PRICING · ANNUAL LICENSE · SINGLE-TENANT

Priced for a practice. Not per-claim.

A flat annual license, no percentage of your collections, no per-claim surcharge. Quoted once, in writing, after a demo. Because every practice is different — and we'd rather be right than fast.

Why we quote, not list.

A 1-provider chiropractor and a 12-provider multi-specialty group don't need the same thing. Self-hosting vs. managed changes the math. Historical migration scope changes it again. We'd rather send you a real number we'll honor than stick a sticker price on a page that doesn't match what you'll actually pay. Tiers below are indicative — the quote comes after the demo.

Three starting points. One quote per practice.

Solo
One provider, one server.
$Low 4-figures / mo
Indicative · self-hosted · annual
For solo practitioners and very small groups who handle their own billing and want to own their infrastructure.
  • 1 provider, unlimited staff seats
  • Full PM + EMR · all 135 tables
  • Scrubber, 837 / 835, HCFA PDF
  • Email support · 1 business day
  • Self-hosted on your hardware
Request a quote
Typical install · 2 weeks
MOST COMMON
Practice
The working size. Most of our installs.
$Mid 4-figures / mo
Indicative · self or managed · annual
2–15 providers. Dedicated office manager and billing team. The practice size EXmedic was built around.
  • 2 – 15 providers, unlimited seats
  • Everything in Solo, plus:
  • Custom Sets & saved Projections
  • Onboarding · 1:1 for 4 weeks
  • Priority support · same-day response
  • Data migration from one prior system
  • Self-hosted or managed hosting
Request a quote
Typical install · 4–6 weeks
Group
Multi-location, multi-specialty.
$Custom
Priced after a scoping call
For groups with multiple locations, multiple specialties, or specific compliance, integration, or data-migration requirements.
  • 16+ providers, multi-location
  • Everything in Practice, plus:
  • SSO · SCIM · custom IdP
  • Dedicated engineer · named support
  • Custom scrubber rules & reports
  • Migration from multiple prior systems
  • HIPAA & audit artifacts, co-signed
Talk to us
Typical install · 8–12 weeks
WHAT GOES INTO A QUOTE

Five lines. No hidden sixth.

Annual software, onboarding, optional managed hosting, optional migration, optional support tier. That's it. No percentage-of-collections, no per-claim fee, no per-seat inflation as your front desk grows.

Get a written quote
quotes / Q-20260422-014 · Riverside Family Medicine
Annual Quote · Sample
4 providers · self-hosted · 1 migration
Q · 014
EXmedic Practice license
Annual · 4 providers · unlimited seats
$ ——,———
Onboarding & training
4-week 1:1 · one-time
$ —,———
Data migration · 1 prior system
Patients · open AR · closed claims archive
$ —,———
Managed hosting · optional
We run the server. HIPAA-compliant host.
— waived —
Priority support · included
Same-day response · phone & email
$ 0
Year-one total
Quoted after demo
HOW IT DIFFERS

What isn't in the bill.

The cost structure from most PM + EMR vendors is shaped to grow with your collections. Ours isn't.

Cost component
EXmedic
Typical cloud PM
Billing service
Base software
Annual flat license vs. per-user / per-provider / per-claim
Flat, annual
Per-seat × 12
N/A — % of collections
Per-claim fee
Every 837 costs a surcharge on top of clearinghouse
None
$0.25 – $1.00 / claim
Bundled in %
% of collections
A cut of every dollar you collect
None
None
4% – 9%
Data export & exit
Taking your data out when you leave
Postgres dump, always
Export fees, format TBD
Reports only
Per-seat inflation
Front desk of 6 vs. 3 — does your bill double?
Unlimited staff seats
Per named user
Unlimited
Hosting lock-in
Where the database actually lives
Self-host or managed
Vendor cloud only
Vendor cloud only
HONEST ABOUT

What isn't in the license.

Because a price list is only as useful as what it leaves out.

PRICING FAQ

Questions we get before the quote.

Q.01
Why not just publish a list price?
We tried. It was wrong for most practices. Self-hosting vs. managed, migration complexity, specialty-specific scrubber rules, and support tier all swing the number meaningfully. A quote after a demo is cheaper for you, more accurate for us, and honest in both directions.
Q.02
Do you lock us into a multi-year contract?
Annual by default. We offer a 2-year option at a discount, but it's not required. If you leave, you leave with your Postgres dump.
Q.03
Can we pay month-to-month?
Not for the core license — onboarding doesn't make sense on a monthly cadence. Managed hosting is billed monthly on top of the annual license.
Q.04
What happens at renewal?
Annual license renews at the same price unless your provider count changed. We write price increases into the original quote transparently — no "first year was promotional, year two is 1.4×."
Q.05
Do you offer a trial or pilot?
The 14-day post-demo sandbox is the trial. It's loaded with your data and is functionally identical to the product. We don't do "paid pilots that convert" — we'd rather you decide after the sandbox than after 90 days of sunk cost.
Q.06
We're a billing service, not a practice. Can we use EXmedic?
Yes, with a multi-tenant arrangement priced per client practice. Tell us the size of your book on the demo call.
Book a demo to get a quote