Operating a medical practice in Plano involves balancing patient care with mounds of paperwork. One of the biggest headaches? Medical billing. From coding mistakes and denied claims to slow payments, doing your own billing can be an enormous time suck and hit to your bottom line. That is why many medical practices outsource it, but how much does a medical billing service in Plano cost?
The short answer: It depends. Prices depend on the size of your practice, the specialty, and how much service you require. Some companies will have a flat monthly charge, and some will keep a percentage of what they collect for you. To make it all easier, we’ve gathered the real costs and compared top local providers so you know what’s out there, plus we answer the most common questions that doctors ask before hiring a billing service.
What Factors Influence the Cost of Medical Billing in Plano?
There are two common pricing structures that most medical billing companies use:
- Percentage of collections (3-10%) – You owe a percentage of every dollar they bill and collect. This is great for smaller practices, because costs grow as revenue grows.
- Flat fee per month ($500–$3,000+) – The case charge rates are fixed and independent of the collections. Some larger practices do this so they can budget.
What’s Best for Your Clinic?
If your income ebbs and flows, a percentage can be more secure. But if your claims volume is consistent, a flat fee may be cheaper in the long run.
The Size & Specialty of the Practice affect cost, and a lone practitioner isn’t going to pay the same amount as a multispecialty group.
Here’s a rough breakdown:
- Small practices (1–3 providers): $500–$1,500/month
- Medium-sized clinics (4–10 providers): $1,500–$3,500/month
- Large practices (10+ providers): $3,500+/month
Specialties also matter. Primary care billing is generally less expensive than billing for services like surgery or radiology, which must be coded more elaborately.
Some companies charge extra for:
- Managing claim denials – Correcting denied claims
- Patient billing support – Also responsible for answering patient inquiries about their statements.
- Credentialing services – Enroll providers with insurance companies
Always ask what’s covered — the additional fees can add up fast.
How the Best Medical Billing Services in Plano Stack Up
Rather than just running through dry tables (which most of the competition also do), let’s go through some real-world examples from their top Plano billing services:
Local Billing Company #1: Systematize Medical Billing
- Pricing: 5%–8% of collections
- Best for: Small to medium-sized practices
- Why they’re unique: Their product integrates with most EHR systems, which leads to fewer errors from manual entry.
Local Billing Company #2 – Lone Star Billing Solutions
- Pricing: $800–$2,500/month (flat fee)
- Best for: Cardiology and orthopedics
- Why they’re notable: They focus on high-dollar claims and help get clinics the highest possible reimbursements.
Takeaway: The least expensive choice isn’t necessarily the greatest. Paying a bit more for the fee may be worth it if a company reduces denials and receives payments faster.
Choosing the Best Billing Service for Your Practice
Match Their Specialty to Your Niche
A business that’s primarily built on billing for family medicine might find it tough to know how to handle surgical claims. Ask: “How many patients do you have in my field?” “What’s your denial rate for claims like mine?”
Demand Transparent Pricing
- Avoid vague proposals.
- A trustworthy company will explain exactly what’s included and how they handle denied claims.
Any potential extra costs
- Check Real Reviews—Not Just Testimonials
Look beyond a company’s website. Search for:
- Google reviews (filter for most recent reviews)
- BBB complaints
- Comments in physician forums
- Test Their Responsiveness
- Slow responses = slow payments.
Before hiring, ask:
- “What is your average response time for client questions?”
- “Whom do I call if there is a billing emergency?”
Five FAQs Patients Have For Doctors About Medical Billing Costs
Is it worth the cost of outsourcing?
Well, you get to—if you pick the right partner. Clinics that switch often see:
- Fewer denied claims (Coding is done properly enough by experts)
- Payments come more quickly (There’ll be a follow-up from the billing company)
- More patient time (no more staff fighting with billing software)
Can I negotiate pricing?
Absolutely. A variety of pricing options are offered by most billing services, such as;
- High claim volumes
- Long-term contracts
- Packaged services (e.g., billing + credentialing)
- Never go with the full price — always ask for wiggle room.
Are there sneaky hidden fees?
Some also add these charges:
- Software access fees
- Setup or onboarding costs
- Annual contract renewals
Pro tip: Obtain a written rundown of all fees prior to signing.
How quickly are results visible?
Most practices see results in 3–6 months on:
- Higher collection rates
- Fewer billing-related staff headaches
What’s actually cheapest for the small practice?
If cash flow is a concern, percentage-based billing (3% – 5%) offers low upfront costs. Just make certain the firm is familiar with your specialty.
Final Thoughts
Medical billing service pricing in Plano is usually 3%–10% of collections, or $500-$3,000+ per month, depending on the time spent by the manager of your account. Price does matter, but the cheapest may end up being the most expensive when measured in denied claims and lost revenue.
The best approach? You will want to compare at least a few local providers, ask plenty of questions, and select a partner that complements your specialty and growth plans.
Looking for your next page-turner? Contact us today for a free, no-obligation consultation to discuss your options.
