Concierge Medicine Cost by City: 2026

Oct 31

9 min read

We compiled the posted annual membership fees of 87 concierge medicine and direct primary care practices across 25 large US metro areas, checking each fee on the practice's own website in October 2026. The result shows what a primary care membership costs in each metro as of Q4 2026.

Key Findings

The median concierge medicine practice posted an annual fee of $2,600 for one adult in October 2026.
Direct primary care practices posted a median membership fee of $110 per month, or $1,320 per year, for one adult in October 2026.
Concierge programs run by health systems and independent groups posted a median of $4,000 a year in October 2026, compared with $2,500 at MDVIP-affiliated doctors.
Mass General Brigham's $10,000 annual concierge fee was the highest posted fee in our 25-metro sample as of October 2026.
At the four concierge programs that list couple pricing, adding a second adult raised the annual fee by a median of 74% in October 2026.

Membership primary care comes in two main forms. A concierge doctor keeps billing insurance for visits and adds an annual membership fee on top. A direct primary care doctor, often shortened to DPC, charges a flat monthly fee for primary care. Both kinds of practices post prices online, but the numbers sit on hundreds of separate websites, one practice at a time.

Our analysts opened each practice's own pricing page and recorded the fee for one adult at the standard adult tier. We converted monthly fees to annual figures, grouped practices by metro and model, and noted couple pricing wherever a practice listed it. MDVIP, a national concierge network, posts each affiliated doctor's fee on a public profile, so 38 of the 46 concierge fees in our sample come from MDVIP doctors.

In the following sections, we compare concierge fees by metro, concierge care against direct primary care, MDVIP doctors against health-system and independent programs, and what a second adult adds to the bill.

Concierge Medicine Fees by Metro Area

Prices differ more by practice than by place, but a metro view is where most people start. The table lists the median posted fee for each model in each metro, along with how many practices in that metro post a price.

Median Posted Primary Care Membership Fee by Metro (October 2026)

Metro	Concierge (per year)	DPC (per year)	Practices (concierge / DPC)
Boston	$10,000	$1,350	1 / 2
San Diego	$4,750	$1,194	2 / 2
Los Angeles	$4,325	$1,440	2 / 1
New York	$3,430	$1,500	3 / 1
Charlotte	$3,325	$1,200	4 / 1
Denver	$3,300	$1,710	2 / 2
Chicago	$3,300	$1,020	3 / 1
Phoenix	$3,125	$1,500	2 / 2
Riverside-San Bernardino	$2,950	$1,548	2 / 1
San Francisco	$2,900	$2,400	3 / 1
Atlanta	$2,600	$1,434	1 / 2
Orlando	$2,550	$900	2 / 1
Miami	$2,550	$1,320	2 / 1
San Antonio	$2,450	$1,380	2 / 2
St. Louis	$2,425	$894	2 / 2
Washington DC	$2,425	$1,374	2 / 2
Minneapolis-St. Paul	$2,400	$1,320	1 / 2
Philadelphia	$2,375	$1,068	2 / 1
Dallas-Fort Worth	$2,350	$1,200	1 / 2
Detroit	$2,300	$1,140	2 / 1
Portland	$2,300	$1,320	1 / 3
Tampa	$2,250	$1,068	1 / 3
Houston	$2,200	$1,320	1 / 2
Baltimore	$2,150	–	2 / 0
Seattle	–	$1,800	0 / 3

Source: Signal Hill Strategies analysis of 87 concierge and direct primary care pricing pages, accessed October 31, 2026

Bar chart of median posted concierge medicine fee by metro in October 2026, from $10,000 in Boston to $2,150 in Baltimore

Source: Signal Hill Strategies analysis of 87 concierge and direct primary care pricing pages, accessed October 31, 2026

Key Findings

Eleven of the 24 metros with a posted concierge fee had a median under $2,500 a year. Most of those medians come from MDVIP doctors, whose fees fall in a narrow band.
San Diego and Los Angeles had the highest medians built on more than one practice, at $4,750 and $4,325. Each metro includes a program priced above $5,000.
In the 23 metros with both models, the concierge median ran a median of $1,307 a year above the DPC median. For a patient, that is the yearly cost of choosing a concierge doctor over a DPC doctor nearby, and 2027 fee updates will show whether it holds.

Direct Primary Care Costs About Half as Much as Concierge Care

Patients shopping for a membership often see both models advertised in the same city. We lined them up on the same annual basis to see how far apart they sit.

Concierge and Direct Primary Care Fees Compared (October 2026)

Model	Practices	Lowest	Median	Highest	Median per month
Concierge	46	$2,100	$2,600	$10,000	$217
Direct primary care	41	$588	$1,320	$3,000	$110

Source: Signal Hill Strategies analysis of 87 concierge and direct primary care pricing pages, accessed October 31, 2026

Dot plot of posted annual fees at 46 concierge and 41 direct primary care practices in October 2026, with medians of $2,600 and $1,320

Source: Signal Hill Strategies analysis of 87 concierge and direct primary care pricing pages, accessed October 31, 2026

Key Findings

Thirty-four of the 41 DPC practices charged between $1,000 and $1,800 a year for one adult. Every one of those prices sits below the lowest concierge fee we found.
The concierge median is about twice the DPC median. Concierge members also keep paying for insurance, so the fee comparison understates their total spending.
The cheapest DPC fee, $49 a month at Direct Patient Care St. Louis, applies to adults 18 to 45, and older members pay more. Several DPC practices price by age, so a 60-year-old should check the tier that applies before comparing.

Health-System Concierge Programs Cost More Than MDVIP Doctors

Most concierge fees in the sample come from one network. Hospital systems and independent practices set their own prices, and the comparison shows how much the sponsor shapes the bill.

Annual Concierge Fees by Program and Sponsor (October 2026)

Program	Metro	Sponsor	Annual fee (one adult)
Mass General Brigham Concierge Medicine	Boston	Health system	$10,000
Scripps Private Internal Medicine Center	San Diego	Health system	$5,500
Forum Health Denver	Denver	Independent	$4,500
ASPIRE Internal Medicine	Chicago	Independent	$4,000
UC San Diego Health Concierge Medicine	San Diego	Academic health system	$4,000
HonorHealth Concierge Medicine	Phoenix	Health system	$4,000
Novant Health Traditions Concierge Medicine	Charlotte	Health system	$2,900
Concierge Medicine of Minnesota	Minneapolis-St. Paul	Independent	$2,400
MDVIP-affiliated doctors (38, median)	21 metros	National network	$2,500

Source: Mass General Brigham, Scripps Private Internal Medicine Center, Forum Health Denver, ASPIRE Internal Medicine, UC San Diego Health, HonorHealth, Novant Health Traditions, Concierge Medicine of Minnesota, and MDVIP doctor profiles pricing pages, accessed October 31, 2026

Bar chart of posted annual concierge fees at eight health-system and independent programs in October 2026, from $10,000 at Mass General Brigham to $2,400, compared with a $2,500 MDVIP median

Source: Signal Hill Strategies analysis of 87 concierge and direct primary care pricing pages, accessed October 31, 2026

Key Findings

Six of the eight programs outside MDVIP charged $4,000 or more for one adult. Four of those six belong to hospital or academic health systems.
MDVIP says its individual memberships generally cost $2,500 to $5,000 a year. Half of the 38 MDVIP fees we recorded fall in that range, and 18 come in below it, starting at $2,100.
A patient who wants a concierge doctor inside a large hospital system should budget well above typical MDVIP fees. Other health-system programs in Chicago, Dallas, and St. Louis ask patients to call for pricing, so comparing them takes a phone call.

Couple Pricing for Concierge and DPC Memberships

Households often join together, and some practices price a second adult separately. Ten practices in the sample list a two-adult price, which shows what adding a spouse or partner costs.

Annual Fee for One Adult and Two Adults (October 2026)

Practice	Metro	Model	One adult	Two adults	Second adult adds
Scripps Private Internal Medicine	San Diego	Concierge	$5,500	$10,450	$4,950
UC San Diego Health Concierge Medicine	San Diego	Concierge	$4,000	$7,000	$3,000
HonorHealth Concierge Medicine	Phoenix	Concierge	$4,000	$6,000	$2,000
Novant Health Traditions	Charlotte	Concierge	$2,900	$5,000	$2,100
Legacy Primary Care	Denver	DPC	$1,800	$3,300	$1,500
Zephyr Direct Primary Care	Minneapolis-St. Paul	DPC	$1,440	$2,640	$1,200
Saravit Direct Health	Portland	DPC	$1,320	$2,520	$1,200
PURE Primary Care	Washington DC	DPC	$1,440	$2,400	$960
Plum Health DPC	Detroit	DPC	$1,140	$2,160	$1,020
Bridge Family Health	Chicago	DPC	$1,020	$1,920	$900

Source: Scripps Private Internal Medicine, UC San Diego Health Concierge Medicine, HonorHealth Concierge Medicine, Novant Health Traditions, Legacy Primary Care, Zephyr Direct Primary Care, Saravit Direct Health, PURE Primary Care, Plum Health DPC, and Bridge Family Health pricing pages, accessed October 31, 2026

Grouped bar chart of posted annual fees for one adult and two adults at four concierge and six direct primary care practices in October 2026

Source: Signal Hill Strategies analysis of 87 concierge and direct primary care pricing pages, accessed October 31, 2026

Key Findings

Scripps charged the most for a couple, at $10,450 a year. Its second member pays $4,950, close to the full individual fee.
DPC practices added a median of 86% to the individual fee for a second adult. In dollars, the second DPC member cost $900 to $1,500 a year.
The median two-adult price was $6,500 for concierge and $2,460 for DPC. Families with children should also check child add-on fees, which DPC practices in the sample list at $10 to $75 a month.

For patients, the numbers point to a clear split. A concierge membership in most large metros costs a little over $200 a month on top of insurance, while a DPC membership costs about half that.

The top of the market belongs to hospital systems. MDVIP doctors anchor most metros near the low end of the network's stated range, and health systems such as Mass General Brigham and Scripps set prices well above it.

Membership primary care has become a priced, comparable product, with national networks, hospital systems, and solo doctors all posting fees in public. That lets patients compare prices before they choose a doctor.

So if you are comparing memberships in a large US metro, expect about $2,600 a year for concierge care and about $1,320 a year for DPC, and check age tiers and couple pricing before you sign.

Sources

Methodology

The sample covers 87 practices with a publicly posted membership fee in 25 US metro areas: 46 concierge practices and 41 direct primary care practices. Each fee was read from the practice's own website on October 31, 2026.
Practices whose pages showed no price were left out. Metro areas include suburbs, so a practice in Laguna Hills counts toward Los Angeles and one in Arlington, Virginia, counts toward Washington DC.
Concierge practices charge an annual retainer while billing insurance for visits. Direct primary care practices charge a recurring membership fee for primary care. Each practice was classed by how its own page describes the fee.
The fee recorded is the price for one adult at the standard adult tier. Where a practice prices by age, we used the tier for younger or middle-aged adults. Monthly fees were multiplied by 12. One-time enrollment and lab fees were left out.
Two-adult prices are either a posted couple rate or the individual fee plus the posted price for an additional adult member.
Derived figures, including medians, annual conversions, and percentage differences, were calculated from these data. All amounts are in US dollars.