Trans care fees In an effort to make hormone therapy accessible to more people, I offer a very wide “pay what you can” scale. To locate yourself on this scale, please use this: Self Assessment Tool Suggested fee Tier 1$200 Tier 2$100 Tier 3$50 Tier 4$25 Tier 5$0 NOTE:If you have out-of-network insurance benefits, please calculate your payment to include that coverage.Eg. Your self-assessment is $50, insurance covers 50% of out-of-network costs -> please pay $100. Request an Appointment