Transitioning Expenses: The Cost of FTM Transition

Below I have charted the costs of beginning hormones and having surgery. Please keep in mind that these transition expenses are what I paid and are not intended to represent the average cost of FTM transition.

Please note that many of the expenses were insurance copay. Insurance covered the doctors appointments but not the testosterone. I did not include personal expenses (such as kenneling the dog, etc) in the chest surgery fees. The hysterectomy was covered under private health insurance due to a confirmed diagnosis of Stage IV cervical dysplasia.

Therapy to receive letter of recommendation for hormones

Gender Specific for T prescription $25/visit for 10 visits = $250

Endocrinologist

11-11-2004 Consultation and Exam. Insurance copay = $35
12-9-2004 Meeting. Checked chart and set up hormone start date. Insured. = $35
12-14-2004 Lab work. Insured.
01-05-2005 Final Appointment = $35
01-06-2005 First testosterone injection. Out-of-Pocket nurse fee = $40
Lab work – Testosterone Levels. Insured. = $35
Lab work – Testosterone Levels Insured.= $35
Lab work – Testosterone Levels Insured.= $35

Testosterone

01/06/2005-01/18/2005 1mL bottle Depo-Testosterone Out-of-pocket (small bottle for allergy test)= $25
01-18-2005 10mL bottle Depo-Testosterone Out-of-pocket= $112
Needles & Syringes 100 syringes, 100 large needles, 100 small needles = $12
(Residual testosterone expenses have been $52 every 3 months, not included in grand total)

Bilateral Mastectomy with Nipple Grafts

01-05-2006 all fees included. Free revisions = $6000
5 post-op prescriptions (would have been $86 out-of-pocket) Insured. = $36
Sun Suites Extended Stay Motel for 8 days = $316

Laproscopic Hysterectomy/Oopherectomy

2008
Initial gynecologist visit, Insurance co-pay= $35
Out-of-pocket insurance deductible = $2,500 ($36,000 covered by insurance)
Gynecologist fees, out-of-network = $1,000
(remainder covered by insurance)
3 Prescriptions for post-op recovery = $30
Anesthesiologist fee = $250
Tissue pathology fees = $800
Follow-up gynecologist visit, Insurance co-pay= $35

Total Transition Expenses

$684 to begin Testosterone
$6,352 for bilateral mastectomy with nipple grafts
$4,650 for laproscopic hysterectomy/oopherectomy ($36,000 insured)
$11,002 GRAND TOTAL