GoMedPay Decision Tool

Medical Billing
System Cost Calculator

Estimate what your switching fees could cost — before comparing PMS, PMA or bureau quotes. Use your own claim volume and average claim value.

The result is not a final quote. It gives you a sharper question to ask any vendor — in writing — before you sign.

Start with three numbers

Your practice type, monthly claim count and average claim value produce a first-pass estimate in under 30 seconds.

Use the calculator → Free · No login required · No data stored

Switching Cost Calculator

Compare per-claim vs percentage-based switching fees in rands — at your actual monthly billing volume — against the Panacea public benchmark.

Select fee model to compare
Monthly claim value
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Panacea benchmark (best)
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Selected model cost
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Model Monthly cost Annual cost vs Panacea

Estimates cover switching fees only. They do not include PMS licence fees, billing bureau fees, benefit check fees, ERA tools, SMS/patient communication costs, tariff data subscriptions or once-off migration fees. Confirm total cost of ownership across all layers before signing any contract.

How to read the result

The calculator shows switching-cost exposure only. If your result shows a large difference between per-claim and percentage-based pricing, that difference is the starting point for your next vendor conversation — not the whole story.

Switching fees are one of five cost lines in a typical SA billing stack. The others — PMS licence, bureau fees, patient communication tools, ERA tools and tariff data subscriptions — can equal or exceed the switching fee in some configurations. Always model the full stack before evaluating any quote.

Use the result as a question tool, not a final decision. Print it. Take it into your vendor meeting. Ask the vendor to justify their model against the Panacea benchmark — in writing.

Before signing — ask for these cost lines in writing

  1. Monthly PMS / PMA licence fee — base cost, per user or per site
  2. Switching / EDI fee — per claim, percentage of claim value, or bundled into the licence?
  3. Billing bureau fee — if applicable: gross billings, net collections or fixed retainer?
  4. Benefit check fees — included or separately charged per query?
  5. ERA, reconciliation and reporting tools — included or subscription?
  6. SMS, WhatsApp and patient communication fees — per message or bundled?
  7. Medprax / iQest / tariff data update costs — included in licence or separate annual fee?
  8. Once-off setup, migration and training fees — what is included at no cost?
  9. Data export and exit rights — format, timeline, cost to access your own data on cancellation
Part of the series: 1 The Problem 2 The Decision 3 The Migration 4 The Systems Annexure

Need help interpreting a quote?

If the calculator reveals a gap between what you're being charged and what the public benchmark suggests, GoMedPay can review the billing-system cost structure for your practice before you commit to any vendor, bureau or migration.

Request a billing-system cost review →