How Much Does TRT Cost in Omaha? Complete 2025 Pricing Guide

If you're researching testosterone replacement therapy in Omaha, one question is probably top of mind: "How much is this going to cost me?"

It's a fair question—and one that many TRT clinics make frustratingly difficult to answer. National chains hide their pricing behind "schedule a consultation" walls. Online TRT companies advertise low prices but pile on hidden fees. Local competitors rarely publish transparent costs.

At ZYP Medical in Gretna, we believe you deserve to know what you're paying before you walk through the door. That's why we're breaking down exactly what TRT costs in Omaha, what's included, where hidden fees lurk, and why we're Nebraska's most affordable option for quality testosterone therapy.

Ready to discuss pricing for YOUR situation? Call (402) 407-2847 to schedule your $50 consultation at our Gretna clinic, serving Omaha, Bellevue, Elkhorn, and Papillion.

The Real Cost of TRT in Omaha: What You Need to Know

Testosterone replacement therapy costs in Omaha typically range from $150 to $500+ per month, depending on:

• Which clinic or provider you choose

• What's included in your treatment

• The type of testosterone you're prescribed

• How often you need follow-up appointments

• Hidden fees and "membership" charges

• Whether you use insurance or pay cash

Let's break down each component so you understand exactly what you're paying for—and what represents genuine value versus unnecessary markup.

Breaking Down TRT Costs: What Goes Into Your Monthly Price

Initial Consultation Fee

What it is: Your first appointment where a medical provider evaluates your symptoms, reviews your medical history, and determines if TRT is appropriate for you.

National Average: $150-$300 Online TRT Chains: $100-$250
ZYP Medical: $50

What's included at ZYP:

• Comprehensive symptom evaluation (60 minutes)

• Complete medical history review

• Physical assessment if needed

• Discussion of treatment options

• Lab orders if appropriate

• All your questions answered

• Zero pressure to start treatment

Many clinics charge $200+ for this initial visit and then apply it as a "credit" toward treatment—but only if you sign up immediately. At ZYP Medical, $50 is $50, whether you proceed with treatment or not.

Lab Testing Costs

What it is: Blood work to measure your testosterone levels and other hormones before starting treatment.

Comprehensive hormone panel typically includes:

• Total testosterone

• Free testosterone

• Estradiol (estrogen)

• SHBG (sex hormone binding globulin)

• LH and FSH (pituitary hormones)

• Complete blood count (CBC)

• PSA (prostate health marker)

• Liver function tests

• Lipid panel

Cost range: $150-$400 depending on lab and tests ordered

ZYP Medical approach:

• Labs can be completed in our office OR

• We provide lab orders for your preferred local lab OR

• We accept recent labs (within 3 months) you've already had done

Insurance: Some insurance plans cover lab testing, others don't. We can provide documentation for reimbursement.

Follow-up labs: Every 3-6 months to monitor safety and effectiveness (typically $100-$200)

Testosterone Medication

What it is: The actual testosterone you'll be prescribed, most commonly injectable testosterone cypionate or enanthate.

Monthly medication costs:

• Testosterone cypionate injections: $30-$100/month

  • Most common and cost-effective

  • Self-administered at home

  • Weekly or bi-weekly injections

• Testosterone gels/creams: $200-$500/month

  • More expensive

  • Daily application

  • Risk of transfer to others

  • Often not covered by insurance

• Testosterone pellets: $400-$800 every 3-4 months

  • Requires in-office procedure

  • Longest-lasting option

  • Higher upfront cost

Why such a wide range? Name-brand vs. generic, pharmacy markups, whether you go through insurance vs. cash-pay, and clinic markups.

At ZYP Medical: We help you find the most cost-effective testosterone source for your situation, and medications can be conveniently shipped to your home.

Follow-Up Appointments

What it is: Regular check-ins with your provider to monitor your progress, review lab results, and adjust your treatment.

Typical schedule:

• 4-6 weeks after starting: First follow-up

• Every 3-6 months ongoing: Routine monitoring

Cost range:

• In-person visits: $50-$150 per appointment

• Telemedicine visits: $40-$100 per appointment

ZYP Medical: We offer both in-person appointments at our Gretna clinic and convenient telemedicine follow-ups for established patients. Our goal is making ongoing care affordable and accessible.

Additional Medications (If Needed)

Some men need additional medications to optimize their TRT protocol:

Anastrozole (Arimidex):

• What it does: Controls estrogen levels if they get too high

• Cost: $10-$30/month

• Who needs it: About 20-30% of TRT patients

HCG (Human Chorionic Gonadotropin):

• What it does: Maintains testicular size and preserves fertility

• Cost: $50-$150/month

• Who needs it: Men concerned about fertility or testicular atrophy

Clomid/Enclomiphene:

• What it does: Alternative to HCG for fertility preservation

• Cost: $30-$80/month

• Who needs it: Younger men prioritizing fertility

Not everyone needs these, and reputable clinics won't push them unnecessarily. At ZYP Medical, we only prescribe additional medications when medically indicated.

TRT Cost Comparison: Omaha Options

Let's look at what different TRT providers in and around Omaha actually charge:

National TRT Chains (Telemedicine-Based)

Monthly cost: $300-$500+

What's included:

• Telemedicine consultations only (no in-person visits)

• Testosterone medication

• Basic follow-ups via phone/video

• Shipping

What's NOT included (hidden fees):

• "Membership fees": $50-$100/month

• "Concierge service charge": $50-$100/month

• Lab testing: Separate charges

• Additional medications: Significant upcharges

• Supplements they aggressively upsell

Pros:

• Convenience of telemedicine

• Medications shipped to your door

Cons:

• Most expensive option

• No local presence if issues arise

• Different providers every call

• Cookie-cutter protocols

• Aggressive upselling tactics

• Hidden fees not disclosed upfront

Online Discount TRT Services

Monthly cost: $150-$250

What's included:

• Bare-minimum telemedicine consultations

• Generic testosterone

• Very basic follow-up

What's NOT included:

• Comprehensive lab monitoring

• Personalized treatment adjustments

• Additional medications

• Quality provider time

• In-person care option

Pros:

• Lower upfront cost

• Convenient online access

Cons:

• You get what you pay for

• Minimal medical oversight

• May not be licensed in your state

• Quality and safety concerns

• Limited support

Local Omaha TRT Clinics (Competitors)

Monthly cost: $200-$400

What's included: Varies significantly Transparency: Often poor—many don't publish pricing

Pros:

• Local presence

• In-person care available

Cons:

• Often expensive without clear value

• May lack TRT specialization

• Limited appointment availability

• Hidden fees common

ZYP Medical (Gretna, Nebraska)

Monthly cost: $129/month (TRT only) or $179.99/month (TRT + Fertility Protection)

What's included:

• $50 initial consultation (not $200+)

• First month of TRT FREE (saves you $129!)

• Comprehensive lab testing: $150 initial workup

• Follow-up labs: $60 every 3-6 months

• Personalized testosterone protocols

• Same experienced providers every visit

• Both in-person (Gretna) and telemedicine options

• Medications shipped to your home

• Follow-up visits INCLUDED (no extra charges)

• Additional medications only when medically necessary

• No hidden "membership" or "concierge" fees

• No markup on lab costs (pass-through pricing)

TRT-Only Package: $129/month

• Testosterone Cypionate injections

• All follow-up visits included

• Virtual care options

TRT + Fertility Protection: $179.99/month

• Testosterone Cypionate

• HCG (maintains testicular size and fertility)

• Clomid

• Anastrozole (if needed for estrogen management)

Pros:

• Most transparent pricing in Omaha

• FREE first month of treatment

• Local clinic you can actually visit

• Expert providers specializing in men's health

• 135+ five-star reviews from real Nebraska patients

• No pressure upselling

• Flexible appointment options

• Follow-up visits included at no extra cost

Why we're more affordable:

• We don't have massive national marketing budgets

• We don't pay for fancy corporate offices

• We don't employ commission-based sales teams

• No markup on lab costs

• We focus on helping patients, not maximizing profit margins

Real Numbers:

• Year 1 Cost (TRT only): ~$1,800-$2,000

• Year 1 Cost (TRT + Fertility): ~$2,400-$2,600

• Compare to national chains: $4,000-$7,000/year

Hidden Fees to Watch Out For

Many TRT clinics aren't upfront about all costs. Here are common hidden fees to ask about:

"Membership" or "Concierge" Fees

What it is: Monthly charges on top of medication costs Cost: $50-$150/month What it supposedly covers: "Premium access," "priority scheduling," "better service" Reality: Often just profit padding with no real added value

At ZYP Medical: No membership fees. You pay for actual medical services and medications—that's it.

Medication Markup

What it is: Clinics buying testosterone wholesale and marking it up 200-400% Example: Testosterone that costs them $20/vial charging you $100/vial How to spot it: Compare their pricing to local pharmacies

At ZYP Medical: We help you find cost-effective medication sources without excessive markups.

Supplement Upselling

What it is: Aggressive sales tactics for unnecessary supplements Cost: $50-$300+/month for proprietary blends Claims: "Optimize your results," "essential for TRT success" Reality: Most aren't necessary and can be bought cheaper elsewhere if truly needed

At ZYP Medical: We recommend supplements only when medically indicated, and we don't sell them ourselves—no conflict of interest.

"Required" Initial Packages

What it is: Forcing you to buy 3-6 months upfront Cost: $1,000-$3,000 prepaid Pressure tactic: "Special pricing only if you sign up today" Problem: You're locked in even if it doesn't work for you

At ZYP Medical: No long-term contracts or prepayment requirements. Month-to-month flexibility.

Unnecessary Testing

What it is: Ordering excessive labs you don't need Example: Genetic testing, advanced panels with no clinical relevance Cost: Hundreds to thousands extra Purpose: Revenue generation, not better care

At ZYP Medical: We order clinically necessary tests based on medical guidelines, not profit motives.

Does Insurance Cover TRT in Nebraska?

Short answer: Sometimes, but it's complicated.

What Insurance Typically Covers:

• ✅ Initial consultation (if coded correctly)

• ✅ Lab testing (if medically necessary)

• ⚠️ Testosterone medication (sometimes, with prior authorization)

• ❌ Follow-up appointments (often not covered)

• ❌ Additional medications like HCG

Common Insurance Challenges:

• Prior authorization required: Can take weeks and may be denied

• Restrictive criteria: Must meet very low T thresholds (often <200 ng/dL)

• Limited medication options: May only cover certain formulations

• High deductibles: You pay out-of-pocket until met anyway

• Copays add up: Can equal cash-pay prices

Why Many Omaha Men Choose Cash-Pay:

1. It's often cheaper overall After copays, deductibles, and denied claims, insurance "coverage" can cost more than transparent cash pricing.

2. More treatment options Cash-pay allows access to all testosterone formulations and adjunct medications.

3. Privacy No insurance claims, no record in insurance database, no potential issues with life insurance.

4. Faster access No waiting for prior authorizations or fighting denials.

5. Better care Clinics can spend more time with you when not dealing with insurance bureaucracy.

HSA/FSA Eligible

Even if paying cash, you can use Health Savings Account or Flexible Spending Account funds for TRT costs. We can provide documentation for reimbursement.

Real Cost Examples: What You'll Actually Pay at ZYP Medical

Let's get specific. Here's exactly what TRT costs at ZYP Medical for different patient scenarios:

Example 1: TRT Only (Most Common)

John, 45, Omaha - Basic Testosterone Replacement

First 3 Months:

• Month 1: $50 (consultation) + $150 (initial labs) + $0 (first month TRT FREE) = $200

• Month 2: $129 (TRT medication)

• Month 3: $129 (TRT medication)

• Total First 3 Months: $458

Months 4-12:

• $129/month x 9 months = $1,161

• Follow-up labs (Month 4 and Month 7): $60 x 2 = $120

Year 1 Total Cost: $1,739

Ongoing (Year 2+):

• $129/month = $1,548/year

• Labs every 6 months = $120/year

• Annual Cost: ~$1,668/year

Example 2: TRT + Fertility Protection

Mike, 38, Bellevue - Planning to Have Kids

First 3 Months:

• Month 1: $129 (includes $50 consult credit applied) + $150 (initial labs) = $279

• Month 2: $179.99 (TRT + HCG + Clomid package)

• Month 3: $179.99 (TRT + HCG + Clomid package)

• Total First 3 Months: $639

Months 4-12:

• $179.99/month x 9 months = $1,619.91

• Follow-up labs (Month 4 and Month 7): $60 x 2 = $120

Year 1 Total Cost: $2,379

Ongoing (Year 2+):

• $179.99/month = $2,159.88/year

• Labs every 6 months = $120/year

• Annual Cost: ~$2,280/year

Example 3: TRT Creams (Alternative Delivery)

David, 52, Papillion - Prefers Creams Over Injections

First 3 Months:

• Month 1: $50 (consultation) + $150 (initial labs) + $165 (TRT cream) = $365

• Month 2: $165 (TRT cream)

• Month 3: $165 (TRT cream)

• Total First 3 Months: $695

Year 1 Total Cost: ~$2,330

Compare to National TRT Chains

Same patient (John) at a national telemedicine TRT company:

First 3 Months:

• Month 1: $250 (consultation) + $200 (labs) + $350 (month 1 TRT + "membership") = $800

• Month 2: $350 (TRT + membership + "concierge fee")

• Month 3: $350

• Total First 3 Months: $1,500

Year 1 Total: $4,400-$5,200

ZYP Medical savings: $2,661-$3,461 in Year 1 alone!

What's a Fair Price for Quality TRT in Omaha?

Reasonable monthly all-in TRT cost: $150-$300/month

This should include:

• ✅ Regular provider access (in-person or telemedicine)

• ✅ Testosterone medication

• ✅ Periodic lab monitoring

• ✅ Treatment adjustments as needed

• ✅ Additional medications if medically necessary

Red flags for overpricing:

• 🚩 Over $400/month without clear value add

• 🚩 Separate "membership" or "concierge" fees

• 🚩 Mandatory supplement purchases

• 🚩 Pressure to prepay for months in advance

• 🚩 Hidden fees not disclosed upfront

Red flags for too cheap (under $100/month):

• 🚩 Minimal medical oversight

• 🚩 Inadequate lab monitoring

• 🚩 Questionable medication sources

• 🚩 No personalized treatment adjustments

The True Cost of NOT Treating Low Testosterone

While TRT has a monetary cost, untreated low testosterone has costs too:

Health Costs:

• Increased risk of osteoporosis and fractures

• Higher cardiovascular disease risk

• Worsening metabolic syndrome and diabetes

• Persistent fatigue affecting daily function

• Depression and mental health struggles

Career Costs:

• Decreased productivity from low energy and brain fog

• Missed work from chronic fatigue

• Reduced earning potential from lack of motivation

• Difficulty concentrating affecting performance

Relationship Costs:

• Strain on intimate relationships from low libido

• Irritability and mood swings affecting family dynamics

• Withdrawal from social activities

• Loss of confidence impacting connections

Quality of Life Costs:

• Missing out on activities you used to enjoy

• Feeling like a shadow of your former self

• Years of not feeling your best

• Regret over waiting to get help

Many ZYP Medical patients tell us: "I wish I hadn't waited so long. The quality of life improvement is worth every penny."

How ZYP Medical Keeps TRT Affordable

We're Nebraska's most affordable TRT option because:

1. No Corporate Overhead

We're a local, independent clinic—not paying for national marketing campaigns or corporate profit margins.

2. Transparent, Fair Pricing

We tell you costs upfront. No hidden fees, no surprise charges, no games.

Our actual pricing:

• Consultation: $50 (one-time)

• Initial labs: $150 (comprehensive hormone panel)

• TRT only: $129/month (FIRST MONTH FREE)

• TRT + Fertility: $179.99/month

• Follow-up labs: $60 (every 3-6 months)

• Follow-up visits: INCLUDED (no extra charges)

3. No Commissioned Sales Staff

Our providers are medical professionals, not salespeople trying to upsell you.

4. FREE First Month of TRT

We give you the first month of testosterone FREE because we want you to experience the benefits before committing long-term. That's a $129 value.

5. No Lab Markup

We pass lab costs through at what we pay—no 50-200% markup like other clinics. Our $60 follow-up labs cost competitors $150-250.

6. Follow-Ups Included

Ongoing appointments are included in your monthly cost. Competitors charge $50-150 per follow-up visit.

7. Efficient Operations

We focus resources on patient care, not fancy offices or unnecessary administrative bloat.

8. Volume Medication Purchasing

We help patients access cost-effective medication sources without excessive markups.

9. Flexible Care Models

In-person when you need it, telemedicine for convenience—keeping costs down without sacrificing quality.

What's Included in Your ZYP Medical TRT Program

When you become a patient at ZYP Medical, here's what you get:

Initial Phase:

• $50 comprehensive consultation

• Lab testing (in-office or at your preferred lab)

• Complete hormone panel interpretation

• Personalized treatment plan creation

• Education about TRT, expectations, and safety

Ongoing Treatment:

• Testosterone medication (shipped to your home)

• Regular follow-up appointments (flexible in-person or telemedicine)

• Lab monitoring every 3-6 months

• Treatment adjustments based on your results and symptoms

• Additional medications if medically necessary (anastrozole, HCG)

• Direct provider access for questions or concerns

• No membership fees or hidden charges

Our Commitment:

• Same experienced providers throughout your journey

• Personalized care, not cookie-cutter protocols

• Honest recommendations, even if TRT isn't right for you

• Transparent communication about costs and options

• 135+ five-star reviews from satisfied Nebraska patients

Frequently Asked Questions About TRT Costs

How much is the initial consultation at ZYP Medical?

Just $50. This includes a comprehensive one-hour evaluation with our medical provider, complete symptom and medical history review, and lab orders if appropriate. There's no pressure to start treatment.

Plus: If you start TRT, your first month is FREE (a $129 value). If you start TRT + Fertility Protection, we apply your $50 consultation fee as a credit toward your first month ($129 instead of $179.99).

What's the total cost to get started with TRT at ZYP Medical?

TRT Only:

• Month 1: $200 total ($50 consult + $150 labs + first month FREE)

• Then $129/month ongoing

TRT + Fertility Protection:

• Month 1: $279 total ($129 with consult credit applied + $150 labs)

• Then $179.99/month ongoing

Compare this to national chains where just getting started costs $500-800 in the first month alone.

What if I can't afford TRT?

We understand cost concerns. During your consultation, we'll discuss all options, including lifestyle interventions that might help naturally. If TRT is recommended and cost is a barrier, we'll work with you to find the most affordable approach. We also accept HSA/FSA and can provide documentation for reimbursement.

Are there financing options available?

We can discuss payment plans for your specific situation. Our goal is to make quality TRT accessible to Nebraska men who need it, not create financial hardship.

Do I have to pay for labs separately?

Lab costs vary depending on which tests are needed and where they're performed. We can complete labs in our office, provide orders for your preferred local lab, or accept recent labs you've already had done (within 3 months). We'll discuss all options and costs during your consultation.

What's the difference between your pricing and national TRT chains?

National chains often advertise low prices but add hidden fees like "membership charges" ($50-$100/month), "concierge fees," and expensive proprietary supplements. Their all-in costs typically run $300-$500+/month.

Real comparison:

• National chain Year 1 cost: $4,400-$5,200

• ZYP Medical Year 1 cost: $1,739 (TRT only) or $2,379 (TRT + Fertility)

• You save: $2,000-$3,500 in the first year alone

At ZYP Medical:

• TRT only: $129/month (first month FREE)

• TRT + Fertility: $179.99/month

• Follow-up visits: INCLUDED (not $100-150 extra)

• Labs: $60 every 3-6 months (no markup)

• No hidden membership fees

Most patients find us 40-60% less expensive with better personalized care.

Can I use my insurance?

Some insurance plans cover portions of TRT (consultation, labs, sometimes medications), while others don't. Coverage varies widely. Many patients find our transparent cash pricing more affordable than dealing with insurance copays, deductibles, and prior authorizations. We can provide documentation for HSA/FSA reimbursement or insurance submission.

What if I need to stop TRT for financial reasons?

We understand life circumstances change. If you need to pause or stop treatment, we'll help you do so safely. There are no long-term contracts or cancellation fees. Our goal is your health and wellbeing, and we'll work with you if financial challenges arise.

Are follow-up appointments included or extra?

Follow-up appointments are INCLUDED in your monthly medication cost at ZYP Medical. This is a huge advantage over competitors who charge $50-150 per follow-up visit.

We offer:

• In-person appointments at our Gretna clinic

• Convenient virtual follow-ups (great for lab reviews and check-ins)

• Flexible scheduling to fit your life

• Same providers who know you and your treatment history

Follow-up labs: $60 every 3-6 months (no markup on lab costs)

Most patients have follow-ups every 3 months initially, then every 6 months once testosterone levels are stable.

Why is TRT more affordable at ZYP Medical than competitors?

We keep costs down through genuine efficiency, not by cutting corners on care:

What we DON'T spend money on:

• ❌ Massive national advertising budgets

• ❌ Corporate office overhead

• ❌ Commission-based sales teams

• ❌ Fancy "concierge" services that add no medical value

• ❌ Marking up lab costs 50-200%

What we DO invest in:

• ✅ Expert medical providers specializing in men's health

• ✅ Quality medications at fair prices

• ✅ Comprehensive lab monitoring

• ✅ FREE first month of TRT

• ✅ INCLUDED follow-up visits

• ✅ Both in-person and virtual care options

• ✅ Transparent, honest pricing

The result:

• Year 1 TRT cost: ~$1,739 (vs. $4,400+ at national chains)

• You save $2,000-$3,500 while getting BETTER care

• 135+ five-star reviews prove our patients love the value

Our focus is your health and wellbeing, not maximizing profit margins.

Ready to Learn Your Options?

If you're experiencing symptoms of low testosterone—persistent fatigue, low libido, weight gain, mood changes, brain fog—testing is the first step. And at ZYP Medical, that first step is affordable and pressure-free.

Schedule Your $50 Consultation

ZYP Medical - Gretna, Nebraska 11922 Standing Stone Dr Ste 200 Gretna, NE 68028

📞 Call: (402) 407-2847 🌐 Visit: www.zypmed.com ⏰ Hours: Monday-Friday, 8:00 AM - 5:00 PM

Serving: Omaha, Gretna, Bellevue, Papillion, Elkhorn, La Vista, Council Bluffs (IA), and surrounding Nebraska communities

What to Expect at Your Consultation:

✅ Comprehensive symptom evaluation (60 minutes) ✅ Medical history review ✅ Discussion of all treatment options ✅ Transparent pricing for YOUR situation ✅ Lab orders if appropriate ✅ All questions answered honestly ✅ Zero pressure to start treatment

What Our Patients Say About Value:

"I was shocked at how affordable ZYP Medical is compared to the online companies I researched. And the care is 100x better—actual relationships with providers who know me." - Bellevue Patient

"After getting quotes from three other Omaha clinics, ZYP was the clear choice. Transparent pricing, no hidden fees, and genuinely caring providers. Best decision I made for my health." - Omaha Patient, Age 51

"The $50 consultation alone was worth it just to understand my options. When I decided to move forward with TRT, the ongoing costs were exactly what they told me—no surprises." - Papillion Patient

Don't let cost concerns keep you from feeling your best. Find out what quality, affordable TRT actually costs at ZYP Medical.

Call (402) 407-2847 today or visit our Gretna clinic. Transparent pricing, expert care, real results.

ZYP Medical - Affordable Men's Health, Weight Loss & Urgent Care

If you're experiencing symptoms of low testosterone—persistent fatigue, low libido, weight gain, mood changes, brain fog—testing is the first step. And at ZYP Medical, that first step is affordable and pressure-free.