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RCM cost calculator: in-house billing vs MedValue

We assume a fully loaded cost of $80,000 per biller per year. Every input is yours to change — it is a planning tool, not a quote.

Cost comparison

MedValue versus an in-house billing team

Select the number of in-house billers you carry and your average monthly collections. We use a fully loaded cost of $80,000 per biller per year — salary, benefits, taxes, software, workspace and training included — so the comparison reflects real payroll burden rather than base pay alone.

Your practice

With 2 in-house billers, we estimate a total loaded payroll cost of $80,000 per biller per year. This is an illustrative assumption, not a MedValue performance claim, guarantee or offer.

In-house billing team

$13,333

per month, fully loaded

MedValue — Full Revenue Cycle

$8,386

per month at 5.99% of collections

$4,947 less each month

That is 37% below the in-house cost on these numbers, or about $59,368 a year — before the introductory discount.

Get this in writing

What payroll alone does not buy you

  • A full team — coding review, denials, appeals and aged AR — instead of one generalist
  • Cover through holidays, sick leave and turnover, with no re-hiring or retraining
  • Named account manager and agreed response times on your queries
  • Weekly reporting on claims, denials and AR you can act on
  • Capacity that scales with your volume instead of another hire
  • You only pay on revenue we help collect

This calculator applies our published rates to figures you enter, using your own staffing assumptions. It is a planning tool, not a MedValue performance claim, guarantee or offer. Your actual costs and final rate are confirmed in a written proposal after your free billing audit.

Performance comparison

In-house billing vs MedValue: the real comparison

A side-by-side view of what an internal billing desk costs and covers against what a MedValue team delivers on the same work — service standards and cost structure, not projected results.

Annual cost per biller

Total employment cost

In-house

≈ $80,000

Salary, benefits, taxes, software, workspace

MedValue

5.99%

Of collections, all-inclusive

Claim submission turnaround

Charge received to claim out the door

In-house

Varies with workload

Slips during leave and backlogs

MedValue

24–48 hours

Our standard turnaround

Denial handling

What happens after a rejection

In-house

Rework when there is time

Root causes rarely get fixed

MedValue

Worked and appealed

Root-cause analysis each month

Aged AR recovery

Old balances and prior write-offs

In-house

Often abandoned

Follow-up stops at the easy claims

MedValue

Actively pursued

Including balances a prior biller wrote off

Cover and capacity

Holidays, sick leave, turnover, growth

In-house

Hire and re-train

Months of lost productivity per exit

MedValue

Team-based cover

Scales with your volume, no new hires

Billing technology

Software, clearinghouse, tools

In-house

A separate line item

Licences and upgrades on you

MedValue

Included

We work inside your existing system

Reporting and visibility

Collections, denials, AR aging

In-house

Ad-hoc reports

Usually pulled only when something looks wrong

MedValue

Weekly and monthly

Plus a named account manager review

Compliance workload

HIPAA-aligned process and access control

In-house

Entirely in-house

Your team owns every control

MedValue

Shared

Documented controls and audit support

Get your comparison in writing

In-house figures use a fully loaded cost of $80,000 per biller per year. Service standards describe how we work, not a guaranteed financial outcome. Your rate is confirmed in writing after your free billing audit.

No-cost revenue check

See exactly what your practice is leaving on the table

Our billing assessment team reviews a sample of your claims, denials and aging AR, then walks you through the findings. Most practices are surprised by the first slide.

  • A claim-level look at what is being denied and why
  • Aged AR you can still recover, quantified in dollars
  • Coding and fee schedule gaps costing you per visit
  • A plain-English action plan you can keep either way

Prefer to talk first? Call 630-430-1040

Get your free billing audit

Takes 2 minutes. No commitment, no obligation to switch.

Questions first? Read the billing FAQ or build a custom quote.

HIPAA-minded handling. We never sell or share your details.