Understand itbefore you treat it.
A comprehensive panel across eight groups, explained to you by a physician-led team. Then you decide what happens next. Not us.
cost
Education first. Then prevention. Then, if you need it, treatment.
Most people have never seen their own hormone panel. We start there, because understanding where your levels sit today is what lets you catch something while it's still small.
Our job is to give you the measurements and the guidance to read them. What you decide to do next is yours.
One draw.
Eight panels.
One clear picture.
A standard physical checks a handful of markers and tells you whether you're sick. We check forty-five and ask a harder question: are you functioning the way you should be?
Four steps, in clinic or from home.
Tell us what is going on
A short intake about your symptoms and history. Two minutes, no card required.
Get your blood drawn
At a Summit clinic or any LabCorp in the country. Ten minutes, usually within two to three business days.
Your Review of Findings
Fifteen to thirty minutes with our medical staff. Your results explained, and a real conversation about how you have been feeling. Included, not billed separately.
Start, and keep measuring
If treatment is right for you it ships to your door. Follow-up panels keep it safe over time.
Nobody makes a good decision from a number they don't understand.
Three things we do differently.
Not slogans. Operational decisions that cost us money, made on purpose.
Information comes before medication
The first thing you buy is a comprehensive panel and a real conversation about it. You can take that panel to your own doctor and never speak to us again.
You are supposed to understand this
Your provider goes through what your results actually show, in language you can follow, and answers questions until you're done asking.
The price is the price
No membership fee. No doctor's fee. No charge to adjust your dose or ask a question between refills. Published before you call.
What we treat, and what each one requires.
Comprehensive Bloodwork
The full panel and a provider review as a standalone service. No treatment required, no obligation. Plenty of people come to us for the data and nothing else.
Standalone · no treatment required02 — MENMen's Hormone Therapy
Testosterone replacement built on your labs, monitored with follow-up bloodwork, adjusted by a provider who knows your history rather than an algorithm.
Comprehensive panel required first03 — WOMENWomen's Hormone Therapy
Perimenopause, menopause and postmenopause care for the symptoms that get dismissed most often. Sleep, mood, energy, brain fog, weight, libido.
Comprehensive panel required first04 — RECOVERYPeptide Therapy
Recovery, sleep, tissue repair and body composition. Prescribed by licensed providers through licensed pharmacies, not ordered off a website.
Medical intake · labs only if indicated05 — METABOLICMedical Weight Loss
GLP-1 therapy with the hormone and metabolic workup underneath it, because weight that will not move usually has a cause worth finding first.
Comprehensive panel required first06 — PROFESSIONALSPartner Program
For coaches, gyms and health professionals whose clients are already asking these questions. Somewhere you can send them and stand behind it.
By application · written agreementWe don't take insurance. Here's what that buys you.
Everything in itHormone therapy, if it's right for youMedication, supplies, provider access and ongoing adjustments. Nothing stacked on top. Cancel anytime.
- ×No prior authorization. Nobody has to approve your treatment before it starts.
- ×No insurer capping your dose. Your provider makes clinical decisions, not a formulary.
- ×No surprise bill in ten weeks. You know the number before anything happens.
- ×No coverage denial for feeling bad. Many plans won't cover hormone therapy unless you fall below a threshold that ignores how you function.
- ×No membership or doctor's fees. HSA and FSA are accepted.
Five clinics, and 50 states.
South County
13 Ronnie's PlazaSappington, MO 63126Affton · Crestwood · Webster Groves · Sunset Hills · Oakville · LemayView clinic →
Chesterfield
17205 Chesterfield Airport RdChesterfield, MO 63005Town & Country · Ballwin · Wildwood · Clarkson Valley · Creve Coeur · FrontenacView clinic →
Wentzville
1125 W. Pearce BlvdWentzville, MO 63385O'Fallon · Lake St. Louis · Foristell · Troy · Warrenton · Dardenne PrairieView clinic →
Cottleville
5055 State Route N, Suite 102/103Cottleville, MO 63304St. Peters · St. Charles · Weldon Spring · Dardenne Prairie · O'Fallon · HarvesterView clinic →
Jacksonville
11915 Beach Blvd, Suite 116Jacksonville, FL 32246Southside · Mandarin · St. Johns · Ponte Vedra · St. Augustine · Orange ParkNow open →
Telehealth
All 50 statesOpen 24/7, 7 days a weekSame medical team, same panel, same standard of care. Medication shipped to your door, anywhere in the country.How it works →
Hormone medicine is moving fast.
FDA moves to remove boxed warning from menopausal hormone therapy
In November 2025 the FDA asked manufacturers to remove the broad “black box” warning from menopausal HRT labels, citing updated evidence on benefits and risks.
Read →FDA updates testosterone labeling after TRAVERSE trial
Class-wide labeling changes reflecting the TRAVERSE trial, which did not find increased major cardiovascular events, while keeping blood pressure warnings.
Read →Weight-loss medication and heart health: the SELECT trial
The SELECT trial (NEJM, 2023) found semaglutide reduced major cardiovascular events by about 20% in adults with overweight or obesity and existing heart disease.
Read →The things people ask before they call.
How much does TRT cost without insurance?
At Summit, $249 covers your comprehensive panel and the provider review. If treatment is appropriate, it is one flat monthly cost with everything in it. Medication, supplies, provider access, dose adjustments, and every question in between. No membership fee, no doctor's fee, no consult billed separately, and no charge for asking. Confirmed with you before anything is charged. Follow-up panels are $99. There is no membership fee and no doctor's fee.
Compare clinics on total first-year cost rather than the headline monthly rate. Many advertise a low monthly number and bill labs, consults and membership separately on top of it.
Why don't you take insurance?
Because insurance coverage for hormone therapy comes with conditions that get in the way of good care: prior authorization delays, dose limits set by a formulary rather than your provider, and thresholds that deny coverage to people who feel terrible but sit inside a reference range. Cash pay means your provider makes the clinical decisions and you know the price before anything happens. HSA and FSA funds are accepted.
Can I get bloodwork without starting treatment?
Yes, and a lot of people do. The comprehensive panel and provider review is a standalone service. You get a comprehensive panel across eight groups, a real conversation about what they mean, and the results to keep. Take them to your primary care doctor, or do nothing at all.
Will you tell me if I don't need treatment?
Yes. If your labs and history don't support hormone therapy, your provider says so and explains what your numbers show. Sometimes the answer is a different treatment, sometimes it's none, sometimes it's a referral elsewhere. You keep the panel and the explanation either way.
Do I need bloodwork before peptide therapy?
Not always. Peptides follow a shorter medical intake, and your provider decides whether bloodwork is needed based on what you're asking for, your history and your symptoms. Hormone therapy and medical weight loss do require the comprehensive panel first, because dosing those safely depends on knowing your baseline.
Which states does Summit serve?
Telehealth in all 50 states. Five clinics for in-person care: Sappington, Chesterfield, Wentzville and Cottleville in the St. Louis metro, plus Jacksonville, Florida.
How fast can I be seen?
Most patients complete intake the same day and have blood drawn within two to three business days, either at a Summit clinic or a LabCorp near them. The results review with a provider usually happens within a week of the draw.
Find out what's actually going on.
Book the panel, browse peptides, or just ask a question. Whichever one you are, nobody is going to chase you afterward.