# Pricing — Vizora Medical Billing

Last updated: 2026-08-20

## Model

Percentage of net collections. You pay only on what is actually collected.

- Starting rate: 3% of net collections
- Typical range: 3% - 6% of net collections
- Billing frequency: monthly, in arrears
- Minimum term: 6 months recommended; no long-term lock-in after that

## What determines your rate

- Monthly claim volume (higher volume lowers the percentage)
- Average claim value (higher-value specialties price lower)
- Specialty complexity (anesthesia, oncology and interventional work carry
  more coding burden)
- Scope (full revenue cycle vs. a single service such as AR recovery)
- Condition of existing accounts receivable (a large aged backlog is scoped
  separately)

## Included at no additional charge

- Medical coding by specialty-assigned certified coders
- Claim scrubbing against payer-specific edits
- Electronic claim submission and status tracking
- Denial management, appeals and rework
- Accounts receivable follow-up and recovery
- Payment posting and reconciliation
- Insurance eligibility verification
- Monthly reporting and performance review
- Client portal with live claim status
- A dedicated billing specialist reachable directly

## Never charged separately

- Setup or onboarding fees: $0
- Denial appeals or claim rework: $0
- EHR / practice management system integration: $0
- Monthly reporting and portal access: $0
- Termination after the initial term: $0

## Cost comparison

One in-house medical biller costs approximately $73,000 per year fully loaded
(US Bureau of Labor Statistics: $51,140 median wage for Medical Records
Specialists, SOC 29-2072, plus benefits averaging 29.9% of total employer
compensation cost). That figure excludes billing software, clearinghouse fees,
training, management overhead, and coverage during absence or turnover.

## Coverage

- Specialties supported: 25
- States served: all 50
- Free billing audit: yes, no obligation

## How this compares to other pricing models

| Model | How charged | Vendor paid on a denied, abandoned claim? |
| --- | --- | --- |
| Percentage of net collections (Vizora) | 3%-6% of what is collected | No |
| Flat fee per claim | Fixed amount per claim submitted | Yes |
| Hourly / FTE staffing | Per hour or per seat | Yes |

Full analysis: https://vizora.co/compare/percentage-of-collections-vs-flat-fee-billing

## Questions worth asking any billing vendor

1. Is the percentage applied to net collections or to gross charges? These are
   materially different deals at the same headline number.
2. Are denial appeals included, or billed separately?
3. Are patient payments, capitation and refunds included in the billable base?
4. Who works the existing aged AR during transition, and is that in writing?
5. Where is PHI processed, and are subcontractors disclosed in the BAA?

## Machine-readable companions

- Site index for AI systems: https://vizora.co/llms.txt
- Full-text corpus: https://vizora.co/llms-full.txt
- Content usage policy: https://vizora.co/ai.txt
- XML sitemap: https://vizora.co/sitemap.xml

## Contact for a quote

Email: info@vizora.co
Phone: (855) 555-1234
Web: https://vizora.co/contact

NOTE: this is a demonstration build. The contact details above are
placeholders and do not reach a real business.