Direct Primary Care (DPC) Membership Option
putting direct primary care into perspective
On average, Americans spend this much money on take out coffee: $92/month
On average, Wisconsinites spend this much money dining out: $190/month
On average, Americans spend this much money on gym memberships: $155/month
On average, Americans spend this much money on mobile phone services: $99/month
Direct Primary Care Membership: $45-$75/month
DPC closely resembles the doctor-patient relationship of years ago where patients received personalized care in an unhurried environment. In this model patients receive comprehensive primary care services from their physician in return for a fixed, recurring monthly fee paid directly to their physician. DPC occurs outside the insurance and government systems which allows for less paperwork and regulation, lower costs, and more direct time to be spent on the patient-doctor relationship. This options has the lowest operational overhead within our practice allowing your physician to spend less time on administrative duties and more time caring for YOU.
The DPC Membership option is best suited for:
Persons who desire low priced inclusive primary care services without copays and deductibles, appointments in a timely manner, and the freedom to make their own healthcare decisions (instead of their insurance company). DPC works well for those with with insurance, the uninusred, and those with ministerial plans (aka, healthcare sharing ministries).
DPC MEMBERSHIP FEES (FOR INDIVIDUALS AND FAMILIES)
$75 one time registration fee per member; max $225 per family
*Age 6-17: $15/month ($180/year)
Age 18-29: $45/month ($540/year)
Age 30-44: $60/month ($720/year)
Age 45-64: $75/month ($900/year
* Members under 18 years of age require participation of at least one parent or legal guardian.
** Note: Patients enrolled in Medicare Part B cannot belong to Priority Medical Partners Direct, SC due to federal regulations.
***Please visit Employer Solutions section for Employer DPC Membership Fees
SERVICES INCLUDED IN DPC MEMBERSHIP FEE
1. Free Office Visits - This refers to physician exam, evaluation and decision making.
2. Free Office Based Surgical Procedures - Member pays only for pathology analysis if a tissue sample is sent to lab for processing.
3. Improved Access
4. Free Advice Outside of Office Visits - your care doesn't end when you leave the office.
5. Virtual Visits - Phone or teleconference; for non serious conditions that can be managed without a face to face visit.
6. Our Lowest "BEST" Pricing for Laboratory and Pathology Services (see BEST pricing below)
7. Our Lowest “BEST” Pricing for On-Site Radiology Services (X-Rays, Ultrasounds, and Echocardiograms) (see BEST pricing below)
8. Free Market Pricing from free market doctors and facilities - Our commitment, on the behalf of our DPC patients to continue to search for and secure "direct pay pricing" from free market doctors and facilities (specialist referrals, radiology services, etc.) to whom we refer our patients (see below)
9. Adolescent Patient Services (Ages 12-17) - PMPdirect will provide services to adolescent age members for “walk-in-clinic” type services and physical wellness exams. Typical walk-in services include, but are not limited to: coughs, colds, sinus infections, sore throats, abrasions, strains, sprains, simple fracture management, injuries, school athletic physicals, urinary tract infections, lacerations, skin lesions and rashes, asthma attacks, burns, heartburn, pink eye, ear infections, etc.) PMPdirect physicians will, on a case by case basis, manage certain common chronic adolescent conditions (such as asthma, acid reflux disease, seasonal allergies, etc.) but will defer the management of complex medical conditions (such as seizures, developmental and behavioral disorders, significant congenital defects, etc.) to a pediatric specialist.
10. Elementary School Age Patient Services (Ages 6-11) - PMPdirect will provide “walk-in-clinic” type services and sport physicals to elementary school age members. Typical walk-in services include, but are not limited to: coughs, colds, sinus infections, sore throats, abrasions, strains, sprains, simple fracture management, injuries, school athletic physicals, urinary tract infections, lacerations, skin lesions and rashes, asthma attacks, burns, pink eye, ear infections, etc.)
DPC MEMBER OFFICE PROCEDURE FEES
Free Incise and drain abscess
Free Remove foreign body from skin
Free Paring a callus
Free Toenail Trimming
Free Skin biopsy
Free Removing skin tags
Free Removal ingrown toenail
Free Shave removal skin lesion (no sutures)
Free Excision of skin lesion (closure with sutures)
Free Evacuation of blood beneath nail surface
Free Laceration repair
Free Destruction skin lesion with cryotherapy (warts, pre-cancerous skin lesions)
Free Aspiration of fluid from joint space or bursa
Free Injection of joint space or bursa with steroid mixture (“cortisone”)
Free Electrocardiogram
Free Pulse Oximetry (blood oxygen level)
Free Casting/Splinting
Free Nebulizer (Albuterol) Treatment
Free EKG
Free Ankle Brachial Index (screening for vascular disease in legs)
Lab and pathology fees may apply and those fees are subject to change. This list is not comprehensive. Office procedure fees are subject to change.
DPC MEMBER “best” pricing fees for “On-Site” radiology services
$150 X-Ray
$350 Ultrasound (1 body region); +$100/each additional body region imaged
$500 Echocardiogram (Transthoracic)
On-site radiology fees reflect bundled pricing and include the cost to perform the test and the cost for the radiologist to review and report the results of the test.
On-Site radiology fees are subject to change.
DPC MEMBER "BEST" PRICING FEES FOR COMMON LAB TESTS
$9 CMP
$13 Hemoglobin A1C (HgA1C)
$16 Lipid Panel
$37 Lyme Disease Screen
$17 Hepatitis C Antibody Screen
$17 Prostate Specific Antigen (PSA)
$12 Thyroid Stimulating Hormone (TSH)
$14 Vitamin B12
$39 Vitamin D
$34 Testosterone, Total
$15 Rapid Strep
$54 Chlamydia trachomatis/Neisseria gonorrhoeae
$26 Estradiol
$31 FSH and LH
$84 Hepatitis Panel
$44 Pap (cytology)
$129 Pap and HPV
Note: Some tests may require additional "reflex or confirmatory testing" which will lead to additional charges. Practice will invoice patient for the fee associated with “reflex” testing as soon the practice becomes aware that a “reflex test” was performed.
Note: This list is not comprehensive. DPC members will receive BEST pricing on ALL labs drawn in our office. All procedure and lab fees are subject to change.
FREE MARKET DIRECT PAY PROCEDURE AND IMAGING SERVICES (PROVIDED BY OUTSIDE FACILITIES)
MRI with interpretation $485 - $690
Colonoscopy $1550 (+$100/each biopsy)
Upper Endoscopy (EGD) $1450
Endoscopic Ultrasound $1600
Capsule Endoscopy $2100
CT scans $330 - $630 (depends on body part and if contrast used)
Ultrasounds $150 - $300 (depends on body part)
Physical Therapy $75 per 1/2 hr visit
Home Sleep Study $250
Mammogram $170
Bone Density $150
Note: All free market direct pay pricing and fees are subject to change and are controlled by the outside facility providing the service. We do our best to keep this pricing as up to date as possible. This list is not comprehensive. If you are in need of a procedure or imaging study that is not listed, please ask our staff.
DPC is not insurance. DPC membership only covers the primary care services we provide you. We recommend all patients purchase health insurance or other suitable healthcare coverage to cover servcies that DPC does not provide such as surgery, hospitalization, and radiology services. If you need assistance finding suitable healthcare coverage, please contact us so we can assist you.