PridePoint vs Insurance-Based
Primary Care:
Better Care, Lower Costs
Tired of Paying More and Getting Less?
With PridePoint’s Direct Primary Care, you can save money and get direct access to your physician—without the headaches of insurance.
- No copays or surprise bills: all visits included, most in-office procedures included (some ≈ $5).
- Medications 60–80% less, dispensed at our at-cost wholesale prices.
- Labs 90–95% less with negotiated cash rates.
Keep your HDHP for catastrophic coverage—use PridePoint for everyday care and real savings.
Explore How our Membership
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Real Savings, Transparent Costs
Insurance-driven primary care piles on hidden costs. With PridePoint, your care is included in membership — and labs and medications are passed through at wholesale prices. These side-by-side comparisons show how much you can actually save.
HDHP = High-Deductible Health Plan
Everyday Care Costs
Typical per-service costs for visits, procedures, labs, and medications compared to PridePoint’s included or at-cost pricing.
| Category | HDHP + Traditional System | HDHP + PridePoint | Estimated Savings |
|---|---|---|---|
| Primary care visits avg. 3 visits/year |
$540–$1,275 $180–$425 per visit |
$0 included in membership |
$540–$1,275 |
| In-office procedures EKG, cryo, biopsies, injections, etc. |
$150–$600+ per episode |
$0 (most); some ≈ $5 | $140–$600+ per episode |
| Routine labs (annual set) cholesterol, A1C, thyroid, etc. |
$500–$1,000 retail pricing |
$50–$75 (negotiated pricing) | $450–$950 |
| 3 common generic meds 90-day fills × 3 meds |
~$360/year $30 per med per 90 days (retail or copay) |
~$60/year (at-cost dispensing) ≈ $5 per med per 90 days |
~$300/year |
Notes: Ranges reflect common Portland-metro retail charges; individual pricing varies by facility and pharmacy.
Annual Care Costs Example (Without Membership Fees)
Example member with 3 visits, one in-office procedure, 1 annual lab set, and 3 common generics on 90-day fills. Premiums and membership fees excluded for apples-to-apples comparison.
| Item (annual) | HDHP + Traditional System | HDHP + PridePoint |
|---|---|---|
| PCP visits (3×) | $540–$1,275 | $0 |
| In-office procedure (1×) | $150–$600+ | $0 (most); some ≈ $5 |
| Routine labs (annual set) | $500–$1,000 | $50–$75 (negotiated) |
| 3 common generics (90-day fills) | ~$360/year | ~$60/year (at-cost) |
| Estimated out-of-pocket (care only) | $1,550–$3,235+ | $60–$140 |
Annual Care Costs Example (With PridePoint Membership)
Same scenario as above, but includes PridePoint membership ($99–$139/month) for a full year-over-year comparison.
| Item (annual) | HDHP + Traditional System | HDHP + PridePoint (including membership) |
|---|---|---|
| PCP visits (3×) | $540–$1,275 | $0 |
| In-office procedure (1×) | $150–$600+ | $0 (most); some ≈ $5 |
| Routine labs (annual set) | $500–$1,000 | $50–$75 (negotiated) |
| 3 common generics (90-day fills) | ~$360/year | ~$60/year (at-cost) |
| Estimated annual total | $1,550–$3,235+ | $1,248–$1,808 ($99–$139 × 12) + ~$60–$140 care |
Many members find their total yearly spend is similar or lower after adding a PridePoint membership — while gaining unlimited visits, direct physician access, and simple, transparent pricing.
Access & Experience
Beyond saving money, members choose PridePoint for the experience: direct access to your physician, unhurried visits, and same- or next-day care that prevents small issues from becoming big ones.
Typical Experience
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×
Phone trees & long holds Requests go through portals and call centers before you reach a clinician.
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×
Rushed visits (7–15 minutes) Limited time to address more than one concern.
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×
Delayed access Days to weeks for appointments; urgent care bills for same-day needs.
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×
Surprise billing Copays, facility fees, out-of-network charges you didn’t expect.
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×
Fragmented care Rotating providers; brief follow-up and limited messaging.
What You Get
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✓
Direct physician access Call or text between visits; same- or next-day scheduling.
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✓
Unhurried appointments Longer visits so we can address all your concerns thoroughly.
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✓
Continuity with your own doctor Relationship-based care that knows you and your goals.
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✓
Transparent, predictable pricing Visits included; labs & meds at our at-cost wholesale rates.
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✓
Care that prevents ER/urgent visits Fast access and proactive follow-up keep you healthier (and spending less).
Case Example: How PridePoint Pays Off
A realistic, apples-to-apples look at what one member might spend on common primary care needs in a year.
“Alex” — 3 visits, a minor procedure, annual labs, 3 common generics
Alex keeps an HDHP for catastrophic coverage and uses PridePoint for everyday care.
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✓
Primary care visits: $0 (unlimited visits included)
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✓
In-office procedures: $0 (most); some ≈ $5
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✓
Routine labs: $50–$75 (negotiated)
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✓
Generic meds (3 meds, 90-day fills): ~$60/yr (at-cost)
With membership: $1,248–$1,808 total (membership $99–$139/mo + care)
Is Direct Primary Care Right For You?
If you want better access to your physician, clear pricing, and lower day-to-day costs, DPC is a strong fit— especially with a high-deductible plan for catastrophic coverage.
Who Benefits Most
- People on HDHPs who pay retail until the deductible is met.
- Anyone who wants same- or next-day care and direct messaging with their doctor.
- Patients who value unhurried visits and relationship-based care.
- People looking to save on labs & medications via negotiated lab rates and at-cost dispensing.
Quick FAQs
Do I still need insurance?
How do labs and medications work?
Can I use HSA/FSA?
Do you accept Medicare-eligible patients?
Ready to Join?
Becoming a PridePoint Health member is simple. Sign up online in minutes, or schedule a free Introduction Call to learn how Direct Primary Care works for you.
