In-house vs outsourced billing calculator
Compare the full cost of running billing yourself against outsourcing it, using your own numbers.
- In-house billing / year
- $64,800
- Outsourced billing / year
- $46,800
- Estimated annual savings from outsourcing
- $18,000
This doesn't include the cost of vacations, turnover, training, or revenue lost while claims sit unworked, which are usually the biggest hidden costs of in-house billing.
What this comparison leaves out
Salary is only part of in-house billing cost. When a biller is on vacation, sick or leaves, claims stop moving, and recruiting and training a replacement can take months. Outsourcing spreads that risk across a team. On the other hand, a very high-volume practice with a strong, stable billing team may find in-house more economical.
For a detailed breakdown of pricing models, read how much medical billing outsourcing costs in 2026.
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