Billing cost calculator

In-house vs outsourced medical billing: cost calculator

Compare what your practice spends on billing in-house (salary, benefits, software and more) with what an outsourced billing company would charge. Every number is an example: change them to match your practice.

Your practiceMonthly collections ($)What insurers and patients actually pay you in a typical month.

In-house billingNumber of billers (full-time equivalent)Salary per biller, per year ($)Example value. Use what you pay or what local job ads offer.Payroll taxes and benefits (% of salary)Billing software and clearinghouse ($ per month)Only the costs you would stop paying if you outsourced.Other costs ($ per year)Training, coding updates, hiring, temporary cover.

Outsourced billingBilling company fee (% of collections)RevenueCTRL starts at 2.5%. Enter any quote you have.Change in collections (%)Leave at 0 unless you expect fewer denials or faster A/R follow-up.

In-house, per year$0

Outsourced, per year$0

Extra collections, per year$0

In-house cost is 0% of collections; outsourced is 0%.

$0 per year

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Get an exact quote

Estimates only, based on the numbers you enter. Not financial advice.

How this calculator works

In-house cost = billers × salary × (1 + taxes and benefits) + billing software × 12 + other yearly costs.

Outsourced cost = monthly collections × 12 × the billing company's percentage. If you enter a change in collections, the fee is calculated on the new amount, and the extra money collected is shown separately.

The result compares the two and shows which is lower for the numbers you entered. It does not assume that outsourcing improves collections unless you say so.

Costs practices often leave out

Cover when the biller is away. Claims do not stop during vacations, sick days or a resignation. Delays cost cash flow and can push claims past filing deadlines.
Old unpaid claims. A busy in-house biller often works new claims first, while older A/R ages out.
Credentialing. Enrolling new providers with payers takes time and follow-up. With RevenueCTRL, 5 commercial payers are credentialed free when you sign up for billing.
Training and code changes. CPT, payer policies and telehealth rules change every year.

When in-house can make sense

Large practices with steady volume, an experienced team and good software can bill in-house efficiently. Some practices keep a biller in-house and outsource credentialing, denials or old A/R. We also offer dedicated billing staff who work only for your practice, as a middle option.

For published pricing and what is included, see our pricing page.

Common questions

Is outsourcing medical billing cheaper than doing it in-house?

It depends on your collections, how many billers you need and what you pay them. Small and mid-size practices often pay less by outsourcing because they avoid a full salary, benefits and software for a part-time workload. Large practices with steady volume can sometimes bill in-house for less. Enter your own numbers to compare.

What does an in-house biller really cost?

More than the salary. Add payroll taxes and benefits, billing software and clearinghouse fees, training, and cover for vacations, sick days and turnover. The calculator lets you enter each of these.

What do billing companies charge?

Most charge a percentage of what they collect, commonly a few percent up to around 10% depending on specialty, volume and services included. Some charge a flat monthly fee. RevenueCTRL starts at 2.5% of collections, with no setup fee and no long-term contract.

Does the calculator include better collections from outsourcing?

Only if you enter it. The "change in collections" field is set to 0% by default. A good billing team can reduce denials and old unpaid claims, but results vary, so the calculator does not assume any improvement unless you add one.

Want the real numbers for your practice?

Tell us about your practice. We will review 90 days of claims and send a written report with a price quote, at no cost.

Prefer to talk? +1 770-520-0840