Healthcare VA pricing in 2026 spans a wide range — and most of the variance is structural, not quality-based. Understanding the model matters more than chasing the lowest sticker price.
Three pricing models dominate the U.S. market. Hourly contractor ($8–$15/hr) is cheapest on paper but gets expensive once you factor in management overhead, no continuity, and zero compliance guarantees. Dedicated managed VA ($2,250–$3,800/mo) is the most common model — one full-time person assigned to you, all benefits and tooling included. Specialty / clinical VA ($3,500–$4,500/mo) covers scribes, prior-auth specialists, and RCM analysts where domain expertise is non-negotiable.
At MedHire360, the minimum is $2,250 per associate per month, all-in. That includes the person's full salary, benefits, hardware, HIPAA training, dedicated supervisor, BAA, and weekly performance reviews. Specialty roles (oncology navigators, transplant coordinators, RCM denial specialists) are quoted custom because the labor market for them is much thinner.
When you compare quotes, ask the vendor to spell out four things: (1) is this person dedicated to you or shared across clients, (2) who pays for the workstation and software licenses, (3) what happens if they leave, and (4) is the BAA signed before or after onboarding. The cheapest quotes almost always answer those four questions in a way that puts cost back on you later.
The real ROI math: a $2,250/mo VA replacing a $4,800/mo loaded in-house front desk role saves $30,600/year, every year, with no replacement risk. For a 3-provider practice that's enough to fund another hygienist or extend hours by a full day per week.
"The systems that worked for one location will fail at three. Centralize early."