PaySec + ChiroHD: Cloud Chiropractic Software with Zero Processing Fees

Rachel D.2026-04-30

How chiropractic practices on ChiroHD are eliminating processing fees with PaySec's Network Offset Pricing.


Chiropractic care is a high-frequency, relationship-driven business. Your patients do not visit once a year — they come weekly, biweekly, or even multiple times per week for corrective and wellness care. That visit frequency is great for your practice, but it also means you are processing a very high volume of card transactions. Each one of those transactions costs you 2.5-3% in processing fees, and the cumulative cost over a year is far larger than most chiropractors expect.

ChiroHD is the cloud-based chiropractic practice management platform designed for modern chiro offices — scheduling, SOAP notes, billing, and patient communication in one system. It streamlines operations and gives you the tools to run an efficient practice. But every patient payment processed through traditional credit card processing costs you money before it ever reaches your bank account.

PaySec adds zero-cost payment processing to the ChiroHD experience through Network Offset Pricing.

What Is the PaySec + ChiroHD Integration?

PaySec connects with ChiroHD's billing and checkout workflow. When a patient is ready to pay after their visit, the front desk initiates payment and the PaySec terminal receives the amount from ChiroHD. The terminal displays dual pricing: a base price for cash, check, or debit and an adjusted price for credit card. The patient selects their preferred payment method, the transaction processes, and the payment syncs directly to the patient's billing record in ChiroHD.

Network Offset Pricing (NOP) is fully legal in all 50 states and compliant with all major card network rules. Both prices are shown transparently before the patient chooses. There are no hidden fees, no surprise surcharges, and no awkward conversations at checkout.

The Real Cost of Processing Fees in Chiropractic

High visit frequency means high transaction volume. Even with moderate copays and visit fees, the total processing cost adds up quickly:

Active PatientsAvg Visits/Month (total)Monthly CollectionsAnnual Fees (2.5%)
150600$27,000$8,100
3001,200$54,000$16,200
5002,000$90,000$27,000

A mid-size chiropractic practice with 300 active patients is paying over $16,000 per year just in credit card processing fees. That is the equivalent of a significant equipment purchase, a part-time staff member, or a healthy marketing budget — gone to the payment processor every year.

How Network Offset Pricing Works at Checkout

A patient comes in for their weekly adjustment. Their copay is $45. At checkout, the PaySec terminal displays:

  • $45.00 — cash, check, or debit
  • $46.80 — credit card

The patient sees both options and picks one. The difference is small enough that most patients do not give it a second thought. Many opt for debit or cash to save the small amount. Others are happy to pay the card price. The practice receives the full $45 either way.

Over 48 visits per year, that single patient generates $86.40 in processing fees under traditional processing. Scale that across 200 active patients: $7,680 per year saved just on copays alone — before you even count care packages, product sales, or balance payments.

Integration Features

Real-Time Payment Sync: Every transaction processed through PaySec posts directly to the patient's billing record in ChiroHD. No manual entry, no reconciliation headaches.

Care Package Processing: Prepaid visit packages and wellness plan payments process through PaySec at zero cost. Large upfront package payments — $400, $700, $1,000+ — generate the biggest per-transaction savings.

Patient Portal Payments: Patients with outstanding balances can pay through an online portal with dual pricing. ACH and card options are clearly displayed, reducing your accounts receivable while costing you nothing in fees.

Cloud-Native Architecture: Both ChiroHD and PaySec operate in the cloud. Payment data is accessible from any location, reports update in real time, and there is no on-premise hardware to maintain beyond the checkout terminal itself.

PCI Level 1 Compliance: PaySec handles all sensitive card data through PCI Level 1 certified infrastructure. Your practice never stores payment card information.

No Contracts, No Minimums: No long-term agreements, no minimum processing volumes. PaySec scales with your practice.

Who Is This For?

The PaySec + ChiroHD integration is designed for chiropractic practices that have already embraced cloud-based practice management and want to bring that same modern, efficient approach to their payment processing. If you chose ChiroHD because you wanted a streamlined, cloud-first system, PaySec is the natural complement — eliminating an outdated cost (processing fees) with a modern solution (dual pricing).

Solo chiropractors, associate-model practices, and multi-location groups all benefit. The savings scale linearly with your patient volume, so every practice size sees a meaningful impact.

Getting Started

  1. Sign up for a PaySec chiropractic merchant account — approval takes 3-5 business days
  2. Receive and deploy your NOP terminal — a single countertop device at your front desk
  3. Connect PaySec to ChiroHD — the integration team configures the payment sync with your billing workflow
  4. Brief your front desk — 10 minutes is all it takes to cover the dual pricing display
  5. Zero-fee processing is active — your first patient payment processes at no cost

Most practices are live within two weeks. The process is simple, the disruption is zero, and the savings begin with your first transaction.


PaySec + ChiroHD: cloud chiropractic management paired with zero-cost patient payments. Every adjustment, every visit, every dollar — kept.

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