Concierge medicine is primary care with a membership fee for added access; in Oregon law, practices paid a periodic retainer are called retainer medical practices.
Oregon's legal setup
Oregon is one of the states DPC Frontier lists with a direct primary care law [6]. Its retainer medical practice statutes date to 2011, and HB 2540 (2025) credits direct payments toward deductibles [1]. Ask your insurer how that applies to your plan before you count on it.
Federally, since Jan 1 2026, HSA funds can pay direct primary care fees of up to $150 a month for one person or $300 for a family, as long as the practice does not bill insurance separately [7].
Sponsored placement: open.
One local practice can be featured here. This is a paid, labeled placement and never an endorsement.
Feature your practice in Portland, from $300 a month.
Labeled paid listing. Sponsors have no role in our editorial choices.
Portland households and the fee
Portland's median household income is $90,919, and 14.5% of residents are 65 or older [4]. A $2,250 retainer, the fee we saw on one MDVIP page [3], would be about 2.5% of the median income. A $75 a month DPC plan is $900 a year.
Benchmarks
| Model | Fee | Source |
|---|---|---|
| Direct primary care (AAFP range) | $50 to $100/month | [2] |
| Employer-paid DPC rate (Hint Health 2026 report) | $55 to $65/month | [8] |
| MDVIP physician, Phoenix | $2,250/year | [3] |
| Concierge memberships (Harvard Medical School) | Thousands to tens of thousands per year | [9] |
For Medicare patients
Medicare does not cover membership fees, and a doctor who accepts assignment may not charge the fee for Medicare-covered services [10]. See concierge medicine and Medicare.
Checklist
- Confirm the physician with the Oregon Medical Board [5].
- Ask whether the practice bills insurance; that decides HSA eligibility under IRS rules [7].
- Get cancellation and refund terms in writing.
- We could not confirm Portland hospital-based concierge programs, so none are listed here.
Other West Coast pages: Seattle, Sacramento, San Francisco. Overview: concierge medicine, concierge vs DPC, find a doctor.
Questions people ask
How much is concierge medicine in Portland, Oregon?
Does Oregon have a direct primary care law?
Yes. Oregon's retainer medical practice statutes, ORS 735.500 and 735.510, date to 2011, and HB 2540 (2025) credits direct payments toward deductibles [1].
Can I use an HSA for DPC in Oregon?
Under IRS Notice 2026-5, HSA funds can pay DPC fees up to $150 a month for one person, or $300 for more than one, if the practice does not bill insurance separately [7].
Does Medicare cover a concierge fee?
No. Medicare.gov says membership fees for concierge care are not covered [10].
How do I check an Oregon doctor?
Use the Oregon Medical Board license lookup [5].
What is Portland's median household income?
$90,919 for 2020 to 2024, per Census QuickFacts [4].
Sources
10 cited
- HB 2540 (2025 Regular Session). Oregon State Legislature, 2025.
- Direct Primary Care. American Academy of Family Physicians, Oct 17, 2026.
- MDVIP physician page, Phoenix, AZ. MDVIP, Oct 17, 2026.
- QuickFacts: Portland city, Oregon. U.S. Census Bureau, 2025.
- Oregon Medical Board. State of Oregon, Oct 17, 2026.
- Direct Primary Care state laws. DPC Frontier, 2024.
- Notice 2026-5: Health savings accounts and direct primary care. Internal Revenue Service, Dec 9, 2025.
- Hint Health releases 2026 Direct Primary Care Trends Report. Hint Health via PR Newswire, Apr 23, 2026.
- How much are concierge medicine and direct primary care growing?. Harvard Medical School, Dec 18, 2025.
- Concierge care. Medicare.gov (CMS), Oct 17, 2026.
This page is general information, not medical advice. Talk with a licensed clinician about your own care.