicine, every testosterone appointment is $119.99 with no membership; with partner labs at about $30 to $75 per draw and generic cypionate at discount-card prices, I estimate about $702 to $985 in year one, all-in. Fountain TRT includes medication in plans "as low as $199 per month," Hone Health charges a membership plus medication, and Marek Health publishes a year-one average of about $1,599. These figures are not directly comparable, because providers differ in what they include for medication, labs, and consultations, and four have not published Texas availability. Pricing reviewed November 6, 2026.

Disclosure: I practice at Trinity Family Medicine, which publishes this article and is one of the six options compared. Competitor prices are taken from each company's own published pages, quoted where possible, and inclusion here is not an endorsement. Where a competitor is the better fit, I say so.

How I Compared

I compared six options on published consultation fees, membership fees, medication and lab inclusion, and Texas availability (confirmed by the practice, listed by the company, or not stated). I annualized each company's figures and labeled how firm each one is, because an estimate should not look as authoritative as a posted price.

What Do Texas TRT Memberships Include Versus Pay-Per-Visit Care?

Membership and all-inclusive clinics bundle some combination of visits, medication, and labs into a monthly price, while pay-per-visit care charges for each appointment and bills medication and labs separately. Fountain bundles medication and visits; Hone bundles testing but not medication; Trinity bundles neither but charges no membership.

How Much Does TRT Cost in the First Year in Texas?

Across these six options, first-year costs range from about $700 (my Trinity estimate) to about $2,400. The table shows what each figure counts and how firm it is.

How Much Does TRT Cost per Month in Texas?

All-in, the options compared here run from about $34 a month to about $200 a month. For a Trinity patient on generic cypionate injections, I estimate about $59 to $82 a month in year one and about $34 to $82 a month after that. Marek's company averages are about $135 a month in year one and $70 after; Fountain starts at $199 with medication included; Hone's Plus and Premium tiers are $135 to $155 plus medication; Maximus lists $99.99 to $199.99 depending on prepayment.

What Is the Cheapest TRT Clinic in Texas?

It depends on which cost you mean. Trinity is the only option here with a flat per-appointment fee ($119.99). Maximus has the lowest advertised monthly rate ($99.99), but only on a 10-month prepaid plan. Marek's all-in company average after year one, about $850 a year, is the lowest all-in figure any competitor publishes, though it is an average across all Marek clients, not a TRT quote. No company publishes enough to name a guaranteed lowest total cost.

How Much Does TRT Cost All-In at Trinity Family Medicine?

For a Texas man on generic testosterone cypionate injections, I estimate Trinity's all-in cost at about $702 to $985 in year one and about $402 to $985 a year after that, including visits, labs, and medication. Visits are posted prices; labs and medication are estimates.

The medication figure uses the GoodRx discount price we found on November 6, 2026: $42.70 for a 10 mL vial of generic testosterone cypionate, 200 mg/mL. At 2 to 4 mL a month, that is roughly $9 to $17 a month. Smaller vials cost more per mL: SingleCare lists "$49.15" for "4, 1ml of 200mg/ml vials" at CVS with its free signup, about $12 per mL. The $102-$205 figure averages vial use across the year; buying whole vials can add up to about $26 in year one. Pharmacy and ZIP code change the price, and syringes and needles are extra. The lab line assumes one baseline draw; a second confirmatory morning test, if I require it, adds $30-$75. Men who use testosterone gel instead should expect much more: GoodRx's lowest listed 1% gel price is "$82.88" for 30 packets (50 mg a day; higher doses cost more), which would put a Trinity gel patient at about $1,595 to $1,775 in year one.

That estimate puts Trinity's injection path below the published first-year figures for Hone Plus and Premium, Defy's estimate, and Marek's year-one average, and Trinity's gel path below Fountain's cream plan. My figure is a built estimate that leaves out syringes and adjunct medications, while Defy's includes an aromatase inhibitor and Marek's is a company-wide average. After year one, Marek's average of about $850 a year falls inside Trinity's estimated range of about $402 to $985. These are estimates for a typical stable patient, not a quote.

Is Pay-Per-Visit TRT Cheaper Than a Monthly Membership?

For a man on a stable dose, a pay-per-visit physician practice can have lower visit fees, because you pay only for the appointments you have. A membership can make more sense if you want one predictable monthly payment or extra lab panels.

Trinity Family Medicine vs. Fountain TRT: Which Fits Texas Residents?

Fountain fits a man who wants one predictable monthly bill with medication included and is happy with cream; Trinity fits a man who wants injections or gel, a named physician, and no membership. Fountain is from $2,388 a year. My estimate for Trinity is $702 to $985 on generic injections or $1,595 to $1,775 on gel, with medication bought separately.

Trinity Family Medicine vs. Marek Health: Cost and Labs

Both avoid a monthly membership, but they price differently: Trinity charges $119.99 per appointment with labs at about $30 to $75 per draw, while Marek charges a $299 intake and labs starting at $450. Marek's company averages are about $1,599 in year one and $850 a year after; my Trinity estimate is $702 to $985 in year one and $402 to $985 after.

Which TRT Option Fits Which Priority?

How Is Low Testosterone Diagnosed and Monitored?

Major guidelines say testosterone therapy should start only after symptoms and consistently low testosterone are both confirmed. The Endocrine Society's 2018 guideline recommends diagnosing hypogonadism "only in men with symptoms and signs consistent with testosterone" deficiency and "unequivocally and consistently low serum T concentrations," and confirming the diagnosis "by repeating the measurement of morning fasting total T concentrations." The American Urological Association's guideline (published 2018, validity confirmed 2024) likewise says a patient is a candidate for therapy "only when they meet both criteria."

At Trinity, before starting therapy we may require two separate morning total-testosterone measurements, typically below about 300 ng/dL, and may also order thyroid testing, sleep-apnea screening, prolactin, hematocrit, and an age-appropriate PSA. Which labs are needed is at the physician's discretion. Once you are on therapy, follow-ups with lab review are every three months in year one, then every three to six months once stable, depending on clinical circumstances.

On safety, the FDA announced class-wide labeling changes for testosterone products on February 28, 2025, removing boxed-warning language about an increased risk of adverse cardiovascular outcomes, adding results of the TRAVERSE trial, and adding information on increased blood pressure. The blood-pressure warning is one reason ongoing monitoring during treatment matters.

Trinity Family Medicine

Trinity Family Medicine is a Texas-based, physician-led telehealth practice offering testosterone consultations for $119.99 per appointment, without a required monthly membership. Patients pay separately for medication through their pharmacy and for laboratory testing.

My business partner Dr. Kathryn Kline, MD (TMB license T3117) and I are both board-certified family physicians licensed in Texas. Every testosterone appointment is $119.99. We prescribe testosterone, a Schedule III controlled substance, through an identity-verified process and check the Texas Prescription Monitoring Program as a matter of practice. Medication is filled at your own pharmacy, and labs go through our partner labs at about $30 to $75 per draw, or your insurance.

Tradeoffs: We are a two-physician telehealth practice with no physical clinic locations at this time. We serve patients physically located in 251 of Texas's 254 counties (not Hood, Erath, or Somervell) and nowhere outside Texas. Hours are Monday to Saturday, 7 a.m. to 7 p.m. CST, not 24/7. We do no insurance billing. Medication is not included in the visit price, so your total depends on your formulation and pharmacy.

Fountain TRT

Best for: Men who want one predictable monthly price covering medication and visits.

Fountain's homepage says "as low as $199 per month— All Inclusive" and "Includes medication, video visits and ongoing medical support," with follow-up visits "every 3-6 months." It lists Texas among the states where it is "currently operating." Its testosterone is a topical cream applied each morning.

Tradeoffs: Fountain's homepage describes only a topical cream, so confirm whether other forms are offered if you prefer injections. Its homepage says "All Inclusive" and describes a partner-lab blood test, but does not say whether that test is included.

Hone Health

Best for: Men who want recurring biomarker testing built into a subscription, with injection, cream, or enclomiphene options.

Hone's comparison page lists a Plus plan at $135/mo (testing for 9 biomarkers) and a Premium plan at $155/mo (50+ biomarkers), with cypionate at $28/mo, compounded cream or troches at $60/mo, and enclomiphene at $42/mo, plus $65 for an initial in-lab blood test and a confirmatory test it prices at $25 to $80. Its product page lists Basic at "$25/month," but a Hone help-center article is titled "Hone Basic Membership: Longevity Support without Hormone Therapy," so I have not treated Basic as a TRT option. Hone says it offers TRT in 35 states without naming them, so confirm Texas.

Tradeoffs: Hone Plus or Premium with cypionate costs more per year than my $702-$985 all-in estimate for Trinity, but includes recurring biomarker testing beyond a standard monitoring panel.

Maximus

Best for: Men willing to prepay several months for the lowest listed monthly rate.

Maximus's injectable page lists "$199.99/mo" month-to-month, "$149.99/mo" on a 4-month plan ($599.96 billed upfront), and "$99.99/mo" on a 10-month plan ($999.90 billed upfront). The page says pricing "varies by dosage and plan length" and "may vary slightly by state," and mentions licensed compounding pharmacies and shipping, which suggests medication is included; it does not state whether consultations or labs are.

Tradeoffs: The lower rates require prepayment.

Defy Medical

Best for: Men who want pay-per-service care with no subscription.

Its cost page estimates "under $175 per month for the first year" and "around $125 per month" after, an average it says includes testosterone, a weekly aromatase inhibitor, lab work, and consultations, and calls "not a price guarantee."

Tradeoffs: The figure is an estimate, and the cost page does not state which states Defy serves.

Marek Health

Best for: Men who want an all-in program with lab testing arranged up front and coaching included.

Marek's pricing page lists a "$299 one-time intake fee" covering the initial provider exam, a "foundational lab panel starting at $450," and no membership. It says "Average client spend in Year 1 is approximately $1,599 (~$135/month)" and "In Year 2 and beyond, the average drops to ~$850/year (~$70/month)." It adds: "Coaching, clinical oversight, and baseline lab work are included throughout." Prescription treatments require approval by a licensed provider.

Tradeoffs: You pay $749 or more before treatment starts, and the yearly figures are averages, not a price list. Its pricing page does not state which states it serves.

Can a Texas Doctor Prescribe Testosterone Through Telehealth?

Federal telehealth prescribing update (November 6, 2026): DEA telemedicine flexibilities for controlled substances, including testosterone, are scheduled to remain in effect through December 31, 2026 (90 FR 61301). Requirements after that depend on DEA rulemaking or another extension. I will update this section when the rule changes.

Yes, after an appropriate medical evaluation, under federal rules that may change on January 1, 2027. Testosterone is a Schedule III controlled substance. The DEA's fourth temporary extension of telemedicine prescribing flexibilities (90 FR 61301) is effective January 1 through December 31, 2026. DEA's proposed special-registration rule (90 FR 6541, January 17, 2025) had not been finalized as of AAHD's November 5, 2026 update, which reported that advocates were still requesting a fifth extension and that DEA had forecast publication for November. The final rule has been under White House (OIRA) review since August 25, 2026, and a final rule or another extension could still publish before December 31.

If neither does, federal law (21 U.S.C. 829(e)) generally requires a prescriber to have done at least one in-person medical evaluation before a controlled substance is dispensed by internet, unless a covering-practitioner arrangement or a "practice of telemedicine" exception applies (829(e)(3)(A), defined at 21 U.S.C. 802(54)); those exceptions are narrow and generally do not cover a patient at home. That would be a return to the underlying law, not a new ban. Ask any clinic you use what its plan is. This is general information, not legal advice.

Frequently Asked Questions About TRT Cost in Texas

What to Expect at Trinity Family Medicine

Considering TRT in Texas?

Trinity Family Medicine provides physician-led testosterone consultations by telehealth for eligible patients physically located in Texas.

Testosterone treatment requires an appropriate medical evaluation, and a consultation does not guarantee a prescription. Schedule a testosterone consultation or call 817-932-4022.

Related reading: low testosterone in men, erectile dysfunction and heart health, best online doctors in Texas, and what a doctor visit costs without insurance.

References

Clinical and regulatory

Pricing (company pages, checked November 6, 2026)