Rex says
Money math without the spreadsheet headache. Plug in your numbers and I'll show you exactly where the dollars land.
Try a scenario
Click to load — tweak from there.Inputs
Result
Fully-loaded cost per visit
$63.43
Margin per visit
$81.57
Monthly profit at this volume
$57,100
Overhead share per visit
$51.43
Break-even visits per month
271
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How to use this
- 1Enter monthly rent & utilities ($).
- 2Enter monthly non-provider staff cost ($).
- 3Enter other fixed overhead (ehr, insurance, billing) ($).
- 4Enter variable cost per visit (supplies, labs) ($).
- 5Enter visits per month.
- 6Enter average reimbursement per visit ($).
- 7Read your fully-loaded cost per visit on the right — it updates as you type.
- 8Hit Share to keep the scenario or send it to someone.
About this calculator
Practices routinely underprice their break-even point because they only think about the physician's time, not the front desk, MA, billing staff, rent, EHR subscription, and malpractice insurance sitting behind every appointment slot. This calculator divides total monthly fixed and variable practice overhead by monthly visit volume to produce a true fully-loaded cost per visit, then compares it against your average reimbursement to show margin per visit. It's the number that should drive decisions about panel size, no-show policy, and whether a payer contract at a given rate is even worth keeping. Many primary care practices find their true cost per visit is $110–$180 once overhead is properly allocated, well above what a quick mental estimate suggests, which is why payer mix and visit volume matter as much as the fee schedule itself.
Worked example
Using the values the calculator loads with:
Inputs
- Monthly rent & utilities: 8000 $
- Monthly non-provider staff cost: 22000 $
- Other fixed overhead (EHR, insurance, billing): 6000 $
- Variable cost per visit (supplies, labs): 12 $
- Visits per month: 700
- Average reimbursement per visit: 145 $
Results
- Fully-loaded cost per visit: $63.43
- Margin per visit: $81.57
- Monthly profit at this volume: $57,100
- Overhead share per visit: $51.43
- Break-even visits per month: 271
What each field means
Inputs
- Monthly rent & utilities ($)
- The monthly rent & utilities used in the calculation, measured in $. Starts at 8000 $ so you have a working example on load.
- Monthly non-provider staff cost ($)
- The monthly non-provider staff cost used in the calculation, measured in $. Starts at 22000 $ so you have a working example on load.
- Other fixed overhead (EHR, insurance, billing) ($)
- The other fixed overhead (ehr, insurance, billing) used in the calculation, measured in $. Starts at 6000 $ so you have a working example on load.
- Variable cost per visit (supplies, labs) ($)
- The variable cost per visit (supplies, labs) used in the calculation, measured in $. Starts at 12 $ so you have a working example on load.
- Visits per month
- The visits per month used in the calculation. Starts at 700 so you have a working example on load.
- Average reimbursement per visit ($)
- The average reimbursement per visit used in the calculation, measured in $. Starts at 145 $ so you have a working example on load.
Results
- Fully-loaded cost per visit
- Returned as a money amount in US dollars and shown as the headline result. It recalculates instantly whenever you change an input, so you can compare scenarios without reloading.
- Margin per visit
- Returned as a money amount in US dollars. It recalculates instantly whenever you change an input, so you can compare scenarios without reloading.
- Monthly profit at this volume
- Returned as a money amount in US dollars. It recalculates instantly whenever you change an input, so you can compare scenarios without reloading.
- Overhead share per visit
- Returned as a money amount in US dollars. It recalculates instantly whenever you change an input, so you can compare scenarios without reloading.
- Break-even visits per month
- Returned as a whole number. It recalculates instantly whenever you change an input, so you can compare scenarios without reloading.
FAQ
Why is overhead allocation the hardest part?
Multi-provider practices need to split shared costs (front desk, rent, EHR) across providers, usually by visit share or by FTE. Getting this wrong either overstates a struggling provider's losses or hides an underperforming one behind a busier colleague's volume.
What's a healthy margin per visit in primary care?
Anywhere from $20 to $60 per visit is typical after full overhead allocation, depending on specialty and payer mix. Procedural specialties (dermatology, ortho) run higher; cognitive specialties with more time-per-visit and lower reimbursement run tighter.
How does payer mix change this number?
Medicaid often reimburses 60-80% of Medicare rates, and Medicare reimburses roughly 80% of commercial rates for the same CPT code. A practice with 40% Medicaid patients needs meaningfully higher commercial rates or visit volume to hit the same margin as an all-commercial practice.
Should I include physician compensation in the fixed cost?
Not if you're calculating margin available to pay the physician — that's the point of this number. If you're comparing to employed-physician economics, add physician salary and benefits to fixed overhead and compare the resulting cost per visit to reimbursement directly.
Accuracy and limitations
- Results are estimates before tax, fees, and inflation unless an input explicitly covers them.
- Rates are treated as fixed for the whole period — variable-rate products will drift from this projection.
- This is educational maths, not financial advice. Check anything contractual with the lender or your accountant.
Related tools
Cite this calculator
Writing about this topic? Grab a citation — every link helps keep these tools free.
RevenueLab. (2026). Medical Practice Cost Per Visit Calculator. Retrieved from https://www.revenuelab.fyi/toolbox/medical-practice-cost-per-visit
<p>Source: <a href="https://www.revenuelab.fyi/toolbox/medical-practice-cost-per-visit" target="_blank" rel="noopener">Medical Practice Cost Per Visit Calculator — RevenueLab</a> (2026).</p>
Source: [Medical Practice Cost Per Visit Calculator — RevenueLab](https://www.revenuelab.fyi/toolbox/medical-practice-cost-per-visit) (2026).