Moxie's launch-phase model makes sense when you're starting out. But the 9% gross revenue override compounds in ways that aren't always obvious when you're signing up. Here's the math.
Three fee layers stack on top of each other — the override, the subscription, and payment processing.
| Fee Layer | $500K/yr | $750K/yr | $1M/yr |
|---|---|---|---|
| 9% Revenue Share | ~$45,000 | ~$67,500 | ~$90,000 |
| Subscription ($500–$1,500/mo) | ~$6,000–18,000 | ~$6,000–18,000 | ~$6,000–18,000 |
| Payment Processing (1–3%) | ~$5,000–15,000 | ~$7,500–22,500 | ~$10,000–30,000 |
| Total Annual Cost | $56,000–78,000 | $81,000–108,000 | $106,000–138,000 |
Rev-share rate sourced from public Moxie pricing (9% gross). Subscription range: $500–$1,500/mo per public Moxie pricing. Payment processing: 1–3% per transaction, typical range.
Aesthetic EMR flat fee: $399/location/month — or $3,999/year
That's $4,788/year month-to-month, or $3,999 prepaid annually (about two months free) at one location. The full platform is included — EMR, scheduling, payments, charting. No revenue share. Usage-based vendor costs (telephony, SMS, e-Rx) are passed through at cost, not marked up.
Each fee layer serves a different purpose. Understanding what you're paying for helps you decide whether the model makes sense for your stage.
Funds Moxie's accelerator community, launch tools, and supply-chain partnerships. Designed for practices that need hands-on support to launch — but the rate doesn't decrease as your revenue grows.
Separate from the revenue share — this is the base fee for EMR software access. Ranges from $500–$1,500/month per public Moxie pricing, billed on top of the override.
A third fee layer on every transaction. At $1M in revenue, this adds $10,000–30,000/year on top of the override and subscription.
The honest take:Moxie's model is designed for practices that benefit from their accelerator — the rev-share funds their operational support, community, and supply partnerships. The math only makes sense at lower revenue or when the accelerator's value outweighs the override. At $500K+ in annual revenue, you're likely funding other people's launch support.
The sticker cost is only part of the picture. Contracts change the calculus once you've committed.
Multi-year contracts
Moxie requires multi-year commitments. If your practice grows faster than expected, you're locked into the same rate.
Termination fees
Switching mid-contract means paying exit fees — on top of the transition costs of migrating to a new platform.
Data migration friction
Exporting patient records and chart data can involve delays and additional fees, making the real cost of switching higher than the termination fee alone.
When pricing doesn't scale with your revenue, growth is a win — not a cost increase.
Plug in your revenue and see your exact cost comparison — no sales call required.
Month-to-month. Free data export. No termination fees.