Medical billing pricing,
priced on what we collect.
Medical billing companies typically charge between 4% and 9% of monthly collections, with the median across small and mid-size practices sitting around 6% (per HBMA and MGMA practice surveys). MedPrecision's percentage-of-collections pricing is transparent, contract-light, and aligned with your revenue. If you are weighing that 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 hidden costs. We only get paid when your practice gets paid.
Solo Practice
For independent providers who need reliable billing without the overhead of a billing department.
Minimum monthly fee applies
Group Practice
Multi-provider support with advanced analytics for growing clinics that need more than basic billing.
Volume discounts available
Enterprise
Custom pricing for large health systems and hospital groups with complex billing needs.
Scalable tiered pricing
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. 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.
We get paid when you get paid.
Performance-based pricing means our revenue depends on yours. No hidden setup fees, no per-claim charges. We make money by collecting yours -- which is exactly how it should work.
Want to talk pricing before filling out a form?
Get a Free Billing Audit arrow_forwardCommon 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.
Get a Quote arrow_forwardAre 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.