Pricing Overview: Transparent, Concierge-Based Medical Care
At Top Tier Wellness & Weight Loss, pricing reflects a personalized, data-driven, concierge medical approach. Every patient receives individualized care based on their physiology, goals, and response to treatment — not a one-size-fits-all program. Medication costs vary by dose and treatment type and are always separate from consultation fees.
Care Program Overview
Initial Visit
Comprehensive 60-Minute Medical Consultation
- Initial comprehensive consultation (60 minutes): $300
- Advanced bloodwork with 50+ biomarkers: $250
- Medication costs: not included, based on medication and dose
Your first visit includes a full medical evaluation, detailed goal review, symptom assessment, and body composition analysis using the InBody 570. This appointment is designed to understand your hormones, metabolism, muscle mass, and overall health so your care plan is built correctly from the start.
1st Follow-Up Visit
Lab Review & Treatment Enrollment
- Follow-up consultation: $100
- Medication costs: based on medication and dose
This visit occurs once your lab results are available (typically about two weeks later). We review your bloodwork in depth, explain what it means for your health, and finalize your personalized treatment plan. Patients may enroll in hormone therapy, medical weight loss, peptide therapy, or a combination of programs at this visit.
Ongoing Care & Recurring Visits
- Provider consultation: $100 per visit
- Visits typically every 4–8 weeks, depending on goals and treatment
- Medication and bloodwork costs are separate
These visits allow for ongoing monitoring, InBody scans, medication adjustments, and progress optimization. This structure ensures your plan evolves as your body responds.
Medication & Treatment Cost Ranges
Medical Weight Loss Programs
Medication costs vary by dose and compound. Programs are tailored to your goals, exercise routine, nutrition, and metabolic health. In many cases, medication can be started at your initial appointment.
Single G/GLP-1 (Sema)
Starting at:- Typical weight loss of 10–15% of body weight
- Reduces hunger and improves appetite control
- Supports metabolic and cardiovascular health
- Often requires higher doses and slower titration
Double G / GLP-2 (Tirz)
Starting at:- Weight loss up to 20% in studies, often higher clinically
- Dual-action appetite and metabolic support
- Benefits include improved insulin resistance, fatty liver, and cardiovascular health
- Reduces cravings, emotional eating, and food-related dopamine response
- Effective at lower doses with fewer side effects
Triple G/GLP-3 (Reta)
Starting at:- Early indication of being most advanced and powerful weight loss peptideEarly indication of being most advanced and powerful weight loss peptide
- Enhances fat burning, metabolism, and energy utilization
- Greater appetite suppression with muscle preservation
- Strong support for long-term metabolic health
*Pricing varies depending on dosage
Pricing Per Dosage
All prices for increased dosing
| 0.25 mg* | 0.50 mg | 0.75 mg | 1 mg | 1.5 mg | 2 mg | 2.4 mg |
|---|---|---|---|---|---|---|
| $236 | $263 | $289 | $315 | $368 | $420 | $462 |
| 1 mg | 2 mg | 3 mg | 4 mg | 5.1 mg | 6 mg | 7 mg | 8 mg | 9 mg | 10.1 mg | 11 mg | 12 mg | 13 mg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| $357 | $399 | $441 | $483 | $529 | $567 | $609 | $651 | $693 | $739 | $777 | $819 | $861 |
| 1 mg | 2 mg* | 3 mg | 4 mg | 5 mg | 6 mg | 7 mg | 8 mg |
|---|---|---|---|---|---|---|---|
| $473 | $525 | $578 | $683 | $735 | $750 | $800 | $850 |
*Recommened started dose/most common starting dose
Hormone Replacement Therapy Programs
Hormone optimization begins with a comprehensive evaluation and lab-based assessment. Treatment recommendations are individualized based on symptoms, labs, and goals.
- Hormone pellet therapy: $425–$750 every 4–6 months, depending on dosing
- Testosterone cypionate injection programs (men and women): $50–$100 per month, plus consult fees
- Estrogen and progesterone therapies: pricing varies based on medication type and dose
Peptide Therapy Programs
- Peptide therapy programs: starting at $200 per month
- Pricing varies depending on peptide selection and dosing
Peptides are often used to support fat loss, muscle preservation, recovery, cognition, inflammation reduction, and overall optimization.
Ongoing Lab Monitoring
- Bloodwork performed approximately 3–4 times per year
- Typical cost range: $100–$250 per draw, depending on markers ordered
Routine lab monitoring allows for precise medication adjustments and ensures safety, effectiveness, and long-term results. We are unable to bill insurance for lab work.
Pricing FAQs
Why does Top Tier Wellness & Weight Loss charge consultation fees?
We are a concierge medical practice, not a volume-based clinic or medication subscription service. Consultation fees reflect dedicated provider time spent evaluating your health history, symptoms, labs, and body composition, then designing a personalized care plan. This approach allows for safer care, better outcomes, and long-term results rather than rushed or standardized treatment.
Do medication costs include visits or lab work?
No. Medication costs are separate from consultation and lab fees. This structure allows dosing and treatment to be customized to your physiology and adjusted over time based on lab results and response.
Can I start weight loss or hormone therapy at my first appointment?
In many cases, yes. Weight loss treatment may be initiated at the initial visit when clinically appropriate. Hormone therapy typically begins after lab review to ensure dosing is accurate, safe, and aligned with your individual physiology.
How often will I need to come into the clinic?
Most patients are seen every 4 to 8 weeks, depending on their treatment plan and goals. These visits allow for ongoing monitoring, InBody body composition scans, symptom review, medication adjustments, and continued optimization.
How often is bloodwork required?
Bloodwork is typically performed three to four times per year. Regular lab monitoring allows us to evaluate hormone and metabolic markers, adjust dosing precisely, and ensure treatment remains both safe and effective over time.
What is the difference between SEMA, TIRZ, and RETA?
SEMA focuses primarily on appetite suppression. TIRZ provides dual metabolic support for appetite and insulin regulation. RETA offers the most advanced multi-pathway metabolic support, promoting fat loss, metabolic efficiency, and muscle preservation. Your provider will help determine which option aligns best with your goals, body composition, and lab results.
Why choose an in-person concierge clinic instead of an online or mail-order program?
At Top Tier, care is built on data, relationship, and accountability. We use comprehensive bloodwork, body composition analysis, and hands-on provider oversight. You sit across from a clinician who knows your history, tracks your progress, and adjusts your care in real time. This level of personalization and medical oversight cannot be replicated by remote or automated programs.
Do you accept insurance?
We do not bill insurance and do not participate with insurance networks. This allows us to spend more time with patients and provide individualized care without restrictions imposed by insurance companies.
Can I submit visits or labs to my insurance for reimbursement?
Yes. We can provide a superbill upon request, which you may submit to your insurance carrier to attempt out-of-network reimbursement. Coverage varies by plan, and reimbursement is not guaranteed.
How do you determine dosing for medications and hormones?
Dosing is based on a combination of lab results, symptoms, body composition data, treatment response, and individual goals. We prioritize the lowest effective dose to minimize side effects while achieving strong, sustainable results.
What if my goals or health needs change over time?
Your care plan is designed to evolve. As your body, goals, or lifestyle change, we adjust your treatment accordingly. Ongoing personalization is a core part of our concierge model.
Who is the ideal patient for Top Tier Wellness & Weight Loss?
Our ideal patient values data-driven care, individualized treatment, and meaningful provider involvement. If you want thoughtful optimization, ongoing support, and a clinician who truly knows you, our practice is designed for you.