Medical Billing Pricing & Costs
How medical billing services are priced, what drives the cost, and how to compare quotes honestly — before you sign anything.
Every practice asks the same question — what does medical billing cost? — and deserves a straighter answer than "it depends." This page explains how billing services are priced, what legitimately changes the price, and what is included in Elite Bill Care's engagements. Your exact price is set after a free consultation (and, where useful, a billing audit) — because it depends on your volume, specialty and payer mix, not on a rate card.
The three pricing models you will be quoted
| Model | How it works | Watch for |
|---|---|---|
| Percentage of collections | You pay a percentage of what is actually collected. The billing company earns more only when you collect more. | What counts as "collections" (does it include patient payments? capitation?), and whether credentialing or software costs extra. |
| Flat monthly fee | A fixed fee for a defined scope, regardless of collections. | Scope limits — claim volume caps, denial work exclusions, and per-provider add-ons. |
| Per-claim / per-provider pricing | A set price per submitted claim or per provider per month. | What a "claim" includes — follow-up, appeals and posting are often excluded and billed separately. |
What legitimately drives your price
- Claim volume and average claim value — high-volume, low-dollar specialties cost more per dollar collected to bill correctly.
- Specialty complexity — authorization-heavy, documentation-heavy specialties (see our specialties) take more work per claim.
- Payer mix — Medicaid-heavy and multi-state practices carry more enrollment and follow-up load.
- Scope — billing only, or billing plus credentialing, authorizations and patient billing.
- Current state of your AR — cleaning up aged receivables is real work and is priced transparently when it is part of the engagement.
How to compare quotes honestly
Compare total cost of the outcome, not the headline rate: a lower percentage that excludes denial appeals, credentialing and patient statements is not cheaper — it is narrower. Ask every company (including us): What is included? What is extra? Who owns the data and reports? What happens to our AR if we leave? Our engagements are defined in writing before work starts, reporting follows the reporting rhythm described on this site, and there are no invented discounts or expiring offers — the price is the price of the work.
Get Your Practice's PriceSee What Is Included
Frequently asked questions
Why can't you publish a single price?
Because an honest price depends on your volume, specialty, payers and scope — a published single rate would either overcharge simple practices or be withdrawn for complex ones. The consultation that sets your price is free and without obligation.
Do you charge for credentialing separately?
Credentialing can be included in a full-service engagement or engaged on its own; either way it is specified in writing before work begins — never discovered on an invoice.
Are there setup fees?
Any setup or onboarding charges are disclosed in your written proposal before you sign. We do not bury them.
How do we know billing is worth outsourcing at all?
Compare your current total cost — staff, software, clearinghouse, denied and unworked claims — against a full-service quote. A billing audit makes that comparison evidence-based.