Top 10 Cities for Concierge Medicine in the US Compared: Density, Cost, Top Practices (2026)

Last updated: May 2026

Medical Disclaimer: Informational only. Verify pricing with each practice.

Affiliate Disclosure: Concierge MD Finder may earn a referral fee from some partners listed. Editorial picks are independent.

The US concierge map clusters along coasts and retirement hubs. Ten metros hold most of the country's supply. Density and fees diverge widely across them.

At a Glance: Quick Comparison

Fees swing by physician, panel size, and tier. Numbers cite public sources as of May 2026.

1. New York City — National Capital of Boutique Practice (Verdict: Best for ultra-luxury executive care)

NYC holds 210 concierge and DPC practices across the metro. Manhattan takes about 63% of them (NextMD, 2026). The fee ceiling here is the highest in the US.

• Practice density: 210 metro-wide, ~132 in Manhattan alone, the rest in Brooklyn, Westchester, Long Island, and northern New Jersey (NextMD, 2026).
• Average annual fee: $3,000 to $40,000+ — the full national range lives in this single metro (NextMD, 2026).
• Top practices: MD2 (50-family panel, $24,000/yr), Sollis Health (24/7 concierge ER alternative, ~$4,000/yr), Private Medical Pacific Heights model now in NYC (Private Medical, 2026).
• What makes it unique: Wall Street and law-firm partners drive demand for executive-tier annual physicals. Hamptons summer demand pushes Manhattan doctors to maintain seasonal coverage routes.

The market splits by neighborhood. Upper East Side and Tribeca skew ultra-premium. If you can name a price ceiling, NYC has a practice above it.

2. Los Angeles — Highest Practice Count in the Country (Verdict: Best for Hollywood + Westside variety)

Greater LA leads the US at 223 concierge and DPC practices, narrowly beating NYC (NextMD, 2026). Beverly Hills, Santa Monica, and Pacific Palisades hold the bulk of premium-tier offices.

• Practice density: 223 across greater LA, with Beverly Hills, Santa Monica, and Brentwood as the high-fee corridor (NextMD, 2026).
• Average annual fee: $1,500 to $5,000 across California, with Beverly Hills VIP packages hitting $20,000+ (Unify Care, 2026).
• Top practices: Private Medical (multi-city ultra-premium), Cedars-Sinai Health Associates, MDVIP-affiliated Beverly Hills offices.
• What makes it unique: Entertainment-industry demand for on-set physician access. Aerospace and tech executives in the South Bay add a second buyer pool.

LA's sprawl matters. Most premium practices cluster in a 5-mile band from Beverly Hills to the beach.

3. Miami — South Florida's Concierge Capital (Verdict: Best for South Florida snowbirds)

Miami sits in the second tier of national markets, behind LA and NYC but ahead of most other metros (NextMD, 2026). Florida tax breaks pull rich households who bring concierge habits with them.

• Practice density: Roughly 90-120 practices across Miami-Dade and Broward, with a heavy spine along Coral Gables, Brickell, and Aventura.
• Average annual fee: $2,000 to $25,000, with most family-tier memberships landing around $3,000-$5,000 (PartnerMD, 2026).
• Top practices: UMiami Health Premier (UMiami, 2026), Sollis Health Miami Beach, MDVIP-affiliated Coral Gables offices.
• What makes it unique: Snowbird demand — many Miami concierge patients also carry a primary doctor in NYC, Boston, or Chicago. Bilingual practices are standard, not a premium.

Patients who summer in the Hamptons and winter in Palm Beach often hold dual concierge memberships.

4. Boca Raton / Naples FL — The Retiree Density Capital (Verdict: Best for retiree concentration)

This corridor isn't one city, but its per-capita density beats every US market. MDVIP is based in Boca Raton and moved into a new HQ in 2025 (MDVIP, 2026).

• Practice density: 70+ practices across Palm Beach, Boca, and Collier counties combined, an unusually high concentration for the population.
• Average annual fee: $1,800 to $15,000, with most family practices at $2,500-$4,000.
• Top practices: Concierge Medicine of Boca Raton, Palm Beach Concierge Medicine (Palm Beach Concierge, 2026), Northwestern Medicine Concierge Naples (Northwestern Medicine, 2026).
• What makes it unique: Median patient age skews 65+. Practices structure around Medicare carve-outs, since Medicare doesn't cover the retainer but does cover regular visit billing.

Naples pulls older, higher-net-worth patients. Northwestern Medicine built a Naples office to serve Chicagoland snowbirds wanting continuity.

5. San Francisco / Silicon Valley — Tech Money Meets Longevity (Verdict: Best for tech executive longevity)

SF and the Peninsula lean into longevity and performance medicine. The patient is younger here, more focused on biomarkers, and willing to stack memberships.

• Practice density: Around 100 practices across SF, Marin, and the Peninsula, with Pacific Heights and Menlo Park as anchors.
• Average annual fee: $3,000 to $20,000+, with premium SF practices reaching $900/month (Unify Care, 2026).
• Top practices: Private Medical Pacific Heights (Private Medical, 2026), MD2 San Francisco (UCSF and CPMC affiliations), Aurum MD Silicon Valley.
• What makes it unique: Founders and VCs treat concierge as a productivity expense. Practices offer extended biomarker panels, VO2 max testing, and integration with Function Health or similar lab platforms.

BlueWave Medicine and PrimaryMD market to executives who want bloodwork dashboards alongside annual physicals.

6. Boston — Harvard-Affiliated Concierge Stronghold (Verdict: Best for Harvard-affiliated care)

Boston's concierge market runs through the academic medical centers. MGH, Brigham, and Harvard Medical School ties show up on most premium practice sites.

• Practice density: Roughly 60-80 practices across Greater Boston, with a strong cluster on Beacon Hill, Back Bay, and the western suburbs.
• Average annual fee: $2,500 to $25,000, with academic-affiliated practices around $4,000-$6,000.
• Top practices: Mass General Hospital Concierge Medicine (MGH, 2026), MD2 Boston (50 families, MGH and BWH affiliations) (MD2, 2026), North Shore Physicians Group.
• What makes it unique: Patients want hospital admission privileges at MGH or BWH. A practice's value depends partly on whether the physician can hand-off to a specialist inside the same system.

Many Boston concierge doctors split time between teaching at Harvard Medical School and seeing private patients.

7. Chicago — North Shore Family Medicine Hub (Verdict: Best for North Shore family medicine)

Chicago's premium concierge core sits north of the city. Glencoe, Winnetka, Lake Forest, and Highland Park practices serve multigenerational families who want one doctor for everyone.

• Practice density: Around 80-100 practices across Chicagoland, concentrated along the North Shore corridor (NextMD, 2026).
• Average annual fee: $1,200 to $10,000 on the North Shore, with most family memberships at $2,500-$4,500 (Avoa Health, 2026).
• Top practices: Northwestern Medicine Personal Physician Care (Magnificent Mile), North Shore Medical Associates (NSMA, 2026), MD2 Chicago Lake Shore.
• What makes it unique: Long Chicago winters drive demand for telehealth and at-home visits. Practices that route around weather (24/7 video, home labs) charge a premium for it.

Read our Chicago-specific concierge guide for a deeper breakdown of North Shore practices and pricing tiers.

8. Washington DC / Northern Virginia — Federal + Policy Class (Verdict: Best for federal + policy professionals)

DC's concierge market built around federal workers, lobbyists, and contractors. PartnerMD anchors the region.

• Practice density: 50-70 practices across DC, Bethesda, McLean, and Arlington.
• Average annual fee: $2,300 to $8,000, with PartnerMD memberships at $2,600-$3,600/year (PartnerMD, 2026).
• Top practices: PartnerMD (multi-state, strong DC footprint), MDVIP-affiliated practices across NoVA, Foxhall Internists in Glover Park.
• What makes it unique: Patients often travel internationally for work. Practices that offer pre-travel briefings, immunization tracking, and abroad-coverage networks win the federal/diplomatic crowd.

For a direct comparison of PartnerMD vs MDVIP in this market, see our PartnerMD vs MDVIP breakdown.

9. Dallas / Fort Worth — Mid-Tier Value in a Major Metro (Verdict: Best mid-tier value in a major metro)

DFW offers strong concierge depth without the coastal price markup. Average annual fees sit well below NYC or SF for comparable services.

• Practice density: Around 90-110 practices across the Metroplex (NextMD, 2026), with strong representation in Plano, Highland Park, and Westlake.
• Average annual fee: Around $2,500 average, with a typical range of $1,800-$6,000 (DFW Concierge MD, 2026).
• Top practices: Baylor Scott & White Signature Medicine (Baylor, 2026), DFW Concierge MD ($2,500 hybrid model), North Texas Preferred Health Partners.
• What makes it unique: Hospital-system-affiliated practices dominate, which makes specialty referral chains tight. Insurance-billed concierge (hybrid model) is more common here than on the coasts.

Houston and Austin show similar patterns. For a regional comparison, read our Miami/Houston/Dallas guide.

10. Scottsdale / Phoenix — Sunbelt Retiree Entry Point (Verdict: Best entry point for sunbelt retirees)

Scottsdale doubled its premium concierge count between 2020 and 2026. MD2 opened a Scottsdale office in Feb 2026, a sign the ultra-premium tier arrived (MD2, 2026).

• Practice density: Around 70-90 practices across Phoenix-Scottsdale, with Scottsdale absorbing most of the premium tier.
• Average annual fee: $1,500 to $10,000, with the mid-tier at $2,500-$4,000 (Desert Mobile Medical, 2026).
• Top practices: MD2 Scottsdale (opened Feb 2026), Scottsdale Private Physicians (SPP, 2026), NuGen Medicine, Desert Mobile Medical.
• What makes it unique: Snowbird overlap with Naples and Boca creates dual-membership demand. Many Scottsdale patients keep a second practice in Minneapolis, Chicago, or Toronto for the summer months.

Phoenix proper runs cheaper than Scottsdale, often $1,500-$2,500 for concierge tier. The two cities run different markets despite sharing a metro.

How We Ranked

Our concierge-medicine rankings draw on three independent sources, never one alone:

1. 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.
2. 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.
3. 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

Which US city is best if I'm relocating for concierge access? Naples and Boca Raton offer the highest per-capita density and the most retiree-friendly fees. NYC offers the deepest premium tier. For tech professionals, SF and Silicon Valley have the most longevity-focused options.

Why do some cities charge so much more for concierge? Fee levels track local real estate, physician opportunity cost, and willingness to pay. Manhattan rent on a medical office runs 5-10x Dallas equivalents. Sunbelt cities like Phoenix and DFW stay cheaper because office overhead is lower.

How do I find the right concierge practice in my city? Start with our city-by-city cost guide, then call 3-5 practices to ask about panel size, after-hours coverage, and insurance billing. Most offer a free meet-and-greet before commitment.

Can I keep Medicare while joining a concierge practice? Yes for most practices. Concierge medicine typically bills Medicare for covered services and charges the retainer separately. DPC practices opt out of Medicare entirely. See our DPC and Medicare guide.

What about telehealth-only concierge alternatives? Virtual-only concierge platforms are growing at 12.38% CAGR through 2031 (Research and Markets, 2026). They work for healthy adults who travel often but fall short for complex cases.

Related Reading

• Top 10 Concierge Medicine Companies Compared: Pricing, Access, Specialties (2026)
• Concierge Medicine Cost by City: 2026 Regional Guide
• Best Concierge Medicine Doctors in NYC, LA, and Chicago: 2026 Guide

-- The Concierge MD Finder Team