How to Reduce Credit Card Processing Costs in Your Chiropractic Practice

How to Reduce Credit Card Processing Costs in Your Chiropractic Practice
By ElsieCJenkins January 26, 2026

Reducing credit card processing costs is key to boosting your chiropractic practice’s profitability. By choosing the right payment processor, optimizing transaction methods, and reviewing pricing models, you can minimize fees without sacrificing patient convenience. Knowing practical strategies to help lower processing costs will ensure smooth, cost-effective transactions for your practice and patients.

Common Billing Challenges in Chiropractic Practices

Chiropractic billing can be challenging, and there are a few common issues that can disrupt your practice’s financial health. Firstly, dealing with insurance boundaries could be one of them. The amount of chiropractic insurance benefits patients have varies from one insurance to another, and also from one person to another. If proper verification of benefits is not done, or if authorizations are not properly taken, the chances of getting claims rejected could be high, which will further frustrate patients. 

Secondly, coding mistakes could also be one of them. Using improper or outdated codes, or using different codes when only one is required, could lead to claims denial or payment delays. Codes should be used properly and updated to ensure timely payments. Furthermore, improper documentation could also cause some difficulties in claiming payments from insurance. A practice that lacks proper documentation about patients’ history and a proper reason why a specific therapy was applied could lead to insurance claims denial. In some cases, insurance itself could also demand a refund.

Understanding Credit Card Processing Fees for Your Chiropractic Practice

Payment processing

Firstly, there are interchange fees, which your bank, the acquiring bank, has to pay to the bank of the cardholder, the issuing bank. This is to cover the cost of the transaction process. The credit card organizations, such as Visa and Mastercard, set the interchange fees, which can be different depending on the card used.

Secondly, we have the assessment fees. Assessment fees are lower fees that are charged to the card associations, such as Visa and/or Mastercard, by banks. Although lower than interchange fees, these fees are also not to be neglected because they would be added to the cost of accepting cards.

Thirdly, there are online payment processing fees that you’ll be liable to pay. These are charges that are imposed by the online payment processing provider, which is tasked with enabling you to have a smooth and safe transfer of funds into their system.

Lastly, there is the fee for chargebacks. A chargeback occurs when a customer contests a charge, and you are charged back to refund them for the transaction. The fee for chargebacks is essential because it ensures that there is little to no burden on your business when this process is undertaken. Awareness of these costs will help you budget the expenses associated with credit card transactions so that your chiropractic business is always profitable while still providing the benefits of credit card services to your clients.

Factors that Influence Credit Card Processing Fees for Chiropractic Practices

Chiropractic business

Credit card processing fees can differ based on several factors, and it is essential to be familiar with these factors so that you can better control these expenses in your chiropractic business.  Firstly, the credit card types that your clients use are one factor where premium credit cards tend to charge a higher processing fee based on the benefits they provide to the user. 

Secondly, how you accept payments is also important. The type of payment you collect, for example, credit card swipes versus online payments versus manually made payments, can impact the cost based on the increased risk for certain payment types. Also, the impact of your payment processing activities, including chargebacks and PCI compliance, may influence credit card payment processing costs for your practice. 

Thirdly credit card costs will also vary based on where you operate, as different regions and countries have different cost structures. Finally, it is very important to negotiate for a payment system based on a rate structure such as flat rate, tiered rate payment systems, or the interchange-plus payment system. These can greatly impact the cost of using credit cards for payment processing within your practice.

Practical Ways to Reduce Credit Card Processing Fees in Your Chiropractic Practice

Credit card transaction

Regardless of whether you have been dealing with a particular credit card processor for a long time or are a newcomer to this field, there are always ways to reduce credit card processing fees. 

Firstly, as your clinic grows, your payment needs often change, which gives you a good reason to negotiate better rates with your provider. Your credit card payments become higher with time, provided you maintain excellent security policies and chargeback levels in check; therefore, it will be good for you to check your account terms on a yearly basis for modifications to your credit card processing rates. 

Secondly, another key factor to consider in credit card payments is selecting the best pricing option for your organization. Those businesses that handle a significant number of payments may save more if they decide to use the interchange-plus model of credit card payments. Thirdly, the use of facilities such as address verification services might lower the fraud risk, and this might, in turn, lead to lower processing fees down the road. 

Additionally, arranging for patients to make payments using debit cards instead of credit cards will lower processing fees, considering that debit transactions have lower processing fees. 

Another thing you can do is set a reasonable minimum amount for card payments, which can help to protect your margins on smaller transactions, as long as it follows card network rules. The main thing to do here is to make sure that your payment system is set up correctly, since errors can cause transactions to be processed at higher rates. Lastly, ensuring your payment equipment and software are updated will reduce security risks while providing fast transaction services to your chiropractic facility.

Tips for Negotiating Lower Credit Card Processing Fees for Your Chiropractic Practice

Chiropractors clinic

The process of negotiating credit card fees may at first be intimidating, but having these conversations prior to entering a contract agreement can result in huge savings for your chiropractic business.

Firstly, begin by learning about credit card fee structures and which types of fees are capable of being negotiated. This is because there are some fees, including interchange fees or assessment fees, which are not negotiable as they are maintained by the credit card networks. Having this knowledge in hand is essential to help one feel more confident and ready to negotiate options that are suitable for the needs of the Chiropractic practice. 

Secondly, determine what pricing model works best for your practice. Pricing models are just as important as the actual rates. Interchange-plus pricing is usually the most transparent and may work well for chiropractic practices that process a high number of card payments.

Tiered pricing groups transactions into categories, which sometimes can result in unexpected costs if you are not closely monitoring. Flat-rate pricing keeps things simple and might be a good option for smaller practices or clinics with overall lower monthly transaction volumes. Your patient payment patterns will help you determine the most cost-effective model.

Thirdly, once you have a good understanding of pricing models, take the time to compare different processors and build a short list to consider. Look for providers offering transparent pricing, competitive fees, and flexible contracts. When discussing with a sales representative, be sure to present how your chiropractic practice works and ask what specific fees can be negotiated or discounted. Based on the size of your typical transaction and monthly volume, you may have better rates available. Also, be sure to ask about typical fees, including: 

  • Payment gateway fees
  • PCI compliance fees
  • Chargeback fees
  • Monthly minimum
  • Early termination penalties

Next, before you finalize anything, ask the processor for a sample account statement. The statement should have every fee that could possibly be charged. Study it to ensure there won’t be any fees hidden in fine print or confusing charges. If you find any additional fees other than what you were quoted, ask for those rates. Also, be wary of deals that sound too good to be true-for instance, ‘free’ equipment, which almost always means higher fees or strict, often unfavorable contract terms.

By taking these steps, your chiropractic practice will be able to negotiate fair pricing, avoid high costs, and select a payment processor that will facilitate long-term growth.

The Benefits of Offering Flexible Payment Options in Chiropractic Care Enhance

Payment processing fees

Flexible payment choices for chiropractic care can have a significant positive effect on patient satisfaction and success for chiropractic clinics. With a variety of payment options, patients feel less concerned about their money, ensuring that they remain loyal to their programs. Payment options, insurances, and subscription plans enable patients to pay for chiropractic care in more manageable amounts, making it more easily accessible to many people. This ensures patient satisfaction, ensuring their return for more chiropractic care sessions. 

Moreover, flexible payment plans make it possible for more patients to visit a chiropractor. For example, patients might not be able to afford payment for all the services at once, but with installment payment plans or insurance coverage for payments, it becomes simpler for them to get the required attention.

Such payment options, like installment plans or upfront payment discounts, are also great ways of increasing a clinic’s revenue. By using transparent and low-cost payment processing, clinics save money on the fees that can be reinvested into the business or into patients. Offering more accessible methods of payment may even attract new patients, bringing regular cash flow.

Offering flexible payment options can facilitate better access and retention for patients in chiropractic clinics. Without financial barriers, there is a greater likelihood that the patients would follow through with the treatments.

Effective Strategies for Streamlining Chiropractic Billing

Smoothing your chiropractic practice’s billing and collections will go a long way in improving cash flow and decreasing the level of stress for both your team and patients.

Firstly, start with accurate coding and clearly spelled-out documentation, taking care that the appropriate ICD and CPT codes are provided, modifiers are used appropriately, and the patient record clearly supports the care provided. Staying updated on the changes in coding and consistent use of templates in documentation serves to prevent errors in claims denials. 

Secondly, clearly communicating all financial matters to the patients is equally important. Discussing billing policies, insurance coverage, and estimated out-of-pocket expenses upfront can help to build trust and prevent misunderstanding later on. Proactive claim denials include reviewing common causes of denials, appealing in a timely manner, and regular follow-ups to help the organization avoid lost revenue. 

Next good collection practices that can seriously improve payment timelines will involve collecting copays at the time of the visit, sending clear itemized bills, and allowing flexible payment and digital options.

Thirdly, regulatory compliance is always the top priority with regular audits and ongoing education to stay aligned with healthcare rules. Training of staff on a periodic basis ensures everyone is on the same page regarding billing procedures, insurance guidelines, and communicating effectively with patients. The use of billing software or outsourcing to qualified professionals can further enhance both accuracy and efficiency. 

Lastly, keeping track of key metrics, such as denial rates and days in accounts receivable, allows the opportunity to identify early warning signs and make necessary adjustments to maintain a healthy and predictable chiropractic revenue cycle.

Conclusion

To reduce credit card fees for your chiropractic business, you need to ensure smart decision-making and take proactive steps. By choosing a good credit card processor and reviewing pricing strategies periodically, chiropractic practices can reduce credit card fees and consequently improve their financial performance. By adopting these measures and taking them into action, chiropractic practices can save dollars and improve patient satisfaction.

FAQs

What are credit card processing fees?

Fees associated with credit card processing include interchange fees charged for handling card payments, assessment fees, gateway fees, and transaction fees.

How much can I save on processing fees?

To save on fees, a practice can successfully negotiate with processors, select the right pricing model, employ an efficient payment system, or even encourage debit card payments.

What’s the best pricing model for my practice?

Interchange-plus pricing is often best for high-volume businesses, whereas flat-rate pricing works for smaller practices with lower transaction volumes.

Why do some credit cards charge more than others?

Premium or rewards cards have higher fees because of added benefits for cardholders, such as cashback and travel rewards.

Can I pass on processing fees to the patient?

Most states permit passing fees; however, always check your local regulations. Practices can charge a small fee for card payments, which is mostly suitable for larger transactions.