Frequently Asked Questions

What's included in my monthly membership fee?

Any service provided in clinic that doesn't involve a laboratory or injections will likely be covered. Examples of covered items include physical evaluations, EKGs, sutures, foreign body removal, skin tag removal, biopsies, etc.

What about prescriptions?

This is a huge benefit for members of Direct Primary Care. We are able to offer at-cost prescriptions from whole-sale suppliers, which are often 80-90% cheaper than if you were to buy them from the pharmacy! See the table below for examples of prescription savings.

What about labs?

We negotiate cash pay prices for labs which are typically much cheaper than insurance based pricing - typically 65% cheaper! See the table below detailing cash priced labs versus insurance priced labs.

What about imaging?

We negotiate cash pay prices for imaging which is much cheaper than insurance based pricing - often times more than 50% cheaper! See the table below detailing cash pricing versus insurance pricing.

What about specialists?

We will refer to specialists if the need arises and usually after performing consultation services to prevent any unnecessary visits. Specialty care is currently outside the scope of Direct Primary Care, but there are still times we can help negotiate much cheaper cash pray prices for surgeries or procedures.

Does Direct Primary Care bill health insurance?

No, we do not. This frees us up from cumbersome insurance regulations and allows us to focus on our member's health care, not on insurance reimbursement.

I like your model, but I'm worried about major medical coverage. What would you recommend?

Direct Primary Care pairs well with medical sharing networks like Sedera Health, Medishare, Christian Healthcare Ministries, among many others, which typically have much cheaper premiums while having great coverage for major medical claims. However, medical sharing networks don't usually cover primary care services (70-90% of the care you will ever need). Pairing cost-sharing networks with Direct Primary Care can get you excellent healthcare coverage (major medical AND primary care) and still be 20-50% cheaper than most insurances through the exchange!

"Just got out of my first appointment.... I felt like he was very inclusive in talking about my health and didn’t just dictate what to do without any sort of explanation or discussion. Then they worked to find me the cheapest possible prescription refills for me... I couldn’t recommend this office more. I am SO pleased to be a Direct Primary Care member!!"
-Erika
DPC Member

A sample of typical savings for those with a DPC membership.

LABS

75%+

DISCOUNT

LAB
INSURANCE
------DPC------

CBC W/ Differential
$38
--------$3.59--------

Comprehensive Metabolic Panel
$49
--------$3.54--------

Thyroid Stimulating Hormone
$109
--------$4.20--------

Prostate Specific Antigen
$114
--------$4.95--------

Vitamin D
$292
---------$15---------

Lipid Panel
$292
--------$4.50--------

Strep A Swab
$40
---------$0---------

Urinalysis
$30
---------$0---------

MEDS

80%+

DISCOUNT

MED
MANUFACTURE PRICE
------DPC PRICE------

Metformin 500mg, #90
$79.55
----------$3.25----------

Atorvastatin 40mg, #30
$149.99
----------$7.66----------

Gabapentin 800mg, #90
$74.96
---------$16.68---------

Amlodipine 10mg, #30
$57.99
----------$4.33----------

Omeprazole 20mg, #30
$27.33
----------$3.21----------

Prozac 20mg, #90
$67.47
----------$7.05----------

Lisinopril 40mg, #90
$68.97
----------$8.23----------

Z-pack 500mg, #3
$67.99
----------$6.55----------

IMAGING

50%+

DISCOUNT

IMAGING
TYPICAL COST
-----DPC COST-----

Lumbar X-ray
$160.50
---------$55---------

Cervical X-ray
$149.50
---------$55---------

Knee X-ray
$149.50
---------$55---------

Ribs w/Chest X-ray
$107.50
---------$55---------

Shoulder X-ray
$85.75
---------$55---------

Wrist X-ray
$79.25
---------$55---------

Ankle X-ray
$74.75
---------$55---------

Foot X-ray
$74.75
---------$55---------

Contact Us

212 E Central Avenue, Suite 360 Spokane, WA 99208

(509) 553-0565

mattd@mydpcclinic.com

%d bloggers like this: