Bioidentical Pellet Therapy Fee Schedule

What is the cost of bioidentical hormone pellet therapy?

BioBalance Health’s bioidentical hormone pellet therapy is convenient, proven effective for complete resolution of many symptoms, and is superior to all other hormone replacement therapy. The only remaining question is cost.

BioBalance does not take insurance assignment, but we attempt to use insurance for laboratory before and after the first pellet insertion, and an annual lab, and we give our patients all the paperwork necessary to receive reimbursement from their insurance companies. Fortunately, medical savings accounts generally pay for BioBalance Health pellet replacement.

For men, the chances are good that their bioidentical hormone pellets will be covered by their insurance long before the next pellets are inserted; usually six months. However, women have more trouble getting reimbursement. This is not fair, but it’s up to patients to pester their insurance company to change this inequity.

Our patients generally lose weight from bioidentical hormone pellet replacement, and in that way can sometimes stop taking cholesterol medicine as well as high blood pressure medicine as their treatment continues after the first year.

Patients save time and money by replacing hormones in various ways:

  • Save time spent in other doctors offices waiting for treatment for multiple symptoms
  • Save money on copays for the medications patients no longer need: blood pressure medicine, cholesterol medicine, medication for dry eyes, medications for osteoporosis, and meds for anxiety and depression
  • Save your job by decreasing poor work performance
  • Save your marriage if health and sex are points of contention. Divorce is expensive!
  • Save money on weight loss programs as pellet testosterone causes fat to be traded for muscle
  • Delay plastic surgery to look younger as pellets immediately improve skin color, tone and elasticity
  • Prevent Alzheimer’s Disease, and Dementia—better than the expensive long term care insurance.

Cost of Women’s Bioidentical Hormone Pellet Replacement

The cost per day for women who require pellets every four months, and receive average number of pellets (three) is $4.25 per day for the treatment. All the costs and quality of life you save by taking pellets brings cuts bioidentical hormone pellet therapy in half, making the approximate cost to about what it costs to drink a small cup of coffee from Starbuck’s—$2.10/day. Annual cost on the average is $1,560, if pellets are reinserted every four months, with the typical three pellets per insertion.

Consultation visits are limited to one visit before and one after the first insertion of pellets. Otherwise consultations are only required once a year, when they are required by the patient who needs a change in dosage, or to review laboratory in complicated cases.

Cost of Men’s Bioidentical Hormone Pellet Replacement

Men require considerably more pellets than women to feel normal, but they are reinserted only two times a year. Women normally get their pellets three times a year. The average male needs 12–16 pellets per insertion, half of which are $40 per pellet and the half are larger costing $60 each.

Men have the same protocol in regard to consultations, but their cost per insertion is on the average $ 1,410 with the total annual cost for men for two insertions of $2,820.

The typical cost per day for men is $7.72/day. However, it’s important to note that men often get their pellets covered by their insurance company because it takes the place of other very expensive testosterone treatments that are less effective, and the cost of ED drugs. Considering this, the daily cost for men is closer $2.20 per day after insurance pays.

The primary reason men prefer pellet testosterone—in addition to the fact that they have much better sexual function—is that they don’t have to take daily medication and they no longer take the time go to the pharmacy. Men are generally more willing than women to spend their money on their overall quality of life and sexuality, and usually view it as a necessity.

Fee Schedule

Consultations – Dr. Maupin (45 minutes) $250
Consultations – Nurse Practitioners/Nurse (45 minutes) $200
Follow-up pellet consultation with Dr. Maupin $175
Follow-up pellet consultation with Nurse Practitioner $100
Pellet Insertion – Female $400
Per Pellet Fee – Female $40
Per Medicated Pellet Fee – Female $60
Pellet Insertion – Male $450
Per Pellet Fee – 100 mg – Male $40
Per Medicated Pellet Fee – Male $60
Per Pellet Fee – 200 mg – Male $60

Notes:

  • All fees are expected at the time of service.
  • We do not have billing or pre-certification staff. All contact with insurance companies is
    your responsibility.
  • Email will be used for most patient communication, unless otherwise discussed.
  • Most insurance companies will reimburse men for pellet implantations, but not women.
  • This service is not covered by Medicare so you may not send in your bill for reimbursement.

Find more information about the cost of hormone treatments and a comparison of bioidentical hormone pellets to alternative treatments on Dr. Maupin’s blog.