What medical billing costs
Most billing companies won't tell you what they charge until you've sat through a sales call. We think that's backwards. Here's how pricing works in this industry, what we charge, and what changes the number.
Percentage of collections
Most practicesYou pay a percentage of what we actually collect. If we don't collect, we don't get paid. This is what most practices choose, because it puts our incentive on the same side as yours.
- Onboarding and system setup
- The initial A/R analysis
- Weekly and monthly reporting
- A named account lead
- Patient billing enquiry support
- Denial appeals — no extra charge to work a denial
Best for: Most practices. Aligns our incentive with yours.
Get a free A/R analysisFlat fee per claim
A fixed amount per claim submitted, regardless of the value of the claim. Predictable, and usually better economics where claim values are low and volume is high.
- Charge entry and claim submission
- Rejection handling and resubmission
- Payment posting
- Standard monthly reporting
Best for: High-volume, low-value claim practices
Get a free A/R analysisHybrid
A base monthly rate plus a reduced percentage of collections. Gives you a predictable floor while keeping part of the fee tied to what we bring in.
- Everything in the percentage model
- A fixed monthly base for budgeting
- A reduced collection percentage on top
Best for: Practices wanting a predictable base cost
Get a free A/R analysisProject-based
Fixed scope, fixed fee. Used where the work has a defined start and end rather than an ongoing cycle.
- A written scope before work starts
- A defined deliverable and completion date
- No ongoing commitment
Best for: Credentialing-only, audits, A/R cleanup
Get a free A/R analysisWhat moves the number
Being explicit about this saves everyone a sales call.
Specialty
Higher-complexity coding costs more to do correctly.
Claim volume
Higher volume generally lowers the percentage.
Average claim value
Affects which model makes sense.
Scope
Full RCM costs more than billing alone. Credentialing is usually priced separately.
A/R condition
Aged A/R cleanup is typically priced as a separate percentage of what's recovered.
Payer mix
Heavy Medicaid or workers' comp exposure changes the work involved.
What's included at no extra cost
- Onboarding and system setup
- The initial A/R analysis
- Weekly and monthly reporting
- A named account lead
- Patient billing enquiry support
- Denial appeals — we do not charge extra to work a denial
What costs extra
Stated openly. Hidden fees are the most common complaint about billing companies.
- Provider credentialing — priced per provider, per payer [CLIENT INPUT]
- Standalone coding audits [CLIENT INPUT]
- Legacy A/R recovery [CLIENT INPUT]
- Clearinghouse fees, if not already covered by your system [CLIENT INPUT]
In-house vs. MedBil
The honest comparison is not salary against fee. It is the full cost of running billing in-house against a percentage of what is actually collected.
| Cost line | In-house billing | MedBil |
|---|---|---|
| Salary | [CLIENT INPUT] | None |
| Payroll tax and benefits | [CLIENT INPUT] | None |
| Billing software and clearinghouse | [CLIENT INPUT] | Included, or your existing system |
| Training and continuing education | [CLIENT INPUT] | Included |
| Holiday and sick cover | [CLIENT INPUT] | Included |
| Turnover and rehiring | [CLIENT INPUT] | None |
| Denial appeals | Whatever time is left over | Included |
| Total | [CLIENT INPUT] | A percentage of what we collect |
Pricing questions
Is there a setup fee?
No.
Is there a minimum contract length?
No. Month-to-month with 30 days' notice.
Do you charge for claims you don't collect on?
Under the percentage model, no.
Do you charge extra to appeal denials?
No. Appeals are part of the service.
What if my volume changes?
Percentage pricing scales automatically. We review annually.