Free Tool

Revenue Cycle
Cost Calculator

See two numbers that decide the case for outsourcing your billing: how much you cut billing cost with a dedicated remote medical biller, and how much revenue you recover by bringing your denial rate down.

Quick Answer

A dedicated remote medical biller through Zedtreeo starts from $1,232/month — typically 70–85% less than an in-house US biller and often less than a percentage-of-collections billing service. The bigger win is usually denial recovery: cutting a 10% denial rate toward a 5% benchmark turns written-off claims back into collected revenue. This calculator shows both, plus the total annual impact.

Monthly Claim Volume

≈ 1 remote biller(s) at ~2,000 claims/biller/mo

Average Reimbursement per Claim

Current Denial Rate: 10%

Recovery is modeled against a 5% benchmark.

Your Current Billing Model

In-house Billers Today

Benchmark market

We benchmark your Zedtreeo cost against hiring the same role in-house at United States salary levels — switch to match your market.

Based on Zedtreeo's actual pricing. Remote medical billers from 7,120/month. HIPAA-aware workflows.

These figures are estimates for planning only. Your actual rate depends on role, scope, seniority, and engagement; market comparisons use representative benchmarks, not live quotes. Not financial or medical-billing advice — and no patient data (PHI) is collected here. Spotted a number that looks off, or have an idea to make this tool better? — we read every note and use it to improve these tools.

Methodology

How This Model Works

Transparent methodology grounded in real rates.

Staffing Cost

Remote billers are priced at Zedtreeo's actual rate ($7/hour full-time) and sized by claim volume. In-house billers are benchmarked at the same base rate scaled to your local market; billing services are modeled as a percentage of collections.

Denial Recovery

Recovery = monthly claims × reimbursement × (current denial rate − 5% benchmark) × 12. It estimates the revenue currently written off that a dedicated denial-management workflow can recover.

Total Annual Impact

We add annual billing-cost savings to the denial-recovery upside for a single total. Estimates are conservative and exclude faster cash flow and lower days-in-AR.

FAQs

Medical Billing Cost FAQs

Understanding remote billing economics.

A dedicated remote medical biller through Zedtreeo starts from $1,232/month full-time — typically 70–85% less than a fully-loaded in-house US biller, and often less than a percentage-of-collections billing service depending on your claim volume.

It estimates the revenue you currently write off to denials and how much of it a dedicated denial-management workflow can recover: monthly claims × average reimbursement × (your denial rate minus a 5% benchmark) × 12 months.

Both. Choose your current model: enter how many in-house billers you have (benchmarked to your local market), or the percentage a billing service charges on collections. The calculator compares whichever you pick against a remote biller.

The calculator collects no patient data (no PHI) — only aggregate counts and rates. Zedtreeo's remote billing staff work under HIPAA-aware processes, NDAs, and ISO 27001:2022 certified information-security controls.

Yes. After calculating, request a quote and our team will scope the right number of billers and coders for your specialty and claim volume within 48 hours, with a free 5-day trial.

Methodology

How the Revenue Cycle Cost Calculator works

How the number is produced

Billers needed = monthly claims ÷ claims per biller; remote cost = billers × $7/hour × 176.
Current cost = in-house billers × US-loaded rate, or the percentage-of-collections fee you enter; collections = claims × reimbursement × (1 − denial rate).
ROI tab: recovery upside from moving your denial rate toward the ~5% best-practice benchmark, plus fee savings, annualised.

Assumptions built in

$7/hour biller and 10% default denial rate are stated assumptions (editable); 5% is the commonly cited best-practice target.
No PHI is collected.

Benchmarks & sources

MGMA DataDive & HFMA MAP Keys — revenue-cycle KPI benchmarks (2024)Used for: the commonly cited best-practice targets for claim denial rate (~5%), clean-claim rate and days in A/R that the medical tools use as the 'well-run' comparison point.
CAQH Index — cost and time of administrative transactions (2024)Used for: evidence that manual prior authorization, eligibility and claim-status work carries a measurable per-transaction staff cost; we do not import its dollar figures — you enter your own hours and loaded rate.
Zedtreeo Rate Index (2026)Used for: the offshore hourly rate per role used on the Zedtreeo side of every comparison — the same figures quoted on our service pages.
U.S. Bureau of Labor Statistics, OEWS May 2025 — Medical Records Specialists (SOC 29-2072) (2024)Used for: US comparator.

Methodology and constants last reviewed August 18, 2026 against the Zedtreeo pricing engine and Rate Index. Estimates are for planning; your quote depends on role, scope and engagement.