I went to a therapist for several months before I even asked about HRT, he then wrote me a letter recommending them. After that I found a clinic in Atlanta that caters to the GLBT community. I talked to the nurse practitioner, she gave me a prescription for low dosage medication. She drew my blood to establish a base line. Two months later I went back there and had more blood drawn and a new prescription for 6 months.
The total cost for me without insurance is $1300. Just in the doc visits. Counting my therapist its allready over 9k!!
I hope that helps.