Concierge Medicine costs between $2,500 to $50,000 per person per year. Is it worth the costs?
At NextMD, we have access to real-time data on thousands of concierge and Direct Primary Care practices across the country. Here is a clear breakdown of what you can expect at each pricing tier: Entry Level, Premium, and Ultra Premium.
We also explain what the fee actually buys and why prices vary so much between providers.
What Each Tier Actually Looks Like
It is important to note that each of the tiers of concierge medicine represents an incredibly high level of service, care and hospitality. Even the entry level care should be excellent.
1. Entry Level Concierge Medicine ($2,500 – $5,000 per year)
This tier gives you a meaningful upgrade over traditional primary care at a more affordable price.
Panel size: Up to 350 patients (sometimes higher)
Practice structure: Usually a solo doctor or very small practice
What you actually get:
Same-day or next-day appointments (when available)
Visits that last 20 to 40 minutes instead of the usual 10 to 15 minutes
Phone or secure messaging access to your doctor during business hours
Basic coordination when you need to see a specialist
Care in a standard medical office (some offer occasional house calls)
Best for: Patients who want longer appointments and faster access without a high monthly cost. You will often get great service in this price range but you will likely be in a smaller practice that might not be as polished as the premium tiers.
2. Premium Concierge Medicine ($5,000 – $15,000 per year)
This is the most common tier for busy professionals and families. It provides noticeably better service and reliability.
Panel size: Typically capped at 200 patients or fewer
Practice structure: Small, organized practice with 2 to 3 doctors and multiple locations
What you actually get:
Reliable same-day or next-day appointments with much higher availability
Extended visits of 30 to 60 minutes
24/7 phone, text, or email access to your doctor
Proactive preventive care, including personalized wellness planning and more thorough annual exams
Stronger coordination with specialists and follow-up after hospital visits
Nicer office setting with better amenities
Best for: Patients who want consistent premium access, better organization, and more preventive focus.
3. Ultra Premium Concierge Medicine ($15,000 – $50,000+ per year)
This tier delivers the highest level of personalized, white-glove care for those who want maximum attention.
Panel size: Often capped at 100 patients or fewer (sometimes as low as 50 families per doctor)
Practice structure: Established high-end national or regional brands with excellent infrastructure
What you actually get:
Extremely small panels that allow near-immediate access and very long appointments when needed
National coverage: The health networks of many of the ultra-premium practices cover the US and some parts of the world. This is ideal for those who travel
True 24/7 direct access, including support while traveling
Comprehensive executive-level physicals, advanced diagnostics, genetic testing, and detailed personalized wellness programs
Exceptional care coordination, including direct specialist connections and assistance during hospitalizations
Premium office locations in top cities, plus added services such as travel medicine support
Best for: High-net-worth individuals or families who value maximum time with their doctor, privacy, and concierge-level service.
Quick chart and examples
Pricing Tier | What I will pay per year | What Are Some Examples | Locations |
|---|---|---|---|
Entry Level | $2,500-$5,000 | Castle Rock, Colorado Glendale California | |
Premium | $5,000-$12,000 | Naples Florida, Nashville Tennessee | |
Ultra Premium | $15,000-$50,000 | Both National Brands in top cities NYC, SF, LA and more |
Important note: These fees are membership (retainer) fees paid directly to the practice. They are in addition to your health insurance, which still covers labs, imaging, procedures, hospitalizations, and specialist visits. The majority of high-quality practices fall in the $4,000 – $12,000 range. Ultra-premium pricing is mostly found in Tier 1 cities.
What Your Membership Fee Actually Covers
The retainer pays for access, time, and continuity. It does not replace insurance for labs, imaging, procedures, or hospitalizations.
Common benefits across tiers include:
Same-day or next-day appointments with minimal wait times
Extended visits for thorough discussions
Direct physician access via phone, text, or secure messaging
Proactive preventive care and wellness planning
Care coordination with specialists and during hospital stays
Reduced administrative hassle
Higher tiers simply deliver more of these benefits at a higher level of convenience and personalization.
Is Concierge Medicine Worth It in 2026?
It depends on your lifestyle, health needs, and budget.
It is often worth it if you have a busy schedule, travel frequently, manage chronic conditions, value proactive care, or want to reduce healthcare-related stress.
It may not be worth it if you are generally healthy, rarely need care, or the fee would create financial strain.
Ready to Compare Real Options?
NextMD makes it simple to browse and compare hundreds of concierge and DPC practices with transparent pricing, panel sizes, and services included. Filter by your preferred price range and location to find the right fit.
→ Browse concierge and DPC doctors by price on NextMD
Cheers
Josh Bobrowsky
Founder & CEO

