12 TRT Clinics Audited: $79–$300/mo, 4× Lab Spread

TL;DR: We audited 12 telehealth TRT clinics on a single rubric — monthly cost, what's included, lab panel size, doctor access, time-to-first-dose, refund policy, state coverage. The spread is enormous. Advertised monthly prices range 4× ($79 to ~$300 all-in). Lab panel size ranges 16× (5 biomarkers vs 80+). Time-to-dose ranges 5× (3 days vs ~6 weeks). Three findings stood out: (1) the cheapest clinics aren't always cheapest annually once labs are layered in, (2) "all-inclusive" pricing means very different things at different clinics, and (3) the premium tiers are buying diagnostics depth, not better testosterone. The full data table is below.

The online TRT industry hides behind a fog of "starting at" prices, undefined "all-inclusive" plans, and lab panels described as "comprehensive" without a number attached. We got tired of the fog. So we audited 12 of the most-cited telehealth TRT clinics on the same rubric and put the numbers next to each other.

This isn't a ranking. It's a measurement. The point isn't to crown a winner — it's to make the trade-offs explicit so you can match a clinic to your situation instead of being upsold into one.

Methodology

Every clinic was scored on the same eight data points, sourced from each clinic's public pricing page, FAQ, and help-center documentation as of May 2026. Where a clinic publishes ranges, we recorded the lowest qualifying advertised plan that includes a testosterone prescription. Where a clinic uses pay-per-service pricing instead of a subscription, we computed an effective monthly cost over a 12-month standard protocol (initial consult, quarterly labs, ongoing follow-ups, and medication).

The eight measured dimensions:

1. Advertised monthly cost — lowest qualifying plan, billing terms noted
2. Effective annual cost — including labs, consults, and supplies the headline price excludes
3. Initial labs included — yes or no, plus separate cost if extra
4. Lab panel size — count of biomarkers in the standard panel
5. Follow-up lab cadence — how often, included or extra
6. Doctor visit format — async messaging, async video, live video, or phone
7. Time-to-first-dose — days from signup to medication shipped, per clinic-published estimates and patient reports
8. State coverage and refund policy — how broadly licensed, how flexible the cancellation terms

Where clinics publish ranges or tier-dependent answers, we recorded the entry-tier number with the higher-tier ceiling noted. Five clinics declined to publish lab biomarker counts; for those, we recorded what we could verify from their FAQ or help center and flagged the rest as "not disclosed."

Two clinics that didn't publish enough public-pricing detail to score honestly were dropped from the table — better a 12-clinic benchmark than a 14-clinic one with two padded rows.

The Big Comparison Table

Clinic	Mo. cost (entry)	All-in annual	Labs included	Panel size	Follow-up labs	Visit format	Time-to-dose	States	Refund/cancel
Peter MD	$79 (annual)	~$948	Yes (quarterly)	Comprehensive (~25–30)	Quarterly, included	Async + video	7–10 days	40+	2 mo upfront, then monthly
TRT Nation	$99	~$1,344	No ($129/panel)	~10 (basic)	10 wks, 6 mos, annual	Video, unlimited	<14 days	Most states	Cancel anytime
Maximus (EP-02)	$99.99 (annual)	~$1,345	Yes (at-home, mo. 1+2)	~10–15	Per protocol, included	Async messaging	7–14 days	Most states	Multi-mo plans non-cancelable
Hims	$99 (3-mo plan)	~$1,188	Yes	Basic (~5)	Ongoing, included	Async + provider check-ins	7–10 days	Most states	Per plan terms
Henry Meds	$129	~$1,548	Yes	Comprehensive (~15–20)	Included	Async + video	8–10 business days	Most states (KYZATREX not CA)	Cancel anytime
Hone Health	$129–$149 (membership) + $28+ med	~$1,884–$2,124	Yes (3–6 mo cadence)	40+	Every 3–6 mo, included	Video + messaging	~14 days	Most states	Cancel via support
Feel30	$149 (concierge $199–$235)	~$1,788–$2,820	Yes (after $99 init)	Comprehensive	Quarterly, included	Video, 7 days/wk	3–5 days	All 50	30-day satisfaction
Royal Medical Center	$195–$225	~$2,340–$2,700	Yes	Standard (~10)	Per protocol, included	Video	7–14 days	Most states	Annual mem. = free shipping
Blokes	$167 (quarterly)	~$2,153	Yes (after $149 init)	Comprehensive	Quarterly, included	Video	10–14 days	35 states (excl. AL, AR, CT, DE, GA, HI, LA, MN, MO, NC, ND, OK, PA, RI, SC)	3-mo commitment
Defy Medical	Pay-per-service (~$200–$250 effective)	~$2,400–$3,000 (yr 1)	No (LabCorp pass-through)	Customizable, broad	Per protocol, billed	Phone + video	4–6 wks	All 50 (lab restrictions in NY/NJ/PA/RI/MA)	No subscription to cancel
Gameday Men's Health	$150–$250 (in-clinic + tele)	~$1,800–$3,000	Yes at most franchises	Standard	Per franchise	Mostly in-person	Varies (clinic-by-clinic)	Franchise-dependent	Per-clinic
Marek Health	$250 consult + $250–$700/panel (~$300/mo effective)	~$3,672–$5,400	No (pay per panel)	70–100+ (Comprehensive/Complete tiers)	Pay per panel	Video, concierge 24/7	4–6 wks (deep workup)	Most states (no NY/NJ/RI lab orders)	Pay-as-you-go

A few notes on how to read this:

• "Effective monthly" for Defy and Marek is a 12-month average that includes their initial consult, two quarterly lab panels, and ongoing follow-ups — not a subscription price.
• Panel size comes from each clinic's published lab description. Where a clinic offers tiered panels, we recorded the standard tier most patients receive.
• Time-to-dose is the published "expected" range, not a worst-case scenario. State licensing pauses, lab queue delays, and PA/MD review can extend it.
• State coverage changes constantly. Verify with the clinic before committing.

Finding 1: The 4× Price Spread Mostly Buys Diagnostics, Not Better Testosterone

The medication is the same molecule everywhere. Testosterone cypionate is testosterone cypionate — there's no premium version of a generic IM injection. The 4× price spread between $79/month and $300/month effective is buying three things, in order of impact:

1. Diagnostics depth. A 5-biomarker panel costs $40 wholesale. An 80-biomarker panel costs $400+. Marek Health and Hone Health justify their premium tiers with panels that go deep on lipids, kidney function, fasting insulin, IGF-1, ApoB, hs-CRP, homocysteine, ferritin, and a dozen other lines that cheaper panels skip. For someone with a complicated metabolic picture, that depth pays for itself. For straightforward primary hypogonadism with clean labs at baseline, it's overkill.
2. Physician access format. $79 buys async messaging plus a 15-minute intake video. $250 buys 24/7 concierge phone access to the same provider every visit. Most patients on stable protocols don't need either — they need a follow-up every 3–6 months. The premium tier is buying access you may not use.
3. Logistics convenience. Feel30's at-home nurse blood draws are a real time-saver for someone who hates lab waiting rooms or works odd hours. Maximus's at-home labs ship to your door. These features cost real money to operate and they're reflected in the price.

What you're not buying with the premium tiers: better testosterone, faster results, or higher target levels. Every clinic in this benchmark prescribes from licensed pharmacies with FDA-regulated active ingredient.

Finding 2: "All-Inclusive" Means Five Different Things

Six of the 12 clinics use the phrase "all-inclusive" or equivalent in their marketing. They define it differently:

• Peter MD: medication, labs (quarterly), shipping, supplies, consults — actual all-inclusive at $79/month annual.
• Henry Meds: medication, ongoing labs, provider visits, shipping — all-inclusive at $129/month, even covers an aromatase inhibitor at no additional cost when clinically indicated.
• Hone Health: "all-inclusive" excludes the medication itself, which is $28+/month additional. The $129/month "membership" covers labs and the platform but not the testosterone — annual real cost ~$1,884.
• Feel30: "all-inclusive" after the $99 initial lab fee, covering medication and quarterly draws. Concierge tiers add at-home nurse draws.
• TRT Nation: advertised at $99/month "everything you need" — but labs are $129 separately. Annual real cost is ~$1,344, not the $1,188 the headline implies.
• Maximus: "all-inclusive" at $99.99/month only on annual prepay. Monthly billing more than doubles to $199.99.

The honest test: total what you'd pay for one year of treatment including the initial lab panel, four follow-up labs, all consults, all supplies, all shipping, and 12 months of medication. That number is your real annual cost. We did this for every clinic in the table above — that's what the "all-in annual" column shows.

The cheapest sticker price ($79 at Peter MD on annual prepay) and the cheapest real annual cost (also Peter MD at ~$948) line up here. But TRT Nation's $99/month sticker price ($1,188 implied) becomes ~$1,344 once you add the required $129 lab panels. And Hone's $129 membership becomes $1,884–$2,124 once medication is included. Headlines lie. Annual totals don't.

Finding 3: Time-to-First-Dose Ranges From 3 Days to 6 Weeks

Speed-to-treatment isn't usually a clinical priority — testosterone deficiency that's been there for years isn't an emergency. But for patients on the fence about whether telehealth is "real medicine," the time-to-dose data tells you something about how each clinic operates.

The fastest clinic in the benchmark is Feel30, with same-day shipping if your consult is completed before 11am EST and a published 3–5 day onboarding window. They achieve this with a streamlined questionnaire, fast lab turnaround, and a physician roster that reviews intakes the same day. Maximus's async-only model also runs fast (7–14 days) because there are no scheduled video appointments to wait for.

The slowest clinics are Marek Health and Defy Medical at 4–6 weeks. Both run deeper initial workups — Marek's Comprehensive panel takes 5–10 business days to resolve plus a 45-minute physician lab review, and Defy's pay-per-service model has a $250–$350 initial consult that's scheduled days out. Neither is being slow because they're inefficient; they're being slow because the clinical model demands more work upfront. For complex cases, that's a feature. For someone with clear-cut secondary hypogonadism and clean baseline labs, it's friction.

The middle of the pack — Peter MD, Henry Meds, TRT Nation, Hone, Royal, Blokes — lands in the 7–14 day range. That's the modal experience for online TRT.

A signal worth noting: clinics that publish a specific time-to-dose number (Feel30's 3–5 days, Henry's 8–10 business days) are usually closer to that number in reality. Clinics that publish only "fast onboarding" without committing to a number tend to slip 7–10 days past whatever the patient hoped for.

Finding 4: Lab Panel Size Varies 16×, and Most Patients Don't Realize It

The single largest dimension of variability we found wasn't price. It was lab panel size.

• Hims runs an entry panel of roughly 5 biomarkers (total testosterone, free testosterone, estradiol, hematocrit, PSA in some markets). Functional but minimal.
• TRT Nation runs ~10 biomarkers — basic hormones plus CBC and metabolic.
• Maximus and Royal Medical Center run ~10–15 biomarkers, similar tier.
• Henry Meds runs ~15–20.
• Peter MD and Feel30 run a comprehensive panel in the 25–30 range — total/free testosterone, SHBG, estradiol, LH, FSH, prolactin, full lipid panel, CBC, CMP, thyroid (TSH/T4), vitamin D, PSA.
• Hone Health runs 40+, adding ApoB, ferritin, hs-CRP, fasting insulin, HbA1c, and several other longevity markers.
• Marek Health's Comprehensive panel runs 70+, the Complete tier 100+, including detailed lipids, oxidative stress markers, and full nutrient micropanels.

That's a 16× spread between the smallest and largest standard panels. The clinical relevance:

• Cheaper panels miss things that matter for TRT specifically. SHBG matters for free testosterone interpretation. Hematocrit matters for polycythemia risk. Estradiol matters for protocol adjustment. A 5-biomarker panel that skips SHBG and full estradiol can leave a clinician dosing in the dark.
• Bigger panels often include things you won't act on. A 100-biomarker panel will flag minor abnormalities that aren't TRT-related and aren't worth fixing. For some patients that's useful preventive care; for others it's anxiety-inducing noise.

The right panel depth is patient-specific. If your last comprehensive metabolic panel was within 6 months and clean, a focused TRT-specific panel (15–25 biomarkers covering hormones, CBC, lipids, metabolic basics) is plenty. If you haven't had labs in years or you have any metabolic concerns, the deeper tiers are worth the price difference.

For an interactive comparison of which biomarkers actually matter on TRT, see How to Read Testosterone Labs and TRT Bloodwork Schedule.

Finding 5: State Coverage Is Less Universal Than Marketing Implies

"Available nationwide" is a marketing claim, not a regulatory fact. State licensing rules for telehealth controlled-substance prescribing — and testosterone is a Schedule III — vary enough that even the most-licensed clinics have gaps.

• Truly all-50 states (subject to lab order restrictions): Feel30, Defy Medical (telemedicine, with NY/NJ/PA/RI/MA lab restrictions).
• Most states with carve-outs: Peter MD (40+), Hone, Henry Meds, TRT Nation, Maximus, Royal, Hims, Marek (no NY/NJ/RI lab orders).
• Significant state gaps: Blokes excludes 15 states for testosterone shipment (AL, AR, CT, DE, GA, HI, LA, MN, MO, NC, ND, OK, PA, RI, SC). Gameday Men's Health is franchise-based with very uneven telehealth availability.

The hidden cost of this: a clinic that's licensed in your state for testosterone may not be licensed to order labs in your state. New York and New Jersey are particularly aggressive — even mainstream clinics like Marek and Defy can't run their lab panels for residents there. You can usually work around this by ordering your own labs through Quest or Labcorp directly, but the workflow friction adds days to the onboarding.

If you live in NY, NJ, PA, RI, MA, ND, or SC: verify state coverage and lab-order eligibility before committing. The clinic may offer to onboard you with you bringing your own labs, which is fine — it just isn't what their marketing implies.

Finding 6: The Cheapest Annual Cost Isn't Always the Lowest Sticker

If you sort the clinics by sticker monthly price, the order is: Peter MD ($79) < Hims ($99 in 3-mo plan) ≈ TRT Nation ($99) < Maximus ($99.99 annual) < Henry Meds ($129) < Hone ($129 + $28 med) < Feel30 ($149) < Royal ($195) < Blokes ($167 quarterly) < Defy ($200–250 effective) < Marek ($300 effective) < Gameday ($150–250).

If you sort by real annual all-in cost including labs, consults, supplies, and medication, the order shifts:

1. Peter MD — ~$948
2. Hims — ~$1,188 (entry plan, enclomiphene-based for now; injectable launching late 2026)
3. TRT Nation — ~$1,344
4. Maximus — ~$1,345 (only on annual prepay; monthly billing pushes this past $2,400)
5. Henry Meds — ~$1,548
6. Feel30 — ~$1,788 (entry tier; concierge ~$2,820)
7. Hone Health — ~$1,884
8. Blokes — ~$2,153
9. Royal Medical Center — ~$2,340–$2,700
10. Defy Medical — ~$2,400–$3,000 (year 1; drops to ~$2,400 year 2)
11. Gameday Men's Health — ~$1,800–$3,000 (franchise-dependent)
12. Marek Health — ~$3,672–$5,400

The takeaway: Peter MD and Henry Meds are the clearest "cheapest sticker = cheapest annually" matches, because they don't hide costs in a separate medication line item or required lab fee. TRT Nation and Hone look cheap until you do the math — TRT Nation because labs aren't included, Hone because medication is billed separately on top of the membership.

How We'd Match Clinics to Buyer Profiles

Pricing alone doesn't pick a clinic. Match the rubric to what you actually need.

Budget-first: you want legitimate TRT at the lowest defensible cost

Peter MD ($79/month annual prepay, ~$948/year all-in). Labs included quarterly, comprehensive panel, established affiliate program, transparent pricing. The 2-month upfront commitment is real but lighter than 12-month prepays elsewhere. TRT Nation ($99/month, ~$1,344 with labs) is the runner-up if you don't want any prepay commitment.

Speed-first: you want to be on protocol within a week

Feel30 (3–5 days advertised, all 50 states, same-day shipping if consult before 11am). The premium pricing buys actual logistics speed. Henry Meds is the slower runner-up at 8–10 business days but with simpler billing.

Diagnostics-first: you want a comprehensive workup before starting

Marek Health runs the deepest panels in the industry (70–100+ biomarkers) with concierge physician access and 24/7 availability. The $3,600+/year is the price of that depth. Hone Health at ~$1,884/year is the budget-friendlier deep-diagnostics option — 40+ biomarker panel, every 3–6 month follow-ups.

Fertility-first: you want to raise testosterone without shutting down LH/FSH

Maximus (EP-02 enclomiphene-first protocol, $99.99/month annual). The only major clinic built around enclomiphene rather than injectable testosterone, with a published testosterone-increase guarantee. Henry Meds offers enclomiphene as a $30/month add-on to standard TRT — useful if you want both options under one provider.

Convenience-first: you want at-home blood draws and minimal logistics

Feel30 concierge tiers ($199–$235/month) include at-home nurse draws — the only major clinic offering this as a standard plan feature. Maximus ships at-home test kits that you do yourself, which is faster but less thorough than a phlebotomist visit.

Concierge-first: you want a physician who picks up the phone, not async messaging

Marek Health has 24/7 physician availability and is built around concierge access. Defy Medical runs phone + video and has been in the space since 2009 — strong physician roster, slower onboarding but deeper relationships once you're in.

What This Doesn't Tell You

The benchmark is a price-and-service rubric. It's not a clinical-outcome study. We didn't measure:

• How well each clinic dials in protocols — that's individual physician variance and patient-specific
• Patient satisfaction longitudinally — Trustpilot scores are a proxy, not a measurement
• How aggressively each clinic prescribes ancillaries — some run anastrozole on every patient by default (a yellow flag), others reserve it for confirmed elevated estradiol
• How responsive each clinic is when something goes wrong — the test for this is when your hematocrit creeps up at month 4 and you need an answer fast

For that layer of evaluation, the existing TRT Catalog framework — How to Choose a TRT Clinic and TRT Clinic Red Flags — covers the qualitative dimensions this benchmark doesn't.

Find the Match for Your Situation

Skip the marketing copy and answer a few questions about your situation, budget, and treatment preferences. Our eligibility quiz routes you to the clinic that matches your actual needs based on the rubric above — speed, budget, diagnostics depth, fertility goals, or concierge access.

If you'd rather read the long-form clinic profiles before deciding, see our Best Online TRT Clinic 2026 guide and the individual clinic write-ups for Peter MD, Feel30, TRT Nation, and Maximus.

TL;DR (Repeated for Skimmers)

12 telehealth TRT clinics on the same rubric. 4× spread on monthly cost ($79 to $300 effective). 16× spread on lab panel size (5 biomarkers to 100+). 5× spread on time-to-first-dose (3 days to 6 weeks). The cheapest sticker price (Peter MD at $79) is also the cheapest real annual cost ($948). The most expensive clinic (Marek at ~$3,600–$5,400/year) is buying diagnostics depth, not better testosterone. "All-inclusive" means five different things across six clinics that use the phrase. State coverage is less universal than marketing implies — verify before committing, especially in NY, NJ, PA, RI, MA, ND, SC.

The right clinic depends on what you're optimizing for. The full data is in the table above. Use it.

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Methodology Notes

Data sources: each clinic's pricing page, FAQ, help center, and (where applicable) public 2026 press releases or pricing breakdowns, accessed May 2026. Where ranges were published, we recorded the lowest qualifying tier with the higher end noted. Lab panel sizes were taken from each clinic's published panel description; where panel size wasn't disclosed, we recorded what could be verified from supporting documentation. Time-to-dose figures are clinic-published estimates corroborated against 2026 patient-reported timelines on Reddit and Trustpilot. Effective monthly cost for pay-per-service clinics (Defy, Marek) was computed over a standard 12-month protocol: initial consult, four follow-ups, two annual lab panels, ongoing medication. Affiliate disclosure: The TRT Catalog has active affiliate relationships with Peter MD, TRT Nation, Feel30, and Maximus. The benchmark rubric was applied identically to clinics with and without affiliate agreements; data inclusion was not contingent on partnership.

Quarterly refresh: clinic pricing and state coverage shift constantly. We re-audit this benchmark every quarter. Last update: May 2026.

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Related Reading

• Best Online TRT Clinic 2026
• How to Choose a TRT Clinic: 8-Point Evaluation
• TRT Clinic Red Flags to Watch For
• TRT Pricing Guide: What You Should Pay in 2026
• Online TRT Clinics vs Local Doctors: Pros and Cons

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This content is for informational purposes only and is not medical advice. Pricing, state coverage, and lab panel composition were accurate as of the May 2026 audit date and are subject to change. Verify current pricing with each clinic before enrolling.