Pricing
Medonix pricing is performance-based: a transparent percentage of net collections, with three tiers spanning independent practices, multi-specialty groups, and enterprise health systems. Every contract carries a written SLA for clean-claim rate, A/R days, and denial reduction. No setup fees, no per-seat licenses, no surprise charges.
Three tiers
1 to 10 providers · $500K to $5M annual collections
Independent and small-group practices that want full RCM without the in-house overhead.
A $2M practice typically pays around $9,000 / month, all-in.
10 to 100 providers · $5M to $50M annual collections
Multi-specialty groups, MSOs, and IPAs that need standardization without losing local nuance.
A $20M group typically pays around $70,000 / month, all-in.
100+ providers · $50M+ collections · institutional billing
Hospital outpatient, ambulatory, and digital health networks with institutional and professional billing.
Hybrid fixed-fee or per-claim structures, scoped to volume and revenue-integrity scope.
What does it actually cost
Approximate, illustrative numbers based on the tier midpoint. Your actual rate depends on specialty mix, claim volume, and scope, and gets quoted after a 30-minute discovery call where a senior strategist reviews your last six months of remits.
| Practice size | Tier | Monthly fee | Annual fee |
|---|---|---|---|
| $1M practice | Practice | ~$5,000 / mo | ~$60,000 / yr |
| $5M practice | Practice / Group | ~$22,000 / mo | ~$264,000 / yr |
| $20M group | Group | ~$70,000 / mo | ~$840,000 / yr |
| $100M system | Health System | Custom contract | Hybrid model |
Want a number for your specific practice? The free ROI calculator estimates your fee against your current in-house cost.
How the rate is set
Compare tiers
| Feature | Practice | Group | Health System |
|---|---|---|---|
| Full RCM (eligibility through posting) | |||
| AI Suite (11 specialized agents) | |||
| AAPC / AHIMA-credentialed coders | |||
| Real-time KPI dashboard | |||
| Patient AI receptionist (24/7) | |||
| Written clean-claim SLA | 90%+ | 93%+ | 95%+ (MGMA) |
| Specialty playbooks bundled | 10 | 35+ | 35+ |
| Multi-location standardization | |||
| Custom payer rule engine | |||
| Embedded EHR + PMS option | |||
| Quarterly business review | |||
| UB-04 institutional billing | |||
| Custom AI agent training | |||
| Customer-managed encryption keys | |||
| Dedicated executive sponsor | |||
| On-site implementation |
The SLA mechanics
Every Medonix contract specifies three numbers we commit to in writing: a first-pass clean-claim rate (typically 90% to 95%+ depending on tier, with the top tier aligned to the MGMA top-performer benchmark), an average days-in-A/R target (typically sub-30 days per HFMA best-in-class), and a quarterly denial-reduction goal benchmarked against your baseline.
If we hit all three in a quarter, the fee is what was quoted. If we miss any of them, the fee for that quarter drops on a defined schedule. If we miss consecutively, you have a contractual termination right with no penalty.
The KPIs are measured from your live dashboard, not from a vendor-controlled report. You see the same numbers we do, every day, with monthly walk-through from the account lead and quarterly review with the CFO.
No surprises
The percentage on your invoice is the whole bill. Six things you will never see as a separate charge from Medonix:
Frequently asked
The pricing questions CFOs ask before signing. If yours is not here, book a 30-minute call for a specific quote.
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Pricing