Top Deck Medical Aesthetics
Verified listingPricing
Monthly program
$450/mo
Initial consultation
$100
Copied from the clinic's own published pricing on their site, checked 2026-10-19. Prices change — confirm with the clinic before you book.
About Top Deck Medical Aesthetics
What is Top Deck Medical Aesthetics?
Top Deck Medical Aesthetics is a medical aesthetics practice with offices in Billings and Butte, Montana. Most of what it does is cosmetic. It offers injectables, including Botox, Dysport, XEOMIN and DAXXIFY, along with fillers, laser hair removal, IPL, Morpheus8, Sculptra, waxing and IV therapy. Its wellness services are weight management, hormone optimization, DPC and low cost labs.
Jamie Decker, FNP-C, is the only prescriber named. Jamie has been working with patients for three years in both Butte and Billings. Its listed hours run 08:00 to 20:00 every day. Google shows a rating of 5 from 86 reviews, under the category weight loss service.
The weight management program starts with a consultation. In its own words: "Before beginning weight loss meds, we schedule an hour-long consultation where we make sure you are a good candidate."
This listing is for its Billings office at 3133 Central Ave Ste 1.
What does it cost?
The consult fee for weight management is $100. It is waived for DPC patients, and it goes toward the monthly fee if you start. The monthly fee is $450, paid every 4 weeks. The fee is described as including your weekly injection, a food log and dietary discussions. It does not say whether the weight loss medication itself is part of the $450.
Hormone optimization starts with a free initial phone consult and about $300 in labs. Non-DPC patients pay a $750 findings appointment plus the cost of medication, then $125 for a 3 month follow-up and refills. DPC patients pay a $650 findings appointment, with medication included in the DPC membership, and no fee for the 3 month follow-up. It does not say whether it accepts insurance, and it does not publish cancellation terms for memberships.
What should you ask before you book?
Ask which medication the weight management program uses, and whether it is brand-name or compounded. It does not name the drug. Ask whether the $450 includes the medication, labs and any extra visits. Ask what the hormone medication will cost on top of the findings appointment, since that price is not stated. Ask how a DPC membership is priced and what it covers, and how you cancel either the monthly plan or a membership. Ask whether any visit can be done by telehealth, which it does not say. Ask who writes each prescription, and get the answers before you pay anything.
Who is it a good fit for?
This is a good fit if you want cosmetic injectables or a monthly weight management program with a nurse practitioner in Billings or Butte, and you are willing to get the medication and cancellation terms in writing before you start.
Sources: topdeckmt.com, topdeckmt.com/weightmanagement, topdeckmt.com/hormones, topdeckmt.com/injectables, topdeckmt.com/about-us
Services Offered
What we confirmed
Read off Top Deck Medical Aesthetics’s own website on 2026-10-19. These are their words, not ours.