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Medical Billing Services Cost & Pricing

Compare the quoted fee, included work and costs your practice retains. Calculate a monthly estimate using your own proposal.

How much will medical billing services cost your practice?

Synergy quotes medical billing for your specialty, workload and agreed responsibilities. Your monthly cost is the quoted service fee, subject to any agreed minimum, plus separately charged work and vendor costs. Compare the same scope and month in every proposal.

Use a written quote below to calculate the cost. For a collections-based fee, multiply the agreed payment base by the quoted percentage. Per-claim and dedicated-staff arrangements use the agreed claim count or staffing capacity instead. See what Synergy includes before comparing totals.

Use your own quote

Calculate your monthly billing cost

Enter the terms from any written proposal. No rates are prefilled. These entries stay in this calculator and are not saved or sent to Synergy.

Quoted fee and workload

Use only the insurance and patient payments included in the quoted fee basis.

Enter 0 if the quote confirms no minimum. Blank means unconfirmed.

Include applicable vendor charges and separately priced work. Enter 0 only if confirmed.

Kept separate from the monthly amount. Blank means unconfirmed.

Use estimates or rounded business totals. Do not enter patient information. Check the proposal for fee exclusions and the work your office retains.

Your quote calculation

Enter a quoted rate and its monthly workload, then calculate. Unknown charges will stay visible.

This is an estimate from your inputs, not a Synergy quote or a prediction of collections or savings. The total excludes staff time and any costs you have not entered. A lower fee does not establish equivalent service, follow-up or results.

For your practice

Get pricing tailored to your practice

Tell us your specialty, volume and systems and we'll put together a custom quote — plus a free audit so you can see the value first.

See what is included and how fees are calculated, or compare billing department costs.

Thinking about changing billing companies?

Start with a clear handoff plan. You can keep your current EHR; the timing depends on access, the work involved and your current billing arrangements.

  1. Keep your EHR. Discuss the access and workflows needed in your existing system.
  2. Assign every work queue. Agree who handles new claims, old A/R, denials and incoming payments.
  3. Plan the handoff. Confirm responsibilities with your current biller, access readiness and a cutover date.
  4. Review the first billing cycle. Check submissions, payments and reports against the agreed scope.

Read the switching checklist and see what to confirm in your quote.

Compare the complete scope

What Synergy includes — and what to ask

Use the same questions for every quote. Provider pricing and inclusions vary; compare written proposals for your practice.

Synergy service scope and questions for comparing billing quotes
CompareSynergyAsk each provider
Fee basisPercentage of insurance and patient payments we help collect; per-FTE and per-claim options are also available.What is the fee charged on, and which payments count?
Eligibility and codingIncluded in full RCM at no additional service fee.Are verification, coding and coding review included in this scope?
Claims, denials and A/RSubmission, denial management, appeals and follow-up are part of full RCM.Who handles rejections, appeals and unpaid balances, and when?
Credentialing and enrollmentIncluded with billing at no additional service fee.Are there separate provider or payer enrollment fees?
Patient statementsHandling is included. The practice pays printing, postage and statement-vendor charges.Which handling and third-party statement costs are charged?
ReportingMonthly Practice Performance Reports and detailed financial reporting.Which reports are included, how often, and who reviews them with us?
Prior authorizations and referralsAvailable as separately priced services; excluded from the discounted billing offer.Is the requested authorization/referral work included or separately priced?
Other practice supportPayer negotiation, payer audit/compliance support, occasional training and other support: scope and fees agreed in the proposal.Which additional tasks, deliverables and fees are expressly included?
Offer termsThe discounted billing offer has no setup fee. It is separate from the billing trial.What minimums, setup fees, pass-through costs and offer restrictions apply?

Full-RCM inclusions do not automatically apply to selected-task or practice-support engagements. Confirm your scope and fees in writing. Review the billing arrangement and its terms.

Flexible engagement models

Pricing that fits how you work

Choose the model that matches your practice. Confirm the included work, fees and applicable billing arrangement in your proposal. The separate 30-day billing trial is not combined with the discounted billing offer.

Per-FTE pricing

Best for dedicated teams

Staff a dedicated, full-time billing resource (or team) for a predictable monthly rate — ideal for high, steady volume.

  • No long-term contract
  • Scope and fees confirmed in your proposal
  • Transparent monthly reporting
Get a custom quote

Per-claim pricing

Best for specific tasks

Pay per claim for defined portions of the billing workflow — a flexible option when you need targeted support.

  • No long-term contract
  • Scope and fees confirmed in your proposal
  • Transparent monthly reporting
Get a custom quote

These are custom-quote billing arrangements. The discounted billing offer is separate from the free trial.

Which billing offer applies?

Request a quote for your practice. The discounted billing offer is charged on insurance and patient payments we help collect, with no setup fee. Credentialing is included with billing. Patient-statement handling is included; printing, postage and statement-vendor costs are paid by the practice. Prior authorization and referral coordination are separately priced. Confirm the applicable terms in your proposal.

The billing trial is separate from the discounted billing offer. The trial is not combined with that discounted offer. Your proposal identifies the billing arrangement that applies. Practice-support services have their own agreed scope and fees.

What the percentage is charged on

Before comparing two percentages, find out what each one is a percentage of. It is one of the easiest things to get wrong when comparing quotes, and it is not always stated up front.

  • A percentage of collections is charged on money actually received. If a claim is never paid, no fee is earned on it. This aligns the biller's incentive with yours, because their fee rises and falls with what you actually collect.
  • A percentage of charges is charged on what was billed, regardless of what came in. Because gross charges are typically well above what payer contracts actually pay, the same headline number can mean something very different here.
  • A percentage of collections including patient payments taken at the front desk can quietly include money the billing company had no part in collecting.

Synergy's percentage model is charged on the insurance and patient payments we help you collect. Ask any company you are comparing to state theirs in the same terms, in writing.

What is included in full RCM

A percentage only means something relative to scope. Check these responsibilities in each written proposal:

  • Insurance eligibility and benefits verification
  • Coding and coding review
  • Denial management and appeals — not just resubmission
  • Patient statements and patient balance follow-up
  • Provider credentialing and payer enrollment
  • Reporting, and a billing team assigned to your practice

All six services are included in Synergy's revenue cycle management at no additional service fee. For patient statements, the practice pays all printing, postage and statement-vendor charges. Prior authorization and referral coordination are separately priced. Other support services have an agreed scope and fees; do not assume they are included in a billing percentage.

Pricing for additional practice-support services

Choose the services you need alongside your billing arrangement or as a defined support engagement. These services are not automatically included in a billing percentage. We confirm responsibilities, deliverables and fees before work begins.

Additional services and how their pricing is agreed
ServiceWhat it coversPricing arrangement
Prior authorization & referral coordinationAdministrative authorization and referral work.Separately priced; excluded from the discounted billing offer.
Payer rate negotiationSupport negotiating payer reimbursement terms.Scope and fees agreed in your proposal.
Payer audit & client compliance supportSupport for a defined audit request or compliance need.Scope and fees agreed in your proposal.
Interim billing managementTemporary management or supervision of your existing billing team.Responsibilities, duration and fees agreed in your proposal.
Virtual assistants & front-desk schedulingAdministrative and scheduling support for your practice.Tasks, working arrangements and fees agreed in your proposal.
Medical-records administrationRecords organization and administrative document workflows.Tasks, access arrangements and fees agreed in your proposal.
Websites, SEO & social media
Google Business Profile setup & management
Website and online-presence services for healthcare practices.Deliverables, ongoing work and fees agreed in your proposal.
Occasional client-staff trainingTraining for a specific workflow need, arranged case by case.Topic, timing and any fees confirmed before the session.

Request a quote for the services your practice needs.

How to compare two billing quotes fairly

Quotes are rarely presented on the same basis, so normalize them before comparing:

  1. Write down what each percentage is charged on — collections, charges, or something else.
  2. List every service each quote includes, and price the gaps. A rate that excludes coding, statements and credentialing is not comparable to one that includes them.
  3. Add the one-off and recurring extras: setup fees, clearinghouse fees, statement and postage charges, minimum monthly commitments, per-provider fees.
  4. Check the exit terms. A cancellation penalty or a multi-year commitment is a real cost, even if it never gets paid.
  5. Ask what happens to your aged A/R and your data if you leave, and get the answer in writing.
  6. Then compare the effective cost against what each partner is likely to collect — a difference in how much gets collected can outweigh a difference in the fee.

The last step is the easiest one to skip. Billing is not a cost center to be minimized in isolation; a cheaper biller that collects less is more expensive. If you are weighing this against keeping billing in-house, the billing department cost calculator works the same numbers through both options.

What moves the rate up or down

Custom billing quotes vary because the work is not the same from one practice to the next. The factors that genuinely move a quote are:

  • Specialty. Coding complexity, authorization burden and denial patterns differ enormously between, say, a primary care practice and an interventional one.
  • Average claim value and monthly volume. The effort per claim is broadly similar whether the claim is small or large, so both figures matter.
  • Scope. Full revenue cycle management is a different engagement from charge entry alone or an aged A/R clean-up.
  • The condition of the existing A/R. Taking over a well-run book is not the same job as recovering one that has been neglected.
  • Your systems. Working inside your existing practice management or EHR system, as we do, avoids a migration; some arrangements do not.

Our published discounted billing offer has its own stated terms. We also quote per-FTE, per-claim and other defined scopes. Your proposal should identify the arrangement and services that apply to your practice.

When per-claim or per-FTE beats a percentage

The three models are not ranked; they suit different situations.

  • Percentage of collections suits practices that want the whole revenue cycle handled and want the biller's incentive tied to the outcome. It is the model best suited to full-service engagements, because the fee only moves when collections move.
  • Per-claim suits a defined, bounded piece of the workflow — where you want a specific task done at a predictable unit cost and your own team retains follow-up. Confirm what counts as a billable claim and whether follow-up is included.
  • Per-FTE suits high, steady volume where you want named, dedicated capacity and predictable monthly cost. Whether it costs more or less than a percentage depends on your volume and collections, which is why it is worth modeling both against your own numbers.

Models can also be combined — a percentage on current claims and a separate arrangement for aged A/R recovery, for example.

What to ask before you sign

  • What is the percentage charged on, exactly?
  • Which of the six services above are included, and which are extra?
  • What is your clean-claim rate on first submission, and how do you measure it?
  • How quickly are claims submitted, and how quickly are denials worked?
  • Who appeals denials — and do you appeal, or only resubmit?
  • Is there a setup fee, a minimum monthly fee, or a per-provider fee?
  • Is there a long-term contract or a cancellation penalty?
  • Do I own my data, and can I export it?
  • What reporting do I get, and how often?

Synergy's answers: no long-term billing contract — you can cancel with at least 30 days' notice — billing trial separate from the discounted billing offer, a 98% clean-claim rate on first submission, claims out within 24 hours and denials worked within 48 hours, with a monthly Practice Performance Report. A fuller version of this checklist is in how to choose a medical billing company, and the pricing models themselves are explained in how much medical billing services cost.


Good to know

Frequently asked questions

How do I calculate my monthly medical billing cost?

Use the rate and fee basis in your written quote: multiply the agreed collections by the quoted percentage, billable claims by the per-claim fee, or agreed staffing capacity by the monthly per-FTE rate. Apply any monthly minimum, then add separately charged work and vendor costs. Keep one-time charges separate. Synergy quotes the rate and scope for your practice; this calculator does not supply a service price.

Are the additional practice-support services included in a billing percentage?

They are not automatically included. Virtual assistance, records administration, payer rate negotiation, payer audit/compliance support, interim management, website/SEO/social-media services and Google Business Profile support have a scope and fees agreed in your proposal. Occasional staff training is arranged case by case, with any fees confirmed beforehand. Prior authorization and referral coordination are separately priced and excluded from the discounted billing offer.

What percentage do medical billing companies charge?

There is no single rate. What a company quotes depends on your specialty, your monthly volume and average claim value, how much of the revenue cycle they take on, and the condition of your existing A/R. The more useful question is what the percentage is charged on and what it includes: a percentage of collections is charged only on money actually received, while a percentage of charges is charged on what was billed regardless of what came in. Ask for both facts in writing before comparing any two numbers.

Is the fee charged on collections or on charges?

It varies by company, and the difference is large, because gross charges are typically well above what payer contracts actually pay. Synergy typically charges a percentage of the insurance and patient payments we help you collect, so on that model, if a claim is never paid we earn nothing on it. Ask any company you are comparing to state in writing which basis they use, and whether patient payments taken at your own front desk are included in it.

What is usually not included in a medical billing company's fee?

Inclusions vary by provider and engagement. Ask whether verification, coding, denial appeals, patient statements and credentialing are included. Check setup, clearinghouse, statement and postage charges, minimums and per-provider fees in the written quote. Synergy includes insurance verification, coding and coding review, denial appeals, provider credentialing, and patient-statement handling in revenue cycle management at no additional service fee. The practice pays all patient-statement printing, postage and statement-vendor charges.

Is per-claim pricing cheaper than a percentage of collections?

Sometimes, for a narrow scope. Per-claim pricing gives a predictable unit cost and suits a defined piece of the workflow where your own team keeps the follow-up. Confirm what counts as a billable claim and whether denial follow-up is part of the agreed task. For full revenue cycle management, a percentage of collections ties the fee to whether you were actually paid.

Do you require a long-term contract?

No. There is no long-term contract or long-term obligation — you can cancel with at least 30 days' notice. The billing trial is separate from the discounted billing offer. See which billing offer applies and confirm it in your proposal.

How do I get an actual price for my practice?

Tell us your specialty, monthly claim volume, practice management or EHR system and current scope, and we will put together a custom quote. We also run a free practice audit first, so you can see what your current billing is leaving uncollected before you decide anything.

Start today

Get pricing tailored to your practice

Tell us your specialty, volume and systems and we'll put together a custom quote — plus a free audit so you can see the value first.

No long-term contracts • Cancel anytime with 30 days' notice • HIPAA compliant

Request a quote for your billing scope

For a useful quote, share your specialty, provider count, billing system and the work to be included. Identify whether the request covers current claims, older accounts or both. Do not send financial statements or patient records through this form.

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