The rules to check
- Card-network surcharge rules, including caps and registration requirements
- Your state's surcharge laws — some restrict or prohibit it
- Debit and prepaid cards, which generally can't be surcharged
- Disclosure at the entrance, point of sale and on the receipt
- Payer contracts that may limit fees charged to patients
Run the real math
Compare the fees you'd recover against patients who switch payment methods, front-desk time explaining the fee and any patient loss. Know your effective rate first — reducing it may achieve the goal without a surcharge.
Alternatives
Interchange-plus pricing, more card-present transactions, ACH for large balances and cash-discount programs (with their own rules) are all options to evaluate.
Run the numbers
Total card sales on your statement.
Add every fee line: discount, interchange, assessments, monthly, PCI, gateway.
Your effective rate
3.25%
Fees per year
$23,400
Avg. fee / sale
$4.88
Avg. ticket
$150.00
Effective rate is a diagnostic, not a savings quote. Card mix, card-present vs. keyed, and network rules change what any provider can offer.
Questions to ask your processor
- • Is my pricing interchange-plus, tiered or flat-rate?
- • What is your markup above interchange, in % and per item?
- • Which monthly, PCI, statement or gateway fees apply?
- • Is there an early-termination fee or equipment lease?
Estimates only. Results vary. No guarantee of approval, rates or savings.
Talk with a payments specialistCommon questions
Is surcharging legal?
It depends on your state and the card networks' rules. Get qualified advice for your state before turning it on.
Can we surcharge debit cards?
Generally no, even when run as credit. Check current network rules.