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Processor Switch Break-Even Planner for Dental Practices

Before your dental practice signs a new processing agreement, find out what the termination fee, the leased front-desk terminals, and your practice management integration will cost to unwind, and how many months of savings it takes to cover them.

Your numbers

Your current processing

Used to show a typical industry effective rate for comparison and, if you skip the savings field, to estimate savings.
Total card sales in a typical month. Your statement usually shows this as gross sales or total volume.
Total fees from your latest statement: processing, monthly, PCI, statement, and gateway fees. Do not include equipment lease payments here.
Used to fill in your cancellation letter template.

What it costs to leave

Look for 'termination', 'cancellation', or 'liquidated damages' in your merchant agreement. Enter 0 if you are month-to-month or don't know yet.
If you know when your contract term ends, we compare paying the fee now versus waiting it out. Leave blank if month-to-month or unknown.
Often billed by a separate leasing company. Enter 0 if you own your equipment or don't lease.
Check your lease agreement or call the leasing company. Enter 0 if no lease.
Any new hardware, setup, or integration work you expect to pay for. Leave at 0 if unknown.

What you expect to save

Type your own figure or paste the monthly savings result from the TouchSuite Fee Savings Calculator. If you leave this blank, enter your average ticket below and we will use an assumption-based estimate.
Monthly volume divided by number of transactions. Used only to estimate savings when you don't enter your own figure.

What you use today

Hardware and software
Check every type of hardware or software you use today.
Subscriptions, memberships, payment plans, or card-on-file customers. These need extra planning when you switch.

Your break-even

Fill in the form to see your exit cost, months to break even, and your first five steps.

How dental practices get paid, and why it changes the math

Most dental card revenue is the patient portion: copays at checkout, balances after an insurance EOB comes back, and larger treatment payments for crowns, implants, or orthodontics. Many of those are swiped, tapped, or inserted at the front desk, often on HSA and FSA cards. A meaningful share can also be card-not-present: balances paid over the phone after a statement goes out, online bill-pay portal payments, and cards on file charged for ortho or in-house membership plans. Your own mix decides your cost, so pull a recent statement before using the planner.

Card-not-present and keyed payments usually cost more to process than chip or tap. If your team keys in a lot of phone payments or insurer-issued virtual cards, your current effective rate may sit above the healthcare average assumption the planner shows, and that gap is where savings tend to come from.

Dental volume is not flat. Many practices see a push near year end as patients use remaining insurance benefits and FSA balances, then a slower stretch after deductibles reset in January. The planner assumes the same savings every month, so enter a typical month rather than your busiest one.

Worked example: a hypothetical general dental practice

These numbers are hypothetical and chosen only to show how the planner works. A practice runs $60,000 a month in card volume and pays $1,740 a month in total processing costs, a 2.90% effective rate, which the planner shows next to the 2.65% healthcare industry assumption. It has a $495 early termination fee, two leased countertop terminals at $69 a month with 30 months left, and expects $150 in one-time IT time to reconnect card payments to its practice management software. A written quote suggests $400 a month in savings, entered as user-provided savings.

Upfront switching cost: $495 + (30 x $69) + $150 = $2,715. Break-even: $2,715 / $400 = 6.8, rounded up to 7 months, which the planner labels 'Likely pays off within a year.' 12-month net: $4,800 - $2,715 = a $2,085 gain. 24-month net: a $6,885 gain.

If the terminal lease turns out to be a separate contract the practice owes whether or not it switches, the lease drops out of the switching cost: $495 + $150 = $645, break-even in 2 months. With 8 months left on the processing contract, waiting would forgo 8 x $400 = $3,200 in savings versus a $495 fee, so switching now comes out ahead by $2,705 in this scenario.

Estimates are based on published industry averages and are not a quote. Actual rates depend on card mix, ticket size, industry, and underwriting.

Costs dental practices often miss when switching

Equipment leases. Front-desk terminal leases are frequently long and separate from the processing agreement. The planner counts every remaining payment as a switching cost by default, which is conservative. Read the lease to see whether it is cancelable, has a buyout figure, or continues regardless.

Fees buried in the statement. Look for PCI non-compliance fees, annual or statement fees, monthly minimums, batch fees, and, on tiered pricing, 'non-qualified' surcharges on keyed or card-not-present payments. These belong in your current monthly cost so the comparison is fair.

Integration and saved cards. If card payments post automatically into your practice management software, confirm a new processor is supported before you count savings. Cards on file for ortho payment plans or membership plans need a token migration plan; otherwise patients may have to re-enter cards, and your front desk inherits the follow-up calls.

What a good result looks like for a dental practice

A strong result is a break-even inside 12 months using a savings number you can defend, ideally from a written quote or a statement review rather than a guess. If the planner shows 13 to 24 months, ask for a lease buyout or a lower termination fee before deciding. If a sanity flag appears, such as savings above half your current cost, verify the inputs first.

The free result shows break-even, 12- and 24-month net, and your effective rate. Enter your contact details to unlock the full breakdown: the lease-owed-either-way view, switch-now-versus-wait comparison, a 24-month cost chart, and a switching checklist tailored to your terminals, gateway, and recurring billing. To review your statement with a person, talk to a payments specialist.

Frequently asked questions

Our card payments are built into our practice management software. Can we still switch processors?

Sometimes, but it depends on which processors your software supports. Check with your software vendor before you rely on any savings figure, and enter any reconfiguration or IT cost as the one-time switch cost so the break-even reflects it.

We have patients on monthly ortho or membership plans with cards on file. What happens to those cards if we switch?

Stored cards are usually held as tokens by your current processor or gateway. Ask whether they can be migrated to the new provider and what that requires. Check the recurring billing box in the planner and the gated checklist adds a token migration section, so you can plan it before patients' next scheduled charge.

Should we switch before the year-end insurance rush or wait until things slow down?

The planner does not model timing, but the operational answer is to avoid going live on new terminals during your busiest weeks. If the switch-now view says switching comes out ahead, consider signing on a schedule that puts the cutover in a quieter month and leaves time to train the front desk.

Our front-desk terminals are leased. Do we keep paying if we change processors?

Many equipment leases are separate, non-cancelable contracts that continue regardless of who processes your cards. Read yours or ask the leasing company for a written buyout amount. The planner counts the full remaining lease by default, and the gated view shows the result if the lease is owed either way.

Some insurers pay us with virtual cards we key in. Does that affect the numbers?

It can. Keyed card-not-present transactions often cost more than chip or tap, and they raise your effective rate. Include that volume and its cost in your monthly figures. Estimates are based on published industry averages and are not a quote. Actual rates depend on card mix, ticket size, industry, and underwriting.

Put this calculator on your website

Accountants, bookkeepers, POS resellers, and merchant associations can embed this free break-even planner with one line of code, so clients can check what leaving their processor really costs before they sign anything new. It stays up to date automatically.