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Tiered or Flat-Rate Medical Record Review: Which Fits Your Cases Best?

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January 21, 2026

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Tiered or Flat-Rate Medical Record Review: Which Fits Your Cases Best?
Whether you choose flat-rate or tiered pricing, the key is finding a model that aligns with your case volume and budget to maximize value.

When you think about outsourcing medical record reviews, the first thing that comes to your mind is pricing. Do you go for a flat-rate pricing that remains the same for any case volume, or a tiered pricing model that changes based on the page count, complexity, and turnaround time? Both models have their advantages and drawbacks, and picking the right one could mean saving thousands of dollars over time.  

With years of experience in medical record review, we help you choose what works best for your practice- tiered or flat-rate medical record review. First, let’s try to understand how these two models work.

Flat-rate pricing

You pay a fixed fee per case, regardless of how many pages the records have or how complex they are. This predictability makes this model more agreeable.  

Advantages:

You know exactly how much you’ll be charged for each case, whether the case involves 100 pages or 1,000 pages. Especially if your firm is handling multiple complex cases a month, this can help you plan your budget upfront. Flat-rate pricing also relieves you of the stress over hidden costs as there won’t be any surprising invoices.  

For firms handling large-scale cases, flat-rate services often feel like a haven. If you routinely deal with large, complex cases, a single foreseeable price can help you reduce overall expenses compared to per-page billing in medical record review.

Limitations:

The main limitation in flat-rate models is that sometimes you have to overpay for smaller cases. For example, if you have a straightforward case with only 100 or 150 pages for review, you may end up paying the same amount as the one with a bulky 1,000-page medical document. Flat-rate models are not the cost-efficient option for all.

Another drawback in this model is that you may not get customization options. Even if you get customization, it will be limited and come with additional charges.

20–30% Savings
Flat-rate pricing can help control costs, especially for large, complex cases, compared to tiered or per-page models.

Tiered pricing

The cost depends on the volume of records or the service level you choose. Depending on the number of pages processed or the plan levels, such as basic, standard, or premium, the costs may differ. This ensures that your payment is proportional to the workload.

Advantages:

For firms with a mix of small and large cases, tiered pricing can be more beneficial as it is flexible. You need not pay extra for unused capacity as you might with flat-fee models. As the volume goes up, per-page costs will be reduced. Moreover, it’s easier to scale costs according to case volume and complexity. For example, smaller cases will get smaller bills.

Complex personal injury or mass tort cases involving extensive, disorganized records that require significant time and expertise to review can benefit from tiered pricing. You can opt for a higher-value tier with more features if you look for better benefits.

Another major benefit is the option for customization. Many tiered pricing models depend on turnaround speed, depth of analysis, or the inclusion of add-on services like chronologies, narrative summaries, or add-on options or special reports. This flexibility allows you to make the review align with the case-specific needs.

Limitations:

Less predictability is the major disadvantage of this method. If you underestimate the size of a case volume or request add-on services, the final invoice may give a great shock. If you expect fixed pricing, this unpredictability can be frustrating. If most of your cases are of high volume, your expenses will quickly outpace what you’d pay on a flat rate plan.

Want to estimate your medical record review pricing?

Flat rate or tiered- Which saves you more?

The decision depends on your case types and volume.  

If you consistently handle large, complex cases, a flat rate can save you more in the long run by controlling costs.

If your caseload varies often, or you handle many smaller cases, tiered pricing often suits you better.  

There’s no one-size-fits-all in medical record review pricing. The best approach is to analyze your firm’s case history and identify a pricing model that maximizes value. Whether flat-rate or tiered, the goal is the same- transparent, efficient medical record review that helps you save time, reduce costs, and strengthen case outcomes.  

Is there a better medical record review pricing model?

Yes, there is. At LezDo TechMed, we offer a dual pricing model for our medical record review services. We provide customized case-wise and monthly plans for you. Our pricing is designed to adapt to your workload, case volume, and budget. You can choose the best plan that fits your practice or firm.  

  • Case-wise model: This model is suitable if your case volume is unpredictable or if you handle irregular project inflow. Under this model, you pay a fixed cost per page for the first 100 pages and then add tiered pricing depending on the additional pages for the case you upload. However, the per-page cost gets lower as the volume goes up in each tier. That means if you have a higher volume, you can save more.
  • Monthly pricing model: If your firm needs a steady flow of medical record reviews every month, this model might suit you better. Under our monthly plan, you choose a monthly volume, and we give you favorable base pricing as a “subscription.” When you stay within that volume, your effective cost per case drops. If you go beyond, we apply the same tiered discount, so that your additional work doesn’t burden you.  

By combining these two options, we ensure you flexibility in your budget. You don’t have to be stuck in one pricing structure forever. Depending on your monthly record volume, we automatically place you in a suitable tier. Visit our medical record review pricing page to find out which model suits you better.  

We know that no two cases are identical. So, we offer customization, too. You can benefit from customization and add-on benefits at a reasonable cost.

You can use our cost estimator to come up with an estimated budget for your case. Input your page volume, complexity, turnaround, and add-ons you need, and get a reliable estimate, even before you submit your cases.

Explore our pricing calculator today to see exactly how much you can save on your next case.

“Tiered pricing provides flexibility; flat-rate pricing gives predictability. The right choice depends on your firm's caseload and budget.”

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If you are from a big law firm who needs to process large volumes, you can enjoy more per-page reductions under each tier. Even if your workload is smaller, you will still benefit from our case-wise model paying only for your workload. Making use of our services ensures that you get quality services at affordable pricing.

Choosing the Right Pricing Model

30%

Flat-Rate Savings

Fixed pricing ensures predictable costs

25%

Tiered Flexibility

Pay per volume and control your spend

40%

Case-Wise Efficiency

Higher volumes lower per-page expenses

Frequently Asked Questions

What is flat-rate pricing in medical record review?

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Flat-rate pricing means you pay a fixed fee per case, regardless of page count, record complexity, or document volume. It offers cost predictability and simplifies budgeting.

When does flat-rate pricing work best?

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Flat-rate pricing is ideal for firms handling consistently large, complex cases such as mass torts or high-volume personal injury claims where per-page billing would be expensive.

What are the drawbacks of flat-rate pricing?

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Flat-rate pricing may lead to overpayment for smaller or straightforward cases with fewer pages. It may also limit customization unless add-ons are purchased separately.

What is tiered pricing in medical record review services?

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Tiered pricing adjusts costs based on factors like page volume, turnaround time, complexity, and service level. As volume increases, the per-page rate usually decreases.

Who benefits most from tiered pricing models?

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Tiered pricing is best for firms with fluctuating case volumes or a mix of small and large cases, as it allows you to pay proportionally for the actual workload.

What are the risks of tiered pricing?

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The biggest challenge is cost unpredictability. If page counts increase or add-on services are requested, the final invoice may be higher than expected.

Can tiered pricing support customized medical record reviews?

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Yes. Tiered pricing often allows customization such as expedited turnaround, deeper analysis, medical chronologies, narrative summaries, and special reports.

How do I choose between flat-rate and tiered pricing?

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Review your historical case data. If most cases are large and complex, flat-rate may save more. If case sizes vary, tiered pricing usually offers better value.

Is there a pricing model that combines both flat-rate and tiered benefits?

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Yes. Hybrid models—such as case-wise or monthly subscription plans—combine predictability with flexibility, adjusting pricing based on actual usage and volume.

How does LezDo TechMed’s pricing model stand out?

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LezDo TechMed offers both case-wise and monthly pricing models, with automatic tiered discounts, customization options, and a pricing estimator—ensuring transparency, flexibility, and cost control for every workload.

To bring it all together,  

When you consider medical record review pricing, flat rate gives you predictability and tiered pricing gives you flexibility. The important fact is that you have to choose a model that aligns with your case volume and budget.  

Understanding your needs, LezDo TechMed offers- case-wise and monthly pricing plans. Whether you deal with bulkier cases every month or a mix of smaller and larger cases, our pricing adapts to your needs. With customization, add-on options, and a handy cost estimator, you’ll always know where your invoices stand.  

Now, instead of worrying about which model suits you the best, you can get accurate, efficient, and affordable medical record reviews for your cases.

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Anjana

Anjana Devi Vijay is a Medical–Legal Research Analyst with seven years of experience translating complex medical and legal information into clear, practical insights. Skilled in research, analytics, and deposition summary review, she understands the documentation and workflow challenges faced in the medical–legal field. She creates concise, solution-focused content-including blogs, eBooks, and case studies- that helps attorneys, evaluators, and claims professionals improve decision-making and strengthen case outcomes.