Behavioral health billing pricing
Saint Health Group charges a percentage of what we collect for you, never of what you bill. The rate is 6 percent for practices collecting under $100,000 a month, with a $995 monthly minimum. It drops to 5 percent from $100,000 to $250,000, and to 4 percent above $250,000. There is no setup fee and either side can cancel with 60 days notice.
Enter your average monthly insurance collections to see your rate and estimated monthly fee. Estimates only; your rate is confirmed after the free billing audit.
Estimate only. Final pricing confirmed after the billing audit.
Rates by monthly collections
The rate applies to all collections in the month, not in slices. A program that collects $180,000 pays 5 percent on the full $180,000.
- Private practices and outpatient clinics
- $995 monthly minimum
- Dedicated billing lead you can call
- Monthly report and review call
- IOP, PHP and outpatient programs
- Authorization tracking and review deadlines
- Reporting by program and payer
- Detox, residential and multi site organizations
- Short authorization windows tracked daily
- Executive revenue reporting by payer and level of care
Every rate includes authorization tracking: approvals logged, end dates and review dates watched, and the review packet your clinical team prepares submitted on time. Full utilization review, where our staff makes the payer calls and writes the clinical justification, is quoted separately by level of care.
Access does not change with the rate. Every client gets a named billing lead reachable by phone, text or email, a monthly review call, and any call needed in between. We do not meter support or bill for the time it takes to answer you.
What the rate includes
Everything that recovers money is in the rate. You will not see a separate charge for appeals or payer calls.
| Included in the rate | Not included |
|---|---|
| Eligibility and benefits verification | Credentialing and payer enrollment |
| Authorization tracking and review submission | Full utilization review (quoted separately) |
| Charge entry and claim submission | Payer contract negotiation |
| Denial management and appeals | Clinical documentation training |
| Payer follow up by phone and portal | Your EHR subscription, which stays yours |
| Payment posting and underpayment flags | Legacy AR cleanup (quoted separately) |
| Patient statements | |
| Monthly reporting and review | |
| HIPAA and 42 CFR Part 2 aligned handling, signed BAA |
Credentialing, payer contracting and documentation training are available through our consulting division: Credentialing and Payer contracting.
In house biller or outsourced billing?
A single in house biller costs more than a salary. Add payroll taxes, benefits, software seats, clearinghouse fees, training and coverage for vacations and turnover. When that one person leaves, authorizations and follow up stop with them.
Outsourced billing makes sense when your billing depends on one person, your denial rate is rising, or your leadership is spending time on claims instead of care. In house billing can make sense for large organizations with a full revenue cycle team and the volume to keep specialists busy.
| Base salary | Visible |
| Payroll taxes and benefits | Added |
| Billing software and clearinghouse | Added |
| Training and certification | Added |
| Coverage for time off | Often missed |
| Turnover and rehiring | Often missed |
Contract terms, in plain language
Five terms. None of them change with your tier.
How our pricing compares
Behavioral health billing companies typically charge 5 to 10 percent of collections, and most practices pay 6 to 8 percent. Many don't publish a rate at all. Common add ons include setup fees of a few hundred dollars or more, credentialing charged per payer, and extra fees for telehealth claims, out of network claims or patient statements. Before comparing any rate, ask:
- Is the percentage of collections or of charges?
- Is there a setup fee or monthly minimum?
- Are appeals, payer calls and patient statements included?
- How long is the contract, and what does it cost to leave?
- Who, by name, will work my claims?
Pricing questions
Rates, minimums and terms.
Is the fee a percentage of collections or charges?
Collections. You pay on money actually received from payers, not on what you bill.
Why is there a $995 minimum for smaller practices?
Behavioral health billing takes the same authorization, follow up and compliance work regardless of practice size. The minimum applies only when 6 percent of your collections would be less than $995.
Do you charge for legacy AR cleanup?
Yes, as a separate one time project quoted after the free audit. Your monthly rate only applies to claims from your start date forward.
Is credentialing included?
No. Credentialing and payer enrollment are handled by our consulting division and quoted separately.
Do smaller practices get review calls too?
Yes. Every client gets a named billing lead reachable by phone, text or email and a monthly review call, at 6 percent the same as at 4 percent. Calls in between are not billed and are not limited. Access is not something we sell back to you in a higher tier.
Is utilization review included?
Authorization tracking is. We log every approval, watch end dates, calendar each review and submit the packet your clinical team prepares. Full utilization review, where our staff makes the payer calls and writes the clinical justification, is quoted separately by level of care.
What happens if we cancel?
Give 60 days notice. We finish working claims submitted during the service period through that notice window and hand over your full claims history and reports.
Can the rate change?
Your tier is reviewed quarterly based on actual collections. If you grow into the next tier, your rate goes down.
Get your exact rate
The free billing audit reviews 90 days of your claims and confirms your tier before you sign anything.