Direct Primary Care That Actually Listens

Personalized medical care for primary care, functional medicine, hormones, weight loss, and preventive health — without rushed visits or insurance confusion.

You deserve medical care that feels personal, practical, and clear.

At Pique Medical, we offer a direct primary care model designed for patients who want better access, more individualized care, and transparent pricing. This model works well for people with high deductibles, limited insurance coverage, rural access barriers, or those who are simply tired of feeling rushed through the system.

Our care combines primary care, preventive health, functional medicine, metabolic health, and hormone support in one place.

What We Treat

We help patients with both routine medical needs and deeper wellness concerns.

  • Annual wellness and preventive care

  • Sick visits and acute concerns

  • Fatigue, brain fog, and low energy

  • Weight loss and metabolic health

  • Hormone changes in men and women

  • Thyroid concerns

  • Gut health and inflammation

  • Nutrient deficiencies

  • Ongoing chronic condition support

  • Lab review and treatment planning

How It Works

Step 1: Book Your First Visit
Start with a new patient visit so we can understand your symptoms, goals, and medical history.

Step 2: Get a Clear Plan
You’ll leave with clear next steps, which may include labs, screenings, treatment recommendations, or follow-up.

Step 3: Choose Ongoing Care Only If You Need It
Some patients do well with visit-based care. Others prefer a monthly membership for more ongoing support and access.

Visit-Based Pricing

This is a good fit for patients who want care as needed without a monthly commitment.

Pricing blocks:

  • New Patient Visit — $150
    Comprehensive evaluation, history review, treatment planning, and next steps.

  • Follow-Up Visit — $75
    For medication follow-up, symptom review, lab follow-up, and treatment adjustments.

  • Extended Consult — $225
    For more complex concerns, longer medication reviews, hormone discussions, or multi-issue visits.

Fine print:
Labs, imaging, medications, supplements, and outside testing are billed separately.

Membership-Based Pricing

For patients who want more continuity, more direct support, and easier follow-up, we offer a limited number of membership spots.

Option A — Core Care Membership
$149/month
Includes:

  • Up to 1 visit per month

  • Ongoing primary care follow-up

  • Preventive care planning

  • Chronic condition support

  • Secure Spruce messaging for brief updates and simple questions

  • Priority scheduling


Option B — Functional & Optimization Membership
$199/month
Includes everything in Core Care, plus:

  • More in-depth support for hormones, weight, metabolism, fatigue, and wellness optimization

  • More detailed lab review and planning

  • Higher-touch follow-up for patients working on longer-term goals

Fine print:
Membership does not include the cost of labs, imaging, medications, supplements, or procedures. Membership is not insurance.

Price Estimates

Many patients want transparent pricing before they book. Below are general self-pay estimates for common labs and screening tests. These can vary by lab, imaging center, bundle pricing, and region.

  • Visits

    • New Patient Visit

      • $175

    • Follow-Up Visit

      • $95

    • Extended Consult

      • $225

    • Membership – Core Care

      • $149/month

    • Membership – Optimization

      • $199/month

  • Weight Loss

    • Monthly Program (without medications)

      • $150–300

    • Weight loss medications (when appropriate)

      • $200–500/month

    • Brand-name medications (if used)

      • $900–1,200+/month

  • Hormones & Optimization

    • Initial Hormone Consult + Labs

      • $300–800

    • Monthly Hormone Therapy (TRT/HRT)

      • $100–300/month

    • Peptides (if used)

      • $100–400/month

  • Labs (Common Panels

    • Basic Panel (CBC, CMP, Lipids, A1C)

      • $50–150

    • Thyroid Panel

      • $50–150

    • Hormone Panel

      • $100–300

    • Vitamin & Nutrient Testing

      • $50–200

    • Functional Medicine Testing

      • $200–600+

  • Preventive Screenings

    • Mammogram (screening)

      • $150–350

    • Coronary Calcium Score (Heart Scan)

      • $75–200

    • DEXA Scan (Bone Density)

      • $75–150

    • Colon Cancer Screening (stool-based)

      • $400–700

    • Low-Dose Lung CT

      • $150–300

 

Frequently Asked Questions

  • No This is a direct-pay medical practice. We do not bill insurance for membership or visit fees. However, you can use HSA or FSA if you have those.

  • Sometimes, depending on the service and your plan. Many patients choose self-pay pricing for transparency and convenience. We do attempt to work with insurance as much as possible to keep prices low, but we also have some negotiated rates with vendors such as Quest Labs to get discounted rates for those with poor or no insurance coverage.

  • No. You can still be seenon a visit-by-visit basis.

  • Yes. Preventive labs, screenings and imaging are part of the care we can help coordinate when appropriate.

  • Yes. When clinically appropriate and permitted by state licensure rules. This is a great, convenient option for most.

  • We are not restricted by big pharma or insurance regulations and are able to actually listen and hear your concerns, evaluate more thoroughly, and treat you as a whole pateint.

Ready for medical care that feels different?

Whether you need primary care, preventive care, hormone support, weight loss help, or a more thoughtful medical approach, we’d love to help.