general sexual-health hair-health

Men's Telehealth Cost Comparison

What You'll Pay 2025

Written by Layla Reyes, BCPA, MPH - Patient Advocate & Telehealth Specialist
Published January 10, 2024
Medically reviewed by Dr. Amara Okonkwo, PharmD, BCPS - Clinical Pharmacotherapy Specialist

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

  1. Telehealth saves 50-85% vs traditional care for most treatments
  2. Biggest savings: Weight loss (GLP-1s) save $10,000+/year
  3. Cheapest ED: Hims ($480/year for sildenafil)
  4. Cheapest hair loss: Keeps ($300-360/year for combo)
  5. Best TRT value: Hims basic tier ($1,548-1,593/year)
  6. Always choose generic to maximize savings
  7. Buy in bulk for additional 10-30% discount
  8. 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

View full profile →

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