What you’ll actually pay every month.
Beyond the headline tier price, here’s a clear picture of what your monthly bill looks like — what’s included, what’s an add-on, and what’s a transparent pass-through. No surprises, no nickel-and-diming.
The monthly fee. That’s the headline number.
Your tier subscription is your predictable monthly base. This is what every practice pays no matter what — the foundation. All four tiers below.
Everything that comes at no extra charge.
Your tier subscription includes the integrations, applications, automations, and support that come with that level. No per-feature charges. No “premium” tax.
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| Included with your subscription | What it covers | Cost |
|---|---|---|
| All tier applications & integrations Every app, automation, and integration in your tier — used as much as you want, within resource limits. | Per your tier | Included |
| Patient Portal Mobile App Cerbo’s official iOS & Android Patient Portal — built and maintained by FxMedSupport. Available Pro tier and above. | iOS + Android | Included |
| Standard support Live chat, ticket system, knowledge base, and email support during business hours. | All tiers | Included |
| Updates & improvements All bug fixes, security patches, and feature improvements deploy automatically. No version-upgrade fees, ever. | All tiers | Included |
| Cerbo integration maintenance When Cerbo updates their system, we update our integrations to match. You don’t lift a finger. | All tiers | Included |
Add-ons, overages, and pass-throughs.
Three things can increase your monthly bill beyond the tier price. All of them are transparent, and most are within your control.
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| Charge | When it applies | Type | Cost |
|---|---|---|---|
| Resource overage fees Crossing your tier’s email, patient count, or other resource thresholds. See the Resource Fees matrix for full details. | You exceed a tier limit | Tiered | Variable |
| Portal Phone — additional lines Beyond what your tier includes. Pro: $7/line. Elite & Enterprise: $5/line. Per-minute usage billed separately at $0.0250/min on internal Twilio. | Pro / Elite / Enterprise only | Add-on | $5–7/line |
| Twilio (internal account) Per-SMS and per-minute fees if you use FxMedSupport’s internal Twilio. Strongly recommend BYO Twilio to skip these. | Internal Twilio users only | Optional | $0.015–0.030/SMS |
| Mindbody integration Per-API-call charge. Elite: $0.0070/call. Enterprise: $0.0100/call. Disabled on Basic and Pro tiers. | Elite / Enterprise only | Pass-through | $0.007–0.010/call |
| Cross-tier Enterprise add-ons Occasional Enterprise-tier features added to Elite for practices that need a single capability without a full upgrade. Negotiated case-by-case. | By approval | Add-on | Custom |
| Custom development When you submit a Request for Development that requires custom-built work specifically for your practice’s needs (separate from our standard product roadmap). | By approval, scoped | Project | Quoted |
| Payment processor fees PayRoc, Authorize.Net, NMI, Fluid, Square, Clover, etc. — these go directly to the processor, not to FxMedSupport. We don’t take a cut. | If you use a payment processor | Pass-through | Per processor |
The anti-nickel-and-dime list.
Things you might expect to be billed for that we don’t charge for. Period.
For most practices on Pro or Elite, your monthly bill will be your tier subscription plus, occasionally, a small Twilio pass-through if you’re using our internal account. That’s it. No surprise charges. No hidden line items.
If usage starts approaching a resource threshold, we proactively notify you so you can either adjust usage or move up a tier — whichever serves your practice better. We win when you win.