How Much Does a Telehealth Visit Cost Without Insurance in 2026?

Telehealth Costs Without Insurance — Straight Numbers

If you're uninsured or your insurance doesn't cover telehealth well, cash-pay telehealth is often your best option. But "telehealth" covers a huge range of services, and prices vary accordingly. Here's what you'll actually pay.

Average Telehealth Visit Costs by Type

General consultation / primary care:

• $50–$99 for simple visits (cold, UTI, rash)
• $99–$175 for comprehensive evaluations
• $149–$249 for new patient complex visits

Mental health:

• Psychiatric evaluation: $150–$300
• Medication management follow-up: $75–$150
• Therapy session (licensed therapist): $80–$200

Hormone therapy (TRT, women's hormones):

• Initial evaluation: $149–$249
• Follow-up visits: $99–$149

Weight loss medication management:

• Initial evaluation: $149–$249
• Monthly follow-up: $99–$149

Medical marijuana certification:

• Initial evaluation: $149–$199
• Renewal (every 7 months): $99–$149

Dermatology / skin concerns:

• Initial consultation: $99–$199
• Follow-up: $75–$125

Why Telehealth Is Cheaper Than In-Person

This isn't a gimmick. Telehealth practices genuinely have lower overhead:

• No office lease — commercial medical space runs $30–$60/sq ft in most markets
• Smaller staff — no receptionist, no medical assistants rooming patients, no billing department fighting insurance
• No physical supplies — exam room equipment, paper gowns, tongue depressors
• Efficient scheduling — no room turnover, no patients backing up in the waiting room

These savings translate to 30–60% lower visit costs compared to equivalent in-person visits.

What You Get for Your Money

A legitimate telehealth visit includes:

• A real-time evaluation — video call with a licensed physician
• Medical decision-making — diagnosis, treatment plan, prescriptions
• Documentation — your visit generates a medical record
• Prescriptions — sent directly to your pharmacy
• Lab orders — if needed, sent to your preferred lab
• Follow-up plan — when to come back, what to watch for

What you're NOT getting: physical exam maneuvers, in-office procedures, or imaging. For conditions that require those things, telehealth isn't the right choice.

Comparing Costs: Telehealth vs. Other Options

| Service | Telehealth | Urgent Care | ER | PCP Office |

|---------|-----------|-------------|-----|-----------|

| Simple visit | $50–$99 | $150–$350 | $1,200+ | $150–$300 |

| Complex visit | $149–$249 | $250–$500 | $2,000+ | $250–$500 |

| Follow-up | $75–$149 | $100–$200 | N/A | $100–$250 |

| Mental health | $75–$200 | N/A | $1,500+ | $150–$350 |

The ER comparison is especially striking. About 30% of ER visits could be handled via telehealth. That's a lot of $1,500 bills that could have been $99 telehealth visits.

Hidden Costs to Watch For

Not all telehealth pricing is transparent. Watch for:

• Platform fees — some services charge a monthly subscription plus per-visit fees
• Lab costs — not included in the visit price (but your doctor should tell you upfront)
• Medication costs — separate from the visit (but a good doctor prescribes with cost in mind)
• Follow-up visit requirements — some practices require monthly visits when quarterly would suffice
• "Membership" models — monthly fees whether you need a visit or not

The best telehealth practices charge per visit, price transparently, and don't lock you into subscriptions.

How to Save Money on Telehealth Visits

1. Choose practices with transparent pricing — if the price isn't on the website, be cautious
2. Ask about follow-up frequency — do you actually need monthly visits, or is quarterly enough?
3. Use cash-pay labs — direct-to-consumer pricing is often cheaper than insurance billing
4. GoodRx for prescriptions — the medication is a separate cost; don't overpay
5. Bundle visits when possible — addressing multiple concerns in one visit is more efficient
6. Check if your employer offers telehealth benefits — some do, even for uninsured employees

When Telehealth Saves You the Most Money

The biggest savings happen for:

• Chronic conditions requiring regular medication management (hormones, mental health, weight loss)
• Conditions that primarily need conversation — not physical intervention
• Follow-up visits — you don't need to drive to an office for a 10-minute check-in
• Urgent but non-emergency issues — UTI, rash, eye infection, sore throat

When It's Worth Paying More for In-Person Care

• Conditions requiring physical examination
• New symptoms that need full workup including imaging
• Procedural needs (injections, biopsies, sutures)
• Annual preventive physicals

At Coral

Our pricing is listed before you book. No surprise bills, no membership fees, no platform subscriptions. You see a physician, you pay for the visit, and you know the cost upfront.

[See our pricing and book](/start) — straightforward telehealth for Florida patients.

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• [Florida Telehealth Prescriptions: What Can Be Prescribed](/blog/florida-telehealth-prescriptions-what-can-be-prescribed)
• [Why Telehealth Works for Florida Patients](/blog/why-telehealth-works-for-florida-patients)