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What a seat costs against hiring locally

A Soft Home Global seat runs $1,500 to $2,500 per month depending on the role. The same role hired in the United States costs base salary plus roughly 9% employer payroll tax, about $8,400 in health cover and a few thousand for a desk and software. This works out the difference on your own numbers, and nothing is stored against you.

Your numbers

Which role

How many seats — 1

Most practices start with one and add when the first is earning its keep.

What a local hire would earn — base salary, before loading

Pre-filled with a public market midpoint for this role. Change it to your city.

On top of salary we add 9% employer payroll tax, $8,400 single-coverage health, and $3,600 for a desk, equipment and software seats. Those are the costs a salary figure hides.

Difference, per year

$48,358

70% less than hiring one person locally, at the salary you entered.

Annual cost comparison
Per year	Hiring locally	Soft Home Global
Base salary	$52,000	—
Employer payroll tax	$4,758	—
Health cover	$8,400	—
Desk, equipment, software	$3,600	—
Seat fee	—	$20,400
Total	$68,758	$20,400

What this does not model

Recruitment cost and the weeks a seat sits empty while you hire. Turnover, which in US billing roles runs high. The management time a local hire needs and an outsourced seat also needs. And it assumes the two people are equally productive, which depends far more on training and worklist quality than on where somebody sits.

Salary figures are public market midpoints, not quotes. Use your own number.

Talk through your actual numbers

About these numbers

Where do the salary figures come from?

They are public market midpoints for the equivalent United States role, pre-filled so the calculator opens with something sensible. They are not quotes and they are not what we think you should pay. Change the number to your city and your offer.

Why add payroll tax and benefits to the salary?

Because a salary of $55,000 is not a cost of $55,000. Employer FICA plus unemployment insurance runs around 9%, single-coverage health cover averages roughly $8,400 a year on the employer side, and a desk with equipment and software seats is a few thousand more. A comparison that ignores those is not a comparison.

Does the seat price include everything?

The seat fee is the whole invoice. No setup fee, no recruitment cost, no equipment, no benefits, no payroll tax, and no percentage of what you collect. Software licences inside your own system and clearinghouse fees stay yours, because they always were.

What does the calculator deliberately not model?

Recruitment cost and the weeks a seat sits empty while you hire. Turnover, which in US billing roles runs high. The management time both options need. And it assumes equal productivity, which depends far more on training and worklist quality than on geography.

The full price list → · In-house against a percentage vendor against a seat →

Sources

O*NET OnLine — 29-2072 Medical Records Specialists (BLS wage data) — the national median wage the calculator starts from
BLS — Employer Costs for Employee Compensation — the share of employer cost that is wages, used to load salary into total cost

Sources checked 2025.

The tool answers one question. A seat answers the queue.

Where this leads

Next step

Bring your real numbers to the call

Twenty minutes. You describe what is not getting worked and we tell you whether a seat fixes it, including when the answer is no.

Book a 20 minute call See the prices

Or write to ops@softhomeglobal.com