Calculator
In-house vs outsourced billing cost calculator
Enter what your billing team costs today and the quotes you have been given, and see them side by side per year, per month and per provider. Nothing is pre-filled: the ranges are yours, and no Remitwright price is assumed.
Part of Remitwright's free medical billing calculators, each with its formula shown.
Results are worked out in your browser. Nothing is sent unless you submit a form.
Last reviewed by the Remitwright billing team. Editorial policy
Result
Your in-house cost against the quotes
Fill in the practice and in-house fields, then press Calculate. Quotes are optional; leave them blank to see the in-house figure alone.
in-house billing cost per year
| Model | Per year | Per month | Per provider / mo |
|---|
How this is calculated
In-house cost per year = billers × salary × (1 + benefits load) + (software + other monthly costs) × 12Percentage model per year = monthly collections × 12 × ratePer-claim model per year = claims per month × 12 × fee per claimFlat-fee model per year = monthly fee × 12Per provider per month = cost per year ÷ 12 ÷ providers
Benchmark and reference sources: Occupational Outlook Handbook: Financial Clerks (billing and posting clerks), U.S. Bureau of Labor Statistics; Employer Costs for Employee Compensation, June 2026, U.S. Bureau of Labor Statistics.
Benchmarks are industry figures from the sources listed; they are not Remitwright results.
Email me a link to this tool
You get an email with a link back to this tool. Your figures (never patient data) are sent to our billing team with your address. The result stays on this page whether or not you send it.
Thanks, your request is in. A person from the billing team follows up by email.
- No patient data requested
- No obligation
- Reply in writing
How it is worked out
The formula
- 01
In-house cost per year = billers × salary × (1 + benefits load) + (software + other monthly costs) × 12 - 02
Percentage model per year = monthly collections × 12 × rate - 03
Per-claim model per year = claims per month × 12 × fee per claim - 04
Flat-fee model per year = monthly fee × 12 - 05
Per provider per month = cost per year ÷ 12 ÷ providers
Assumptions and limits
- Collections are what the practice actually receives, not charges. A percentage quote is normally applied to collections, and the contract defines which collections count.
- In-house cost covers salary, employer payroll taxes and benefits (the load you enter), software and the other monthly costs you list. It does not price the owner's or manager's time spent on billing, recruiting or covering a vacancy; add that to other costs if you want it counted.
- The salary reference is the national BLS median for billing and posting clerks, and the load reference is the private-industry average; neither is specific to your market. Your payroll provider's employer-cost report and local pay data are better inputs when you have them.
- The ranges are the quotes you enter. The calculator does not know what any company charges and does not show a Remitwright price.
- Cost is only one side. Collection rate, days in A/R and denial rate change with who does the work; the comparison page lists the cases where in-house is the better choice.
Next step
Want a biller to read these numbers?
Three quick questions, no patient data. Paste the result in the note if you like. A billing specialist replies in writing.
- Three questions, about two minutes
- No patient data, no software to buy
- A written reply from a biller, not a sales deck
You answer three questions
A billing specialist reads them
A written reply by email
Prefer email? sales@remitwright.com
Request received
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Reference . Quote it if you write to us about this request.
- A billing specialist reads your answers and replies by email.
- If a look at real claims makes sense, we agree read-only access under a BAA first.
- You get a written summary of what is worth working and what it would take. No commitment.
While you wait: see the sample weekly report or read how switching works. You can also download the sample weekly report (PDF).