Estimate what outsourcing your medical billing could actually save your practice, based on real industry benchmarks — not guesswork.
Estimates only, based on industry benchmarks (4–9% typical outsourced billing fees, 15–20% true in-house cost once salary/benefits/software/training are included, 98% average clean claim rate among top-performing billing operations). Not a quote — get a free practice audit for numbers specific to your practice.
Get a Free Practice AuditThis calculator uses three widely-cited industry benchmarks. First, the true cost of in-house billing — once salary, benefits, payroll taxes, software, clearinghouse fees, and ongoing training are all accounted for — typically runs 15%–20% of collections, far more than the salary line item alone suggests. Second, outsourced medical billing fees typically range from 4%–9% of collections, depending on specialty, claim volume, and what services are bundled into the fee. Third, top-performing billing operations run a first-pass clean claim rate close to 98%; practices further below that benchmark are typically losing additional revenue to denials, rework, and delayed reimbursement beyond the fee difference alone. The calculator combines these three benchmarks against your own numbers to produce a realistic estimated range — always a range, never a single falsely-precise figure, since actual results depend on your specific practice.
The calculator compares your current billing cost (either a typical 15–20% true in-house cost, or your stated outsourced fee) against a typical 4–9% outsourced billing fee, then adds any additional revenue recoverable by closing the gap between your current clean claim rate and a 98% benchmark, which is the average among top-performing billing operations.
No — it is an illustrative estimate based on industry benchmarks, not a quote. Your actual results depend on your specialty, payer mix, claim volume, and current billing performance. A free practice audit gives you numbers specific to your practice.
Salary and benefits for billing staff, payroll taxes, billing software and clearinghouse fees, ongoing coding training and certification, coverage costs during absences or turnover, and revenue lost to claims that are never fully worked. When practices total all of this, in-house billing typically runs 15%–20% of collections.
A lower clean claim rate means more claims are denied, delayed, or underpaid on first submission. Top-performing billing operations run close to a 98% first-pass clean claim rate — the gap between that benchmark and your current rate represents revenue that is likely being lost to denials and rework, not just billing fees.
Get a free practice audit and we'll benchmark your actual clean claim rate, days in A/R, and billing cost against these same industry numbers.