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Free guide to the total cost of medical billing

The Real Total Cost of Medical Billing

Whether you outsource billing or run it in-house, your billing cost is more than you think. Counted all-in, write-offs included, getting paid often eats 30–40% of your gross annual revenue. This guide shows where that money leaks out and how to keep more of it in your practice.

What is so often overlooked represents real, meaningful, quick-win revenue.

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What you'll learn

  • Hold billing, outsourced or in-house, to single-digit write-offs. What to measure your vendor or billing team on, what to ask for every month, and why the fee or payroll line hides most of what billing really costs you.
  • Get paid before the visit, not after the claim. How to shift your practice's payment culture to estimates, deposits and scheduled payment commitments, so collection starts when the visit is booked.
  • Know who's unlikely to pay, and engage them directly. How to spot payment risk before patients arrive, and the direct, respectful follow-through that can turn historically slow payers into patients who pay over time.

Plus a worksheet to find your own number and a step-by-step checklist to bring it down.

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What is the total cost of medical billing?

The total cost of medical billing is everything it costs a practice to get paid: the billing fee or in-house billing team, the staff time and outside contracts billing depends on, and the revenue written off along the way. Counted all-in against gross annual revenue, it's often 30–40%, several times the vendor fee.

Total cost of medical billing = 12 months of billing costs, including write-offs ÷ 12 months of gross annual revenue. A healthy target is under 15%.

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The question isn't what you pay for billing, outside or in-house. It's how much of what you earned you actually keep.

Rather talk it through? Schedule a consultation for a free first look at your numbers.