Medical Weight Loss Cost Guide — San Antonio, TX
Medical Weight Loss Costs in San Antonio, TX — 2026 Guide
GLP-1 Medications
Costs vary significantly depending on insurance coverage, medication type, and whether you use brand-name or compounded formulations.
| Medication | Monthly Cost (No Insurance) | With Insurance |
|---|---|---|
| Wegovy (Semaglutide) | $1,300 - $1,600 | $25 - $100 copay |
| Zepbound (Tirzepatide) | $1,000 - $1,300 | $25 - $100 copay |
| Compounded Semaglutide | $200 - $500 | Rarely covered |
| Compounded Tirzepatide | $300 - $600 | Rarely covered |
Consultation and Program Fees
- Initial Consultation: $150 - $350 (often applied toward program cost)
- Monthly Follow-up: $75 - $200 per visit
- Comprehensive Program (3 months): $1,500 - $3,000 (may or may not include medication cost)
- Lab Work: $100 - $500 (often covered by insurance)
Insurance Coverage in San Antonio
Coverage for weight loss medications varies widely. Some San Antonio employers offer plans that cover Wegovy or Zepbound for weight loss; many do not. Medicare does NOT cover weight loss medications. TX Medicaid (AHCCCS) coverage is limited. Your provider's office can typically check your coverage before your first appointment.
Factors That Affect Total Cost
- Which medication (if any) is prescribed
- Whether you use brand-name or compounded formulations
- Frequency of follow-up visits
- Whether lab work is covered by insurance
- Duration of treatment
- Additional services (nutritional counseling, fitness guidance)