MarginNomics
Services & Pricing

Engagements sized to how much you already know is wrong.

Every engagement runs through the same four-phase Growth Framework. What changes is scope: a fast diagnostic on one question, or a full dashboard build connected to your live data.

Assess → Analyze → Architect → Accelerate

Every tier below is a different amount of this same process — not a different methodology.

01 · ASSESS

Find where margin is leaking

Rapid diagnostic across cost, revenue cycle, labor, and risk-contract performance to identify the highest-leverage levers.

02 · ANALYZE

Benchmark and quantify

Your numbers against CMS benchmarks, contract targets, and peer performance, with a dollar figure attached to each finding.

03 · ARCHITECT

Build the dashboard & narrative

A live, interactive executive dashboard with plain-English "why it matters" and "what to do" commentary built in.

04 · ACCELERATE

Operationalize and refresh

Monthly refresh and a standing review cadence with Finance and clinical leadership so it stays a decision tool.

Start small, or go straight to a full build

For hospitals, health systems, and physician groups outside the ACO/VBC segment — see the specialized ladder below if you're managing shared-risk contracts.

Quick Start Diagnostic
$400–$600
flat fee, ~3–5 business days
  • One focused financial or operational question, answered with real analysis
  • Built from data you already have — no new systems required
  • A short written brief with findings and next-step recommendations
Start a Quick Start
Ongoing Retainer
$2,500–$6,000
per month
  • Monthly dashboard refresh as new data lands
  • Quarterly written narrative for board and leadership reporting
  • Standing review cadence with Finance and operational leadership
Ask About Retainers
Free Diagnostic Call
$0
15 minutes
  • Not a sales call — a working session on one real question
  • You'll leave with at least one thing to check in your own numbers
  • The right starting point if you're not sure which tier fits
Book the Free Call

ACO & Value-Based Care Pricing Ladder

For ACOs, IPAs, MSOs, and risk-bearing medical groups managing PMPM, RAF, and Star Rating economics — priced for a better-funded, higher-stakes segment, using the same Value-Based Care Executive Dashboard Suite shown in the portfolio as the working template.

Tier 0 · Diagnostic Call
Free
15 minutes
  • Walk through your PMPM, RAF, or Star Rating position against the benchmarks in the VBC suite
  • No obligation — a working conversation, not a pitch
Book the Call
Tier 1 · VBC Performance Snapshot
$1,500–$3,500
1–2 weeks
  • 2–3 pages of the Value-Based Care suite reskinned with your organization's own (or public CMS) data
  • Fast way to see the format working on your numbers before committing to a full build
Start a Snapshot
Tier 3 · Monthly Retainer
$2,500–$6,000
per month
  • Ongoing refresh as contract-year data updates
  • Quarterly narrative update for ACO board / executive committee reporting
Ask About Retainers

For reference: independent Power BI/analytics consultants commonly bill $100–$250/hr, with small-scope projects running $5,000–$25,000 and standard retainers starting at $8,000+/month. This ladder is priced to undercut national ACO advisory firms' five- and six-figure strategy fees while staying well-margined, since most of the dashboard framework already exists.

Still deciding which tier fits?

Start with the free 15-minute call — it's the fastest way to find out.

Book Your Free Diagnostic Call