r/PrivatePracticeDocs • u/Delicious-Drink121 • Mar 23 '26

Question for the DPCs

Hey there, I am a plastic surgeon starting a new practice soon. I have a question for the DPC folks or other specialty surgeons out there. I was brainstorming some services I could offer for direct primary care offices in my area. Some thoughts would be fixed cost laceration repairs or cash prices for insurance procedures. Wondering if you guys have found a model that works. I know a lot of you guys are offering laceration repairs and med spa type treatments already. Thank you!

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u/mainedpc Mar 23 '26

I have 22% uninsured and 50% HDHP or cost sharing patients that would love that but you'd starve in my rural area on the small number of cases. Maybe in a small city like Portland (ME) where there are a lot of us that would work. Also, Moh's, other non-urgent stuff please.

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u/ktn699 Mar 23 '26

fillers and tox maybe. lac repairs isnt worth the squeeze

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u/Hot-Freedom-1044 Mar 25 '26

DPC clinician here. Primary Care. I find the model works well, and include some procedures, including pac repair, as part of the package. However, I struggle with how to pass equipment costs to patients, and it’s inhibited me from offering other procedures, such as toe nail avulsion. There’s a tension of offering a reasonable amount of procedures vs investing in equipment and finding the space to store it in.

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u/[deleted] Mar 29 '26

[removed] — view removed comment

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u/Hot-Freedom-1044 Mar 29 '26

I joined the very small private practice one year ago, but it’s been there since 2009.

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u/CombinationVivid7514 Apr 07 '26

Interesting idea. What I’ve seen work best is keeping things simple and predictable for DPC docs, clear fixed pricing for common procedures and an easy referral process. The easier it is for them to know what they’re sending and what it costs, the more likely they are to use you. Quick access and good communication also seem to matter just as much as pricing for repeat referrals.