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Pricing

Medical Billing Pricing by Practice Size

One percentage of net collections. No setup fee and no monthly minimum. No long-term contract. You can end the service with 30 days' notice.

How we work: HIPAA compliant · AAPC/CPC Certified Coders and Billers · Works inside your EHR

Practice Essentials

Solo and small practices

From 3.8%

*Based on net collections

  • Billing and certified coding
  • Claim submission and denial management
  • Payment posting and patient billing
  • Unpaid claim follow-up
  • Monthly performance report
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Recommended

Group Practice

Multi-provider groups

From 2.8%

*Based on net collections

  • Everything in Practice Essentials
  • Weekly performance report
  • Monthly review call
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Enterprise

Hospitals and health systems

Volume-based Custom

*Volume-based, with a written rate

  • Everything in Group Practice
  • Reporting built around your organization
  • Review calls on a schedule you choose
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  • $0 setup fee
  • No monthly minimum
  • No long-term contract.
  • Based on net collections

Final rates depend on specialty, payer mix and claim volume. We confirm your rate in writing before you sign.

Fee estimator

Estimate Your Monthly Fee

Enter your monthly net collections and pick your practice size.

Numbers only, for example 40,000.

Practice size

Estimated monthly fee

$—

Estimate only. Your rate is confirmed in writing.

Enter your monthly collections

Estimated fee on net collections, at the starting rate.

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Fees and terms

Everything Outside the Percentage, Stated Upfront.

Billing contracts often tuck setup fees, minimums and long exit terms into the fine print. Here's all of ours, in one place.

Setup

$0

No setup or onboarding fee. We start working inside your existing EHR/PM system.

Monthly minimum

None

If we collect less in a month, you pay less.

Contract

No long-term contract.

Cancel with 30 days' notice.

Two colleagues going over printed figures together

Collections

Net collections only: insurance and patient payments that actually land in your bank account.

No Fee On

Billed charges, adjustments or denied claims.

Your Rate

Confirmed in writing before you sign.

Example: solo practice, one month

$40,000 net collections3.8% Practice Essentials$1,520 estimated fee

Included and not included

What Each Plan Covers.

ServicePractice EssentialsGroup PracticeEnterprise
Billing and collections
Medical billingIncludedIncludedIncluded
Eligibility and benefits checksIncludedIncludedIncluded
Charge captureIncludedIncludedIncluded
Coding by AAPC/CPC Certified Coders and BillersIncludedIncludedIncluded
Claim scrubbing and submissionIncludedIncludedIncluded
Denial managementIncludedIncludedIncluded
Payment postingIncludedIncludedIncluded
Patient billing and collectionsIncludedIncludedIncluded
Unpaid insurance claim follow-upIncludedIncludedIncluded
Reporting and reviews
Monthly performance reportIncludedIncludedIncluded
Reporting by payer, provider, location and CPTIncludedIncludedIncluded
Weekly performance report (collections, denials and unpaid claims)Not includedIncludedIncluded
Monthly review callNot includedIncludedIncluded
Reporting built around your organizationNot includedNot includedIncluded
Review calls on a schedule you chooseNot includedNot includedIncluded

Every plan: HIPAA compliant · AAPC/CPC Certified Coders and Billers · Works inside your existing EHR/PM system

Find the right plan

Bring Four Things. We'll Do the Rest.

  1. 01 Number of providers
  2. 02 Specialty and payer mix
  3. 03 A summary of recent denials (no patient information)
  4. 04 The EHR you use today
Book a Free Consultation
Man reviewing a stack of documents at his desk
Questions

Pricing FAQ

More questions? See the full FAQ.

Plans start from 3.8% of net collections on Practice Essentials (solo and small practices) and from 2.8% on Group Practice (multi-provider groups). Specialty, payer mix and volume set your final rate, which we confirm in writing before you sign. Enterprise pricing for hospitals and health systems is custom.

Only money you actually receive from insurers and patients. Billed charges, adjustments and denied claims don't count.

No. We don't charge a setup fee or a monthly minimum, and there's no long-term contract. Thirty days' notice ends the service.

No. You keep your current EHR/PM system, such as Epic, athenahealth, eClinicalWorks, NextGen, Tebra or AdvancedMD, and your data stays yours.

We talk through your practice, specialty and payers, and look at where revenue may be slipping. Then we give you a written rate.

MedixCode is HIPAA compliant, and our staff are HIPAA-trained. You decide what access our team has. Read how we protect PHI.

Get Your Rate in Writing After a Free Consultation.

Talk with our billing team about your practice, specialty and payers.