Pricing
What pulmonology billing actually costs
No billing company can quote a real number without seeing your practice — but every billing company knows the range. Here it is, what moves you within it, and how to judge the quotes you collect.
Compare free quotesPercentage of collections, explained
Nearly all medical billing services charge a percentage of what they actually collect for you each month. Not a percentage of charges, not a flat fee: if they don't collect it, they don't get paid on it. The incentive alignment is the point of the model — and the first thing to verify in any proposal.
The market runs roughly 4–9% for pulmonology
Across the industry, pulmonology billing services typically price between 4% and 9% of monthly collections. A quote far below that range is usually cutting the labor-intensive work — denial appeals, A/R follow-up, payer phone time — that determines whether you actually collect more. A quote above it should come with an unusual scope to justify it.
What moves your rate
Four factors, no mystery
Volume. More monthly collections generally means a lower percentage; the work doesn't scale linearly with revenue.
Scope. Full RCM (eligibility, prior auth, credentialing) prices differently than claims-and-denials only. Make sure quotes you compare cover the same scope.
Payer mix. Heavy Medicare Advantage and Medicaid means more authorization and denial labor per dollar collected.
Starting condition. A clean A/R is cheaper to run than one with six months of backlog. Expect old A/R cleanup to be scoped as a separate one-time project.
The traps hiding in billing proposals
Percentage of charges dressed up as percentage of collections. Setup or termination fees in the fine print. “Denial management” that means resubmitting, not appealing. Reporting that arrives quarterly, unexplained. A low headline rate with patient statements, coding, or appeals priced as add-ons. Every one of these is answerable with a direct question — ask before you sign, and compare at least two proposals.
Pulmonology billing pricing, answered
Why do quotes for the same practice vary so much?
Because scope, assumed payer mix, and what's bundled differ between proposals. Normalize them: same scope, same volume assumptions, percentage of collections only — then compare.
Percentage of collections or percentage of charges?
Collections — always. A percentage of charges pays the biller whether or not you get paid. Read any proposal carefully on this point.
Is getting quotes through this site free?
Yes — free for practices, no obligation. You'll typically hear from providers within one business day.
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