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Medical Billing Pricing & Rates

Medical billing pricing,
priced on what we collect.

MedPrecision charges 7.0% of monthly collections for solo practices and 6.0% for group practices of 2–15 providers, with custom tiered pricing for enterprise. That percentage is the whole price: no setup fee, no implementation fee, no per-claim charge, no software fee, and a 12-month initial term that then runs month-to-month on 60 days' notice with no early-termination penalty, with EMR/EHR integration included. The solo rate covers claims scrubbing and submission, denial management, monthly performance reporting and a dedicated account specialist, and carries a monthly minimum; the group rate adds secondary payer management, real-time dashboard access, patient statement services and credentialing support. Most billing companies do not publish a rate at all, so compare on what a percentage includes rather than on the percentage alone. Our guide to what medical billing companies charge sets out the market ranges and the fees to ask about. If you are weighing this against a flat per-claim rate, our breakdown of which pricing model costs less at your claim volume works the crossover both ways and shows who absorbs the cost of a denial under each structure.

No setup fees. No per-claim charges. No markup on third-party costs — clearinghouse fees, postage and payer application fees are passed through at cost and itemised, per our terms. Above the solo tier’s monthly minimum, the percentage is charged on collections received, not on charges submitted.

Solo Practice

For independent providers who need reliable billing without the overhead of a billing department.

7.0% of monthly collections

Minimum monthly fee applies

Claims Scrubbing & Submission
Basic Denial Management
Monthly Performance Reporting
Dedicated Account Specialist
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Recommended

Group Practice

Multi-provider support with advanced analytics for growing clinics that need more than basic billing.

6.0% of monthly collections

Volume discounts available

Everything in Solo Practice
Secondary Payer Management
Real-time Dashboard Access
Patient Statement Services
Credentialing Support
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Enterprise

Custom pricing for large health systems and hospital groups with complex billing needs.

Custom

Scalable tiered pricing

Everything in Group Practice
Full RCM Consultation
Legacy AR Clean-up
Custom API Integrations
Priority 24/7 Concierge Support
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What that works out to

A percentage is only comparable once you convert it into money. Below, the published rates applied to six practice profiles. Collections figures are illustrative scenarios, not client data — the rate and the arithmetic are ours.

Practice profile Annual collections Tier Rate Annual fee Monthly equivalent
Solo physician, light procedural volume $400,000 Solo 7.0% $28,000 $2,333
Solo physician, established panel $600,000 Solo 7.0% $42,000 $3,500
Solo physician + APP $850,000 Solo 7.0% $59,500 $4,958
3-provider group $1,200,000 Group 6.0% $72,000 $6,000
5-provider group $2,000,000 Group 6.0% $120,000 $10,000
8-provider multispecialty group $3,500,000 Group 6.0% $210,000 $17,500

The solo tier carries a monthly minimum, so a very low-volume month bills at the minimum rather than the percentage. The minimum amount is set in your quote and Service Agreement rather than published here, because it is scoped to the practice — ask for it in writing before you sign, and read it together with the percentage. Enterprise engagements are scoped individually and are not represented above. Run your own numbers in the billing cost calculator.

Flat-fee packages: Medicare enrollment & PECOS

Provider enrollment is project work, not a revenue cycle, so it is priced flat rather than as a percentage. These prices are fixed in advance and quoted before any work starts.

Package What it covers Price
Medicare Group Enrollment Launch Type 2 NPI + I&A/AO setup + CMS-855B via PECOS + document review + CMS-588 prep + submission tracking + one MAC development-request response $1,750 flat
Medicare Group + First Provider Launch Everything above, plus one physician’s CMS-855I status review, enrollment if required, reassignment, practice-location association and final configuration review $2,250 flat
Virtual Clinic Medicare Launch Readiness review + Type 2 NPI + I&A/AO + group PECOS enrollment + first physician enrollment/reassignment + EFT + telehealth practice-location documentation review + billing-readiness handoff + 90-day tracking $2,750–$3,500
Additional physician added to an enrolled group Per-provider enrollment and reassignment onto an existing group $450–$600 each
Ongoing enrollment management Revalidations, additions, terminations and changes of information, managed continuously $500–$1,500/month

Turnaround we control: kickoff within one business day, document review in 2–3 business days, submission roughly 5–7 business days after a complete document package. CMS and MAC processing time is external and we never present it as ours. Full detail on Medicare provider enrollment services.

What the rate covers

A percentage of collections is only comparable between vendors if you know what each one is accountable for. Ten stages carry a claim from eligibility check to closed balance; for each we state who owns it, how often it runs, and what you receive as evidence it ran. If a stage has no named owner and no artifact, it is a promise rather than a process.

Stage Owner Cadence What you receive
Eligibility verification Verification team Before every scheduled visit Exception list of patients whose coverage failed to verify
Charge entry Charge entry specialist Every business day Daily charge lag report — days from encounter to charge posted
Claim scrubbing Billing systems Per claim, before transmission Edits triggered, by rule and by frequency
Claim submission Billing team Daily; clearinghouse rejections worked within 48 hours Acceptance and rejection counts by payer
Payment posting Posting team Within 48 hours of ERA receipt Payment variance report — paid versus contractually expected
Denial management Denials specialist Worked within 5 business days of receipt Denial analysis by CARC, root cause and disposition
A/R follow-up A/R analyst Continuous, prioritised by filing deadline Aging report plus the worked action plan behind it
Patient statements Patient A/R First statement day 5 post-EOB, then every 30 days Patient A/R aging and collection rate
Monthly reporting Account manager Monthly, by the 10th business day Full RCM report with an A/R roll-forward that reconciles
Escalations Named account manager On defined triggers, not on request Written escalation with cause and corrective action

What triggers an escalation

Escalation triggers are defined in advance so that raising a problem is not a judgement call made under pressure. Any one of these produces a written escalation from your account manager:

  • A/R over 90 days rises for two consecutive months.
  • Any single payer holds more than 25% of the over-90 balance.
  • Any balance reaches 75% of its timely-filing deadline.
  • Clean claim rate falls for two consecutive months.
  • A payer changes a policy that materially affects your reimbursement.

Our fee moves with your collections.

Performance-based pricing means our revenue depends on yours. No setup fee, no per-claim charges. We make money by collecting yours -- which is exactly how it should work.

95–98% First-pass clean-claim target range (industry best-practice band)
10–15% Typical net-collections lift in first 6 months
Medical practice billing workspace

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Common Questions

Straight answers about how our medical billing pricing works.

Need a custom quote?

We'll analyze your current billing costs and show you exactly what outsourced billing would cost for your practice.

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Are there any upfront setup or implementation fees?

No. We handle integration and setup for all standard EMR/EHR platforms at no cost. You only pay based on collections -- which means we have every reason to get your billing running fast.

How does the percentage-based pricing work?

We bill monthly based on actual collections deposited into your bank account during the prior calendar month. If we don't collect, you don't pay. Our incentives are 100% aligned with yours.

What happens if our claim volume changes significantly?

The percentage model scales naturally with your volume. For practices experiencing rapid growth or seasonal swings, we offer flexible tier adjustments so your cost-to-collect stays competitive.

Is HIPAA compliance included?

Yes. HIPAA compliance, data encryption, and secure cloud infrastructure are standard across every plan. We don't charge extra for protecting your patient data -- that's table stakes.

How do I know if outsourced billing will actually save me money?

Request a free quote and we'll run a cost comparison against your current in-house or outsourced billing costs. Most practices see savings within the first 60 days after switching.

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Get this priced for your practice

The published rate is the rate. What it works out to depends on your collections, specialty and provider count — tell us those and we will put a number against them, plus what the solo tier's monthly minimum would mean for you.

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