Decision tool
In-house vs outsourced billing calculator
Quick answer
Enter your monthly claim volume, average reimbursement, and current billing-staff cost. This tool models the fully loaded cost of an in-house billing operation versus an outsourced RCM vendor at your quoted percentage, and returns the break-even claim volume where the two options cost the same.
Enter your monthly claim volume, average reimbursement, and current in-house cost. Adjust the outsourced percentage of collections to model vendor quotes.
Your practice
Estimate
- Monthly collections
- $180,000
- In-house monthly cost
- $5,950
- Outsourced monthly cost
- $10,800
- In-house cost of collection
- 3.3%
- Break-even claim volume / month
- 826
Above this volume, in-house is typically cheaper at these inputs.
At these inputs, in-house is cheaper by $4,850/month.
This is a directional cost estimate only. See the buyer guide for the criteria that matter beyond price.
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