Membership
OriginalDx is a self-pay practice. Choose the tier that matches your access needs. All tiers include primary care from a board-certified medical geneticist and family physician. HSA and FSA accepted. Superbills provided for potential out-of-network reimbursement.
- Secure portal messaging
- 72-hour response time
- Self-scheduled appointments
- Screening tests: $500/test
- Diagnostic tests: $1,000/test + $500/visit per indication
- 45-minute annual visit
- No proactive outreach
- After-hours: nurse line ($150 surcharge)
- Direct text or call to Dr. Long / clinical team
- 24-hour response time
- On-demand scheduling
- $2,500 flat fee/year — full menu
- All 17 tests available, all visits included
- Annual cap: 8 tests ($300/test overflow)
- 60-minute annual visit
- Annual proactive outreach
- After-hours: direct team access, 24/7
- Direct MD cell phone
- Same-day response for urgent matters
- MD-coordinated proactive scheduling
- All genetic testing included
- All 17 tests, all visits, no additional cost
- Non-genetic testing available at $1,000/test
- Whole body MRI, cfDNA, metabolomics, transcriptomics, and more
- 90-minute annual visit
- Quarterly proactive outreach + event-driven
- After-hours: direct MD access with emergency coordination
Which Tier Is Right for Me?
- You are generally healthy and want a geneticist-PCP on retainer
- You don't mind portal-based communication and self-scheduling
- You expect to order 1–2 genetic tests, not pursue a comprehensive program
- You value having the relationship available without paying for proactive outreach
- Budget is a consideration but you recognize the value of a physician who knows genetics
- You want to text or call your doctor, not just message through a portal
- You have a condition or family history that will generate 3+ genetic tests
- You value on-demand access — reaching your physician within 24 hours
- You want annual proactive review — someone checking in on you
- You want a relationship with your doctor, not just a transactional service
- You have a complex condition requiring multi-specialist coordination
- You want your physician to proactively manage your care — scheduling, coordinating, monitoring
- You want access to the non-genetic advanced testing menu
- You need emergency-level MD access — a physician who will call your ER attending at 2am
- You want to stop being your own care coordinator
The upgrade path is natural, not pressured. Most patients start at Trail. As the relationship deepens and the value becomes clear, Range and Summit are there. You can upgrade at any renewal.
Price Placement Within Each Tier
Your placement within a tier's price range is driven by clinical complexity — the number of conditions, visit frequency, and coordination burden.
Trail — $3,300–$6,300/year
| Complexity | Annual | Monthly | What Drives It |
|---|---|---|---|
| Low (1 chronic condition) | $3,300 | $275 | Straightforward clinical picture, minimal visit frequency |
| Moderate (2–3 conditions) | $4,800 | $400 | Multiple conditions requiring coordinated management |
| High (4+ conditions) | $6,300 | $525 | Multi-system involvement, high visit frequency expected |
Range — $5,000–$7,500/year
| Complexity | Annual | Monthly | What Drives It |
|---|---|---|---|
| Low (1–2 tests, light direct access) | $5,000 | $417 | Straightforward needs, values access more than testing volume |
| Moderate (3–5 tests, regular access) | $6,250 | $521 | Active testing program, regular communication |
| High (6+ tests, frequent access) | $7,500 | $625 | Complex case, high engagement, approaching flat-fee ceiling |
Summit — $7,500–$12,500/year
| Complexity | Annual | Monthly | What Drives It |
|---|---|---|---|
| Standard proactive (1–2 non-genetic tests/yr) | $7,500 | $625 | Values proactive model and direct MD access; lighter testing needs |
| Moderate (3–4 non-genetic tests, multi-specialist) | $10,000 | $833 | Active diagnostic or monitoring program, multiple specialists |
| Comprehensive (5+ non-genetic tests, high-touch) | $12,500 | $1,042 | Maximum engagement — the full platform, fully utilized |
Family Pricing
Genetic conditions don't affect individuals in isolation — they affect lineages. When one family member is diagnosed, cascade testing for relatives is medically indicated and often life-changing. OriginalDx is built for families.
Structure: The first member (proband) pays full tier price. Spouse adds 50% of the proband's tier midpoint. Each dependent adds 25% of the proband's tier midpoint. Family members inherit the proband's tier.
Example: Family of 4 at Range ($6,250 midpoint)
| Member | Annual Price |
|---|---|
| Proband | $6,250 |
| Spouse (+50%) | $9,375 |
| Child 1 (+25%) | $7,813 |
| Child 2 (+25%) | $7,813 |
| Family total | $31,251/year |
All members share the flat-fee genetic testing benefit. Cascade testing — testing family members after a proband's diagnosis — is the natural value driver.
How This Compares
The Assembled Team
| Service | Annual Cost | Wait |
|---|---|---|
| PCP (traditional) | $200–$500 | 2–4 weeks |
| PCP (concierge/DPC) | $2,000–$18,000 | Same/next day |
| Medical geneticist | $800–$4,800 | 6–12 months |
| Genetic counselor | $200–$400/session | 2–8 weeks |
| Genetic testing (retail) | $500–$5,000/test | N/A |
| Care coordinator | $2,000–$5,000 | N/A |
| Your time coordinating | 5–15 hrs/month | N/A |
| Total | $5,500–$33,000 | Months–years |
Integration: none. You are the integrator.
OriginalDx
| Tier | Annual Cost | Response |
|---|---|---|
| Trail | $3,300–$6,300 + testing | 72 hours |
| Range | $5,000–$7,500 + $2,500 flat | 24 hours |
| Summit | $7,500–$12,500 (included) | Same-day |
Integration: full. One physician, one relationship.
OriginalDx doesn't cost more. It costs the same or less for dramatically more service, because it eliminates the redundancy, fragmentation, and coordination overhead of the assembled-team model.
Explore the Interactive Pricing Model →
Ready to learn more? Email [email protected]