Men's Telehealth Cost Comparison
What You'll Pay 2025
What Men’s Telehealth Costs in 2025
Telehealth has revolutionized men’s health treatment access, but pricing can be confusing. Comprehensive breakdown of costs for ED treatment, hair loss, testosterone replacement, weight loss, and mental health services in 2025—including hidden costs most services don’t advertise upfront.
The short answer: Men’s telehealth costs $20-600/month depending on treatment, with most paying $40-200/month. This is 50-80% cheaper than traditional doctor visits plus pharmacy costs.
Complete ED Treatment Cost Breakdown
Generic Sildenafil (Viagra)
Platform-by-Platform Pricing:
Hims:
- Per dose: $2-8
- Monthly subscription (8 doses): $40-64
- Annual cost: $480-768
- Cheapest option for sildenafil
Ro:
- Per dose: $2-10
- Flexible pricing (pay per dose)
- Typical monthly: $40-80
- Annual cost: $480-960
BlueChew:
- Per dose: $3-9 (chewable tablets)
- Monthly subscription required
- Basic plan (6 doses): $20-30
- Pro plan (10 doses): $50-90
- Annual cost: $240-1,080
Lemonaid Health:
- Per dose: $2-5
- 30-day supply: $25-55
- Annual cost: $300-660
Rex MD:
- Per dose: $2-7
- Monthly subscription: $30-90
- Annual cost: $360-1,080
Traditional pharmacy (for comparison):
- Generic sildenafil: $15-30 per dose
- Monthly (8 doses): $120-240
- Annual cost: $1,440-2,880
Winner: Hims (lowest sildenafil pricing)
Generic Tadalafil (Cialis)
Platform-by-Platform Pricing:
Hims:
- Per dose: $2.50-10
- Monthly (8 doses): $44-80
- Daily low-dose (30 tablets): $60-90/month
- Annual cost: $528-1,080
Ro:
- Per dose: $3-12
- Flexible dosing options
- Monthly: $50-96
- Daily low-dose: $70-100/month
- Annual cost: $600-1,200
BlueChew:
- Per dose: $4-12 (chewable)
- Monthly: $60-120
- Annual cost: $720-1,440
Rex MD:
- Per dose: $3-9
- Monthly: $50-100
- Annual cost: $600-1,200
Traditional pharmacy:
- Generic tadalafil: $18-35 per dose
- Monthly (8 doses): $144-280
- Annual cost: $1,728-3,360
Winner: Hims (lowest tadalafil pricing)
Alternative ED Treatments
Trimix/TriMix (Injectable):
- Hims/Ro: $150-300/month
- Lasts 30-60 doses depending on dosage
- Per-use cost: $2.50-10
- Requires prescription and training
Penile Pump Devices:
- One-time cost: $150-500
- Covered by some insurance
- No ongoing medication costs
ED Treatment: Annual Cost Summary
Service Sildenafil Tadalafil Best For
Hims $480-768 $528-1,080 Lowest prices
Ro $480-960 $600-1,200 Flexibility
BlueChew $240-1,080 $720-1,440 Chewable format
Rex MD $360-1,080 $600-1,200 Quick shipping
Traditional $1,440-2,880 $1,728-3,360 Insurance coverage
Savings with telehealth: 60-85% vs traditional pharmacy
Hair Loss Treatment Costs
Finasteride (Propecia Generic)
Platform-by-Platform Pricing:
Keeps:
- $12-25/month (lowest pricing)
- 3-month supply: $35-70 ($11.67-23.33/month)
- 6-month supply: $65-130 ($10.83-21.67/month)
- Annual cost: $130-260
Hims:
- $15-30/month
- Quarterly subscription: $45-85 ($15-28/month)
- Annual cost: $180-360
Ro:
- $20-35/month
- 3-month supply: $55-100
- Annual cost: $220-420
Manual:
- £12-25/month (~$15-32 USD)
- UK-based, ships to US
- Annual cost: $180-384
Numan:
- £15-30/month (~$19-38 USD)
- Annual cost: $228-456
Traditional pharmacy:
- Generic finasteride: $20-60/month
- Annual cost: $240-720
Winner: Keeps (consistently lowest finasteride pricing)
Minoxidil (Rogaine Generic)
Platform Pricing:
Keeps:
- $15-25/month
- Foam or liquid options
- Annual cost: $180-300
Hims:
- $15-30/month
- 5% solution
- Annual cost: $180-360
Ro:
- $20-35/month
- Annual cost: $240-420
Over-the-counter (Costco, Amazon):
- $10-20/month (3-month supply)
- Annual cost: $120-240
Winner: OTC from Costco/Amazon (cheapest for minoxidil alone)
Combination Hair Loss Treatment
Finasteride + Minoxidil Bundles:
Keeps:
- Combined: $27-50/month
- 3-month supply: $75-140 ($25-47/month)
- Annual cost: $300-600
- Best value for combination
Hims:
- Combined: $40-65/month
- Quarterly: $110-185
- Annual cost: $440-780
Ro:
- Combined: $50-75/month
- Annual cost: $600-900
Separate OTC + Telehealth:
- Finasteride (Keeps): $12-25/month
- Minoxidil (OTC): $10-20/month
- Total: $22-45/month
- Annual cost: $264-540
Winner: Separate OTC + Keeps finasteride (most affordable) or Keeps combo (most convenient)
Advanced Hair Loss Treatments
Oral Minoxidil (prescription):
- Hims: $25-40/month
- Ro: $30-50/month
- More effective than topical for some
- Annual cost: $300-600
Finasteride + Oral Minoxidil:
- Hims: $40-60/month
- Ro: $50-75/month
- Annual cost: $480-900
Low-Level Laser Therapy Devices:
- One-time cost: $200-800
- No monthly fees
- Effectiveness varies
Hair Loss: Annual Cost Summary
Treatment Keeps Hims Ro OTC/Traditional
Finasteride only $130-260 $180-360 $220-420 $240-720
Minoxidil only $180-300 $180-360 $240-420 $120-240
Combination $300-600 $440-780 $600-900 $360-960
Oral minoxidil N/A $300-600 $360-600 N/A
Best value: Keeps for all treatments
Savings vs traditional: 40-70%
Testosterone Replacement Therapy (TRT) Costs
Basic TRT Programs
Hims (partnered TRT provider):
- Initial consultation: $45-79
- Monthly medication + monitoring: $129-249
- Includes: Testosterone, syringes, doctor visits, lab work
- Annual cost: $1,593-3,033
- Best for: Budget-conscious beginners
Ro (partnered TRT provider):
- Initial consultation: $99
- Monthly: $129-249
- Comprehensive monitoring included
- Annual cost: $1,647-3,087
Hone Health:
- Membership: $99/month
- Includes: Quarterly testing, medication, doctor access
- Additional medication costs: $30-500/month depending on protocol
- Total monthly: $129-599
- Annual cost: $1,548-7,188
- Best for: Premium ongoing care
Vault Health:
- Membership: $129/month minimum
- Medication: Included in membership or $100-470/month extra
- Total: $129-599/month
- Annual cost: $1,548-7,188
- Best for: Comprehensive hormone optimization
Maximus:
- Subscription: $99-299/month
- All-inclusive (meds, labs, consults)
- Annual cost: $1,188-3,588
Traditional endocrinologist:
- Initial visit: $200-500
- Follow-up visits (quarterly): $100-300 each
- Lab work (quarterly): $150-400 each
- Testosterone: $30-150/month
- Annual cost: $1,500-4,500
TRT Medication Types and Costs
Testosterone Cypionate (injection):
- Generic: $30-80/month
- Most common, most affordable
- Self-administered at home
Testosterone Enanthate:
- Similar pricing to cypionate: $30-80/month
- Slightly different release profile
Testosterone Cream/Gel:
- $100-300/month
- More expensive than injections
- No needles required
- Insurance may cover
Testosterone Pellets:
- $500-1,200 per insertion
- Lasts 3-6 months
- Requires in-office procedure
Clomiphene (off-label for TRT):
- $20-60/month
- Oral medication
- Preserves fertility
- Alternative to testosterone
TRT: Annual Cost Summary
Service Entry Cost Premium Cost What's Included
Hims/Ro $1,593-3,033 N/A Basic monitoring, medication
Hone Health $1,548 $7,188 Comprehensive optimization
Vault Health $1,548 $7,188 Full concierge service
Maximus $1,188 $3,588 All-inclusive
Traditional $1,500-4,500 N/A Insurance may cover
Cheapest: Hims/Ro for basic TRT
Best value: Depends on level of care needed
Weight Loss (GLP-1) Costs
Compounded Semaglutide
Hims:
- Starting dose: $199/month
- Maintenance dose: $299-399/month
- Includes doctor consultations
- Annual cost: $2,388-4,788
Ro:
- Starting dose: $199/month
- Maintenance dose: $299-399/month
- Comprehensive program
- Annual cost: $2,388-4,788
Noom Med:
- $149-399/month
- Includes coaching
- Annual cost: $1,788-4,788
Calibrate:
- $99-165/month membership
- Medication: $250-400/month
- Total: $349-565/month
- Annual cost: $4,188-6,780
Compounded Tirzepatide
Hims/Ro:
- Starting dose: $299/month
- Maintenance dose: $399-599/month
- Annual cost: $3,588-7,188
Hone Health:
- $399-599/month
- Comprehensive monitoring
- Annual cost: $4,788-7,188
Brand-Name GLP-1s (for comparison)
Wegovy (semaglutide):
- Retail price: $1,300-1,500/month
- With insurance: $25-500/month (if covered)
- Without insurance: $15,600-18,000/year
- Savings with compounded: $10,000-14,000/year
Zepbound (tirzepatide):
- Retail price: $1,000-1,200/month
- With insurance: $25-500/month (if covered)
- Without insurance: $12,000-14,400/year
- Savings with compounded: $5,000-11,000/year
Mounjaro (tirzepatide):
- Similar pricing to Zepbound
- Often better insurance coverage
- Savings card available (may reduce to $25-500/month)
Weight Loss: Annual Cost Summary
Medication Compounded Brand-Name Savings
Semaglutide $2,388-4,788 $15,600-18,000 $10,812-15,612 (70-87%)
Tirzepatide $3,588-7,188 $12,000-14,400 $4,812-10,812 (40-89%)
Cheapest compounded: Hims/Ro semaglutide at $2,388/year
Brand-name only worth it if insurance covers with low copay ($25-100/month)
Mental Health (Therapy) Costs
Online Therapy Platforms
Talkspace:
- Messaging only: $260-295/month
- Live sessions (weekly): $360-436/month
- Psychiatry (medication): $125-249/month
- Annual cost (therapy): $3,120-5,232
BetterHelp:
- Unlimited messaging + weekly session: $260-400/month
- Varies by location and therapist
- Annual cost: $3,120-4,800
Cerebral:
- Therapy: $259-325/month
- Medication management: $85-109/month
- Therapy + meds: $325-409/month
- Annual cost (both): $3,900-4,908
Headway:
- Works with insurance
- Copay only: $0-50/session
- Monthly (4 sessions): $0-200
- Annual cost: $0-2,400
- Best if good insurance
Traditional in-person therapy:
- Out-of-pocket: $100-300/session
- Monthly (4 sessions): $400-1,200
- Annual cost: $4,800-14,400
Mental Health: Annual Cost Summary
Service Monthly Annual Best For
Talkspace $260-436 $3,120-5,232 Comprehensive platform
BetterHelp $260-400 $3,120-4,800 Flexibility
Cerebral $325-409 $3,900-4,908 Medication + therapy
Headway $0-200 $0-2,400 Insurance users
Traditional $400-1,200 $4,800-14,400 In-person preference
Savings with telehealth: 35-75% vs traditional therapy
Hidden Costs and Fees to Watch For
Initial Consultation Fees
Free consultations:
- Hims, Ro, Keeps, BlueChew (most ED/hair services)
- Builds trust, easier to try
Paid consultations:
- TRT providers: $45-99 initial visit
- Some specialty services: $20-75
- Usually credited toward first order
Lab Testing Costs
At-home testing:
- Testosterone panel: $45-99
- Comprehensive hormone panel: $99-199
- STD screening: $99-199
- Included with some TRT programs
Lab draw locations:
- Quest/LabCorp: $50-200 per visit
- Some insurance covers
- Usually required for TRT monitoring
Shipping and Handling
Standard shipping:
- Usually FREE (2-5 day delivery)
- Discreet packaging included
Expedited shipping:
- Overnight: $20-40 extra
- 2-day: $10-20 extra
- Rarely necessary
International shipping:
- Not offered by most US telehealth
- Or significantly more expensive ($30-100)
Subscription Requirements
Auto-refill subscriptions:
- Often required for best pricing
- Can cancel anytime (most services)
- Watch for cancellation friction
Membership fees:
- Hone Health: $99/month membership
- Vault Health: $129/month minimum
- Maximus: $99-299/month all-inclusive
Add-On Products
Supplements:
- Hair vitamins: $30-60/month (usually unnecessary)
- Testosterone boosters: $40-80/month (often ineffective)
- Performance supplements: $30-100/month
Skincare bundles:
- Added to ED/hair treatments
- $20-60/month extra
- Optional, may have value
Skip unnecessary add-ons to save $50-150/month.
Insurance Coverage for Telehealth
What’s Usually Covered
Often covered by insurance:
- Mental health therapy sessions
- Psychiatry/medication management
- Testosterone (if diagnosed hypogonadism)
- Some compounded medications
Copay structure:
- Therapy: $0-50/session
- Medication: $10-75/month
- Lab work: $0-100
What’s Rarely Covered
Usually NOT covered:
- ED medications (considered lifestyle)
- Hair loss treatments (cosmetic)
- Weight loss medications (limited coverage)
- Telehealth convenience fees
Most men pay out-of-pocket for ED and hair loss.
Using Insurance with Telehealth
Services that work with insurance:
- Headway (therapy)
- Some TRT providers (if medical necessity)
- Cerebral (mental health)
Process:
- Verify coverage with insurance first
- Provide insurance info to platform
- Pay copay only
- Platform bills insurance
Most ED/hair services don’t bill insurance (privacy, simplicity, better pricing).
How to Minimize Costs
Choose Generic Medications
Savings: 85-95%
- Sildenafil instead of Viagra: Save $60-85/dose
- Finasteride instead of Propecia: Save $50-300/year
- Compounded GLP-1 instead of Wegovy: Save $10,000-14,000/year
Always request generic when available.
Buy in Bulk
Savings: 10-30%
- 3-month supply: 10-15% discount
- 6-month supply: 20-30% discount
- Annual savings: $100-300
Order larger quantities if you’ll use them.
Compare Platforms
Savings: $200-1,000/year
- ED: Hims cheapest ($480-768/year vs $600-1,200 elsewhere)
- Hair: Keeps cheapest ($300-600/year vs $440-900 elsewhere)
- Always shop around before committing
Use HSA/FSA Funds
Savings: 20-30% (tax benefit)
- Pre-tax dollars = effective discount
- $100/month = $70-80 after tax savings
- Annual savings: $240-720 on $2,000 spending
Most telehealth accepts HSA/FSA cards.
Look for Promotions
Savings: $20-100 first order
- First-time discounts: 20-50% off
- Holiday sales: Black Friday, New Year
- Referral codes: $10-50 off
Search “[Service] promo code” before ordering.
Real-World Cost Scenarios
Scenario 1: 35-Year-Old with ED
Expensive approach (traditional):
- Doctor visit: $150
- Generic sildenafil at pharmacy: $20/dose x 8 = $160/month
- Annual cost: $150 + $1,920 = $2,070
Smart approach (telehealth):
- Hims free consultation
- Generic sildenafil: $40/month
- Annual cost: $480
- Savings: $1,590 (77%)
Scenario 2: 28-Year-Old with Hair Loss
Expensive approach:
- Dermatologist: $200 consultation
- Brand Propecia: $80/month
- Rogaine: $25/month
- Annual cost: $200 + $1,260 = $1,460
Smart approach:
- Keeps finasteride + minoxidil: $35/month
- Annual cost: $420
- Savings: $1,040 (71%)
Scenario 3: 42-Year-Old Starting TRT
Expensive approach:
- Endocrinologist consultation: $300
- Lab work (4x/year): $800
- Follow-ups (4x/year): $800
- Testosterone: $60/month = $720
- Annual cost: $2,620
Smart approach:
- Hims TRT program: $179/month (includes labs, meds, consultations)
- Annual cost: $2,148
- Savings: $472 (18%)
Even better: Hims basic tier ($129/month) = $1,548/year
- Savings: $1,072 (41%)
Scenario 4: 50-Year-Old Weight Loss
Expensive approach:
- Brand Wegovy: $1,400/month
- Doctor visits: $200/quarter
- Annual cost: $16,800 + $800 = $17,600
Smart approach:
- Compounded semaglutide (Hims): $299/month average
- Doctor consultations included
- Annual cost: $3,588
- Savings: $14,012 (80%)
Scenario 5: Multiple Treatments
Man needing ED + Hair Loss:
Expensive separate:
- ED (Ro): $70/month
- Hair (Hims): $50/month
- Total: $120/month = $1,440/year
Smart bundled (Hims for both):
- ED: $50/month
- Hair: $40/month
- Bundle discount: -$10/month
- Total: $80/month = $960/year
- Savings: $480 (33%)
Annual Cost Summary: All Treatments
Treatment Range/Year Cheapest Option Traditional Cost
ED (sildenafil) $240-2,880 Hims ($480) $1,440-2,880
ED (tadalafil) $528-3,360 Hims ($528) $1,728-3,360
Hair loss (finasteride) $130-720 Keeps ($130) $240-720
Hair loss (combo) $264-960 Keeps ($300) $360-960
TRT $1,188-7,188 Hims ($1,593) $1,500-4,500
Weight loss (GLP-1) $1,788-18,000 Hims ($2,388) $15,600-18,000
Mental health $0-14,400 Headway w/ins ($0) $4,800-14,400
Total potential savings with telehealth: 40-85% depending on treatment
Is Telehealth Worth It?
Financial Benefits
Cost savings:
- ED treatment: Save $960-2,400/year (67-83%)
- Hair loss: Save $360-1,040/year (40-71%)
- TRT: Save $0-2,912/year (0-64%)
- Weight loss: Save $10,000-14,000/year (70-87%)
For most men, telehealth saves $500-2,000+/year.
Non-Financial Benefits
Convenience:
- No office visits required
- Medications delivered to your door
- Appointments on your schedule
- 24/7 messaging with providers
Privacy:
- No awkward doctor conversations
- Discreet packaging
- Complete confidentiality
- Treat sensitive issues comfortably
Access:
- Specialists available nationwide
- No waiting weeks for appointments
- Treatment starts in days, not months
- Rural areas have same access
When Traditional Care Might Be Better
Insurance covers everything:
- $0-20 copays for all services
- Comprehensive coverage
- Telehealth no longer cost advantage
Complex medical conditions:
- Multiple chronic diseases
- Recent heart attack or stroke
- Need for physical examinations
- Requires specialist coordination
Severe or emergency symptoms:
- Chest pain, breathing difficulty
- Sudden symptom changes
- Medical emergencies
- Require hospitalization
Summary: What You’ll Pay
Most common scenarios:
ED treatment only: $40-80/month ($480-960/year)
- Use: Hims or Ro generic sildenafil/tadalafil
Hair loss treatment: $30-50/month ($360-600/year)
- Use: Keeps finasteride + minoxidil combo
TRT: $130-250/month ($1,560-3,000/year)
- Use: Hims/Ro for basic, Hone for premium
Weight loss (GLP-1): $200-400/month ($2,400-4,800/year)
- Use: Compounded semaglutide through Hims/Ro
Mental health: $260-400/month ($3,120-4,800/year)
- Use: BetterHelp or Talkspace (or Headway with insurance)
Key Takeaways
- Telehealth saves 50-85% vs traditional care for most treatments
- Biggest savings: Weight loss (GLP-1s) save $10,000+/year
- Cheapest ED: Hims ($480/year for sildenafil)
- Cheapest hair loss: Keeps ($300-360/year for combo)
- Best TRT value: Hims basic tier ($1,548-1,593/year)
- Always choose generic to maximize savings
- Buy in bulk for additional 10-30% discount
- Use HSA/FSA for tax savings
For most men, telehealth is both more affordable AND more convenient than traditional care.
Ready to save money on men’s health? Compare platforms and choose the best value for your needs.
Prices accurate as of January 2025. Costs may vary by location, dosage, and individual circumstances. Always verify current pricing with providers before purchasing.
Layla Reyes
BCPA, MPH - Patient Advocate & Telehealth Specialist
Medical review by Dr. Amara Okonkwo, PharmD, BCPS - Clinical Pharmacotherapy Specialist
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