TRT at Solas Health & Wellness is $150/month at 100 mg per week, or $175/month at 200 mg — medication included. That covers the testosterone itself, provider visits with Celeste Cisneros, FNP-BC, dose adjustments, ongoing safety monitoring, and a free monthly B12 injection. Labs are the only separate line: $160 for the required baseline panel, $80 for follow-ups. The $100 consultation is credited toward your first month of 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 simpler than most: one 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 | $100, credited | Full medical history, symptom review, treatment plan — applied to your first month of medication if you start |
| Monthly TRT — 100 mg/week | $150/month | Testosterone medication included, plus provider visits, dose adjustments, lab review, safety monitoring, messaging |
| Monthly TRT — 200 mg/week | $175/month | Same, at the higher dose tier |
| Monthly B12 injection | Free | Included every month while on therapy |
| Initial lab panel | $160 | Ordered through Solas — required before starting; TRT does not begin without it |
| Follow-up TRT labs | $80 | Ordered through Solas — every 3–6 months |
Solas provides TRT as compounded testosterone injections — the most studied form, the most cost-effective, and the one that produces the steadiest curve — and the medication is part of the monthly fee rather than a separate pharmacy bill.
What's Included in the Monthly Fee
The monthly fee at Solas — $150 at 100 mg/week, $175 at 200 mg/week — is comprehensive. It includes:
- The testosterone itself — compounded testosterone injections, no separate pharmacy bill
- A monthly B12 injection at no charge
- 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 $100 consultation, which is credited toward your first month of medication, and your bloodwork — $160 for the baseline panel, required before you start, and $80 for follow-up TRT labs, ordered through Solas.
What Lab Work Costs
Before starting TRT — and this is a requirement, not a suggestion — a baseline panel is drawn that 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 initial panel is $160, priced separately from your consultation fee. Follow-up TRT labs are $80 — they're smaller because we don't repeat everything every time. Nobody starts testosterone at Solas without baseline labs on file. If your PCP has drawn the same panel within the last year, bring it — it counts, and you skip the $160.
Lab orders are placed through Solas and drawn at a lab location convenient to you.
What Testosterone Medication Costs
At Solas, the medication is included in your monthly fee — you will not see a pharmacy bill on top of the $150 or $175. Many clinics unbundle it, so the figures below are what testosterone costs on its own across the market, to help you compare bundled and unbundled pricing honestly.
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 |
Solas patients receive compounded testosterone injections from a licensed U.S. compounding pharmacy, dispensed in the clinic and covered by the monthly fee. Most men prefer picking it up in office to waiting on a shipment, so that is how it is done.
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–$175/mo, meds included + labs ($160 / $80) | 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, medication-included, 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 ($100, credited toward month one) | $0 net |
| Monthly fee, medication included ($150 × 12 at 100 mg, or $175 × 12 at 200 mg) | $1,800 – $2,100 |
| Monthly B12 injection (× 12) | $0 |
| Initial lab panel (required before starting) | $160 |
| 2 follow-up TRT lab panels ($80 each) | $160 |
| Total first-year | $2,120 – $2,420 |
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 $1,960–$2,260 — the monthly fee plus two $80 lab panels.
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 $100, credited toward your first month of medication, and lasts about 45 minutes.
- Get your baseline labs — the $160 panel is required before starting. PCP labs from the last year count — bring them and skip the $160.
- Get evaluated by Celeste Cisneros, FNP-BC — full medical history, symptom review, lab review, personalized plan.
- Start medication once labs confirm candidacy — dispensed in the clinic, no pharmacy wait. 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 $150 per month at 100 mg per week or $175 per month at 200 mg per week — and that price includes the testosterone itself, provider visits with Celeste Cisneros, FNP-BC, dose adjustments, ongoing safety monitoring, and a free monthly B12 injection. Initial labs are $160 and follow-up TRT labs are $80. There are no insurance codes, no surprise fees, and no extra charges for routine messaging between visits.
What's included in the monthly TRT fee at Solas?
Your monthly fee — $150 at 100 mg/week, $175 at 200 mg/week — covers the testosterone medication itself, in-clinic or telehealth provider visits with Celeste Cisneros, FNP-BC, dose adjustments and protocol changes, review and explanation of your follow-up labs, direct messaging with the clinic for routine questions between visits, and a monthly B12 injection at no charge. Labs are the only separate line: $160 for the initial panel and $80 for follow-up TRT labs.
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?
The initial TRT lab panel is $160, ordered through Solas. It covers the core markers — Total and Free Testosterone, SHBG, Estradiol, Hematocrit, CMP, Lipids, and PSA for men 40+. Baseline labs are required before starting TRT — that is a firm rule, not a preference. Follow-up TRT labs are $80 and are smaller because we don't repeat everything every time. If your PCP has drawn the same panel within the last year, bring it — it counts, and you skip the $160.
Is the testosterone medication included, or billed separately?
At Solas it is included — the $150 or $175 monthly fee covers your compounded testosterone injections. That is worth knowing when you compare clinics, because many unbundle it: testosterone cypionate or enanthate from a U.S. compounding pharmacy typically runs $30–$80 per month on its own 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 at the bottom of that range and the medication is already included, with a Texas-licensed FNP-BC seeing you in person.
Are there any hidden fees or add-ons?
No. The monthly fee is flat — $150 at 100 mg/week or $175 at 200 mg/week, medication included. There's no enrollment fee, no annual contract, no charge for routine messaging between visits, and labs are a fixed $160 initial / $80 follow-up. 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?
Solas provides TRT as compounded testosterone injections, and the medication is included in the $150–$175 monthly fee. Across the wider market, cost differences come almost entirely from the medication form. 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?
There are two tiers: $150 per month at 100 mg per week and $175 per month at 200 mg per week, medication included. Moving between them is the only thing that changes your monthly fee. 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 (which covers the medication), initial consultation, and lab work. 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 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 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 realistic first year of TRT at Solas Health & Wellness is $2,120 at 100 mg per week or $2,420 at 200 mg per week. That breaks down as $150 or $175 per month × 12, medication included ($1,800 or $2,100) + the $160 initial lab panel, which is required before starting + two $80 follow-up panels ($160). The $100 consultation is credited toward your first month of medication, so it nets to zero. Monthly B12 is free. Your actual total moves only with your dose tier and how many follow-up panels you need.
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.