Pricing
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Pricing & Membership Overview
ABL Wellness Clinic offers Direct Primary Care (DPC) memberships, bioidentical hormone therapy, and metabolic health services with clear, upfront pricing. DPC is a medical service, not health insurance. We recommend maintaining a high-deductible insurance plan with an HSA to cover hospitalizations, specialist care, surgery, and imaging. DPC fees may generally be paid with HSA funds when allowed under current regulations.
We see patients starting at age 16 and older. In select cases, we may see pediatric urgent care patients starting at age 4.
Provider availability note: Because Dr. Guy is establishing this practice, he also works in an outside emergency department once or twice per month, usually on weekends. When out of town, he remains available to members via telemedicine, phone calls, and text messaging. In-person visits are typically scheduled Monday afternoons through Thursday afternoons, with his work schedule posted on this website.
Direct Primary Care (DPC) Memberships
Membership Primary Care Pricing
Membership with ABL Wellness Clinic does not constitute insurance. I do recommend that you a high deductible plan with an HAS (health savings account) have an insurance plan that covers hospital care, accidents, catastrophic diagnoses, specialist care, radiology, and more advanced services as deemed appropriate. You can pay for your membership with your HSA account making membership deductible on your taxes.
Please note that if you do have insurance, we do not bill insurance and therefore you are responsible for all forms to be filled out, whether or not your insurance may cover any studies I may order. You of course do not need to be enrolled in insurance to be a member at ABL Wellness Clinic. The below prices include management of your chronic medical conditions and any urgent care that may arise during your membership.
Please note: We see patients starting at age 16 and above. Depending on the situation, we may see pediatric urgent care starting at age 4.
Please note that because Dr. Guy is just starting this business, he works at an outside ER, usually during the weekends, once or twice per month. During those times he is out of town he will accommodate you via telemedicine/ phone calls/ and texts. He is usually in town on Mondays through Thursdays and some weekends. You can find his work schedule on this website. Visits will be scheduled Monday afternoons through Thursday afternoons.
Bronze Primary Care Plan
$99 / month
Best for: Budget-conscious adults with 1–2 chronic medical conditions who want ongoing primary care and urgent care access.
Add-on family member: $69 / month each.
What’s included:
- Management of chronic medical conditions
- Urgent care during office hours
- In-house tests: urinalysis, pregnancy, flu, strep, blood glucose, EKG (when appropriate)
- Minor procedures: laceration repair, skin tag removal, abscess incision and drainage, wound care/splinting, some skin biopsies (case-dependent)
- Atlas.md portal for scheduling, viewing labs, paying bills, and messaging
- Prescription refills
- Usually same-day or next-day service available
- $20 monthly credit toward ABL Medical Spa services (no rollover beyond 3 months, not redeemable for cash)
Not included:
all out-of-house labs.
All radiology such as xrays/ CT scans and MRIs and ultrasounds, specialist care treatment, and hospitalizations.
Injection medications such as toradol (for pain), rocephin( antibiotic ), and steroids (for allergy or asthma) are not covered.
There is a cost for IV fluids for rehydration.
Medications I prescribe are not covered as we are not a pharmacy.
Because this Primary care plan is a membership plan, it is in no way meant to be insurance coverage.
Laboratory fee for labs not done at the clinic. These labs are heavily discounted due to contracted costs. Basic initial labs include CBC, CMP, HbA1C, CRP, TSH, lipid panel ( total cost should be around $51 plus draw fee)
Cancer screening exams by either a GI specialist such as colonoscopy, PAP smears, mammograms or ultrasounds, or any other screening tests are not covered by this membership.
Vaccinations
Silver Primary Care Plan
$139 / month
Best for: Patients with 3 or more chronic medical conditions or those who are overweight/obese with multiple medical issues who need closer follow-up.
Add-on family member: $79 / month each.
What’s included:
- Everything in the Bronze Plan
- Additional emphasis on metabolic health and obesity-related conditions
- Atlas.md portal for scheduling, payments, labs, and messaging
- $40 monthly credit toward ABL Medical Spa services (no rollover beyond 3 months, not payable in cash)
- 10% off all medical spa services (excluding neurotoxin and dermal fillers)
Not included:
all out-of-house labs.
All radiology such as xrays/ CT scans and MRIs and ultrasounds, specialist care treatment, and hospitalizations.
Injection medications such as toradol (for pain), rocephin( antibiotic ), and steroids (for allergy or asthma) are not covered.
There is a cost for IV fluids for rehydration.
Medications I prescribe are not covered as we are not a pharmacy.
Because this Primary care plan is a membership plan, it is in no way meant to be insurance coverage.
Laboratory fee for labs not done at the clinic. These labs are heavily discounted due to contracted costs. Basic initial labs include CBC, CMP, HbA1C, CRP, TSH, lipid panel (total cost should be around $51 plus draw fee)
There are other labs (such as hormone therapy labs as well as what the doctor may think is indicated based on your presenting history and physical).
Cancer screening exams by either a GI specialist such as colonoscopy, PAP smears, mammograms or ultrasounds, or any other screening tests are not covered by this membership.
Vaccinations
Gold Primary Care Plan (Concierge)
$239 / month
Best for: Executives, professionals, and couples seeking concierge-level access that includes urgent care, weight loss support, and hormone therapy for men and women (pelleting fee included).
Add-on family member: $139 / month each.
What’s included:
- Everything in the Silver Plan
- Atlas.md portal access
- Direct physician phone number (except during posted vacations or absences)
- Same-day service whenever possible (except when the doctor is out of town, sick, or on vacation)
- Pelleting fee included for men and women
- Strong focus on preventive care, insulin resistance testing, and metabolic wellness
- Personalized coaching on nutrition, hormones, and exercise
- $75 monthly credit toward ABL Medical Spa services (no rollover beyond 3 months, not paid in cash)
- 15% off all medical spa services (excluding neurotoxin and dermal fillers)
Not included:
all out-of-house labs.
All radiology such as xrays/ CT scans and MRIs and ultrasounds, specialist care treatment, and hospitalizations.
Injection medications such as toradol (for pain), rocephin( antibiotic ), and steroids (for allergy or asthma) are not covered.
There is a cost for IV fluids for rehydration.
Medications I prescribe are not covered as we are not a pharmacy.
Because this Primary care plan is a membership plan, it is in no way meant to be insurance coverage.
Laboratory fee for labs not done at the clinic. These labs are heavily discounted due to contracted costs. Basic initial labs include CBC, CMP, HbA1C, CRP, TSH, lipid panel ( total cost should be around $51 plus draw fee)
Cancer screening exams by either a GI specialist such as colonoscopy, PAP smears, mammograms or ultrasounds, or any other screening tests are not covered by this membership.
- Testosterone injection: $25/injection
- Hormone pellets: $350 for each insertion. If you are a woman, no additional cost for pellets. For men, the extra charge is $110 (much higher cost for Testosterone doses). Pelleting procedure is complimentary for Gold Plan.
- Semaglutide (compounded GLP-1): starting at $250 / month for the initial dose (higher doses vary; call for current pricing).
- IV therapy: typically $120–$180 per session.
- Direct Primary Care (DPC) is considered a medical service, not health insurance. It does not include hospital care, specialist care, emergency room visits, surgery, imaging done outside my clinic, and any high-cost procedures. You have the ability to cancel at any time, but must give 30 day notice. Dr. Guy has the right to cancel memberships for any reason including abusive language or behavior. Any pending fees owed to the clinic must be paid before membership is canceled. DPC fees can be paid with HSA (health savings account).
Bioidentical Hormones Memberships
Membership Bioidentical Hormones Pricing
Prices vary based on type of hormones, whether they are creams, pellets, or injections, and based on duration of application. The laboratory is important as it helps dictate initial treatment and effectiveness of maintenance treatment. Except for The Gold Primary Care Plan (Concierge), any questions should be directed to the staff at ABL who will message the doctor. Additionally, you have opportunity to discuss any questions during your initial consultation as well as the phone/telemedicine visit after the 3-month laboratory results are available.
If you are on a Silver or Gold plan for Primary Care and you want to add hormones to your regimen, then you will simply pay for the creams at our cost of $73 per 30grams (2 months at dose of 0.5 grams per day) container and $133 per 90 grams (6 months at a dose of 0.5 grams per day) container. If you are on the bronze primary care plan you will need to change to the Hormone Plan for primary Care which is $129/month.
Bioidentical Hormone Therapy (2-Month Cream Plans) with Primary Care Membership
Ideal if you may switch to pellets after trying creams for 2 months.
Note:
The standard assumed dose is 0.5 grams daily. Pricing may vary if your dose changes based on labs and symptoms.
1 Cream (Estradiol)
Monthly Membership: $129
Estradiol cream for 2 months (30 grams): $73
≈ $36.50/month
2 Creams (Estradiol + Progesterone / Testosterone)
Monthly Membership: $129
Estradiol + Progesterone or Testosterone creams (two 30-gram containers): $133
≈ $66.50/month
3 Creams Plan (Estradiol + Progesterone + Testosterone)
Monthly Membership: $129
Estradiol + Progesterone + Testosterone creams, 30 grams each: $193
≈ $96.50/month
Laboratory Testing & Pricing
Bioidentical Hormone Therapy with Pellets (Member Pricing)
Add-On Pricing for Members
Pellet therapy is available as an add-on for existing members.
Testosterone Injection (for men):
$30 per injection
Pelleting for Men (Member duration-based):
Member for over 6 months:
Pelleting: $250
Testosterone pellets (1,000 mg of T): $110
Member for 3–5 months:
Pelleting: $400
Testosterone pellets (1,000 mg of T): $110
Member for less than 3 months:
Pelleting: $550
Testosterone pellets (1,000 mg of T): $110
Pelleting for Women (Members):
Member for over 6 months: $150
Member for 3–5 months: $200
Member for less than 3 months: $250
No additional pellet cost for women.
Member Pellet Lab Fees
Initial Laboratory (men and women):
Men: T, E, PSA, CBC, lipid, CMP – $72
Tray setup fee: $25
3-month follow-up visit after 12-week labs: $0
First 5-week lab check: $55
T, total and free; estradiol, CBC, PSA (peak and baseline T levels)
Second 12-week lab check after pelleting: $55
After dosing is established, before each pelleting cycle, labs needed:
PSA, CBC, Testosterone, Estradiol prior to each cycle.
Pellet Therapy – Important Information & Aftercare
Bioidentical Hormone Therapy – Creams Without Membership
If you have your own primary care physician and only need hormone prescriptions, you may use our non-member hormone cream program.
Consultations & Labs
Initial consultation with doctor:
$250 for first year
$150 for second and subsequent years
Initial laboratory: $132
T, CBC, CMP, Estradiol, Ferritin, Lipids, TSH, Vitamin D, FSH/LH, DHEA-S
3-month follow-up visit: $100
3-month lab fee: $53
(Best steady-state hormone levels at 3 months)
Cream Pricing – Non-Members
2-Month Supply:
E only: $93 ($46/month)
E + P or T: $153 ($76/month)
E + P + T: $173 ($86/month)
T only: $93 ($46/month)
6-Month Supply:
E only: $253 ($42/month)
E + P or T: $373 ($62/month)
E + P + T: $493 ($82/month)
T only: $253 ($42/month)
Pelleting – Non-Member Pricing
Pelleting Fees:
Initial consultation with doctor:
Men: $250
Women: $150 (first year)
$150 for subsequent years (men and women)
Initial laboratory:
Men (T, E, PSA, CBC, lipids, CMP): $72
Women (T, E, P, CBC, lipids, CMP, FSH/LH): $112
Tray set-up fee: $25
Pelleting fee:
Men: $600 (after initial consult paid, net = $350)
Women: $350 (after initial consult paid, net = $200)
Follow-Up Labs:
3-month follow-up (after 12-week labs): $75
First 5-week lab check in men: $55
T, total and free; estradiol, CBC, PSA
First 5-week lab check in women: $112
T, total and free; estradiol, CBC, FSH/LH, progesterone (if applicable)
Second 12-week lab check in men: $55
Second 12-week lab check in women: $112
Ongoing requirement:
After dosing is established, before every pelleting cycle, labs are required:
PSA
CBC
Testosterone
Estradiol
Testosterone Injection Option
Testosterone injections may be considered in select women who:
Have failed cream and pellet therapy
Still have symptoms and low testosterone levels
Important:
Women can overshoot male testosterone ranges even with small injectable doses, increasing the risk of side effects and irregular bleeding if the uterus is present. Risks increase with high peak levels.
Pricing:
Initial consultation (if not already done): $250
Baseline labs: $71.50
Total and free T, Estradiol (E2), CBC, CMP, lipids, PSA
Lab check for weekly injections: $26
Check testosterone 3–4 days after injection, 6 weeks after starting
Testosterone injections: $25 per injection
Hormone Targets in Menopausal & Perimenopausal Women
Menopausal Women (on BHRT):
Target Estradiol (E2): 50–100 pg/mL
Many clinics consider 60–80 pg/mL the “sweet spot”
Associated with reduction in hot flashes, better sleep & skin, cardiovascular and bone benefits
Still within physiologic and safe range
Target Progesterone (oral or cream): 5–15 ng/mL
Goals:
Improve sleep
Reduce anxiety
Provide endometrial protection
Balance estradiol
Reduce breast tenderness
Primarily given to women with a uterus, but may also be used in women without a uterus for sleep, anxiety, and breast protection.
Perimenopausal Women:
Estradiol target: 80–150 pg/mL, depending on cycle phase
Clinical goal is symptom relief.
Schedule a Complimentary Office Visit
Meet with staff to determine which hormone plan and primary care membership is best.
Bring your most recent PAP smear and mammogram.
If you haven’t had these, we will arrange them; you pay the radiology/PAP fees directly.
A self-collection HPV PAP smear is FDA-approved and can be done in our office (sent to Quest/LabCorp). Fee TBD.
Enroll in the Primary Care Membership (if applicable)
Pay $129/month for the Hormone Primary Care Membership if using hormone therapy through our membership model.
Complete Initial Labs
We email you a lab link for the comprehensive panel (~$186).
You go to the lab (UltaLabs/Quest) and pay them directly.
Visit with Dr. Guy
Comprehensive history and physical exam
Detailed review of all lab results and their meaning
Prescription for appropriate cream(s) or other hormone therapy
Because you’re enrolled in Primary Care, he also addresses chronic conditions and overall health.
Pay for Hormone Creams
You pay the 2-month or 6-month cream cost up front, as per your chosen plan.
We charge only what we pay the compounding pharmacy plus a $13 processing fee.
Dr. Guy calls the pharmacy; creams are shipped to your home in 2–3 days.
Start Hormone Therapy
Typically 0.5 grams (1 click) per day per cream, unless otherwise directed.
Three-Month Follow-Up Labs
After 3 months, you receive an email link to discounted follow-up labs (~$53.40 plus a small draw fee).
We check estradiol/testosterone/progesterone levels as appropriate.
You will be contacted by Dr. Guy or staff with results and recommendations.
You can also view your results in the patient portal.
Ongoing Care & Refills
As a Primary Care member, you may schedule visits with Dr. Guy or his staff anytime.
For refills, call the office; we will coordinate with the pharmacy.
IMPORTANT NOTES & DISCLAIMERS
Labs are billed separately, though at heavily discounted prices.
Creams must be paid up front for the 2-month or 6-month supply.
After initial setup and labs, your ongoing recurring cost is typically the $129/month membership (plus future labs/medications as needed).
There are no returns on purchased hormone creams.
Hormone depletion can reflect primary or secondary conditions (e.g., pituitary, adrenal, or ovarian tumors), not just menopause or andropause.
The doctor’s job is to evaluate all possible causes of low hormone states and treat you safely and comprehensively.
Why Choose Us
From primary care to hormone therapy and medical weight loss, we prioritize a supportive, relationship-focused experience where you feel heard, respected, and empowered every step of the way.
Personalized, Relationship-Based Care
We take the time to listen, understand your health goals, and create a treatment plan tailored specifically to your needs—never rushed, never one-size-fits-all.
Modern, Evidence-Based Wellness
Our clinic offers advanced hormone optimization, preventive medicine, and medical weight loss programs backed by the latest research and clinical expertise.
Accessible & Convenient Support
Enjoy same- or next-week visits, direct communication, clear pricing, and ongoing support designed to make managing your health easier and more effective.
What Our Patients Are Saying
Patients trust ABL Wellness Clinic for compassionate care, clear communication, and personalized support. Here’s what they’re sharing about their experience with our primary care, hormone therapy, and weight management programs.
Round Rock, TX
I love being able to message the clinic directly and get timely responses without waiting weeks for an appointment. The visits are relaxed and thorough, and I feel like I finally have a real partner in my health. The transparent monthly fee is worth every penny.
Georgetown, TX
Before starting hormone therapy, I was exhausted, moody, and not sleeping well. The personalized plan Dr. Guy created has made a huge difference in my energy, sleep, and mood. The team explains everything clearly and checks in regularly. I recommend ABL Wellness Clinic to anyone struggling with hormone issues.
Pflugerville, TX
I had tried every diet out there, but nothing lasted. The medical weight loss program at ABL Wellness Clinic helped me understand my metabolism, use GLP-1s appropriately, and make realistic lifestyle changes. I’ve lost weight steadily, my labs look better, and I feel more confident than I have in years.
Cedar Park, TX
From the front desk to the exam room, I always feel respected and heard. The clinic takes a whole-person approach—primary care, hormones, weight, and prevention—all under one roof. I recommend ABL Wellness Clinic to anyone in the Round Rock area who wants a doctor that truly cares.
Hutto, TX
Dr. Guy took the time to really listen, explain my diagnoses, and adjust my medications in a way that made sense. My energy is better, my blood pressure is under control, and I never feel rushed during visits. I’m so grateful I found ABL Wellness Clinic.