Pricing
Flat fee. Never a percentage.
You hold the dial. Do it yourself with Elf, bring our team in for the hard parts, or hand us the whole launch. Every tier is a fixed monthly price — no revenue share, ever.
★ Flat fee on every plan · No setup fee · Cancel any time
The industry standard
- 5–15% of your collections — for life
- Annual contracts with cancellation fees
- $1,000–$5,000 setup fees to get started
PracticeElf
- Flat monthly fee — 0% of your revenue, ever
- Cancel any time — no penalty, no lock-in
- $0 setup fee on every tier
You run the launch. Elf tracks every step, answers questions in real time, and tells you exactly what's next — 24 hours a day.
What's included
Our team partners with you — we handle the payer applications, CAQH, and the follow-up calls while you keep control of every decision.
What's included
Hand us the whole launch — entity formation through first paid claim. You focus on clinical readiness; our team runs everything else.
What's included
Why it matters
How much does 7% actually cost you?
Traditional practice-launch firms charge 5–15% of your annual collections — forever. Here's what that looks like at three practice sizes against a flat monthly fee.
| Annual revenue | Traditional firmavg. 7% of collections | PracticeElf Done-with-you$799/mo flat | Annual fee savings |
|---|---|---|---|
| $400k / yr | $28,000 | $9,588 | +$18,412 |
| $600k / yr | $42,000 | $9,588 | +$32,412 |
| $800k / yr | $56,000 | $9,588 | +$46,412 |
| Traditional firm estimate at 7% (industry range: 5–15%). PracticeElf at $799/month = $9,588/year. Revenue figures are illustrative; savings column is the annual difference in management fee only — not total practice profit. | |||
All figures are estimates. "Annual fee savings" reflects the difference in vendor management cost at the illustrative revenue levels shown — not a guarantee of profitability or cash-flow improvement.
Why flat fee?
Revenue share is a conflict of interest.
Most practice launch services take 5–15% of your collections for life. That means they make more money when your revenue is up — but they have no incentive to optimize your overhead, your payer mix, or your credentialing speed. We think that's backwards.
PracticeElf charges a flat monthly fee. When you're profitable fast, you win. We get nothing extra for it. That's the alignment we want.
Compare options
What else can you do?
Every physician going independent has three realistic options. Here's how they stack up on the dimensions that determine whether the launch survives the valley.
| Go it alone Spreadsheets, email, calls | Credentialing service Typical outsource model | PracticeElf Flat fee · all five phases | |
|---|---|---|---|
| Exit & launch | |||
| Step-by-step launch checklist | — | — | ✓ |
| Payer enrollment tracking | — | ✓Credentialing only | ✓ |
| Cash-flow gap (valley) estimate | — | — | ✓ |
| Operations & sustainability | |||
| License + DEA + CAQH reminders | — | — | ✓ |
| Estimated tax & obligation calendar | — | — | ✓ |
| Vendor + referral partner tracking | — | — | ✓ |
| Post-launch (Sustain + Grow phases) | — | — | ✓ |
| AI & team support | |||
| Elf AI guide (24/7 Q&A from your data) | — | — | ✓ |
| Team access (biller, office manager) | — | — | ✓ |
| Pricing model | |||
| Pricing | Your time+ lost revenue from delays | 5–15% of collections, ongoing | $299–$799 flat / mo |
The math
What you keep.
Illustration — primary care practice, $380K in annual collections (MGMA benchmark). Not a projection of your results.
Revenue share model
10% of collections
forever
- Year 1
- $38,000
- Year 3
- $114,000
- Year 10
- $380,000
No ceiling. No off-ramp. Grows with your practice.
PracticeElf Done-with-you
$799 / month
flat, always
- Year 1
- $9,588
- Year 3
- $28,764
- Year 10
- $95,880
Cancel any time. Your savings scale with your revenue growth — we don't.
$28,412 you keep in year one — at this example revenue level
Illustration only. Actual savings depend on your collections and the revenue-share rate of the alternative service.
Questions
Pricing FAQ
Why isn't there a free trial?
The valley is real from day one — a 90-day clock starts the moment you decide to leave. We offer a free Exit Readiness check so you can see your number before you commit to any plan. That's not a teaser; it's the first deliverable.
Can I change tiers after I start?
Yes — any time. You can turn the dial up (more our team, less you) or dial it back down as your comfort level changes. The price follows. No lock-in period, no cancellation fee.
What if I'm an NP, PA, or therapist — not a physician?
Every tier works for all independent clinicians: MD/DO, NP, PA, and therapists. Credentialing workflows differ slightly by license type — Elf and your launch specialist know the difference.
Does PracticeElf take a share of my practice revenue?
Never. Flat fee only. You keep 100% of what your practice earns — on every tier, always.
What does the "valley estimate" actually tell me?
It models the cash-flow gap between your last employer paycheck and your first full payer payment — typically 90–180 days. It's based on your monthly overhead, your savings, your malpractice policy type, and how much of your practice will be cash-pay. It's an estimate, not a prediction. But it's the number that determines whether your launch is solvent.
Is there a setup fee?
No. The monthly price is the whole price.
See your number — before you give notice.
Free Exit Readiness check. Takes 3 minutes. No credit card.
Get your free check