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12-month cost · not a monthly headline

What You Actually Pay Over a Year

5 of 20 online TRT clinics we track publish enough for us to calculate a real 12-month cost with no material caveat. 8 more produce a real number too, but with something specific flagged. 13 of 20in total. The rest either don't publish a verified price, or a required cost component, usually medication itself, is never itemized. We show which is which, and why, below.

Assumptions: No dose escalation modeled. Figures assume the starting dose/protocol holds for the full 12 months. No promotional pricing beyond what's already the verified, stable rate on file (an explicitly rising promotional rate with no confirmed post-intro number is treated as blocked, not estimated). No insurance factored in. Cash-pay price as advertised. Where a provider names a one-time fee or a documented multi-stage rate (e.g. a real, dated month-1 promo followed by a real, dated ongoing rate), both figures are used explicitly rather than averaged or ignored.

Clean. The number holds (5)

Every dollar figure needed is known and verified. No material caveat.

1st Optimal$2,028/yr
Month 1: $169Month 6: $1,014Month 12: $2,028
  • Monthly rate (Men's Hormone Care): $169/mo
Rugiet$1,717–$1,737/yr
Month 1: $188–$208Month 6: $883–$903Month 12: $1,717–$1,737
  • One-time evaluation fee: $49–$69 (one-time)
  • Monthly rate: $139/mo

Rugiet publishes two intake figures: $49 on its three TRT product pages and $69 on its hub page (collapsed section, rendered 2026-09-27). Every total is therefore a range; nothing is averaged.

MangoRx$1,788/yr
Month 1: $149Month 6: $894Month 12: $1,788
  • Monthly rate (all-inclusive): $149/mo
Ulo$1,908/yr
Month 1: $159Month 6: $954Month 12: $1,908
  • Monthly rate (all-inclusive): $159/mo
Blokes$1,188/yr
Month 1: $99Month 6: $594Month 12: $1,188
  • Monthly rate (zero membership/consult fee): $99/mo

Computed, with a caveat (8)

A real number, but something specific is flagged as excluded or unconfirmed. Never silently treated as zero.

Fountain TRT$2,595/yr
Month 1: $199Month 6: $1,298Month 12: $2,595
  • All-inclusive rate, Starter tier. $199 per 4-WEEK cycle (not per calendar month): $199/mo

UNIT CORRECTION 2026-09-18. Fountain bills every 4 weeks, not monthly. Fountain.net/trt prints "$199/4 weeks" and "Billed every 4 weeks". A year holds 365.25/28 = 13.04 four-week cycles, not 12, so 12 months of the Starter tier is 13.04 x $199 = $2,595, not the $2,388 (12 x $199) we published. The old figure understated a full year by $207. Same class of error as the letters-vs-providers unit mismatch logged on 2026-08-30: the dollar amount was right, the unit behind it wasn't. Marked 'caveated' rather than 'clean' for a second, separate reason: $199 is Fountain's most expensive tier, not a single flat rate. Prepaying 12 weeks is $499 ($167/cycle, $2,177/yr) and prepaying 48 weeks is $1,799 ($150/cycle, $1,955/yr). This row deliberately models the no-commitment tier, because that is what a reader pays without locking in. But a reader who commits pays materially less, and that belongs on the page rather than buried here.

Maximus$1,497.87/yr
Month 1: $199.98Month 6: $897.93Month 12: $1,497.87
  • Starting lab kit (free if you bring labs from the last 6 months): $99.99 (one-time)
  • Monthly rate, enclomiphene on a 12-month plan that can't be ended early: $99.99/mo
  • Follow-up lab kits at 1 and 3 months ($99 each): $198 (one-time)

CORRECTED 2026-10-11. The old figure ($1,188, 'clean') left out the labs and the commitment. $99.99 a month is the rate on a 12-month enclomiphene plan, which Maximus says cannot be ended early; month to month it is $199.99. Labs are billed separately: "Are follow-up labs included in my subscription? No." The starting kit is $99.99 and the follow-up kits at 1 and 3 months are $99 each (help centre, read 2026-10-11). Caveated because the annual lab due at 12 months is not counted here, and a Quest draw ($19.99 to $115) can replace the kit. The first-month total counts the starting kit and the first month; the follow-up kits are counted by month 6.

DudeMeds$1,176/yr
Month 1: $98Month 6: $588Month 12: $1,176
  • Monthly rate, 12-month injectable kit that adds lab work: $98/mo

CORRECTED 2026-10-11. The old figure ($924, 12 x $77) left out the labs: $77 a month is the 12-month kit where you supply your own lab work, redone at 3 months and every 6 months after at your own cost. The kit that adds lab work is $98 a month on 12 months, which is what this total uses. Caveated because DudeMeds does not say whether a 12-month kit is billed monthly or up front, and the medication for the first three months is non-refundable.

TRT Nation$1,188/yr
Month 1: $247.5Month 6: $594Month 12: $1,188
  • Monthly rate (all-inclusive, core TRT): $99/mo

Requires a 2.5-month minimum purchase ("*2.5 months minimum purchase", trtnation.com/testosterone-therapy/, read 2026-09-22), so month-1 cumulative spend is 2.5 x the monthly rate, not one month. Optional HCG add-on is billed separately and its cost isn't published. Not required for baseline TRT, so it doesn't block this total, but it's a real cost some patients will add. The clinic's product page lists the rate as $99.99/mo against $99/mo on its homepage; this table uses the $99 figure held in providers.ts.

Peter MD$1,188/yr
Month 1: $99Month 6: $594Month 12: $1,188
  • Monthly rate (all-inclusive): $99/mo

Caveat: A secondhand, unverified report (via old Trustpilot review snippets. Peter MD's own Trustpilot profile has since been removed) describes being charged $144 instead of the advertised $99, told afterward $99 was an introductory rate. We could not independently confirm this through the actual signup flow. The total above uses the advertised $99. It may understate what you're actually billed.

Month 1: $228Month 6: $873Month 12: $1,647
  • One-time evaluation fee: $99 (one-time)
  • Monthly rate: $129/mo

Caveat: Labs are explicitly excluded from the membership fee on Vita Bella's own pricing page and not itemized separately. A real recurring cost this total doesn't capture. Also requires a 3-month minimum commitment.

Hone Health$2,261/yr
Month 1: $248Month 6: $1,163Month 12: $2,261
  • Intake labs (one-time): $65 (one-time)
  • Membership: $155/mo
  • Testosterone medication (from): $28/mo

Caveat: The medication figure is Hone's published "from" price ($28/mo), not a quote for your protocol; your medication cost can be higher.

Updated 27 September 2026. Hone itemizes testosterone medication (from $28/mo) on top of the $155/mo membership, with $65 intake labs, so a 12-month figure can now be shown. Until today this page listed Hone as not calculable.

Male Excel$2,871/yr
Month 1: $330Month 6: $1,485Month 12: $2,871
  • Online medical consultation (one-time): $99 (one-time)
  • Medical Membership: $99/mo
  • Testosterone cream (from): $132/mo

Caveat: The cream figure is Male Excel's published "from" price ($132/mo), not a quote for your dose; your medication cost can be higher.

Updated 27 September 2026. Male Excel's cost page itemizes the cream (from $132/mo) on top of the $99/mo membership, plus a one-time $99 online medical consultation, so a 12-month figure can now be shown. Until today this page listed Male Excel as not calculable.

Cannot be calculated (7)

“Price not verified” and “price on consultation” and “refuses a fixed quote” are three different facts. Only one of them is the provider choosing not to publish a number at all.

Keeps TRTNo monthly price published. Only a $49 evaluation fee is disclosed.
Defy MedicalNo price published. Consult-only.
NRG ClinicNo price published. Consult-only.
Marek HealthPrice unverified. We could not re-confirm it live.
HimsPrice unverified. We could not re-confirm it live.
AgelessPrice unverified. We could not re-confirm it live.
Viking Alternative MedicineRefuses a fixed quote without an individual evaluation. Its own pricing page states this explicitly, not a number we can compute against.

Every figure on this page is generated automatically from our clinic records. Nothing here is estimated or hand-typed per clinic. For per-provider price history and our full price-classification methodology, see price transparency. For the underlying scoring rubric, see editorial policy.