Crescent Care:

Sliding fee scale:

Family charge at or below 100% FPL

Federal poverty level:

At or below 100% of the Federal poverty level:

Service fees:
Crescent Care:

Sliding fee scale offered to eligible patients:

Patients below 200% of the FPL are responsible for $15 nominal charge (at or below 100% of
FPL), $30 (101% - 150% of FPL), $40 ($151 - $175 of FPL), $50 for up to 200% of FPL

Patients charged according to guidelines on their respective insurance plans’

Medicaid: Louisiana state Medicaid has no specific policy for transgender related coverage and
care
https://www.lgbtmap.org/img/maps/citations-medicaid.pdf

Medications:
Testosterone (prescription prices)
Spironolactone (prescription prices)
Estrogen (prescription prices)

New Orleans
Testosterone prescription: $195-$206
Estrogen prescription: $32-$48

Brandi A. Panunti, MD
Endocrinology
Oschner Medical Center
Pricing depends on insurance companies
Medicaid:
Medicare:
Commercial Insurance:
Self Pay (Office Visit): $500 specialist (endocrinologist)
- Needs CPT code for lab and prescription pricing
Tulane University Student Health Center - LGBTQ Services
504-865-5255
Does not give pricing details over the phone

Acadiana Cares:
(Office Visit) - $200
Medicare and Medicaid
Sliding fee discount

Daniel Garett, MD
Internal Medicine
Tulane University Student Health Center
Bldg. 92, Uptown Campus
(504) 865-5255 OR online patient portal (wavehealth.tulane.edu).

Jennifer Garrett
Internal Medicine
New Orleans, LA
(504) 891-4015

Dr. Rachel Alix Oreck

Ruth Fertel Community Health Center

Katherine Paxton, CNM (Certified Nurse Midwife)

Oshner Baptist

Ahmet Bedestani, MD
NO/AIDs Task Force
Comfortable prescribing Hormones

Bruce Hinton, PA; Isolde Butler, MD (Primary care, Infectious disease/HIV specialist);
Ron Wilcox, MD (Pediatrics, Primary Care, Infectious Disease/HIV Specialist)
Primary Care/ Infectious Disease Specialist
Crescent Care Health & Wellness
3308 Tulane Avenue, New Orleans, LA
(504) 207-2773

Crescent Care
Bruce Hinton, PA
Transgender Care

Crescent Care
Isolade Butler, MD
HIV/HEP C/PEP Primary Care/Women’s Health

LSU School of Medicine, Associate Professor, Department of Medicine

Ronald Wilcox, MD
Internist
136 S. Roman, 2nd Floor
New Orleans, LA 70112

Nicolas Van Sickels, MD

Internal Medicine
Comfortable Prescribing Hormones
Assistant Director - Tulane University Travel Clinic
Chief Medical Officer - Cresent Care
At Tulane University Travel Clinic, practices travel medicine
Assistant Professor of Medicine - Tulane University, School of Medicine - Department of
Medicine
Director, CD4 Clinic in Alexandria, LA
1430 Tulane Ave, New Orleans, LA 70112

Michelle Simoneaux, MD
Internal Medicine
Ruth Fertel Community Health Center
Comfortable Prescribing Hormones
711 N. Broad Street
New Orleans, LA 70119
(504) 609-3500

Jamie Buth, MD
Internal Medicine
Southeast Louisiana Veterans Healthcare System, Veterans Medical Center
Specialty Care, Primary Care
Works with trans patients
2400 Canal St.
New Orleans, LA 70111
Sue Abdalian, MD
Adolescent Medicine, Pediatrics
Tulane General Pediatric Clinic, Adolescent Medicine
Children’s Pediatric Clinic - Tulane
Comfortable Prescribing Hormones
Pediatrics Clinic
4740 S. I-10 Service Road West Suite 200
Metairie, LA 70001

Melissa T. Nass, MD , MPH

Assistant Professor of Adolescent Pediatrics
Adolescent Medicine Section
AND
Ryan H. Pasternak, MD, MPH
Children’s Hospital Adolescent Clinic
Transition Related services, adolescents
200 Henry Clay Ave.
New Orleans, LA 70118

James A. Farrow
Internal Medicine
504-865-5752

Ryan H. Pasternak, MD, MPH

Children’s Hospital Adolescent Clinic
Internal Medicine
Office: (504) 896-2838
200 Henry Clay Ave.
New Orleans, LA 70118

GO CARE
Comprehensive healthcare for LGBTQ patients
1801 North 7th Street
West Monroe, LA 71291

Mitchell Handrich FNP

(504) 702-4344

TEXAS:

Black TransMan
Resources to individuals undergoing transition
Alamo Area Resource Center
LGBTQ Primary Care
Provides PrEP

UH Health Clinic
Multiple Providers
Men and Women’s Clinic
Prescribes hormones
Men and Women’s Clinic (Office Visit) - $20-$40
UH system health insurance is the only form of insurance accepted
Student is responsible for charges not covered by insurance
Mon-Fri 8:00 a.m. - 5:00 p.m.
Health 2 Building: 4849 Calhoun Road, Houston, TX 77204

UH Health Clinic is a low cost community clinic that provides comprehensive primary
healthcare, so that students and faculty may focus on why they came to UH in the first place.
The UH Health Clinic aims to assist students as well as staff and faculty with health related
questions and needs, in the most accommodating and respectful way possible. Providers in the
Men and Women’s Clinic prescribe hormone therapies.

Dr. Eric Orzeck

Endocrinologist
Endocrinology Associates
Prescribes Hormones

Mon-Thurs 7:00 a.m. - 3:00 p.m.

Friday 7:00 a.m. - 12:00 p.m.
2nd & 4th Tuesday 7:00 a.m. - 5:00 p.m.
10023 Main Street, Suite C4 Houston, TX 77025

Dr. Eric Orzeck is an endocrinologist published on the subjects of endocrinology diseases. He

earned his medical degree from the University of Virginia Medical Center. He went on to
complete his post graduate training at the University of Iowa Hospitals, Iowa City, his first
Endocrine fellowship at the University of Virginia Medical Center, and his second Endocrine
fellowship at the University of Texas M.D. Anderson Hospital and Tumor Institute. Dr. Orzeck is
a member of the Houston Society of Clinical Endocrinology, the American Association of Clinical
Endocrinologists and has served as President of the American Diabetes Association.

Todd O'Neal, NP
Family Nurse Practitioner
Legacy Community Health Montrose
Prescribes Hormones
Jennifer Feldman, MD
Pediatrician, Adolescent Medicine, Gender Care
Legacy Community Health Montrose
Prescribes Hormones
$80 (HRT, Doctor’s Visit, labs)

Dr. David Paul

Pediatric Endocrinologist
Texas Children’s Hospital
Prescribes puberty blockers and hormones

Hunter Hammill, MD, FACOG

OB/GYN
Primary Care
Hormone Provider

Attending physician, Texas Women’s Hospital*

Prescribes Hormones

HACS
Low Cost Community Clinic
HACS
Prescribes Hormones and can monitor overall health
2150 West 18th St.
Houston, Texas 77008

Jennifer Zweiner, M.D.

Endocrinology and Internal Medicine
Braeswood Endocrinology
Provides Hormones

Texas Children's Hospital - Patient is billed for hospital-related expenses, physician services
and specialist services

Texas Women's Hospital - Commercial, Medicaid and Medicare accepted

Transgender speciality care services include psychiatric evaluation before and after hormone
replacement therapy

and gender affirmation surgery.

Legacy:
In addition to HRT and gender affirmation surgery, Legacy offers PrEP and Pre/Post Operative
and follow up care for gender affirming hormone surgeries

Price for the hormone therapy treatment is $80, includes the doctor's visit and any labs
authorized

Medicaid, Medicare, HMO/PPOs and most private insurance plans accepted

4. Dr. David Paul

Regional average: $119

Regional Average: $119
6. Braeswood Endocrinology

Membership model billing price is $60/month and includes all appointments. The membership
model is for patients to have financial control over their medical billing process and to support a
close patient-provider relationship.

Hormone Replacement Therapy

Regional average: $119

7. HACS

HACS prescribes hormones.

Regional average: $119

Service details:

General endocrinology and transgender hormone therapy

The Hormone Therapy procedure begins with running labs for the patient, preceding the course
of either testosterone or estrogen treatments

MTF - Feminizing Therapy:

The feminizing hormone therapy begins by prescribing a diuretic, spironolactone to block male
sex hormone receptors and restrict testosterone production in the body. After a 6-8 week period,
patients will begin taking the estrogen hormone to decrease testosterone levels and begin
feminization.

FTM - Masculinizing Therapy:

Patients take an initial dose of testosterone in the beginning stages in order to start reducing
estrogen levels in the body. This dosage is then followed by a regimen of testosterone taken as
a pill, injected or in skin preparations.
Our process for GAHT may be similar because most people begin taking hormone therapy
treatments with an adjusted dosage of either testosterone and estrogen. When the initial dosage
to reduce hormone receptors in the body is taken, the patients begin the treatment regimen.

The regional price for this service is $119. Patients undergo a series of labs before beginning
the hormone regimen. Hormones are administered at dosages adjusted based on the patient's
goals and expectations for treatment. Doctors monitor the patient's transition process
throughout the regimen.