Medical billing pricing
Three simple pricing models based on your monthly insurance collections. Patient statements are complimentary, and pricing is always open to discussion. No hidden fees and no long-term contracts: service is month to month with 60 days’ written notice to cancel. Above $30,000 in monthly insurance collections, the fee is 3.5%, so that portion moves with collections. The flat $500 and $1,000 fees do not.
Under $15,000 a month
For smaller and newer practices building up their collections.
- Flat monthly fee, so costs stay predictable
- Patient statements are complimentary
- No fee on patient payments
- Named account manager
- Free credentialing and enrollment
- Charge entry, claim review and submission
- Insurance eligibility verification
- ERA and EFT payment posting
- Denial follow-up
- Monthly KPI reporting
$15,000 to $30,000 a month
A fixed cost so you can plan and keep more to invest in your practice.
- Flat monthly fee, so costs stay predictable
- Patient statements are complimentary
- No fee on patient payments
- Everything in Starter
- Free credentialing and enrollment
- A/R recovery program
- Denial management and appeals
- Live dashboard
Over $30,000 a month
For established and multi-provider practices. One simple rate on your insurance collections.
- 3.5% of insurance collections only
- Patient statements are complimentary
- No fee on patient payments
- Everything in Growth
- Dedicated account team
- Payer contract and underpayment review
- Virtual assistants and medical scribing available
- Multi-location management
Calculate your monthly cost
Enter your monthly insurance collections and see your estimated fee update as you go. Patient statements are complimentary, and patient payments never add to your cost.
One fixed rate of 3.5% on insurance collections over $30,000 a month. Our pricing is flexible, so ask if you need something different.
Practices collecting up to $30,000 a month pay a flat monthly fee, so there is no percentage to choose.
per month
Flexible pricing. If this estimate does not fit your budget, send it to us and tell us what works for you.
Get my exact quoteEstimates only. Your plan, fee and statement terms are confirmed in writing in your service agreement.
Pay only for what you need
Not ready for full billing? Choose one service, or add trained staff to your team by the seat.
Provider credentialing and enrollment
- Paid only after the payer approves
- Nothing upfront
- Applications, CAQH, follow-up and status updates
- Free when SFA handles your billing
Front office and billing support
- Eligibility checks and prior authorizations
- Scheduling, calls and patient follow-up
- Charge entry and posting support
- HIPAA trained staff
Billers by the seat
- Choose how many billers you need
- Example: 3 billers = $2,250 a month
- Work in your billing software and follow your process
- Month to month, no long-term contract
Patient statements are complimentary
SFA prepares and sends your patient statements at no cost, and we charge only on your insurance collections.
Patient statements
- Complimentary. We prepare and send your statements and follow up on patient balances.
Patient payments
- No fee. Copays, deductibles and coinsurance are never part of our fee.
Credentialing and enrollment
- Free. We credential and enroll your providers at no extra cost.
Your plan, fee and terms are confirmed in writing in your service agreement. Our pricing is flexible, so if you need something different, just ask.
How we set your price
- Specialty. Surgical and procedure-heavy specialties take more coding work than primary care.
- Monthly collections. This sets your plan: a flat fee up to $30,000 a month, then 3.5% of insurance collections.
- Payer mix. Medicaid managed care and workers comp take more follow-up than commercial plans.
- Services. Full RCM, or a few specific services.
How your quote is built
- Practice profile. Specialty, number of providers, monthly claim volume and average monthly collections.
- Payer mix. Share of Medicare, Medicaid managed care, commercial and self-pay, since some payers take more follow-up.
- Scope. Full RCM or the specific services you choose, plus any backlog such as old A/R.
- Written quote. We confirm your plan and exact fee or percentage in writing with a list of what is included, with no hidden fees. Service is month to month with 60 days’ written notice to cancel.
Want to compare with your in-house cost? Read how much medical billing companies charge and in-house vs. outsourced billing.
Get your exact quote
An RCM specialist typically replies within one business day.
Customize your pricing
Pick the services you need, tell us your size, and see an estimate right away. Send it to us and an RCM specialist will reply within one business day.
Pricing questions
How much does SFA charge?
Under $15,000 a month in insurance collections: a flat $500 a month. $15,000 to $30,000: a flat $1,000 a month. Over $30,000: 3.5% of insurance collections. Patient statements are complimentary and there is no fee on patient payments. Our pricing is flexible, and we confirm your exact price in writing after your free audit.
Why a flat fee for smaller practices?
A fixed monthly fee keeps costs predictable while a practice is growing, so more of each dollar collected stays in the business.
Do you charge on patient payments?
No. We charge only on your insurance collections, never on copays, deductibles or coinsurance.
Who pays for patient statements?
SFA does. Patient statements are complimentary on every plan.
Are there hidden fees or long-term contracts?
No hidden fees and no long-term contracts. Everything included in your plan is listed in your agreement. Service runs month to month and either side can end it with 60 days’ written notice.
Can I buy one service only?
Yes. Credentialing only is $200 per provider per payer (Free with Billing Services), paid after the payer approves, with nothing upfront. Virtual assistants are $1,000 per seat a month. Dedicated billers are $750 per seat a month. Coding, A/R recovery, denial management and audits are quoted after a quick review.
Is credentialing free?
Yes, when SFA handles your billing. Credentialing and enrollment are included at no extra cost with every billing plan. On its own, credentialing is $200 per provider per payer (Free with Billing Services), paid only after approval.
How does per seat pricing work?
You choose how many dedicated billers you need, and each seat is $750 a month. For example, 3 billers cost $2,250 a month.
Can I choose a flat fee or a percentage?
Yes. Tell us your preference in the quote form or the plan builder, and we will recommend the option that fits your collections best.
Is your pricing flexible?
Yes. These are our standard prices, and we are always open to discussing pricing that fits your practice. Tell us what you need in the quote form or the plan builder and we will work with you.