For providers · Tool

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 visit is completed.

Your current stack (toggle what you pay for)

Your stack today (est.)

$4,487/yr

flat software fees

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

On Gale

$159.20/mo

80 completed visits at $1.99. No subscription, no setup, no per-seat fee.

You pay per completed visit, never per month, and Gale takes nothing from a card payment. The numbers are in the fee schedule.

Your stack is $374 a month in flat fees. At $1.99 a visit, Gale costs less than that while you see fewer than about 187 visits a month, and more above it. You are at 80, so Gale is $214.70 a month less. Gale includes claims, insurance checks and video visits in that fee.

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’s fee is set out in the fee schedule. 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 charges $1.99 per completed visit, billed once a month, and takes nothing from a card payment; funds settle to the provider directly. The bet is simple: software that costs money per completed visit, never per month. See how practice software charges for the full comparison.

Common questions

The software carries no subscription, setup, or per-seat fee. Gale charges $1.99 per completed visit, billed once a month, and takes nothing from a card payment: you pay Stripe's own card fees directly. A month with no completed visits costs nothing.
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 $1.99 per completed visit, never per month.

Start your practice