Peak HRT
Verified listingPricing
Initial consultation
$99
Contact the clinic for current pricing.
About Peak HRT
What is Peak HRT?
Peak HRT is a cash-pay clinic at 358 Blue River Pkwy, STE D, in Silverthorne, Colorado. Its provider is Rebecca Miskew, MS, APRN, A-GNP-C, a nurse practitioner. No other prescriber is named.
Hormone care is the core of the practice, with hormone optimization and women's hormone therapy at the top of its service list. It also offers medical weight loss, peptide therapy, IV infusions, mobile IV visits to homes and hotels, athletic recovery sessions and body composition scans. It has 16+ years of clinical experience, and its Google rating is 5.0 from 50 reviews. Same-day appointments are often available. Peptide therapy names BPC-157, TB-500 and ipamorelin, and the weight loss program mentions GLP-1 medications when clinically appropriate. It serves Silverthorne, Dillon, Frisco, Breckenridge, Keystone and Vail. It does not say whether it offers telehealth.
What does it cost?
The initial hormone evaluation is $649, one time. It includes a full lab panel, an InBody scan and a provider consultation. For weight loss, a targeted lab panel is $299 and the full panel is $649, both one time. The ongoing medical weight loss program starts at $399 per month and includes monthly provider check-ins and monthly body composition scans. Medication shipping is billed separately. It does not say whether the medication itself is included in the $399. Follow-up lab work is not included.
Peptide therapy starts with a $99 standalone consult. IV drips start at $199 each, and mobile IV service adds a $100 fee on top of the cost of the drip. Body composition scans run $25 for InBody or $39 for Styku. Athletic recovery sessions start at $25. It does not publish prices for ongoing hormone therapy or for peptide treatment beyond the consult. It is a private, cash-based practice that does not bill insurance directly, though HSA and FSA payments are accepted.
What should you ask before you book?
Ask who oversees prescribing. Rebecca Miskew is the listed provider, but its weight loss care is also physician-supervised with no physician named. Ask who that physician is, if one is involved.
Ask whether the $399 program includes the medication, and what the shipping charge is. Ask whether the weight loss medication is brand-name or compounded, and whether the peptides are too. Ask what cancellation or commitment terms apply, since none are stated for the weight loss program. Ask what follow-up labs cost and how often you would need them. Ask whether telehealth visits are available, and what ongoing hormone therapy costs each month.
Who is it a good fit for?
This is a good fit if you want hormone, weight loss or peptide care in Summit County, can pay cash or use an HSA or FSA, and are comfortable with a nurse practitioner as your main provider. If you need a physician named on your care, telehealth, or a firm monthly price for ongoing hormone therapy, call 970.364.2228 and ask before you book.
Sources: peakhrt.com, peakhrt.com/weight-loss, peakhrt.com/womens-hormone-therapy
Services Offered
What we confirmed
Read off Peak HRT’s own website on 2026-10-14. These are their words, not ours.
- ✓Medical weight loss — listed on their site as “GLP-1 protocols available when clinically appropriate.” source
- ✓Hormone therapy — listed on their site as “Bioidentical HRT, TRT, and thyroid optimization for low energy, brain fog, low libido, hot flashes, mood swings, and sleep disruption.” source
- ✓Peptide therapy — listed on their site as “Targeted peptides for tissue healing, gym performance, sleep, immune function, and the kind of aging that keeps you in your sport.” source