Concierge medicine pricing is not one-size-fits-all. Where you live dramatically impacts what you'll pay for membership-based primary care. Real estate costs, physician salaries, local competition, and cost of living create significant regional pricing differences.
This guide provides city-by-city pricing data for 2026, helping you understand what concierge medicine should cost in your market and whether you're getting fair value.
National Pricing Overview
The U.S. concierge medicine market reached $8.09 billion in 2025 (Precedence Research), with the average membership falling between $2,000 and $10,000 annually. However, that range obscures meaningful city-level variation.
According to the American Academy of Private Physicians, practices in metropolitan areas charge 20-35% higher fees than those in smaller communities for comparable service packages. Premium coastal markets push that differential even higher.
The national average DPC membership is $92/month (2026 DPC Pricing Index by Connectedly Health), with a median of $80/month. DPC pricing shows less city-level variation than concierge fees because the model's cost structure is simpler — no insurance billing staff, smaller offices, and more predictable overhead.
City-by-City Pricing Breakdown
Tier 1: Premium Markets ($5,000-$15,000+ Average)
New York City
| Category | Price Range |
|---|---|
| Ultra-premium concierge | $15,000-$40,000+/year |
| Mid-tier concierge | $5,000-$12,000/year |
| DPC monthly | $150-$250/month |
| Executive physical | $3,000-$8,000 |
| Setup/enrollment fee | $500-$2,000 |
NYC is the most expensive concierge medicine market in the U.S., driven by Manhattan real estate costs, physician salary expectations, and high-income patient demographics. The city has 200+ concierge practices, creating competition that maintains quality but hasn't driven prices down significantly.
San Francisco / Bay Area
| Category | Price Range |
|---|---|
| Ultra-premium concierge | $12,000-$30,000+/year |
| Mid-tier concierge | $5,000-$10,000/year |
| DPC monthly | $140-$225/month |
| Executive physical | $2,500-$7,000 |
California healthcare pricing exceeds the national average by 15-25% (Healthcare Cost Institute, 2025). The Bay Area's tech industry creates strong demand for concierge care among executives and founders who value time efficiency and comprehensive preventive screening.
Los Angeles
| Category | Price Range |
|---|---|
| Ultra-premium concierge | $10,000-$25,000+/year |
| Mid-tier concierge | $4,000-$10,000/year |
| DPC monthly | $125-$200/month |
| Executive physical | $2,500-$6,000 |
LA's market is slightly more affordable than SF or NYC but still premium. Beverly Hills practices command the highest fees, while practices in the Valley or outer suburbs offer more moderate pricing.
Tier 2: Above-Average Markets ($3,000-$8,000 Average)
Chicago
| Category | Price Range |
|---|---|
| Premium concierge | $8,000-$15,000/year |
| Mid-tier concierge | $3,000-$6,000/year |
| DPC monthly | $100-$175/month |
| Executive physical | $2,000-$5,000 |
Chicago benefits from world-class hospitals (Northwestern, Rush, U of C) without coastal pricing premiums. Concierge fees run 30-40% below NYC for comparable quality, making it one of the best value markets for concierge medicine.
Miami
| Category | Price Range |
|---|---|
| Premium concierge | $8,000-$20,000/year |
| Mid-tier concierge | $3,000-$8,000/year |
| DPC monthly | $100-$175/month |
| Executive physical | $2,000-$5,000 |
Miami's market has a wider price range than most cities due to its mix of ultra-luxury practices (serving international patients) and affordable DPC options. The lack of state income tax in Florida makes healthcare spending more efficient.
Boston
| Category | Price Range |
|---|---|
| Premium concierge | $8,000-$18,000/year |
| Mid-tier concierge | $3,500-$7,000/year |
| DPC monthly | $125-$200/month |
| Executive physical | $2,500-$6,000 |
Boston's academic medical centers (Mass General, Brigham and Women's, Beth Israel) create a strong concierge market. Hospital-affiliated programs tend to be more affordable than independent boutique practices.
Washington, D.C.
| Category | Price Range |
|---|---|
| Premium concierge | $6,000-$15,000/year |
| Mid-tier concierge | $3,000-$6,000/year |
| DPC monthly | $110-$185/month |
| Executive physical | $2,000-$5,000 |
D.C.'s government and lobbying sector drives significant executive health enrollment. Georgetown and Bethesda practices tend to be the most expensive; practices in Virginia suburbs offer better value.
Tier 3: Average Markets ($2,000-$5,000 Average)
Houston
| Category | Price Range |
|---|---|
| Premium concierge | $5,000-$12,000/year |
| Mid-tier concierge | $2,500-$5,000/year |
| DPC monthly | $75-$150/month |
| Executive physical | $1,500-$4,000 |
Houston combines Texas Medical Center access (world's largest medical complex) with below-average pricing. Texas's lower cost of living and no state income tax make it one of the best-value markets for concierge medicine.
Dallas-Fort Worth
| Category | Price Range |
|---|---|
| Premium concierge | $4,000-$10,000/year |
| Mid-tier concierge | $2,000-$5,000/year |
| DPC monthly | $75-$125/month |
| Executive physical | $1,500-$3,500 |
DFW has a growing DPC scene with some of the most affordable pricing in any major metro. The market is competitive, which keeps prices accessible.
Atlanta
| Category | Price Range |
|---|---|
| Premium concierge | $4,000-$8,000/year |
| Mid-tier concierge | $2,500-$5,000/year |
| DPC monthly | $85-$150/month |
| Executive physical | $1,500-$3,500 |
Atlanta's market is maturing quickly, with strong growth in both concierge and DPC practices. Emory Healthcare's concierge program offers hospital-based concierge at competitive prices.
Denver
| Category | Price Range |
|---|---|
| Premium concierge | $4,000-$8,000/year |
| Mid-tier concierge | $2,500-$5,000/year |
| DPC monthly | $90-$150/month |
| Executive physical | $1,500-$4,000 |
Denver's health-conscious population and outdoor culture create strong demand for preventive, wellness-oriented concierge practices. The market is growing rapidly.
Tier 4: Below-Average Markets ($1,500-$3,000 Average)
Phoenix / Scottsdale
| Category | Price Range |
|---|---|
| Mid-tier concierge | $2,000-$4,000/year |
| DPC monthly | $75-$125/month |
Nashville
| Category | Price Range |
|---|---|
| Mid-tier concierge | $2,000-$4,000/year |
| DPC monthly | $70-$120/month |
Raleigh-Durham
| Category | Price Range |
|---|---|
| Mid-tier concierge | $1,800-$3,500/year |
| DPC monthly | $65-$110/month |
What Drives Regional Price Differences
1. Real Estate Costs
Office rent is the largest fixed cost for concierge practices. A medical office in Manhattan costs $80-$120/sq ft annually vs. $25-$40/sq ft in Houston or Atlanta. This directly impacts membership pricing.
2. Physician Salary Expectations
Physician compensation varies regionally. An internist in NYC expects $300,000-$500,000+ vs. $200,000-$350,000 in mid-size markets. Concierge retainers must cover this differential.
3. Patient Demographics
Markets with higher concentrations of high-income professionals (NYC, SF, D.C.) can support premium pricing. Markets with more diverse income levels tend toward DPC's affordable model.
4. Competition
Paradoxically, markets with more concierge practices don't always have lower prices. NYC has the most practices AND the highest prices because demand exceeds supply at every tier.
5. Insurance Landscape
States with higher insurance premiums create more demand for DPC as an alternative, potentially driving DPC pricing down as more practices compete for patients.
How to Get the Best Value in Your City
- Compare at least 3 practices before committing — pricing varies 2-3x within the same city
- Ask about family and couple discounts — many practices offer 10-20% discounts for additional family members
- Evaluate the DPC option — if your primary need is access and personalized care, DPC delivers 80% of the concierge experience at 30-50% of the cost
- Check MDVIP and PartnerMD — national networks offer consistent quality at $2,200-$4,000/year in most markets
- Factor in tax advantages — DPC memberships are now HSA-eligible (2026), reducing effective costs by 24-32% for many taxpayers
For a complete comparison of DPC vs. concierge pricing models, see our dedicated guide.
Frequently Asked Questions
Why does concierge medicine cost so much more in NYC than Houston?
Three factors: real estate (NYC medical office rent is 2-3x Houston), physician salaries (20-40% higher in NYC), and patient demographics (NYC's high-income concentration supports premium pricing). Despite the higher cost, the quality of care is comparable — you're paying for the location, not better medicine.
Is DPC pricing more consistent across cities than concierge?
Yes. DPC monthly fees typically range from $65-$250 across all markets, a much narrower band than concierge retainers ($1,500-$40,000+). DPC's simpler cost structure (no insurance billing, smaller offices) reduces the regional cost variation.
Can I negotiate concierge membership fees?
At smaller independent practices, modest negotiation is sometimes possible — particularly if you're joining as a couple or family, paying annually upfront, or committing for multiple years. Large networks like MDVIP have standardized pricing that's generally non-negotiable.
Do rural areas have concierge or DPC options?
DPC is growing rapidly in rural and semi-rural areas, where the model addresses physician shortages by making rural practice financially viable. Rural DPC fees tend to be among the lowest nationally ($50-$90/month). Concierge practices are less common in rural areas but exist in some college towns and retirement communities.
Should I choose based on price or physician quality?
Physician quality should be the primary factor. A $3,000/year concierge doctor who is attentive and thorough will deliver better outcomes than a $15,000/year physician who doesn't fit your communication style. Use price as a filter to narrow your options, then evaluate physician quality through consultations.
The Bottom Line
Concierge medicine costs vary dramatically by city, but every major metro now has options across the full price spectrum. Whether you're in a premium market like NYC or an affordable market like Houston, the key is finding the right balance of access, quality, and cost for your needs.
Don't pay premium-city prices without getting premium-city value. And if you're in an affordable market, consider that DPC may deliver 80% of the concierge experience at a fraction of the cost.
For help evaluating practices in your area, see our guide on how to choose a concierge doctor.
-- The DPC Finder Team