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What Payment Processing Costs Dental Practices

Starting from a $450 average transaction and the card mix typical for dental practices.

Dental payments are mid-sized, high-volume and overwhelmingly domestic, so the percentage rate dominates and international surcharges are irrelevant.

$150,000
$450
%

Paydude surcharges Amex at +0.3%

%

Excluding Amex, counted above

%

Stripe surcharges these; Paydude does not

Take these shares from a real statement rather than estimating. Card mix moves the answer more than the headline rate does, which is the entire reason this calculator asks for it.

You would save$5,242a year versus Stripe, on this card mix
Stripe
$4,4953.00%
Paydude (Growing)
$4,0582.71%
Difference per month
$437
Surcharged share
37%Amex + premium

Paydude is cheaper here at any card mix — even if every single transaction were on a surcharged card, the base rate difference would still cover it.

Annual saving at other Amex + premium shares

0% surcharged$7,240
10% surcharged$6,700
25% surcharged$5,890
50% surcharged$4,540
75% surcharged$3,190

Excludes chargeback and dispute fees, where Paydude charges $12 against a $15–$25 norm. Those depend on your dispute rate rather than your volume, so they are left out of the comparison above.

What a patient payment really costs

Payment plans and financing are common, and splitting a treatment into instalments multiplies the fixed fee without changing the percentage much.

FeeEffective rate
Stripe 2.9% + 30¢$13.352.97%
Paydude 2.55% + 20¢$11.682.59%
One $450 transaction, on published domestic rates

Payment plans change the maths

Splitting a $2,000 treatment into five $400 payments costs five fixed fees rather than one, and five times the chance of a failed payment. At this ticket size the fixed-fee cost is minor; the failed-payment risk is not.

What to check on your own statement

  1. Your real average transaction. Total volume divided by transaction count.
  2. Your Amex and corporate card share. In this industry it is usually higher than people expect, and it moves the answer.
  3. Whether you are being charged for keyed entry. Manually entered card details cost more at most providers.
  4. Monthly, gateway and PCI fees, divided by your volume.

For what failed instalments cost across a patient base, see the failed payment calculator.

GOOD QUESTIONS

Frequently asked

What does payment processing cost for dental practices?+

At a typical $450 transaction, a standard 2.9% + 30¢ rate works out at 2.97%. At that ticket the fixed fee is almost irrelevant — the percentage and your card mix decide the bill. Corporate and Amex cards, which are common in this industry, cost more to accept everywhere.

What is the best payment processor for dental practices?+

At this volume and ticket size, compare on percentage and on how payment plans are supported. Card-present terminals matter if you take payment at the desk — that is a capability some API-first providers, including Paydude, do not offer.

Why do business and corporate cards cost more?+

Because their interchange is higher — the rewards and expense-management features those cards offer are funded from the fee the merchant pays. Some providers surcharge them explicitly; others fold the cost into a higher base rate that every merchant pays regardless of card mix.

Is it cheaper to take ACH or bank transfer instead?+

Frequently, at this ticket size. ACH is typically a flat fee of under a dollar rather than a percentage, so on a $450 payment it can cost a fraction of card processing. The trade is settlement speed and a longer dispute window.