Practice Revenue Modeler

Cash vs. Insurance: Patient Lifetime Value

An $85 in-network rate looks worse than a $100 cash fee, until you count how long patients stay. Cash patients average 4 visits a year; insured patients finish their 9-visit treatment plans. Model your payer mix to see your annual revenue and how many new patients you really need.

1. Weekly visit target25 visits/wk

1060

2. Working weeks per year

48 leaves room for vacation and holidays

3. Patient payer mix

Adds up to 100%
Adjust rates & retention
Annual projected gross revenue
$126,600
+$6,600 vs. all-cash
New patients needed / yr
183
vs. 300 all-cash
Annual visits
1,200
25 visits × 48 weeks

Patient lifetime value (per year)

Breakdown by payer

PayerVisitsPatientsRevenue
Total

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