Last updated: March 2026
How Much Does Concierge Doctor (Membership) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Annual Membership (primary care) | $1,500 – $3,000 | $1,500 – $3,000 |
| Premium Concierge (executive health) | $3,000 – $5,000 | $3,000 – $5,000 |
| Direct Primary Care (DPC) Monthly | $50 – $150 | $50 – $150 |
| Hybrid Concierge (membership + insurance billing) | $1,200 – $2,500 | $1,200 – $2,500 |
CPT/ADA Code: CPT 99213
What Affects the Cost
- Facility type (freestanding center vs. hospital — hospitals cost 2-3x more)
- Geographic location
- Complexity of the visit or test
- Whether additional tests or procedures are needed
- In-network vs. out-of-network provider
- Time of day (emergency/after-hours may cost more)
Insurance Coverage
Typical coverage: Membership fee not covered by insurance; individual services may be billed to insurance
Most diagnostic tests and urgent care visits are covered when medically necessary with a doctor's order. You'll pay your deductible first, then coinsurance (typically 20-40%). Preventive screenings are covered at $0 under the ACA. Always use in-network providers to avoid surprise bills.
How to Save Money
- Freestanding facilities cost 50-70% less than hospital-based
- Ask for cash-pay pricing upfront — often 40-60% less than billed rate
- Compare prices on MDsave.com or Healthcare Bluebook
- Use urgent care instead of ER for non-emergencies (save $1,000+)
- Telehealth visits cost $50-$100 for many conditions
- Check if the service qualifies as preventive care ($0 with insurance)
Related Procedures & Costs
Frequently Asked Questions
Concierge medicine is a membership-based model where you pay an annual fee ($1,500-$5,000) for enhanced access to your doctor. Benefits include same-day appointments, longer visits (30-60 min), 24/7 direct phone access, and a smaller patient panel.
The annual membership fee is not covered by insurance. However, some concierge doctors also bill insurance for individual visits, labs, and procedures. You are essentially paying extra for the access and availability.
Concierge doctors charge $1,500-$5,000/year and typically still bill insurance. Direct primary care (DPC) charges $50-$150/month, does not bill insurance, and includes most office visits and basic tests in the monthly fee.