MOST POPULAR$2,495/mo1,000 Stream Credits includedGrowth Suite
$4,995/mo3,000 Stream Credits includedEnterprise Full Stack
Side-by-side summary
RSAI monthly cost
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Traditional monthly cost
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You save every month
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Visual breakdown
RSAI monthly cost
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Traditional monthly cost
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Your monthly savings
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Your monthly volume — adjust sliders to match your practice
Your monthly volume — Stream modules
StreamDesk2 credits/intake
Patient intakes/mo
StreamVerify2 credits/inquiry
Eligibility inquiries/mo
StreamBill3 credits/statement
Patient statements/mo
StreamClaim10 credits/claim
Claims submitted/mo
StreamStatus2 credits/inquiry
Claim status inquiries/mo
StreamAuth5 credits/auth
Prior authorizations/mo
StreamCode8 credits/encounter
Encounters coded/mo
StreamCall$0.57/min · separate credit pool
AI voice minutes/mo
Stream Credit usage
0 of 1,000 credits included0%
What you're paying today — traditional approach
Monthly net collectionsiScales with your Stream volume Moving any clinical-workload slider (Desk, Verify, Bill, Claim, Auth, Code) scales this figure, holding your own collections-per-event ratio constant — so the billing-company fee rises with workload instead of staying flat.
Setting a Stream to zero does not shrink it. Not buying a module doesn't make your practice smaller — you still see those patients and collect that money — so collections stays put when you switch a Stream off.
StreamCall is excluded — voice minutes are outreach, not a revenue proxy.
Edit it directly to re-anchor the ratio to your actual numbers.
Your monthly collections(solo practice $50K → health system $100M+)
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Outsourced billing rateiHow this default was derived Third-party billing / RCM companies typically charge 4–7% of net collections. MGMA (2025) reports fees averaging ~5%, used as the default here.
This fee scales with revenue regardless of work performed.
% of collections (billing co.)
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Cost to work a claim — $ per claimiHow this default was derived Working a claim end-to-end means charge entry, scrubbing, submission and rework on rejections and denials. At a $20/hr loaded staff rate, a blended ~20 min of handling is $6.67 — rounded to $6.50 per claim.
Both the staff rate and the handling time are our assumptions. This is your cost of goods, not a fee you pay — set it to your own per-claim labor.
$ per claim worked (~20 min blended entry, scrub, submit and rework at $20/hr = $6.67)
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Other operating cost — % of revenueiHeld constant in both scenarios Everything else it takes to run the business that RSAI does not replace: account management and client reporting, payment posting and AR analysts beyond the volumes above, sales and marketing, clearinghouse and software, management, facilities and G&A.
Commonly 25–35% of revenue. It is subtracted from margin in both the current and the RSAI column, so it never shows up as a saving — it is here so the margin figures are honest.
% of revenue (management, sales, posting/AR, software, facilities — unchanged by RSAI)
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Patient intake staff cost — $ per intakeiHow this default was derived A published outpatient registration study measured 6 min 2 sec of staff service time per registration. At a $20/hr loaded staff-cost assumption that’s ~$2.01, rounded to $2.00/intake.
That study is from a tertiary hospital outside the U.S. — this is a documented calculator assumption, not a U.S. industry average. Replace it with your own cost.
$ per patient intake (Estimated ~6 min staff time × $20/hr; based on a published outpatient registration study, not a U.S. industry average)
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Traditional statement cost — $ per statementiHow this default was derived USPS lists a 1‑ounce First‑Class letter at $0.82 retail. Adding ~$0.68 for envelope, paper, printing, statement preparation, handling and staff time gives $1.50/statement.
Only the postage figure is a published rate — the remainder is an assumption, not a U.S. industry average. Replace it with your actual cost.
$ per statement (Default estimate includes postage, printing, materials, and handling: $0.82 USPS First-Class + ~$0.68 print/handling)
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Eligibility staff cost — $ per checkiHow this default was derived AMA research puts a manual eligibility check at 12.64 min. At a $20/hr loaded staff-cost assumption that is $4.21/check.
The staff rate is our assumption; the time-per-check is the published figure.
$ per eligibility check (AMA: avg manual check = 12.64 min. At $20/hr = $4.21/check)
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Claim status follow-up cost — $ per checkiHow this default was derived A manual status check means pulling the claim, working the payer IVR or portal, and recording the result. At $20/hr loaded staff cost, a blended 6 min check is $2.00.
Unlike the eligibility row, both the staff rate and the minutes-per-check are our assumptions — adjust to your own follow-up time.
$ per claim status check (6 min blended payer IVR/portal check at $20/hr = $2.00)
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Prior auth staff costiHow this default was derived AMA’s 2024 PA survey: ~43 prior auths per physician per week, consuming ~12 hrs of physician + staff time weekly.
$8/auth is a conservative phone + staff-time estimate — not a published per-auth price. Replace with your own.
$ per auth (phone + staff time)
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Medical coding staff cost — $ per encounteriHow this default was derived PayScale (2026): medical coders average $23.40/hr. At an assumed throughput of 20 charts / 8-hr day that is $9.36/encounter.
The wage is published; the throughput is our assumption.
$ per encounter coded (PayScale 2026: coders avg $23.40/hr. At 20 charts/8hr day = $9.36/encounter)
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Call-center cost — $ per minute (fully loaded)iHow this default was derived A call-center minute costs more than wages alone. From a $20/hr wage ($0.33/min), adding ~30% payroll taxes & benefits gives ~$0.43/min. Adding supervision/QA, training & turnover, telephony/software, and paid idle time between calls brings it to ~$0.75/min.
That is the conservative low end of the $0.50–$1.25/min fully loaded range. Replace it with your actual cost.
$ per minute (Fully loaded: wages + payroll burden, benefits, supervision, training/turnover, telephony/software, idle time — not bare wage)
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Your estimated monthly invoice
Platform Access Fee — Growth Suite$2,495.00
Included Stream Credits (1,000)$0.00
Overage credits (0 × $0.50)$0.00
StreamCall (0 minutes × $0.57)$0.00
Estimated monthly total$2,495.00
What you save vs. your current approach
StreamClaim → replaces outsourced billing company fee% of collections—
StreamStatus → replaces manual claim status follow-up (payer IVR / portal checks) per unit—
StreamDesk → replaces patient intake/admin staff cost per unit—
StreamBill → replaces patient statement processing/mailing cost per unit—
StreamVerify → replaces per-check eligibility tool cost per unit—
StreamAuth → replaces manual prior auth phone + staff time per unit—
StreamCode → replaces outsourced medical coding cost per unit—
StreamCall → replaces staff phone outreach cost per unit—
Total monthly savings vs. traditional—
Billing company economics · margin, not cost
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Client fee revenue
$0
unchanged by RSAI
Cost to serve today
$0
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Operating margin today
0%
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Operating margin with RSAI
0%
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Extra margin / month
$0
Extra margin / year
$0
Revenue per claim
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All-in cost per claim
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Operating margin here is client fee revenue less the direct cost of serving those clients (claim work, eligibility, status follow-up, prior auth, coding, statements and outreach) and less the other operating cost you set above. It excludes taxes, interest, and owner compensation or distributions.
ⓘ How We Calculate Traditional Market Costs
Outsourced Billing & RCM Fee (4–7% of net collections): The industry-standard fee charged by third-party medical billing and revenue cycle management companies. Per MGMA (2025), outsourcing fees average approximately 5% of net collections — an amount that scales directly with revenue regardless of the work performed. This calculator defaults to 5%. MGMA notes that 36% of practices planned to outsource or automate part of their RCM in 2025 due to the growing complexity of in-house billing.
Billing Staff Rate ($20.00/hr): Based on PayScale's 2026 report, the average hourly pay for a Medical Billing Specialist in the U.S. is $20.02/hr. The U.S. Bureau of Labor Statistics (BLS) May 2024 Occupational Employment Survey reports the median annual wage for Medical Records Specialists at $50,250/year ($24.16/hr). This calculator uses the $20.00/hr figure as a conservative baseline. Fully loaded cost including employer payroll taxes, health benefits, and PTO is typically 25–35% higher.
Prior Authorization Administrative Burden: According to the AMA's 2024 Prior Authorization Physician Survey — the largest annual PA survey in the U.S. — physicians complete an average of 43 prior authorization requests per physician per week, consuming approximately 12 hours of physician and staff time weekly. More than 27% of physicians report that PA requests are often or always denied, and 95% say PA somewhat or significantly increases burnout. More than a third of practices (35%) employ staff exclusively to handle prior authorizations.
Eligibility Verification Staff Cost: The AMA reports the average manual insurance eligibility check takes 12.64 minutes (CGM/eMEDIX, citing AMA data). At a fully-loaded staff rate of $20.00/hr, this equals $4.21 per manual verification. Manual phone verification can take 20–30 minutes per patient according to Experian Health's State of Patient Access 2024 survey, creating staff bottlenecks. Source: CGM eMEDIX citing AMA; Experian Health 2024.
Medical Coding Labor Cost: PayScale (2026) reports the average Medical Coder earns $23.40/hr. ZipRecruiter (April 2026) reports $22.42/hr. Industry standard productivity for outpatient coding is 20 charts per 8-hour day, yielding a per-encounter labor cost of $23.40 × 8 ÷ 20 = $9.36 per encounter. Inpatient or complex coding takes significantly longer and costs more. Sources: PayScale 2026 Medical Coder Hourly Pay; ZipRecruiter April 2026.
Claim Status Follow-Up Cost: Working a claim’s status manually means pulling the claim, reaching the payer by IVR or portal, and recording the result. We assume a blended 6 minutes per check — shorter for a portal lookup, considerably longer when a payer rep is involved — at the same $20.00/hr fully-loaded staff rate used above, giving $2.00 per check. Unlike the eligibility and prior-auth figures, this one is our own estimate rather than a published industry statistic; the slider is there to be set to your own follow-up time.
Phone Outreach Labor Cost: At a fully-loaded staff rate of $20.00/hr, the per-minute cost for inbound or outbound patient phone calls is $20.00 ÷ 60 = $0.33/minute. For outsourced call centers, fully loaded rates including overhead, management, and quality assurance typically range from $0.50–$1.25/minute. This calculator defaults to $0.33/minute (in-house staff baseline). Sources: Bureau of Labor Statistics; industry call center benchmarks.
Collections Range: Slider runs to $100M/mo to accommodate the full spectrum from solo practices through multi-state hospital systems and IDNs. Drag to where your practice sits — credits scale automatically.
Sources: AMA 2024 Prior Authorization Physician Survey (ama-assn.org, June 2024) | MGMA 2025 Stat Poll & Cost and Revenue Benchmarks (mgma.com) | U.S. Bureau of Labor Statistics, Occupational Employment & Wage Statistics, May 2024 (bls.gov) | PayScale Medical Billing Specialist Hourly Pay Report 2026 (payscale.com) | CAQH 2023 Index Report | PayScale 2026 Medical Coder Hourly Pay (payscale.com) | ZipRecruiter April 2026 Medical Coder Salary | CGM eMEDIX Eligibility Verification citing AMA data | Experian Health State of Patient Access 2024. All figures are illustrative estimates based on published industry averages. Actual costs vary by practice size, specialty, payer mix, and geography. This calculator is for informational purposes only and does not constitute financial or billing advice.
Outsourced billing % savings apply when StreamClaim is active — that module directly replaces what your billing company charges per collection.
12-month savings payback
By month 12, you’ll have saved
$0
vs. your current approach
Breakeven
Month —
Monthly savings
$0
Cumulative savings = (Traditional monthly cost − RSAI monthly cost) compounded across 12 months. Breakeven is the month your cumulative savings exceed the RSAI subscription you’ve paid to date.
Take these numbers with you
Personalised ROI report · PDF
Download your practice’s ROI analysis
A four-page, board-ready brief built from the volumes you entered above: cost comparison, where the savings come from, your 12-month payback curve, recommended plan, and every assumption behind the numbers.
Current approach vs RSAI — monthly and annual, by function
Savings breakdown and credit usage for your recommended plan
12-month cumulative savings with break-even month and 3-year outlook
Assumptions, methodology and sources — ready to share with your CFO or partners