Patient Pricing

Membership Pricing

Age Group
Monthly Fee
Annual (Prepaid) Discount
Includes
Adults (18–64 years)
$85/month
$925/year (save $95)
All Guardian Membership Perks & Benefits (see below).
Seniors (65+ years)
$70/month
$760/year (save $80)
All Guardian Membership Perks & Benefits (see below).We proudly offer our senior discount to help keep your health and budget strong.
Children (0–17 years)
$40/month
$430/year (save $50)
All Guardian Membership Perks & Benefits (see below). Must have one parent or guardian enrolled. Includes annual and sports physicals.
Virtual-Only Access
$40/month
$430/year (save $50)
For those who prefer virtual visits only — includes telehealth consultations, chronic care management, acute visits, and prescription refills.

Discounted Membership Bundles

Membership Type
Monthly Fee
Annual (Prepaid) Disount
Couple (2 Adults)
$150/month
$1,620/year (save $180)
Family (2 Adults + up to 2 Children)
$210/month
$2,250/year (save $270)
Each Additional Child
+$30/month
+$320/year

One-Time Enrollment Fees

Type
Fee
Initial Enrollment (one-time)
$25 per member (Waived with a licensed Provider Referral)
Re-enrollment (after cancellation)
$200 per member

The Guardian Direct Membership

Affordable. Accessible. Transparent.

At Guardian Primary Care, we believe healthcare should be simple, personal, and stress-free.
Our Guardian Direct Membership offers everything you need to stay healthy — with no hidden fees, no surprise bills, and no barriers to care.

Guardian Benefits & Perks

One simple monthly payment — no insurance hassles, no hidden costs.
Plans starting as low as $40/month
$25 enrollment fee waived with a licensed provider referral

What’s Included

  • Unlimited office visits — come as often as you need, when you need
  • Same- or next-day sick visits for when life happens
  • Direct text, email, or portal access to your provider & medical records
  • Annual wellness & sports physicals included
  • Chronic disease management for conditions like diabetes, hypertension, asthma, and more
  • Basic in-office procedures (I&D, cryotherapy, wound care, abscess drainage, skin lesion removal, etc.)
  • Medication management & refills made easy
  • Access to our robust specialist network for coordinated, seamless care
  • Preventive screenings & labs at deeply discounted cash prices
  • Virtual visits for convenience when you can’t make it in
  • Personalized care planning — because your health journey is unique
  • Family-friendly options to keep care affordable for everyone in your home

Why Our Members Love It

  • Transparent, up-front pricing
  • No hidden fees
  • Continuity of care with the same trusted provider
  • Real relationships — not rushed visits
  • A membership built around your health

Membership vs. Self-Pay Benefits

  • Unlimited visits and direct provider access.
  • Preventive care, chronic disease management, and minor procedures included.
  • Substantial savings compared to paying per visit or procedure:

Example – adult age 30–64:

  • 4 office visits (99213 @ $175) → $700
  • Annual physical (99384) → $225
  • Labs (A1c, UA, EKG) → $260
  • Minor procedure (12002) → $500

Total Self-Pay: $1,685
Guardian Direct Membership: $85/month → $1,020/year

Annual savings: ~$665

Additional Benefits

  • Over 80–90% of healthcare needs are managed in primary care — your membership covers the bulk of care.
  • Specialist referrals are coordinated seamlessly through our trusted network.
  • Significant Medication & supply savings: Programs with savings up to 90%.
  • Transparent pricing: No hidden fees, no surprises.
  • Insurance navigation support: Decided membership isn't right for you? We help patients maximize their coverage and select the right plans while staying fully compliant with insurance contracts.

Sources / References

  1. Centers for Medicare & Medicaid Services (CMS) Physician Fee Schedule – CMS PFS
  2. Missouri Medicaid Fee Schedules – WPSGHA+1, CMS – Missouri Medicaid Fee Schedule
  3. American Academy of Family Physicians (AAFP) – Primary Care Impact on Cost and Outcomes, 2020
  4. Centers for Disease Control and Prevention (CDC) – Primary Care and Population Health Data

Insurance Networking Status

Insurance Group
In-Network Status
Check Coverage Link
In-Network
In-Network
In-Network
In-Network
In-Network
In-Network
In-Network
In-Network
In-Network
In-Network
In-Network
In-Network
In-Network
In-Network
In-Network
In-Network
In-Network
On List of Patient Requested Insurances
On List of Patient Requested Insurances
Don't see your insurance listed? Contact us by clicking the link below to fill out a contact form. This will be forwarded to our credentialing team for processing so may continue to provide affordable, accessible care that is convenient for all our patients in the Southeast Missouri region!
Request Insurance Networking

Accepted Payments

We do offer financial assistance & payment plans to those in need. You can find more information on how to apply at the bottom of the page under "Financial Hardship Application".

What Does "In-Network" With Insurance Mean?

When a healthcare provider is "in-network" with a patient's insurance, it means the provider has a contract with the insurance company to offer services at pre-agreed rates. This usually results in lower costs for the patient, such as lower copays, coinsurance, and deductibles. Being in-network helps patients save money compared to visiting an "out-of-network" provider, who does not have a contract with the insurance and may charge higher fees.

Vetting Process for Providers to Become In-Network:

To become in-network, a provider undergoes a process called credentialing. This involves the insurance company reviewing the provider's qualifications to ensure they meet the company’s standards for delivering care. The vetting process typically includes:

  1. Education and Training Verification: Ensuring the provider has completed the necessary medical education, licensing, and certifications.
  2. Work History Review: Checking the provider’s experience and professional background.
  3. Malpractice and Disciplinary Records Check: Reviewing records to confirm the provider has a good standing and no significant legal or professional issues.
  4. Contract Agreement: Once approved, the provider signs a contract agreeing to the insurance company’s rates and rules for reimbursement.

This process ensures that in-network providers meet quality and safety standards, giving patients peace of mind about their care.

"What is My Actual Bill"
EOB, vs. SOB, vs. Bill Explained

"How Does Health Insurance Work?"
More Insurance Patient Resources

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Office Hours

Monday: 8am-5pm
Tuesday: 8am-5pm
Wednesday: 8am-5pm
Thursday: 8am-5pm
Friday: 8am-5pm

Saturday: Closed
Sunday: Closed

*Holidays May Affect These Hours*
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