TRT at Solas Health & Wellness is a flat $150/month that covers provider visits with Celeste Cisneros, FNP-BC, dose adjustments, and ongoing safety monitoring. Testosterone medication ($30–$80/mo from the pharmacy) and bloodwork (~$150–$300 baseline, less for follow-ups) are billed separately. The initial consultation is $200, paid once. A reasonable first-year budget runs $2,400–$3,000 total, including consult, monthly fees, labs, and medication.
What Is TRT and Why Does It Cost What It Does?
Testosterone replacement therapy (TRT) is a medically supervised treatment that restores testosterone to a healthy, age-appropriate range in men whose levels are clinically low. It's not a one-time procedure — TRT is ongoing care that includes the medication itself, regular bloodwork to keep treatment safe, dose adjustments based on how you're responding, and a provider relationship to manage all of it.
That's why TRT pricing is usually broken into three buckets: the provider fee (your monthly clinic cost), the medication, and the labs. Different clinics structure their fees differently — some bundle, some unbundle, and some hide costs behind enrollment fees and lab markups. At Solas Health & Wellness, we keep it simple: a flat monthly clinic fee, no markups on labs or medication, and no surprises.
TRT Cost Breakdown at Solas
Here's exactly what you'll pay for TRT at Solas Health & Wellness, with what each bucket covers:
| Item | Cost at Solas | What it covers |
|---|---|---|
| Initial consultation | $200 | Full medical history, symptom review, lab review, treatment plan — one-time |
| Monthly TRT fee | $150/month | Provider visits, dose adjustments, lab review, ongoing safety monitoring, messaging |
| Baseline lab panel | $150–$300 | Billed by the lab — one-time at start of therapy |
| Follow-up labs | $80–$150 | Billed by the lab — every 3–6 months |
| Compounded testosterone injections | $30–$80/month | Billed by the pharmacy — most cost-effective form |
| Brand-name testosterone gel | $300–$600/month | Significantly more expensive; less precise dosing |
| Testosterone pellets | $500–$1,000 per insertion | Every 3–6 months; convenient but least adjustable |
Most patients at Solas use compounded testosterone injections — they're the most studied, the most cost-effective, and produce the steadiest curve. We discuss which delivery method fits you at your consultation.
What's Included in the $150 Monthly Fee
The flat $150 monthly fee at Solas is comprehensive. It includes:
- In-clinic or telehealth provider visits with Celeste Cisneros, FNP-BC
- Dose adjustments & protocol changes tuned to how you're responding
- Ongoing safety monitoring — we review your follow-up labs and explain them in plain language
- Direct messaging with the clinic for routine questions between visits — no per-message fees
- Dose titration based on bloodwork and symptoms
- Side-effect management guidance when needed
What's not included: the initial consultation ($200, one-time), the medication itself (paid to the pharmacy), and your bloodwork (paid to the lab). We don't mark up either — you pay them directly.
What Lab Work Costs
Before starting TRT, we review a baseline panel that typically includes:
- Total Testosterone — your overall testosterone level
- Free Testosterone — the active portion
- SHBG (Sex Hormone Binding Globulin) — controls how much testosterone is "available"
- Estradiol (E2) — must stay in a healthy range during therapy
- Hematocrit & Hemoglobin — safety marker we monitor on therapy
- Comprehensive Metabolic Panel — liver, kidney, electrolytes, glucose
- Lipid Panel — cholesterol & cardiovascular baseline
- PSA for men 40+ — prostate safety screen
The baseline panel typically runs $150–$300 at most local labs depending on what's drawn. Follow-up panels are smaller (we don't repeat everything every time) and typically run $80–$150. If your PCP has done similar labs in the last 6 months, we can often start from those — bring them with you.
Solas does not mark up labs. You pay the lab directly, and we'll give you the order to take to whichever lab is convenient.
What Testosterone Medication Costs
Medication cost depends heavily on which form you use. Compounded injections are the most cost-effective, brand-name gels are the most expensive, and pellets sit in the middle (low frequency, high per-procedure cost).
| Form | Typical monthly cost | Notes |
|---|---|---|
| Compounded testosterone cypionate (injection) | $30–$80 | Most common; weekly or twice-weekly subq injection |
| Compounded testosterone enanthate (injection) | $30–$80 | Similar profile to cypionate; provider preference |
| Brand-name testosterone gel (AndroGel, Testim, etc.) | $300–$600+ | Daily application; transfer risk to others |
| Brand-name testosterone cream | $200–$400 | Compounded versions cheaper |
| Testosterone pellets (Testopel) | $500–$1,000 per insertion every 3–6mo | Convenient but the least dose-adjustable |
Most Solas patients use compounded testosterone injections from a licensed U.S. compounding pharmacy. The medication itself ships from the pharmacy or is picked up locally, and Solas does not mark it up.
Insurance, HSA, and FSA
Solas Health & Wellness is a cash-pay practice — we don't bill insurance directly. Here's what that means for your TRT costs:
- Insurance and TRT is generally messy. Plans may cover TRT for diagnosed hypogonadism with prior authorization and documented lab evidence, but coverage is denied for symptoms-with-borderline-labs cases all the time. Most men we see have either been denied or are tired of fighting the prior-auth process.
- HSA / FSA funds can be used for TRT at Solas — including the monthly fee, initial consult, lab work, and medication. Save your receipts.
- Itemized superbills can be provided on request if you want to submit for out-of-network reimbursement.
Solas vs. National TRT Chains
If you've been comparison-shopping, you've probably looked at the national telehealth TRT chains (Hone Health, Defy Medical, Maximus, AlphaMD, etc.) and the in-person low-T centers. Here's the honest comparison:
| Option | Typical monthly cost | Notes |
|---|---|---|
| Solas Health & Wellness (El Paso) | $150/mo flat + meds + labs | In-person initial visit; telehealth follow-ups; FNP-BC provider relationship |
| National telehealth chains (Hone, Defy, Maximus) | $100–$200/mo subscription | Tele-only; meds often included in higher tiers; lab fees vary |
| National in-person chains (Low-T Center, etc.) | $200–$400/mo | Usually include meds; can require longer enrollment commitments |
| PCP / urology TRT (with insurance) | Variable | Co-pays + prior auth; coverage often denied without diagnosed hypogonadism |
The relevant question isn't strictly "who's cheapest" — it's "who's giving me the right care for what I'm actually paying." A $100/month tele-only subscription that gives you a 7-minute video call every 90 days isn't the same product as a $150/month in-person relationship with a Texas-licensed FNP-BC who reviews your labs with you. We're priced competitively for what we actually offer.
Total First-Year Cost
Here's a realistic first-year TRT budget at Solas Health & Wellness:
| Item | Annual cost |
|---|---|
| Initial consultation ($200, one-time) | $200 |
| Monthly clinic fee ($150 × 12) | $1,800 |
| Compounded testosterone medication ($40–$70/mo × 12) | $480–$840 |
| Baseline labs + 2 follow-up panels | $300–$500 |
| Total first-year | $2,780–$3,340 |
Years 2 and beyond are lower — no second initial consult, and most patients stabilize on a consistent dose. A realistic ongoing-year budget is roughly $2,500–$2,900.
How to Get Started in El Paso
The process at Solas Health & Wellness is straightforward:
- Book your initial consultation online or call (915) 266-3174. The first visit is $200 and lasts about 45 minutes.
- Bring recent labs if you have any from the last 6 months. If not, we'll order what's needed.
- Get evaluated by Celeste Cisneros, FNP-BC — full medical history, symptom review, lab review, personalized plan.
- Start medication once labs confirm candidacy. We teach you how to self-administer at your first injection visit.
- Follow up — typically at 6–8 weeks, then every 3 months once stable, with safety labs every 3–6 months.
Solas Health & Wellness is at 6633 N Mesa St, Suite 508, El Paso, TX 79912. Telehealth follow-ups are available for established patients in Texas and New Mexico.
Ready to get clear answers about your testosterone?
Book your TRT consultation with Celeste Cisneros, FNP-BC at Solas Health & Wellness. Real labs, a real plan, a flat monthly price, no insurance runaround.
Book ConsultationFrequently Asked Questions
How much does TRT cost in El Paso?
At Solas Health & Wellness in El Paso, testosterone replacement therapy is a flat $150 per month that includes provider visits with Celeste Cisneros, FNP-BC, dose adjustments, and ongoing safety monitoring. Initial bloodwork and follow-up labs are billed separately so you only pay for what's drawn. There are no insurance codes, no surprise fees, and no extra charges for routine messaging between visits.
What's included in the $150 monthly TRT fee at Solas?
Your $150/month covers in-clinic or telehealth provider visits with Celeste Cisneros, FNP-BC; dose adjustments and protocol changes; review and explanation of your follow-up labs; and direct messaging with the clinic for routine questions between visits. The medication itself is billed by the pharmacy and labs are billed by the lab — Solas does not mark either up.
Does insurance cover testosterone replacement therapy?
Sometimes — but the situation is messy. Insurance may cover TRT for men with clinically low testosterone levels and a confirmed diagnosis of hypogonadism, but plans frequently require prior authorization, multiple low-level lab confirmations, and step therapy. Coverage is denied entirely if your labs are 'normal-low' even when your symptoms are real. Solas is a cash-based clinic and does not bill insurance directly, which is why our pricing stays predictable and our care plan is driven by your labs and symptoms rather than what an insurance code will reimburse.
How much does the bloodwork cost?
A baseline TRT panel runs roughly $150–$300 at most local labs depending on what's drawn. The core markers (Total Testosterone, Free Testosterone, SHBG, Estradiol, Hematocrit, CMP, Lipids, PSA for men 40+) are on the lower end. Adding Thyroid, LH/FSH, or sensitive-Estradiol pushes higher. If your PCP has drawn similar labs in the last 6 months, bring them — we can often start from there. Follow-up panels are smaller and typically run $80–$150.
How much does testosterone medication cost separately?
Testosterone cypionate or enanthate from a U.S. compounding pharmacy typically runs $30–$80 per month depending on dose and vial size. Brand-name testosterone gels, creams, and pellet implants are significantly more expensive — gels can run $300–$600+ per month at retail without insurance, and pellets are typically $500–$1,000 per insertion every 3–6 months. Most of our patients use weekly subcutaneous injections of compounded testosterone for cost and consistency reasons.
Is Solas cheaper than the big TRT chains like Hone, Defy Medical, or Total T Centers?
Solas is competitively priced for a local, in-person clinic. Telehealth-only chains can sometimes appear slightly cheaper on the monthly subscription, but the comparison rarely apples-to-apples once you add lab fees, shipping, and the difference between a real provider relationship and a tele-only consult. Local pricing for full-service in-clinic TRT in El Paso typically lands $150–$300 per month before medication and labs. Solas is on the lower end of that range, with a Texas-licensed FNP-BC seeing you in person.
Are there any hidden fees or add-ons?
No. The $150 monthly fee is flat. There's no enrollment fee, no annual contract, no charge for routine messaging between visits, and no markup on labs or medication. We confirm your exact plan at your initial consultation so you walk out knowing what you're paying. If your labs require an unusual or specialty panel, we'll quote it before drawing — never after.
How is the cost different for injections vs gels vs pellets?
Cost differences come almost entirely from the medication — not the Solas monthly fee, which stays flat at $150. Compounded testosterone injections are the most cost-effective and most precisely dosed. Gels and creams cost more, are less precise (transfer risk, daily application compliance), and don't typically produce as stable a testosterone curve. Pellets are convenient but the most expensive and least adjustable mid-cycle. We talk through which delivery method fits your lifestyle and goals at your consult.
Will my TRT cost change as my dose changes?
The $150 monthly Solas fee stays the same regardless of dose. Medication cost may shift slightly if your dose changes the volume drawn from the vial — but most patients land within a $30–$80/month medication range and stay there. We don't charge per-visit when you come in for a dose adjustment.
Can I use HSA or FSA funds to pay for TRT at Solas?
Yes. HSA and FSA funds can be used for medically necessary TRT, including your Solas monthly fee, initial consultation, lab work, and medication. We provide itemized receipts that meet documentation requirements. Check with your plan administrator for specifics on coverage criteria.
Do I have to commit to a long-term contract?
No. TRT at Solas is month-to-month. You can pause or stop at any time. That said, testosterone replacement is generally a long-term commitment — stopping suddenly returns you to whatever baseline you started with, and abrupt stops without taper or transition planning can cause significant symptoms. We talk through realistic expectations at your initial consult.
How much do follow-up visits cost?
Follow-up visits are included in your $150 monthly fee — there's no per-visit charge for the regular cadence of TRT monitoring. Most patients are seen in the first 6–8 weeks after starting therapy, then every 3 months once stable, with safety labs typically every 3–6 months. Telehealth follow-ups for established patients in Texas and New Mexico are also included.
Is telehealth TRT cheaper or more expensive than in-person?
At Solas, the fee is the same — $150/month — whether your follow-up is in-clinic or telehealth. We strongly recommend the initial consultation be done in person so we can take baseline vitals and have a full conversation, but most follow-up visits for established patients can happen via secure video for convenience.
What's the total first-year cost of TRT at Solas?
A reasonable budget for the first year of TRT at Solas Health & Wellness is roughly $2,400–$3,000. That breaks down as $200 initial consult (paid once) + $150/month × 12 ($1,800) + roughly $40–$70/month for compounded testosterone medication ($480–$840) + roughly $300–$500 in baseline + follow-up labs over the year. This is a comprehensive estimate — your actual cost depends on your dose, lab cadence, and which medication form you choose.
Where can I start TRT in El Paso?
Solas Health & Wellness is at 6633 N Mesa St, Suite 508, El Paso, TX 79912. Celeste Cisneros, FNP-BC is licensed in Texas and New Mexico, with patients from across the borderplex including Las Cruces, Sunland Park, Santa Teresa, Anthony, Canutillo, and Horizon City. Call (915) 266-3174 or book online to schedule your initial consultation.
This article is for educational purposes only and does not constitute medical advice. Pricing reflects estimated rates at Solas Health & Wellness as of June 2026 and is subject to change. Testosterone replacement therapy is a prescription medication that requires medical evaluation. Please consult with a licensed prescriber before starting any new medication.