Last updated: May 2026
Medical Disclaimer: This article is informational. Pricing changes often. Verify directly with each practice before joining.
Affiliate Disclosure: Concierge MD Finder may earn a referral fee from some partners listed here. Editorial picks are independent.
The concierge price ladder spans two orders of magnitude. A Direct Primary Care membership runs $50 a month in most markets (Connectedly Health, 2026). A boutique family practice like MD2 charges $24,000 for the first member and $12,000 more per spouse (MD2, 2026).
Same medical specialty. Vastly different products.
Most patients shopping the space land in one of ten distinct tiers. The ladder below sorts them by annual fee, panel size, and what you actually get for the money.
Quick Comparison Table
| Rank | Tier | Annual Fee | Patient Panel | Verdict |
|---|---|---|---|---|
| 1 | Direct Primary Care (DPC) | $600-$1,200 | 400-600 | Best for budget-conscious wellness |
| 2 | Entry Concierge (MDVIP affiliate) | $1,800-$2,500 | ~600 | Best national-network access |
| 3 | Standard Concierge (PartnerMD, SignatureMD) | $2,500-$3,600 | 400-600 | Best mid-market value |
| 4 | Premium Concierge | $5,000-$10,000 | 200-400 | Best for chronic conditions |
| 5 | Executive Concierge | $10,000-$20,000 | 100-300 | Best employer-paid C-suite perk |
| 6 | Boutique Concierge | $20,000-$40,000 | 100-150 | Best for ultra-personalized care |
| 7 | Private Family Concierge | $40,000-$100,000 | 50 families | Best for HNW multi-generation |
| 8 | Pediatric Concierge | $1,500-$5,000 | 300-500 | Best for kids with complex needs |
| 9 | Concierge Specialty | $2,000-$15,000 | Varies | Best for chronic specialty conditions |
| 10 | Hybrid Concierge | $750-$1,500 | 400-600 | Best of both worlds, lower cost |
Pricing reflects May 2026 public data. Confirm with each practice before joining.
1. Direct Primary Care (DPC) — $600-$1,200 Annual (Verdict: Best for budget-conscious wellness)
Direct Primary Care is the floor of the membership-medicine ladder. The national average runs $92 a month, with a median of $80, across 2,700+ providers (Connectedly Health, 2026). The flat fee covers unlimited visits, basic in-office labs, telemedicine, and procedures with no insurance billing.
- Annual fee: $600-$1,200 for adults; $240-$900 for kids (Mosaic Medicine, 2026).
- Patient panel: 400-600 patients per doc, half of traditional primary care.
- Included: Same-day appointments, 30-60 min visits, direct text/email access, wholesale labs.
- Market position: Transparent, insurance-free option. Patients still need a separate catastrophic plan for hospitalizations.
- Ideal patient: Healthy adults, freelancers, small business owners, families paying out-of-pocket. The 2026 tax change made these fees HSA-eligible up to $150/month individual or $300/month family (healthinsurance.org, 2026).
- Example practices: Forward Family Medicine, Maple Primary Care, thousands of independent practices tracked by DPC Frontier.
2. Entry Concierge (MDVIP Affiliate) — $1,800-$2,500 Annual (Verdict: Best national-network access)
MDVIP affiliate practices anchor the entry concierge tier. Membership runs $1,800 to $2,400 in most markets, with select cities pushing $4,500 (VIP Medical Doctors, 2026). MDVIP reports 1,400+ affiliated physicians and 430,000+ members across 45 states.
- Annual fee: $1,800-$2,500 typical; up to $4,500 in tier-1 cities.
- Patient panel: Capped at ~600 per doctor versus 2,000+ in traditional practice (MDVIP, 2026).
- Included: Annual Wellness Program (advanced labs, biomarkers, fitness assessment), 24/7 access, same-day appointments. Insurance still bills for sick visits.
- Market position: Largest national footprint in concierge. Good for snowbirds and frequent travelers.
- Ideal patient: Adults 50+ wanting executive-physical-level prevention without going full cash-pay. The network reports 42-62% lower hospitalization rates versus matched controls (Concierge Medicine Today, 2026).
3. Standard Concierge (PartnerMD, SignatureMD) — $2,500-$3,600 Annual (Verdict: Best mid-market value)
The middle of the market — networks like PartnerMD and SignatureMD that convert independent physicians to a concierge model while keeping insurance billing intact. PartnerMD lists $2,600-$3,600 annually depending on location (PartnerMD, 2026).
- Annual fee: $2,500-$3,600 for adults.
- Patient panel: 400-600 patients per physician.
- Included: Comprehensive annual physical, extended visits, same/next-day access, wellness coaching, direct doctor communication.
- Market position: Sweet spot for working professionals who want concierge perks without leaving their PPO. Doctors still bill insurance for covered services.
- Ideal patient: Mid-career professionals managing one or two chronic issues, busy parents who can't waste a half-day on a 10-minute appointment.
- Example practices: PartnerMD (Mid-Atlantic), SignatureMD (35+ states), Castle Connolly Private Health.
4. Premium Concierge — $5,000-$10,000 Annual (Verdict: Best for chronic conditions)
Premium tier doubles the panel cap reduction. Practices in this band typically cap at 200-400 patients per doctor, and the annual physical extends into a multi-day workup. The high-quality concierge band sits in the $4,000-$12,000 range (NextMD, 2026).
- Annual fee: $5,000-$10,000.
- Patient panel: 200-400 per doctor.
- Included: Multi-day executive physical, advanced imaging (CT/MRI as indicated), genomic testing, dedicated care coordinator, house calls in some markets.
- Market position: Step where concierge starts feeling like a service business, not a medical practice. Mass General Concierge Medicine charges $10,000 annually as a representative anchor.
- Ideal patient: Adults managing multiple chronic conditions, post-cancer surveillance patients, anyone who wants their doctor to call them by name.
5. Executive Concierge — $10,000-$20,000 Annual (Verdict: Best employer-paid C-suite perk)
Executive concierge is often invisible to the patient because the employer pays. The Health Transformation Alliance now embeds concierge memberships for roughly 5 million covered employees (Concierge Medicine Today, 2026). Cleveland Clinic expanded its executive program to Las Vegas in 2026.
- Annual fee: $10,000-$20,000 (typically employer-paid).
- Patient panel: 100-300 per physician.
- Included: Comprehensive executive physical (full day), travel medicine, on-site clinic access, dedicated nurse, 24/7 global access for international travel.
- Market position: Retention tool for C-suite and senior leadership. Bundled with corporate health benefits.
- Ideal patient: Senior executives with global travel schedules, founders whose downtime is genuinely expensive. Examples include Emory Executive Health, Atlantic Health, Ohio State Wexner Executive Health Program, and PartnerMD Executive Health.
6. Boutique Concierge — $20,000-$40,000 Annual (Verdict: Best for ultra-personalized care)
Boutique concierge is where the panel collapses to triple digits. PinnacleCare and similar advisory firms charge $1,250-$4,580 per month for personalized health advocacy and access to top specialists. The line between "boutique medicine" and "private health concierge" blurs at this tier.
- Annual fee: $20,000-$40,000.
- Patient panel: 100-150 patients per physician.
- Included: 24/7 direct access to your doctor, in-home visits, full care coordination, second-opinion services at Mayo/Cleveland/Hopkins, on-call specialist network.
- Market position: Pivot from clinical care to medical project management. Your doctor manages the whole care team.
- Ideal patient: High-net-worth adults who treat health as a managed asset, families dealing with rare or complex diagnoses, executives who need a single point of medical accountability.
7. Private Family Concierge — $40,000-$100,000 Annual (Verdict: Best for HNW multi-generation)
The top of the ladder is true exclusivity. MD2 caps each physician at 50 families and charges $24,000 for the first member plus $12,000 per added spouse (MD2, 2026). Multi-generation households can clear $100,000 annually.
- Annual fee: $40,000-$100,000+ per family.
- Patient panel: 50 families per physician (often fewer).
- Included: Dedicated physician on retainer, full diagnostic facility access, international medical evacuation coordination, full family coverage across generations, concierge specialty network.
- Market position: Medicine as a private staff function. Comparable to a family office's CFO arrangement.
- Ideal patient: UHNW families wanting integrated multi-generation care, principals who want their doctor on a plane within 12 hours. Practices like Private Medical, MD2, and select Castle Connolly affiliates serve this band.
8. Pediatric Concierge — $1,500-$5,000 Annual (Verdict: Best for kids with complex needs)
Pediatric concierge is a niche tier with limited supply. PartnerMD offers pediatric membership at $1,500 per year, or $39 per month for children added to a parent plan (PartnerMD, 2026). MDVIP is adults-only and does not serve pediatrics.
- Annual fee: $1,500-$5,000 per child.
- Patient panel: 300-500 children per pediatrician.
- Included: Same-day sick visits, extended well-child appointments, direct text/call access, school form coordination, developmental screening.
- Market position: Small but growing tier. Local boutique pediatricians dominate; national networks are rare.
- Ideal patient: Parents of children with chronic conditions (asthma, eczema, ADHD), families with multiple kids in one practice, anxious first-time parents who want a pediatrician on speed dial.
9. Concierge Specialty (Cardiology, etc.) — $2,000-$15,000 Annual (Verdict: Best for chronic specialty conditions)
Specialty concierge is a small but expanding tier. Cardiology leads, with practices like Beverly Hills Cardiovascular & Longevity Institute and Northwestern Medicine's Concierge Cardiology charging dedicated annual fees on top of specialty-specific care.
- Annual fee: $2,000-$15,000 depending on specialty and city.
- Patient panel: Varies, typically 150-400 per specialist.
- Included: Dedicated specialist access, advanced diagnostics, longitudinal disease management, coordination with primary care, second-opinion services.
- Market position: Often a Medicare/PPO hybrid where the membership buys access while insurance still pays for procedures. Endocrinology, gastroenterology, and oncology are emerging in this tier.
- Ideal patient: Patients with cardiology, GI, or endocrine conditions who already see a specialist quarterly and want guaranteed access plus longitudinal data tracking.
10. Hybrid Concierge — $750-$1,500 Annual (Verdict: Best of both worlds, lower cost)
The hybrid tier bills insurance for covered services AND charges a flat monthly fee. The result: lower out-of-pocket than full concierge, with most direct-pay perks intact. Monthly fees range $75-$200 for adult patients (Forward Family Medicine, 2026).
- Annual fee: $750-$1,500.
- Patient panel: 400-600 per physician.
- Included: Same-day appointments, extended visit times, direct doctor access, basic in-office labs, telemedicine. Insurance bills as usual for sick visits, imaging, and specialty referrals.
- Market position: Pragmatic middle. You keep your insurance and your network. The flat fee buys the access perks insurance refuses to reimburse.
- Ideal patient: Adults with strong PPO coverage who want concierge access without losing the insurance billing rails. Popular with Medicare patients in 2026 as the HSA changes took effect.
How We Ranked
Our concierge-medicine rankings draw on three independent sources, never one alone:
- Verified clinical credentials: ABMS board certifications, state medical-license status, NPI registry, hospital affiliations, AAPP / MDVIP / SignatureMD network membership. Pulled from the relevant primary registry each time we update a profile.
- Patient-reported outcomes: Vitals, Healthgrades, and Google reviews from the past 24 months. We weight verified-visit reviews more than anonymous ones and flag any practice with a pattern of access complaints, billing surprises, or refusal-to-treat reports.
- First-hand intake testing: editorial calls to each practice asking the same five questions (annual retainer, what's included, how same-day visits actually work, telemedicine policy, what happens if I cancel). We document responses.
What we never accept: paid placement, sponsored "best of" slots, retainer-fee discounts in exchange for coverage. Disclosure: some practices listed have affiliate referral programs; we use those links only on the practice page, never as a ranking factor.
Update cadence: at minimum quarterly per niche; faster on any pricing change, network defection, or licensing issue. Last-updated date is at the top. To report an inaccuracy or claim a profile, email research@conciergemdfinder.com — corrections processed within 72 business hours.
Frequently Asked Questions
What's the cheapest concierge medicine tier?
Direct Primary Care is the floor at $600-$1,200 a year. Hybrid concierge sits just above at $750-$1,500. Both keep monthly costs under $150 for adults.
Is concierge medicine covered by insurance?
The membership fee itself is not. Insurance treats it as an access amenity, not a medical service. Some practices still bill insurance for covered visits, labs, and procedures on top of the membership fee.
What's the difference between direct primary care and concierge medicine?
Direct primary care drops insurance entirely. You pay a flat monthly fee for primary care, period. Concierge medicine keeps the insurance billing intact and charges a separate membership for access perks.
Can I use my HSA to pay for concierge medicine?
Starting January 1, 2026, qualifying direct primary care arrangements up to $150 per month for individuals or $300 per month for families are HSA-compatible under the Primary Care Enhancement Act. Traditional concierge membership fees are usually not HSA-eligible.
How small does the patient panel get at the top tiers?
MD2 caps each physician at 50 families. Boutique concierge runs 100-150 per doctor. Traditional primary care averages 2,000+. Smaller panels mean more time per patient and faster access.
Related Reading: For deeper context on networks, see our top 10 concierge medicine companies compared and our breakdown of DPC versus concierge medicine cost. The real cost of concierge medicine in 2026 covers hidden fees most patients miss.
-- The Concierge MD Finder Team