Dual pricing for practices: who it fits, and who it doesn't.

We'd rather tell you up front than after you apply. If most of your patients pay through insurance co-pays, dual pricing is not a good fit for your practice. If you offer services patients pay for themselves, it might be.

Teeth whitening · Card$468.00
Cash$450.00

Two minutes to start. No obligation. George takes it from there.

Not a fit: practices built on insurance co-pays.

North's own guidance says its Edge program is not a good fit for medical and dental practices that run on insurance co-pays, and we agree. A co-pay is set by the patient's plan, not by your price list, and putting two prices on it doesn't work the way it does at a store counter.

If that describes your office, we're not the right call for dual pricing, and George will say so on the first conversation instead of taking your application.

Bright, modern dental and medical office reception

A possible fit: services patients pay for themselves.

Some practices, or parts of practices, are priced like any other service: cosmetic dentistry and whitening, elective procedures, med spas, and chiropractic or vision practices with self-pay patients. There, a posted cash price and card price can work. With Edge, the card price is about 4% higher than cash and applies to credit and debit alike. A $450 whitening is $468.00 on a card; a $95 self-pay chiropractic visit is $98.80.

Before you go further, check two things: your payer contracts, which may limit what you can charge patients, and any rules your state or licensing board sets for health care pricing. If either one is a problem, George will tell you it isn't a fit.

For a front desk that does qualify, a Smart Flex shows the patient both totals on its own screen, and the virtual terminal in Payments Hub takes payments by phone.

If it fits, here's the cost.

$9.95/month
Edge program fee, from month four of the account
$34.95
Smart Flex software monthly, plus one-time $49.95 setup
Self-pay
The only services we'd set up with two prices

One free Payanywhere Smart device per location for qualifying merchants through December 31, 2026. Requires a $5 monthly service fee and a $25 monthly minimum. Software subscription applies.

Posting prices for self-pay services.

Self-pay price lists, your website and the front desk show the card price for each service, with the cash price beside it, and North's two-price notice goes at reception. State posting rules are in our state guide.

Practice owners' questions.

We take insurance and also offer cosmetic work. Can we use it for just the cosmetic side?

Possibly, but it depends on your payer contracts and how your front desk separates the two. Talk it through with George; if mixing them creates a problem, he'll tell you.

Is a med spa a medical practice or a salon?

It depends on the services and who performs them. Many med spa menus are self-pay, which can fit. Our salon and spa page covers the salon side.

Do HSA and FSA cards get the cash price?

No. They're cards, so they get the card price, just like credit and debit.

Not sure which side of the line you're on?

Describe your practice and how patients pay. George will give you a straight answer on fit.

Two minutes to start. No obligation. George takes it from there.