Case study

How this merchant saved $13,000/year in fees.

After struggling to understand rising fees and effective rates, this clinic switched to Helcim for more transparent pricing and healthcare-ready payment tools.
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Results at a glance.

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$13,473

saved per year

3.8%→1.08%

effective rate reduction

HSA + FSA + HIPAA-ready tools

The problem.

They were paying more than expected — and couldn’t tell why.

The clinic processed roughly $58,736 in monthly card volume and paid more than $2,200 in monthly processing fees. Some transactions were billed at 3.49% + $0.30, with additional program and assessment fees layered in.


But the biggest issue wasn’t just cost. It was visibility.


Their statement showed what they paid each month, but not what was driving those costs — making it difficult to understand whether their pricing was competitive or where fees were coming from.

The problem

$58,736

Monthly card volume

$2,234

Monthly fees

3.80%

Effective rate

Why it wasn’t working

The clinic accepted a mix of insurance and patient payments, including in-person co-pays and post-visit billing. But over time, fees increased without clear explanations or reporting that made costs easy to understand.

Effective rates nearing 4%

Layered and difficult-to-understand fees

Limited visibility into what drove costs

No simple way to benchmark pricing

Reporting lacked clarity

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"We thought this was the norm. We couldn’t tell what we were actually paying for."

After switching to Helcim.

The clinic lowered processing costs while gaining clearer visibility into fees and effective rates.


They continued accepting the payment methods patients already used — without changing how the clinic operated day to day.

The problem
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$40,697

Monthly card volume

$423

Monthly fees

1.08%

Effective rate

They also gained

Visibility into effective rates and fees

Support for HSA, HRA, and FSA cards

HIPAA-conscious payment tools

Option to pass their fees to their customers with Fee Saver

Could this apply to your clinic?

It may be worth reviewing your statement if your clinic is:

Processing more than $50K per month

Seeing effective rates around 3.5–4%

Working with a processor that has contracts or restrictive terms

Unsure what’s driving your payment costs