The physician fee covers your clinical care. Medications are itemized separately. Labs are billed separately at the published patient prices. Nothing bundled into a mystery number.
Compare the starting structure first. Detailed line items and credits follow below.
Adding a second ongoing service line? When two eligible service lines — Metabolic, TRT, or HRT — are active and managed together, one physician fee is billed at the standard rate and the second eligible physician fee receives 25% off.
Ongoing physician-directed care. Medication is billed separately according to the prescribed product and dispensing pathway.
Program details →| Physician care feeInitial evaluation, protocol design, medication selection, titration, and ongoing physician-directed care. | $125/ month |
| Open-Access Lab → Metabolic creditFor patients who previously purchased any Open-Access Lab panel. | $100applied to first month |
Ongoing physician care. Continued testosterone treatment requires active care, appropriate follow-up, and required monitoring.
Program details →| Physician care feeProtocol design, dose titration, unlimited async messaging, adjunctive therapy management. | $149/ month |
| Initial lab panelTestosterone FBT,MS · CBC · HbA1c · LH · PSA · TSH · Lipid Panel. Billed at the published patient price. | $175one-time |
| Annual monitoring labsLH · PSA · Lipid Panel · Testosterone Total MS. | $75/ year |
| MedicationProcured by the practice, billed through the practice with medication management. Cost varies by format and dose. | ~$50–80/ month |
| Open-Access Male Hormone Lab → TRT creditPrior Male Hormone lab customers: first month ($149) covered in full, remaining $16 rolls to cycle 2. | $165credit |
Ongoing physician care. CV-risk-forward protocols with evidence-based lab monitoring — no routine FSH or estradiol.
Program details →| Physician care feeProtocol design, 6–8 week titration, ongoing adjustment, thyroid co-management as indicated. | $149/ month |
| Initial lab panelBMP · Lipid Panel · HbA1c. Billed at the published patient price. | $50one-time |
| Annual monitoring labsSame panel — BMP, Lipid, HbA1c. | $50/ year |
| MedicationHormone medications procured by the practice, billed with medication management. Cost varies by regimen. | Variablebilled through practice |
| No lab-to-HRT creditBy design — HRT entry is symptom-driven and CV-risk-driven, not lab-driven. A lab panel does not predict HRT appropriateness. | — |
À la carte panels through Quest Diagnostics with written physician interpretation. No enrollment required. Tier A (raw results), Tier B (written interpretation, default), Tier C (+$49 for a 15-minute consult).
| Panel | Quest cost | Patient price |
|---|---|---|
| Metabolic BaselineCBC · HbA1c · BMP · Lipid Panel | $31.74 | $59 |
| Metabolic MonitoringHbA1c · BMP — quarterly | $17.23 | $36 |
| Male HormoneTestosterone FBT,MS · CBC · HbA1c · LH · PSA · TSH · Lipid | $110.27 | $175 |
| Female HormoneBMP · Lipid · HbA1c | $26.74 | $50 |
| Longevity / PreventiveCBC · HbA1c · Sed Rate · Vit D · B12 · CMP · Electrolyte · TSH | $83.14 | $135 |
| Cortisol & DHEA-S (Adrenal Function)Cortisol, A.M. (Test Code 4212) · DHEA Sulfate, Immunoassay (Test Code 402) | $60 | $100 |
Full labs page → tier comparison, collection methods, scope of service, conversion credits.
Peptides and other emerging longevity treatments vary substantially in regulatory status, evidence, and lawful availability.
Questions about an emerging treatment may be discussed during an appropriate physician consultation. A consultation does not guarantee prescribing or availability of any particular medication or compound.
“Every charge visible. No bundled mystery pricing.”
Medication is billed separately from physician services. The billing path depends on the medication, dispensing pharmacy, and treatment program. FDA-approved commercially manufactured medications and compounded preparations are distinct pathways. Compounded preparations are not commercially manufactured drug products and are not FDA-approved. Labs are billed at the published patient prices. The physician fee pays for physician judgment.
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