Requests
RequestMerchant

Healthcare client with $13M a year seeks a cheaper processing API and ACH

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Terms

Average ticket

$1,830

Payment methods

ACHBank cardsRecurring payments

Details

Requirements

  • Simple API: auth, capture, void, refund
  • Visa, Mastercard, Amex, Discover and ACH
  • Keyed/MOTO entry and recurring charges

What we offer

  • Now 2.50% + $1,200/mo — seeks a lower rate
  • About 590 transactions a month
  • 1–2 small chargebacks per quarter

A fractional CTO is sourcing a healthcare payment processing API for a client that wants to pay less than it does on Stax today. The brief is a bare-bones processing API without extra layers, plus ACH.

Volume and current pricing Based on the client's June statement: - about $13M in annual card volume, roughly $1.09M a month; - around 590 transactions a month with a $1,830 average ticket; - 1–2 small chargebacks per quarter.

The current all-in rate is 2.50%: 2.20% interchange plus a 12 bps markup, on top of a $1,200 monthly membership and about $140 a month in extras. Earlier estimates of $20M a year and a $7,000 ticket are out of date; the June figures are the ones to quote against. No patient data is collected.

Methods required - card-not-present payments: keyed entry and MOTO; - recurring card charges; - Visa, Mastercard, Amex and Discover; - ACH; - an API covering authorisation, capture, void and refund.

Geography The practice runs on US rails and US pricing; its exact location is not disclosed. Providers with transparent interchange-plus pricing and no flat membership fee should show the savings on this volume.

The request was published in June 2026.

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