Model the economics of your concierge practice. Adjust panel size, retainer level, and insurance revenue to project your practice financials.
This calculator provides estimates for educational purposes. Actual practice economics vary based on location, specialty, payer mix, staffing, and many other factors. Consult a healthcare practice consultant for detailed financial planning.
The financial architecture of a concierge practice differs fundamentally from both traditional fee-for-service medicine and direct primary care. The annual retainer, typically ranging from $1,500 for basic enhanced-access models to $25,000 for comprehensive executive health programs, provides a predictable revenue foundation that liberates the practice from the volume treadmill that characterizes conventional medicine.
Most concierge practices operate a hybrid model, collecting retainers while continuing to bill insurance for covered medical services. This dual revenue stream, when managed with the right technology, creates financial resilience and allows the practice to invest in the staff, facilities, and tools that sustain the premium experience patients expect. Hero EMR's 98% first-pass claim rate is particularly valuable in this hybrid model, ensuring that insurance revenue is captured efficiently alongside retainer income.
Panel size is the critical variable. Smaller panels (50-150 patients) enable the most intensive, personalized care but require higher retainers to sustain the practice financially. Larger panels (200-400) can operate at lower retainer levels but must invest in communication technology and staff to maintain the responsiveness that justifies the concierge model.