Draft rate card — confirm figures before publishing
Fees
One flat monthly management fee, set by the size of the practice and fixed in the agreement for its term. Staffing and third-party costs are billed separately, at cost, with the invoice shown.
Solo
One billing provider
$7,500per month, fixed for the term
- All eight service lines
- One clinic site
- Monthly reporting package
Small group
Two to three billing providers
$11,000per month, fixed for the term
- All eight service lines
- One clinic site, additional providers included
- Monthly reporting package and quarterly operating review
Group
Four or more billing providers
$18,000per month, fixed for the term
- All eight service lines
- Multi-site coverage
- Monthly reporting package, quarterly operating review and annual budget build
How the tier is set. The tier is determined by the number of billing provider identifiers at the practice on the date the agreement is signed, and is written into the agreement. If the practice adds providers and moves into a higher tier, the new fee applies from the following contract year or by written amendment — not automatically, and never mid-term without agreement.
What the fee is not. It is not a percentage of collections, a share of professional fees, or a per-patient or per-encounter payment. It does not change if the practice has a strong month or a weak one.
Billed separately
These are real costs that vary by practice. Bundling them into the management fee would either overcharge a small practice or undercharge a large one, so we pass them through and show the invoice.
| Item | How it is billed | Notes |
|---|---|---|
| Furnished non-clinical staff | Cost plus an agreed administrative markup, invoiced monthly | Front desk, medical assistant, practice coordinator and billing staff employed by Synergy and assigned to the practice's site. Fully loaded cost is disclosed. |
| Onboarding and implementation | One-time fee, quoted in the agreement | System build, credentialing filings, site setup and staff hiring. Waived or reduced where the practice is already operating on our platform. |
| Software licenses | Pass-through at cost | EHR and practice management seats, clearinghouse, telehealth, phone and fax. |
| Paid advertising spend | Pass-through at cost, with campaign reporting | Media budget set by the practice in advance. Campaign management is included in the fee. |
| Facility buildout and equipment | Project quote, or pass-through of contractor and vendor invoices | Applies only to new sites or expansions. |
| Rent, laboratory, medical supplies | Paid by the practice, or pass-through at cost where Synergy holds the account | No markup on laboratory or clinical supply pass-throughs. |
Contract terms
- Initial termThree years, then automatic one-year renewals unless either party gives notice.
- Fee adjustmentAt renewal only, by written amendment. No mid-term escalators tied to practice performance.
- TerminationEither party on written notice, with a defined transition period during which Synergy supports migration of systems and records to the practice or its new vendor.
- RecordsThe medical record belongs to the practice at all times, during the term and after it ends.
- How the fee is setBy reference to the cost of the services actually delivered and the market rate for comparable administrative services. Reviewed at renewal, not tied to practice performance.
- ExclusivityNone. A client practice may terminate and take its operations elsewhere, and Synergy serves multiple unrelated practices.
Get a quote for your practice
Send us the provider count, site and specialty and we will return a fee, a scope and a timeline in writing.