Starter
Solo providers and small practices (1–2 providers)
Custom quote · No hidden fees
- ✓Medical billing & claim submission
- ✓Payment posting & reconciliation
- ✓Monthly KPI reporting
- ✓Dedicated billing specialist
- ✓Email & phone support
Pricing
Transparent pricing aligned to your collections
No hidden fees. No long-term surprises. Custom quotes based on practice size, specialty, and services — typically a percentage of collections.
HIPAA-alignedBAA availableUS-based teamCPC-certified coders
Growth
Growing groups (3–10 providers)
Custom quote · No hidden fees
- ✓Everything in Starter
- ✓Denial management & appeals
- ✓Prior authorization support
- ✓Weekly business reviews
- ✓Real-time dashboard access
- ✓Coding review & provider feedback
Enterprise
Hospitals, MSOs, and large groups (11+ providers)
Custom quote · No hidden fees
- ✓Full revenue cycle management
- ✓Credentialing & enrollment
- ✓AR recovery & underpayment audits
- ✓Dedicated account pod
- ✓Custom reporting & integrations
- ✓Executive monthly reviews
All tiers are customized. Percentages vary by volume, specialty, and scope. Get a custom quote
ROI
See how outsourcing compares to in-house billing
Use the estimator below to compare illustrative annual costs. Your custom proposal will reflect your actual payer mix and service scope.
Adjust to see how in-house costs compare at your scale.
$100,000
In-house billing vs. Pro Nexus RCM
Based on $100,000/month collections ($1,200,000/year). Illustrative — your quote will reflect actual scope and volume.
| Cost factor | In-house | Pro Nexus RCM |
|---|---|---|
| Annual collections (example) | $1,200,000 | $1,200,000 |
| Staff salary (billing team) | $54,480 | Included |
| Overhead & benefits (~15%) | $180,000 | — |
| Service fee (~6% of collections) | — | $72,000 |
| Estimated annual cost | $234,480 | $72,000 |
Estimated annual savings: $162,480 — before denial recovery and AR improvements
Pricing FAQ
- Most engagements use a percentage-of-collections model scaled to your practice size, specialty, and service scope. You receive a custom quote after a discovery call — no hidden fees.
Get your custom quote
Tell us about your practice challenges and collections volume. We will prepare a transparent proposal — usually within one business day after your discovery call.