No hidden fees, no module upcharges, no minimum commitments. Revenue Synergy prices at 4-10% of collections based on specialty, volume, and complexity, fully inclusive of billing, coding, AR, denial management, patient statements, and reporting.
The RCM industry prices services through four main models. Each has trade-offs. We lead with % of collections because it aligns incentives, we only make money when you do, but we'll structure the right model for your situation.
You pay a percentage of the revenue we actually collect. Aligns incentives perfectly, the vendor only gets paid when you get paid. Industry-standard range is 4-10% depending on specialty and volume. Our typical range: 6-7% for mid-market multi-specialty groups.
Fixed fee per claim submitted. Can look cheaper on simple clean claims but misaligns incentives, the vendor is paid whether the claim collects or not. Works for high-volume, low-complexity specialties with stable payer mix.
Dedicated full-time equivalents priced hourly or monthly. Best for staff augmentation, specific function outsourcing (AR only, denial management only), or large practices that want allocated dedicated capacity rather than shared-services coverage.
Fixed monthly base (covering infrastructure, account management) plus a smaller % of collections. Used for large practices with stable volume that want predictable budgeting, with upside sharing when collections grow.
Oncology, cardiology surgical, ASC, and multi-modality practices typically price at the higher end (7-10%) due to coding complexity and payer-specific rules. Primary care, behavioral health, and straightforward outpatient specialties typically price at the lower end (4-6%).
Higher volume earns a lower percentage, a 20-provider multispecialty group operates at a better rate than a solo practice because fixed operational overhead is spread across more claims. Economies of scale flow through transparently.
Practices with heavy commercial plan exposure, workers' comp, auto no-fault, or complex capitation arrangements require more specialized AR work. Medicare-heavy practices with clean payer mix typically price lower.
Practices inheriting us with clean AR (under 35 days) price at the lower end. Practices with aged AR over 90 days typically require initial cleanup projects that are scoped separately, then transition to standard pricing.
Full RCM (coding through collections) is the standard quote. Some clients engage us for specific modules (AR only, denial management only, underpayment recovery only) which are priced differently, usually per-FTE or project-based.
Illustrative monthly ranges based on representative client profiles. Your actual quote depends on specialty mix, payer mix, and current AR condition.
$3,000 - $5,000/mo
Single-provider practice collecting $500K-$800K annually. Typical specialty: primary care, behavioral health, derm. Standard scope: full RCM with credentialing maintenance. Pricing tier: 7-8% of collections.
$12,000 - $18,000/mo
Mid-size specialty or multi-specialty group collecting $2.5M-$4M annually. Full RCM including patient statements and underpayment recovery. Pricing tier: 5-6% of collections based on specialty mix.
$40,000 - $60,000/mo
Mid-market multispecialty group collecting $10M-$15M annually. Full RCM with dedicated pod, weekly leadership reviews, and quarterly strategy sessions. Pricing tier: 4-5% of collections due to volume.
Our percentage is fully inclusive. There are no module upcharges, no separate billing for denial management, no hidden fees for patient statements or underpayment recovery. What we quote is what you pay.
| Cost Category | Revenue Synergy | Industry Average | In-House TCO |
|---|---|---|---|
| % of Collections | 4-10% | 6-12% | 8-12% (all-in) |
| Setup Fees | $0 | $2-15K typical | Recruiting costs |
| Clean Claim Rate | 99% | 90-95% | 88-93% |
| Days in AR | 24 | 38-42 | 38-45 |
| Contract Term | 90-Day KPI Exit | 2-5 years | Ongoing |
| Onboarding Time | 30-45 days | 60-120 days | 3-6 month hire |
| Module Upcharges | None | Common | Software/licensing |
Industry averages sourced from MGMA and HFMA benchmarks. In-house TCO assumes fully loaded salaries, benefits, software, turnover, and overhead.
A short 15-minute conversation with our team is all we need to return a scoped quote within 2 business days. We'll review your specialty mix, monthly volume, payer mix, current AR condition, and PM/EHR environment, then quote a specific percentage with expected KPI commitments.