Concierge medicine memberships typically cost between $2,000 and $10,000 per year, with most falling in the $2,000 to $5,000 range. Ultra-exclusive practices with invitation-only enrollment and 24/7 direct physician access can run $15,000 to $40,000 or more annually.
The wide price range reflects real differences in what you receive: patient panel size, physician credentials, appointment length, and whether you get house calls or global telemedicine. This guide breaks down each pricing tier, explains what drives the cost, and covers what the membership fee actually includes versus what you still pay separately.
Average annual and monthly cost of concierge medicine
Most concierge medicine memberships fall between $2,000 and $10,000 per year. That works out to roughly $150 to $800 per month, depending on the practice. The average sits closer to $2,000 to $5,000 annually for a standard membership, while premium and ultra-exclusive practices charge $15,000 to $40,000 or more.
So what exactly are you paying for? Concierge medicine is a retainer-based model. You pay an annual or monthly fee, and in return you get enhanced access to your physician: same-day appointments, longer visits, direct phone or text communication, and a doctor who sees far fewer patients overall.
| Membership Level | Annual Fee Range | Monthly Equivalent |
| Entry-level | $1,500–$3,000 | $125–$250 |
| Mid-tier | $3,000–$6,000 | $250–$500 |
| Premium | $6,000–$15,000 | $500–$1,250 |
| Ultra-exclusive | $15,000–$40,000+ | $1,250–$3,300+ |
Concierge medicine pricing tiers
The fee you pay reflects the experience you receive. A $2,000 membership and a $30,000 membership are fundamentally different products. Understanding what separates each tier helps you figure out whether a practice actually matches what you are looking for.
Entry level concierge practices
At this tier, physicians typically maintain patient panels of 400 to 600 people. Compare that to traditional primary care, where a single doctor often sees 2,000 patients or more. You can usually get same-day or next-day appointments, and visits run 30 to 45 minutes instead of the standard 15.
Many entry-level practices still bill your insurance for covered services. The membership fee covers the enhanced access, not the medical care itself.
Mid tier concierge memberships
Patient panels shrink to 200 to 400 people. You often get direct email or phone access to your physician rather than going through the front desk. Annual physicals become more comprehensive, and some practices at this level include basic labs in the membership fee.
Premium physician led concierge care
Panels drop below 200 patients. Physicians at this level frequently have subspecialty training, academic affiliations, or published research. Appointments can run an hour or longer, and preventive care protocols become more detailed, often including advanced cardiovascular screening and executive health assessments.
Ultra exclusive invitation only concierge medicine
The smallest practices limit enrollment to 50 families or fewer. Some cap membership at 20 to 30 patients total. At this tier, you typically receive house calls, 24/7 direct physician access with no answering service, global telemedicine across time zones, and travel-coordinated care. Enrollment is often invitation-only.
What drives the cost of a concierge membership
Why does one practice charge $2,500 while another charges $25,000? The differences are concrete.
Patient panel size
This is the single biggest cost driver. A physician who sees 50 patients has far more availability per patient than one who sees 500. Smaller panels mean you can reach your doctor when you need them. They also mean the practice collects fees from fewer people, so each membership costs more.
Physician credentials and specialization
Board certifications, academic appointments, and published research all factor into pricing. A physician with a Yale University Medical School affiliate rotation or PubMed-indexed publications commands higher fees than one without those credentials.
Level of direct access and availability
Some practices route calls through an answering service or front desk staff. Others give you the physician’s direct cell phone number. True 24/7 access with no intermediary costs more to provide.
Appointment length and preventive care depth
A 90-minute annual physical with advanced imaging and cardiovascular screening costs more to deliver than a 30-minute checkup with basic labs. The depth of preventive care varies widely between practices.
House calls and travel coordinated care
Practices that send physicians to your home, office, hotel, or production set build that time into their fee structure. Global telemedicine support for patients traveling internationally adds another layer of service and cost.
Practice location and local market
Beverly Hills, Manhattan, and San Francisco have higher operating costs than smaller markets. Membership fees reflect those geographic differences.
What is included in the membership fee
The annual fee typically covers access and coordination rather than every medical service you might need. Here is what most memberships include:
- Direct physician access: You can reach your doctor by phone, text, or video without going through a receptionist or answering service.
- Same-day appointments: When you call in the morning, you can usually be seen that day.
- Extended visit times: Appointments run 30 to 60 minutes or longer, depending on the practice.
- Annual executive physical: A comprehensive evaluation including labs, health risk assessment, and personalized care planning.
- Care coordination: Your physician manages referrals, obtains records, and communicates with specialists on your behalf.
Higher-tier memberships often add house calls, telemedicine across time zones, and travel-medicine planning.
What concierge medicine does not cover
The membership fee is not a replacement for health insurance. You still need coverage for hospital stays, emergency room visits, specialist consultations, prescription medications, and surgical procedures. Most labs and imaging are billed separately as well, though some practices include basic panels.
Think of the membership as paying for access and time. The actual medical services are often billed to insurance just as they would be in traditional care.
How insurance and Medicare work with concierge medicine
Most concierge practices operate as hybrid models. You pay the membership fee for enhanced access, and the practice still bills your insurance (or Medicare) for covered services like office visits, labs, and preventive screenings.
For Medicare patients, the membership fee is separate from your Medicare benefits. Medicare continues to cover eligible services, and you pay the concierge fee on top of that. The fee itself is not reimbursed by Medicare.
Is concierge medicine tax deductible or HSA eligible
Under current IRS guidance, concierge membership fees are generally not deductible as medical expenses. The IRS views the fee as a retainer for access rather than payment for specific medical services. Membership fees are also typically not eligible for HSA or FSA reimbursement for the same reason.
However, some employers provide concierge memberships as an executive benefit, and in those cases the tax treatment may differ. A tax professional can advise on your specific situation.
The hidden costs of traditional primary care
Before dismissing concierge fees as expensive, consider what traditional care actually costs in time and outcomes:
Treating the whole body is solely dependent upon having an intimate understanding of each of its individual parts. Mechanical dysfunction of non-traumatic origin is practically certain to cause — or be caused by — dysfunction in another region.
— Dr. Amin Javid- Scheduling delays: Waiting two to four weeks for an appointment means problems progress before they are addressed.
- Short visits: A 12-minute appointment leaves little time for complex issues or preventive discussions.
- Fragmented care: Repeating your history to multiple providers because no one has the full picture.
- Unnecessary specialist referrals: Primary care physicians who lack time to investigate often defer to specialists, adding cost and delay.
For executives and high-net-worth individuals, time has a quantifiable value. A membership that saves 10 hours of waiting rooms and phone tag over a year may pay for itself in productivity alone.
Is concierge medicine worth the cost
The answer depends on what you value. Concierge medicine makes the most sense if you prioritize immediate access when something is wrong, a physician who knows your full history and has time to think about your case, preventive care that goes beyond basic screenings, privacy and discretion, or coordination across specialists and locations.
For healthy patients with flexible schedules who are comfortable with traditional care, a membership may not add enough value to justify the fee. For patients with complex conditions, demanding schedules, or high productivity value, the investment often returns more than it costs.
Who concierge medicine is best suited for
Executives, founders, and high net worth individuals
Time is the constraint. Same-day appointments, after-hours access, and a physician who handles coordination in the background remove friction from an already demanding schedule.
Public figures, entertainment professionals, and elite athletes
Privacy matters. Discreet entrances, house calls on set, and a physician who understands the demands of performance and travel make a difference.
Frequent travelers and international patients
Telemedicine across time zones, travel-medicine planning, and a physician who can coordinate care during visits to the United States address needs that traditional practices cannot meet.
Families managing complex or chronic conditions
Longer appointments, care coordination, and a physician who knows the full history reduce the burden of managing multiple specialists and treatment plans.
Common misconceptions about concierge medicine cost
Concierge medicine replaces health insurance
It does not. You still need insurance for hospitalizations, specialists, and emergencies. The membership covers primary care access, not all medical expenses.
The fee only pays for longer office visits
The fee covers access, availability, coordination, and preventive care depth. Visit length is one component, not the whole picture.
Concierge care is only for the ultra wealthy
Entry-level memberships at $150 to $250 per month are comparable to a gym membership combined with a few streaming subscriptions. The ultra-exclusive tier is expensive, but the model itself spans a wide price range.
All concierge practices deliver the same care
Quality varies based on physician credentials, panel size, and practice infrastructure. A $3,000 membership with a 500-patient panel is a different product than a $30,000 membership with 30 patients.
Questions to ask before joining a concierge practice
1. How many patients does the physician see
Ask for the specific number. Smaller panels mean more availability.
2. What is included in the annual fee
Get a written breakdown of services covered by the membership versus billed separately.
3. Is there direct physician access without an answering service
Clarify whether you reach the physician directly or go through staff.
4. How are labs, imaging, and specialist referrals handled
Some practices include basic labs. Most bill separately or coordinate with your insurance.
5. What happens when you are traveling
Ask about telemedicine availability, time zone coverage, and travel-medicine support.
Concierge care at Beverly Hills Spine and Joint
Dr. Amin Javid, D.C., a nationally board-certified chiropractic physician with a Yale University Medical School affiliate rotation and PubMed-published research, offers an invitation-only Concierge Medicine Membership from Beverly Hills Spine & Joint.
The membership is limited to 20–30 patients and includes:
- Direct 24/7 access to Dr. Javid by call, text, or video with no answering service
- Same-day appointments and house calls at home, office, hotel, or production set
- Global telemedicine coordinated across time zones
- Specialized support for international patients visiting Beverly Hills from Saudi Arabia, Qatar, and the GCC
Know more about Beverly Hills Concierge Medicine Membership
Frequently asked questions about concierge medicine cost
What is the downside of concierge medicine?
The primary downside is the additional annual fee on top of existing insurance premiums. Services like labs, imaging, and specialist visits are typically not included in the membership.
How does concierge medicine compare to direct primary care?
Direct primary care (DPC) typically has lower fees and does not bill insurance at all. Concierge medicine combines a membership fee with traditional insurance billing for covered services.
Can I use concierge medicine if I live outside the United States?
Yes. Many concierge practices offer telemedicine for international patients and coordinate care during visits to the United States.
How many patients does a concierge doctor typically see?
Patient panels range from fewer than 50 in ultra-exclusive practices to several hundred in entry-level concierge models. Traditional primary care physicians often see 2,000 patients or more.
Can I keep my current specialists after joining a concierge practice?
Yes. Concierge membership covers primary care. You can continue seeing your existing specialists, and your concierge physician will coordinate with them on your behalf.
Dr. Amin Javid, D.C. is a State and National Board Certified Chiropractic Physician who leads Beverly Hills Spine & Joint. He completed the Yale University Medical School affiliate rotation at the New Haven VA Hospital and publishes peer-reviewed research on human biomechanics indexed on PubMed Central (PMC11483166). He received the American Chiropractic Association Sports Council Award and earned recognition as a Top Chiropractor by Los Angeles Magazine. His work has been featured in Vogue, Women's Health, and CNN. He is also the physician who formulated Leniva Pain-Relief Balm — an FDA OTC Registered Drug with four active ingredients and 23 botanical extracts.