Original Research

The State of Direct Primary Care Pricing 2026

We analyzed the real membership prices published by 736 direct primary care practices across the United States. Here’s what direct primary care actually costs.

By DirectMedicine · Updated 2026-08-22 · Free to cite with attribution

$133
per month
National average
$99
per month
Median
$15–900
per month
Typical range
736
43 states
Practices analyzed

The headline number

The average direct primary care membership costs $133 per month, with a median of $99. That’s a flat fee for unlimited primary care visits, direct messaging with your doctor, and often wholesale-priced labs and medications. For everyday care, it usually replaces the copays, deductibles, and surprise bills that come with insurance-billed visits.

How DPC prices are distributed

Under $50/mo
60
$50–$99/mo
315
$100–$149/mo
158
$150–$199/mo
88
$200+/mo
115

Most affordable metros

  • Oklahoma City, OK$52/mo
  • Idaho Falls, ID$63/mo
  • Augusta, GA$65/mo
  • Fort Myers, FL$69/mo
  • Orlando, FL$73/mo
  • Columbia, MO$73/mo

Highest-priced metros

  • San Francisco, CA$383/mo
  • Las Vegas, NV$312/mo
  • Houston, TX$295/mo
  • Seattle, WA$294/mo
  • Newport Beach, CA$248/mo
  • San Antonio, TX$238/mo

Average DPC cost by state

Iowa$58/mo
Wisconsin$70/mo
Delaware$73/mo
Virginia$90/mo
Minnesota$93/mo
Alaska$94/mo
Oklahoma$96/mo
North Carolina$103/mo
Alabama$103/mo
Idaho$103/mo
Montana$106/mo
Kentucky$107/mo
Tennessee$108/mo
Maine$112/mo
Mississippi$113/mo
Michigan$117/mo
Arizona$119/mo
Massachusetts$120/mo
Nebraska$120/mo
Missouri$122/mo
New Mexico$122/mo
Indiana$123/mo
Florida$124/mo
Maryland$128/mo
New Jersey$129/mo
New York$134/mo
Illinois$134/mo
Oregon$135/mo
Ohio$138/mo
Utah$140/mo
Arkansas$146/mo
Colorado$147/mo
Kansas$147/mo
Texas$159/mo
Georgia$159/mo
Pennsylvania$162/mo
Hawaii$170/mo
California$171/mo
Connecticut$173/mo
Washington$175/mo
Louisiana$184/mo
South Carolina$197/mo
Nevada$223/mo

Methodology

DirectMedicine maintains a directory of direct primary care and cash-pay practices. For this report we extracted membership prices that practices publish on their own websites, then aggregated the 736 practices with a clearly stated monthly membership fee between $10 and $2,000. City and state figures include only markets with at least three priced practices. Prices reflect what practices published as of 2026-08-22 and change over time; always confirm current pricing with the practice directly.

Cite or embed this research

This data is free to reference with a link to DirectMedicine. Journalists and writers, embed the live average on your page:

<iframe src="https://directmedicine.com/embed/dpc-cost" width="320" height="180" frameborder="0" title="Average DPC cost — DirectMedicine"></iframe>

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