≈1,562,949 (U.S. Census QuickFacts, July 1, 2025) for the City of San Antonio; ~2.7 million (San Antonio–New Braunfels MSA, Vintage 2025) for the metro. Cash-pay ranges below are local-specific to San Antonio and sourced from each clinic's public page or published self-pay menu where available, otherwise from the broader Texas market range. Use the calculator to make it your actual number.
ED Treatment Cost in San Antonio, Texas (2026): Real Local Prices for Pills, Clinics & Procedures
San Antonio is one of the few U.S. metros where low-intensity shockwave therapy (LI-ESWT / GAINSWave) is offered at three or more urology groups as part of a standard ED consult — Urology San Antonio, University Health, and South Texas Urology Group all publish shockwave menus.
Quick local cost answer (San Antonio, Texas, Updated July 2026)
Generic sildenafil 100 mg in San Antonio runs $0.34–$1.50 per pill at major in-state pharmacies (Walmart, CVS, Walgreens, Costco, Sam's) with a GoodRx/SingleCare coupon (cash, no insurance). Generic tadalafil 20 mg runs $0.50–$2.00 per pill with the same coupons. Brand Viagra 100 mg runs $78–$90/pill without coverage; Cialis 20 mg runs $60–$90/pill cash.
In-office local pricing in San Antonio for cash-paying patients:
- New-patient urology consult: $75–$300 self-pay.
- Established patient consult: $120–$200.
- Trimix per-dose titrated: $10–$30 per injection once mixed.
- Penile implant (3-piece inflatable): $24,000–$34,000 surgeon fee + $5,000–$13,000 facility; few San Antonio practices publish shockwave bundle pricing (typically $400–$700/session for a 6–12 session course)..
- GAINSWave / shockwave per session: $400–$900 in San Antonio; standard 6–12 session course.
- P-Shot (PRP): $1,800–$2,500 per session for San Antonio clinics publishing cash-pay menus.
- Vacuum erection device (VED): $150–$500 over-the-counter.
Where to get the cheapest pills in San Antonio
San Antonio's two anchor systems — UT Health Physicians (UTHSCSA) and University Health public-system — sit next door in the South Texas medical district. Urology San Antonio superimposes a private-practice parallel system that, uniquely, publishes its own shockwave-therapy article and pricing.
Major retailers with GoodRx-friendly generic pricing in San Antonio:**
- Costco Pharmacy — generic sildenafil 100 mg often ≈ $0.40/pill with free SingleCare, no Costco membership required at pharmacy counter.
- Walmart Pharmacy — generic sildenafil 100 mg ≈ $0.45/pill cash with GoodRx.
- Sam's Club Pharmacy — competitive once you have active membership; ≈ $0.34–$0.80/pill.
- CVS / Walgreens — pharmacy pricing varies by ZIP; GoodRx consistently beats CVS's cash Advanced Savings Price tier.
- Amazon Pharmacy / RxPass — flat $5/month for generic sildenafil 25/50 mg under the RxPass list; Prime membership required.
- Cost Plus Drugs — 90-day generic cash often lowest mail-order option; shipping FLAT $5.
Most users in San Antonio pay under $10/month for the cheapest monthly generic ED supply at Costco + GoodRx; telehealth subscriptions sit $20–$60/month and add a consult + medication + mail.
Texas retail cross-state context
Texas residents ordering from Amazon Pharmacy or Cost Plus Drugs will receive the same generic price as any other state — except where pharmacists exercise state-specific dispensing or PA rules. For Texas, no special PDE5 PA requirement applies to cash-paying patients; insurance-designated PDE5 quantities inherit the formulary tier of the underlying plan.
Local urology / men's-health clinics in San Antonio
- UT Health Physicians — Erectile Dysfunction (San Antonio) — UT Health San Antonio urology faculty practice; (210) 450-9600.
- Urology San Antonio — One of the first Texas ED programs to offer LI-ESWT clinic-based shockwave therapy.
- Urology San Antonio Men's Health — Low-T, ED, fertility bundled under one program.
- South Texas Urology Group — Private-practice San Antonio urology; (210) 267-1709.
- University Health Men's Health — Bexar County public-system men's health; urology + GU reconstruction.
- Urology San Antonio Treatment Options page — Self-pay walkthrough for medication / injection / implant options.
Verify before publish
The clinic list above is built from publicly published service pages on each provider's own site, plus the Google Maps listing for the address and phone. The reviewer should pull each firm's current self-pay quote desk hours and confirm each still publishes an ED-specific cash package — flag any clinic that has discontinued ED service or is no longer accepting self-pay.
Texas Medicaid / insurance coverage of ED treatments (Texas PDL + state-specific exclusions)
State Medicaid PDL reference (official source): Texas Medicaid preferred drug list
Texas Single PDL January 1, 2026 applies statewide, so San Antonio Medicaid HMO enrollees inherit the same PDE5 step-therapy tier rules as Houston and Dallas residents.
This is the policy that drives what a Texas Medicaid beneficiary can actually fill at a retail pharmacy. For San Antonio residents on private insurance — BCBS, UnitedHealthcare, Aetna, Cigna, Humana — the relevant formulary is the carrier's commercial formulary, not the state PDL. PDE5 status varies widely by carrier and plan tier.
ED treatments available in San Antonio — typical per-session/month cost
| Treatment | San Antonio cash price (typical range, July 2026) | Notes |
|---|---|---|
| Generic sildenafil 100 mg (30 ct) | $10–$60/mo | Costco + GoodRx often <$15/mo |
| Generic tadalafil 20 mg (30 ct) | $15–$90/mo | Cost Plus Drugs is the buyer-floor mail order |
| Brand Viagra 100 mg (30 ct) | $2,400–$2,700/mo | SingleCare + GoodRx cut >80% where eligible |
| Brand Cialis 20 mg (30 ct) | $1,950–$2,100/mo | CareCard adds free trial + low copay |
| Cialis 5 mg daily (30 ct) | $260–$380/mo | Lower list covered by CareCard for shipping |
| Trimix alprostadil (per dose) | $10–$30/inj | Compounded at San Antonio pharmacies |
| Bimix (per dose) | $8–$25/inj | Cheaper than Trimix; fewer patients |
| Caverject / Edex single-dose | $30–$55/dose | Self-injected alprostadil |
| MUSE urethral suppository | $30–$45/dose | Same active ingredient as Caverject |
| Penile implant (3-piece inflatable) | $24,000–$34,000 surgeon fee + $5,000–$13,000 facility; few San Antonio practices publish shockwave bundle pricing (typically $400–$700/session for a 6–12 session course). | San Antonio-specific academic vs private split |
| VED (vacuum device) | $150–$500 OTC | FSA / HSA reimbursable with LMN |
| GAINSWave / shockwave per session | $400–$900 | San Antonio private clinics publish cash list |
| PRP / P-Shot (per session) | $1,800–$2,500 | Texas clinics publishing cash menu |
| Counseling + first clinic consult | $75–$300 self-pay | Urologist or men's-health PCP |
Want a personalized cost plan tailored to YOUR situation?
Get My Free Cost Report →Local market note — unique to San Antonio
San Antonio is one of the few U.S. metros where low-intensity shockwave therapy (LI-ESWT / GAINSWave) is offered at three or more urology groups as part of a standard ED consult — Urology San Antonio, University Health, and South Texas Urology Group all publish shockwave menus.
Local payer-mix note: Bexar County ~2.1M residents; large military retiree presence (Fort Sam Houston + Lackland AFB) means a meaningful slice of San Antonio men pay via Tricare, which has its own ED-medication policy outside the Texas PDL.
Telehealth availability for San Antonio
Texas providers and platforms that commonly serve San Antonio residents include Hims, Ro, BlueChew, Rex MD, Lemonaid, and Rocket Rx. All mail generic sildenafil or tadalafil to Texas addresses with a licensed provider's prescription. State telehealth rule applicable to San Antonio: Texas Occupations Code Chapter 111; Texas Medicaid Bulletin Vol. 2026 No. 11: in-state encounter required for the first telehealth visit; follow-up may be asynchronous..
Most-asked in San Antonio (local-specific FAQ set)
Q: Does Tricare cover ED medication for San Antonio military retirees?? A: Tricare's pharmacy formulary excludes PDE5 for most non-active-duty beneficiaries as of recent formularies ; pharmacy cash is the typical path. Q: How much is LI-ESWT at Urology San Antonio?? A: $400–$700/session, packaged as a 6–12-session course with re-assessment; does not include the underlying consult. Q: Is University Health different from UT Health?? A: Yes — University Health is the Bexar County public hospital district (formerly University Hospital System); UT Health is the UTHSCSA academic faculty practice. Both have men's-health lines and accept county-funded and Medicaid patients. Q: Can a San Antonio urologist prescribe compounded Trimix through a local compounding pharmacy?? A: Yes — most San Antonio compounding pharmacies (e.g., the well-known local compounders listed with the Texas Pharmacy Association) ship Trimix across Bexar County. Q: What is the cash pay range for a penile implant in San Antonio?? A: All-in $24,000–$40,000 with private-practice surgeons; UT Health academic pricing typically sits at the lower end.
Calculate your San Antonio-specific cost
Switch the ZIP code in the calculator embedded at the top of the page to your San Antonio pharmacy (e.g., San Antonio ZIP 78205). The calculator pulls in Verified Drug Prices, the BCBS / UHC / Aetna / Cigna / Humana deductible stage based on your insurance selection, and the Texas PDL Medicaid row for patients on Texas Medicaid.
Q: How much does ED treatment cost in San Antonio? A: Most San Antonio men on a cash-pay basis pay $75–$300 for the first clinic consult and $30–$120/month for generic sildenafil 100 mg with a GoodRx coupon (Updated July 2026). Brand meds run ~$2,400/month.
Q: Where do I get the cheapest ED meds in San Antonio? A: Costco + GoodRx is the consistent leader; Cost Plus Drugs wins for 90-day mail fills; Amazon RxPass covers generic sildenafil 25/50 mg for $5/month for Prime members.
Q: Does Texas Medicaid cover ED medication for San Antonio residents? A: Coverage is limited. The Texas preferred drug list (https://www.txvendordrug.com/sites/default/files/docs/2026-0101-preferred-drug-list.pdf) governs PDE5 status.
Q: Is telehealth legal for San Antonio ED prescriptions? A: Yes. Texas Medicaid Bulletin Vol. 2026 No. 11: in-state encounter required for the first telehealth visit; follow-up may be asynchronous. applies. For most Texas residents, a licensed in-state telehealth provider can complete a synchronous consult and mail a 30/90-day prescription to a San Antonio pharmacy.
What to do next
- Run the calculator above with your specific ZIP, plan, and medication.
- Compare two pharmacies within 5 miles of your San Antonio home — Costco beats Walmart most weeks.
- If clinic visits are required, schedule with a San Antonio men's-health clinic for the lower visit fee.
- Verify any insurance contribution by calling the carrier with the BIN/PCN from your pharmacy.
Disclaimer
This page is editorial content for U.S. readers and reflects Texas-specific market ranges, not medical advice. Consult a licensed Texas clinician for personal diagnosis and treatment. Pharmacy prices can change without notice; verify before filling.