Hourly wages and salaries only tell part of the story. Use this calculator to estimate the real cost of in-house billing when employment cost, collection performance, and turnover are factored in.
Practice Inputs
Annual collectible revenue
$
Use annual allowed charges or annual collectible revenue after contractual adjustments.
Current net collection rate
%
If you do not know your NCR, use your best estimate or calculate it below.
Target net collection rate
%
99% is used as a high-performance benchmark for optimized billing workflows.
Billing Department Salary (Combined)
$
Use the total of all salaries within your billing department
Benefits, payroll taxes, and overhead
%
Estimated annual turnover or training cost
$
Estimated outsourced billing rate
%
5% is used as an estimate, actual rates vary depending on a number of factors. For an exact quote, use the "Request a Rate Quote" Button.
Based on these assumptions, the in-house billing model may be costing more than it appears once employment cost, collection performance, and turnover are factored in.
Based on these assumptions, in-house billing may appear less expensive directly, but the result depends heavily on collection rate, denial follow-up, and write-off discipline.
Net Collection Rate = Payments Collected ÷ Allowed Charges. For example, if your allowed charges are $1,000,000 and you collected $960,000, your net collection rate is 96%.
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First Name
Last Name
Practice Name
Work Email
Phone
+1
AD - Andorra+376
AE - United Arab Emirates+971
AF - Afghanistan+93
AG - Antigua and Barbuda+1-268
AI - Anguilla+1-264
AL - Albania+355
AM - Armenia+374
AO - Angola+244
AQ - Antarctica+672
AR - Argentina+54
AS - American Samoa+1-684
AT - Austria+43
AU - Australia+61
AW - Aruba+297
AX - Aland Islands+358
AZ - Azerbaijan+994
BA - Bosnia and Herzegovina+387
BB - Barbados+1-246
BD - Bangladesh+880
BE - Belgium+32
BF - Burkina Faso+226
BG - Bulgaria+359
BH - Bahrain+973
BI - Burundi+257
BJ - Benin+229
BL - Saint Barthelemy+590
BM - Bermuda+1-441
BN - Brunei Darussalam+673
BO - Bolivia+591
BQ-BO - Bonaire, Saint Eustatius and Saba+599
BQ-SA - Bonaire, Saint Eustatius and Saba+599
BQ-SE - Bonaire, Saint Eustatius and Saba+599
BR - Brazil+55
BS - Bahamas+1-242
BT - Bhutan+975
BV - Bouvet Island+47
BW - Botswana+267
BY - Belarus+375
BZ - Belize+501
CA - Canada+1
CC - Cocos (Keeling) Islands+61
CD - Congo, The Democratic Republic of the+243
CF - Central African Republic+236
CG - Congo+242
CH - Switzerland+41
CI - Cote d'Ivoire+225
CK - Cook Islands+682
CL - Chile+56
CM - Cameroon+237
CN - China+86
CO - Colombia+57
CR - Costa Rica+506
CU - Cuba+53
CV - Cape Verde+238
CW - Curacao+599
CX - Christmas Island+61
CY - Cyprus+357
CZ - Czech Republic+420
DE - Germany+49
DJ - Djibouti+253
DK - Denmark+45
DM - Dominica+1-767
DO - Dominican Republic+1-809
DZ - Algeria+213
EC - Ecuador+593
EE - Estonia+372
EG - Egypt+20
EH - Western Sahara+212
ER - Eritrea+291
ES - Spain+34
ET - Ethiopia+251
FI - Finland+358
FJ - Fiji+679
FK - Falkland Islands (Malvinas)+500
FM - Micronesia, Federated States of+691
FO - Faroe Islands+298
FR - France+33
GA - Gabon+241
GB-ENG - England+44
GB-NIR - Northern Ireland+44
GB-SCT - Scotland+44
GB-UKM - United Kingdom+44
GB-WLS - Wales+44
GD - Grenada+1-473
GE - Georgia+995
GF - French Guiana+594
GG - Guernsey+44
GH - Ghana+233
GI - Gibraltar+350
GL - Greenland+299
GM - Gambia+220
GN - Guinea+224
GP - Guadeloupe+590
GQ - Equatorial Guinea+240
GR - Greece+30
GS - South Georgia and the South Sandwich Islands+500
GT - Guatemala+502
GU - Guam+1-671
GW - Guinea-Bissau+245
GY - Guyana+592
HK - Hong Kong+852
HM - Heard Island and McDonald Islands+672
HN - Honduras+504
HR - Croatia+385
HT - Haiti+509
HU - Hungary+36
ID - Indonesia+62
IE - Ireland+353
IL - Israel+972
IM - Isle of Man+44
IN - India+91
IO - British Indian Ocean Territory+246
IQ - Iraq+964
IR - Iran, Islamic Republic of+98
IS - Iceland+354
IT - Italy+39
JE - Jersey+44
JM - Jamaica+1-876
JO - Jordan+962
JP - Japan+81
KE - Kenya+254
KG - Kyrgyzstan+996
KH - Cambodia+855
KI - Kiribati+686
KM - Comoros+269
KN - Saint Kitts and Nevis+1-869
KP - Korea, Democratic People's Republic of+850
KR - Korea, Republic of+82
KW - Kuwait+965
KY - Cayman Islands+1-345
KZ - Kazakhstan+7
LA - Lao People's Democratic Republic+856
LB - Lebanon+961
LC - Saint Lucia+1-758
LI - Liechtenstein+423
LK - Sri Lanka+94
LR - Liberia+231
LS - Lesotho+266
LT - Lithuania+370
LU - Luxembourg+352
LV - Latvia+371
LY - Libya+218
MA - Morocco+212
MC - Monaco+377
MD - Moldova, Republic of+373
ME - Montenegro+382
MF - Saint Martin (French part)+590
MG - Madagascar+261
MH - Marshall Islands+692
MK - Macedonia, The Former Yugoslav Republic of+389
ML - Mali+223
MM - Myanmar+95
MN - Mongolia+976
MO - Macao+853
MP - Northern Mariana Islands+1-670
MQ - Martinique+596
MR - Mauritania+222
MS - Montserrat+1-664
MT - Malta+356
MU - Mauritius+230
MV - Maldives+960
MW - Malawi+265
MX - Mexico+52
MY - Malaysia+60
MZ - Mozambique+258
NA - Namibia+264
NC - New Caledonia+687
NE - Niger+227
NF - Norfolk Island+672
NG - Nigeria+234
NI - Nicaragua+505
NL - Netherlands+31
NO - Norway+47
NP - Nepal+977
NR - Nauru+674
NU - Niue+683
NZ - New Zealand+64
OM - Oman+968
PA - Panama+507
PE - Peru+51
PF - French Polynesia+689
PG - Papua New Guinea+675
PH - Philippines+63
PK - Pakistan+92
PL - Poland+48
PM - Saint Pierre and Miquelon+508
PN - Pitcairn+870
PR - Puerto Rico+1-787
PS - Palestine+970
PT - Portugal+351
PW - Palau+680
PY - Paraguay+595
QA - Qatar+974
RE - Reunion+262
RO - Romania+40
RS - Serbia+381
RU - Russian Federation+7
RW - Rwanda+250
SA - Saudi Arabia+966
SB - Solomon Islands+677
SC - Seychelles+248
SD - Sudan+249
SE - Sweden+46
SG - Singapore+65
SH - Saint Helena, Ascension and Tristan da Cunha+290
SI - Slovenia+386
SJ - Svalbard and Jan Mayen+47
SK - Slovakia+421
SL - Sierra Leone+232
SM - San Marino+378
SN - Senegal+221
SO - Somalia+252
SR - Suriname+597
SS - South Sudan+211
ST - Sao Tome and Principe+239
SV - El Salvador+503
SX - Sint Maarten (Dutch part)+1-721
SY - Syrian Arab Republic+963
SZ - Swaziland+268
TC - Turks and Caicos Islands+1-649
TD - Chad+235
TF - French Southern Territories+262
TG - Togo+228
TH - Thailand+66
TJ - Tajikistan+992
TK - Tokelau+690
TL - Timor-Leste+670
TM - Turkmenistan+993
TN - Tunisia+216
TO - Tonga+676
TR - Turkey+90
TT - Trinidad and Tobago+1-868
TV - Tuvalu+688
TW - Taiwan+886
TZ - Tanzania, United Republic of+255
UA - Ukraine+380
UG - Uganda+256
UM - United States Minor Outlying Islands+1
US - United States+1
UY - Uruguay+598
UZ - Uzbekistan+998
VA - Holy See (Vatican City State)+379
VC - Saint Vincent and the Grenadines+1-784
VE - Venezuela, Bolivarian Republic of+58
VG - Virgin Islands, British+1-284
VI - Virgin Islands, U.S.+1-340
VN - Vietnam+84
VU - Vanuatu+678
WF - Wallis and Futuna+681
WS - Samoa+685
YE - Yemen+967
YT - Mayotte+262
ZA - South Africa+27
ZM - Zambia+260
ZW - Zimbabwe+263
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This report is based on user-entered assumptions and is intended for directional planning purposes only. A full review of collections, write-offs, denials, and A/R activity is required for a complete assessment.