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How Much Does a Virtual Medical Assistant Cost?

Updated August 12, 20269 min read

A virtual medical assistant costs a flat $14 per hour from Staffing For Doctors, which comes to roughly $2,427 per month for a full-time, 40 hour per week placement. That figure is all-in: HIPAA training, the Business Associate Agreement, EHR onboarding, and the 48-hour replacement guarantee are included, with no setup fee. By comparison, a fully loaded in-office medical assistant runs $4,200 to $6,200 per month in most US markets. This page breaks the numbers down: hourly, monthly, by role, and by total cost of ownership.

The short answer: $14 per hour, about $2,427 per month

At Staffing For Doctors, every virtual medical assistant role costs a flat $14 per hour: receptionist, scribe, biller, prior authorization coordinator, intake coordinator, all of them. A full-time placement at 40 hours per week comes to roughly $2,427 per month. A half-time placement at 20 hours per week comes to roughly $1,213 per month.

The rate is all-in. It includes HIPAA training, the signed Business Associate Agreement, EHR onboarding, US-aligned working hours, and the 48-hour replacement guarantee. There is no setup fee, no recruiting fee, no payroll tax, no benefits load, no PTO accrual, and no equipment or workspace cost.

Virtual medical assistant hourly rates in 2026

The wider market prices virtual medical assistants in bands that depend on the provider model. Freelance marketplaces look cheap per hour but push HIPAA compliance, vetting, training, and turnover risk onto your practice. US-based virtual assistant agencies price close to in-office wages. Dedicated healthcare staffing providers sit in between, with compliance and EHR training included.

Staffing For Doctors charges $14 per hour flat for every role, and the sections below show what that translates to against the fully loaded cost of the in-office equivalent.

Monthly cost: the full math

Full time (40 hours per week): $14 per hour x 40 hours x 52 weeks / 12 months = roughly $2,427 per month.

Half time (20 hours per week): roughly $1,213 per month. Practices that only need phone coverage during peak hours or a few hours of daily billing follow-up often start here and scale up.

Annualized, a full-time virtual medical assistant costs about $29,120 per year. A fully loaded in-office medical assistant at $4,200 to $6,200 per month costs $50,400 to $74,400 per year for the same coverage.

In-office vs virtual: total cost of ownership

The base wage is only about half of what an in-office hire actually costs. Payroll tax adds 7 to 12 percent, benefits add 18 to 28 percent, paid time off adds 8 to 12 percent, workspace and equipment add 5 to 10 percent, and amortized recruiting and turnover add another 5 to 10 percent. Multiply the base wage by roughly 1.55 to 1.85 to get the true cost.

A virtual medical assistant has none of those loads. The $14 per hour you see is the total cost of ownership: no hidden employer burden, no vacancy gap while you recruit, and a 48-hour replacement if the fit is wrong.

Side-by-side on one full-time seat

In-office medical assistant: $19 to $28 per hour base wage, $4,200 to $6,200 per month fully loaded, 4 to 8 weeks to hire, and you carry turnover risk (front-desk turnover runs about 40 percent per year).

Virtual medical assistant: $14 per hour flat, roughly $2,427 per month, live in 48 hours, replacement guaranteed within 48 hours at no charge.

The difference on one seat is $20,000 to $40,000 per year depending on your metro.

Cost by role: same flat rate, different ROI

Because the rate is flat, the cost question by role becomes an ROI question. The monthly cost is the same $2,427; what changes is what the role earns back.

Virtual medical receptionist

Replaces a $4,200 to $5,100 per month in-office front desk seat. ROI comes from answered calls: practices that stop missing 10 to 15 percent of inbound calls typically book dozens of additional appointments per month.

Virtual medical scribe

Same $14 per hour. ROI comes from provider time: one to two hours of documentation per day moved off the provider translates directly into added visit capacity or earlier nights home.

Virtual medical biller and AR specialist

Replaces a $5,000 to $6,200 per month in-office billing seat. ROI comes from faster claims, worked denials, and recovered AR that most short-staffed practices simply write off.

Prior authorization coordinator

Replaces a $4,800 to $5,800 per month in-office seat. ROI comes from faster authorization turnaround, fewer rescheduled procedures, and clinical staff returned to clinical work.

Hidden fees that inflate the real cost

Some providers quote a low headline rate and add fees back in: setup or onboarding fees, recruiting fees, EHR training fees, BAA legal fees, replacement fees, off-hours premiums, equipment rental, and monthly platform fees. A messy contract can add 15 to 30 percent on top of the quoted hourly rate.

Before signing with any provider, ask in writing whether each of those items is included or extra. At Staffing For Doctors, all of them are included in the flat $14 per hour.

When a virtual medical assistant is not the cheaper option

Two honest caveats. If your in-office staff are under-utilized and you do not actually need 40 more hours of work per week, adding a virtual assistant adds cost without saving anything; fix utilization first or start with a part-time placement. And if the role requires physical hands in the room, taking vitals, drawing labs, or handling specimens, it cannot be virtualized; keep those in-office and put the virtual assistant on the workflows around them.

About the author
Danny Nabavi
Founder, Staffing For Doctors

Danny Nabavi is the founder of Staffing For Doctors. He works directly with US medical practices on virtual staffing, EHR access, HIPAA, and revenue cycle workflows, and writes the guides on this site.

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Frequently asked questions

Staffing For Doctors charges a flat $14 per hour for every virtual medical assistant role: receptionist, scribe, biller, prior authorization coordinator, and intake coordinator. The rate includes HIPAA training, the Business Associate Agreement, EHR onboarding, and the 48-hour replacement guarantee, with no setup fee.

A full-time virtual medical assistant at 40 hours per week costs roughly $2,427 per month at $14 per hour. A half-time placement at 20 hours per week costs roughly $1,213 per month. Both figures are all-in, with no payroll tax, benefits load, or workspace cost on top.

A fully loaded in-office medical assistant runs $4,200 to $6,200 per month in most US markets once payroll tax, benefits, paid time off, equipment, and workspace are counted. A virtual medical assistant at a flat $14 per hour runs roughly $2,427 per month, a saving of $20,000 to $40,000 per year on a single full-time seat.

Not at Staffing For Doctors. The $14 per hour rate includes onboarding, HIPAA training, the BAA, and replacement guarantees. Elsewhere, watch for setup fees, recruiting fees, EHR training fees, off-hours premiums, and monthly platform fees, which can add 15 to 30 percent to a quoted rate.

Yes. Part-time placements are available at the same flat $14 per hour. A 20 hour per week placement costs roughly $1,213 per month, which is a common starting point for practices that need peak-hour phone coverage or daily billing follow-up.

About $29,120 per year for a full-time, 40 hour per week placement at $14 per hour. The in-office equivalent costs $50,400 to $74,400 per year fully loaded, so one virtualized seat saves $20,000 to $40,000 per year depending on your metro.

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