Practice cost calculator: what your software stack really costs

What your software stack really costs

A solo practice rents a stack — EHR, an AI scribe, a clearinghouse, intake, secure messaging, a directory listing, e-prescribing — and pays for it every month whether the schedule is full or empty. Add up yours, then see it against a model that charges nothing until a claim actually pays.

Monthly collections$/ monthProviders in the practice

Your current stack (toggle what you pay for)

EHR + scheduling (e.g. SimplePractice Essential)$79/seat/moAI scribe (e.g. Freed)$79/seat/moClearinghouse / billing (e.g. Office Ally non-par)$45/moDigital intake + consent (e.g. IntakeQ)$50/moSecure messaging + fax (e.g. Spruce)$24/seat/moPatient directory listing (e.g. Psychology Today)$30/seat/moE-prescribing + EPCS (e.g. DrFirst)$67/seat/mo

Your stack today (est.)

$4,487/yr

flat software fees

+ $4,176/yr card processing (~2.9%)

On Gale

$0 flat software

no subscription, no setup, no per-seat fee

You pay the cost of billing + 15% only on claims that actually pay — usage-based, never a flat fee.

You stop paying $4,487 a year in flat software fees — whether you collect $144,000 or nothing.

Illustrative scenario, not a quote — your actual costs vary by tools, volume, and payer mix. Incumbent prices are list prices as of 2026 (SimplePractice pricing, Freed pricing, Office Ally, IntakeQ, Spruce, Psychology Today, DrFirst); card processing applies on any platform. Gale is pre-commercial (synthetic demonstration); its fee is the cost of billing plus 15% on paid claims. Nothing you type here leaves your browser.

How Gale's model works

Gale is the practice OS — charting, the ambient scribe, billing and RCM, telehealth, and a tracked credentialing pipeline — for no monthly fee. It earns a flat 3.5% all-in on transactions that pay, and funds settle to the provider directly. The bet is simple: software that only costs money when it makes you money. See how practice software charges for the full comparison.

Common questions

The software carries no subscription, setup, or per-seat fee. Gale earns one flat 3.5% all-in of the payment collected — cash or insurance, card processing included — charged only on transactions that actually pay. If nothing collects, nothing is owed.

They are public list prices as of 2026, cited on the page. Vendors change pricing; treat the figures as an illustrative scenario, not a quote, and confirm current prices with each vendor.

No. The calculation runs entirely in your browser. Nothing you type is transmitted, logged, or shared — consistent with Gale's no-tracking-on-health-surfaces rule.

Run your practice on Gale

No subscription, no setup fee. Gale earns only when your claims pay.

Start or manage a practice →