PaySec + SimplePractice: Keep More of Every Session Fee with Zero Processing Costs

Rachel D.2026-04-30

How therapists, counselors, and wellness practitioners using SimplePractice are eliminating credit card processing fees with PaySec's Network Offset Pricing.


SimplePractice is the all-in-one platform for mental health professionals, therapists, counselors, dietitians, and wellness practitioners. It handles scheduling, documentation, telehealth, and billing — everything you need to run a private practice.

But SimplePractice's built-in payment processing charges 2.95% + $0.30 per transaction on every client payment. For a therapist seeing 25+ clients per week, that adds up to thousands per year in processing fees.

PaySec's integration eliminates that cost entirely.

What SimplePractice Payments Cost You

SimplePractice Stripe-based processing: 2.95% + $0.30/transaction

Practice SizeSessions/WeekAvg Session FeeMonthly CollectionsAnnual Processing Cost
Solo (new)20$150$12,000$4,604
Solo (full)30$175$21,000$7,965
Group (3 clinicians)75$160$48,000$18,050
Group (6 clinicians)150$165$99,000$37,125

A solo therapist with a full caseload loses nearly $8,000/year to processing fees. That's 45+ sessions worth of income going to Stripe instead of staying in your practice.

How PaySec Works with SimplePractice

Autopay and Client Card on File

SimplePractice's autopay feature charges clients after sessions. With PaySec:

  • Client stores a card on file as usual
  • Each session charge applies Network Offset Pricing
  • Client pays $155.58 instead of $150 for a $150 session (card price)
  • Or client sets up ACH and pays exactly $150 per session
  • Payment syncs to SimplePractice billing records

Client Portal Payments

When clients pay through the SimplePractice client portal:

  • Outstanding balance displayed with both options:
  • Bank transfer: $150.00
  • Card: $155.58
  • Client clicks preferred option and completes payment
  • Invoice marked paid in SimplePractice

Insurance Copay Collection

For practices accepting insurance:

  • Copay amount pulled from appointment/insurance details
  • Dual pricing at check-in or via portal
  • Example: $30 copay → $30 (bank) or $31.20 (card)
  • Posts to client account automatically

The Therapist Perspective

"I Became a Therapist to Help People, Not to Lose Money Processing Cards"

Private practice therapists already navigate complex business realities — liability insurance, office rent, CEUs, supervision costs. Processing fees are one expense that doesn't have to exist.

Session-Level Impact

Session FeeProcessing Fee LostSessions Lost/Year to Fees
$125$3.9932 sessions
$150$4.7332 sessions
$175$5.4631 sessions
$200$6.2031 sessions
$250$7.6831 sessions

You're essentially giving away a full week of sessions every year to your payment processor.

Group Practice Economics

For group practice owners paying clinicians 60-70% of session fees:

RevenueProcessing FeesImpact on Practice Profit
$48,000/mo$1,504/moFees reduce practice margin by 3%+
With PaySec$0/moFull margin retained

When your margins are already compressed by clinician compensation, processing fees disproportionately impact practice profit.

Client Communication

Therapists often worry about the therapeutic relationship impact. In practice:

  • Most clients don't comment — they're focused on their care
  • Many prefer ACH (automatic bank transfer) which costs them less
  • Framing matters: "We offer a small discount for bank transfer payments"
  • No surprise — both prices shown before any payment occurs
  • Clients paying $155 instead of $150 per session rarely consider it significant

SimplePractice Features That Still Work

FeatureStatus with PaySec
Client portalIntegrated payment options
AutopaySupported (card + ACH)
SuperbillsGenerated normally
Insurance billingUnaffected
SchedulingNo change
TelehealthNo change
DocumentationNo change
Client messagingNo change
Appointment remindersNo change
Cancellation feesSupported with NOP

Savings by Practice Type

Practice TypeMonthly RevenueAnnual Savings
Solo therapist (CBT)$18,000$6,846
Couples/family therapist$22,000$8,360
Group practice (5 clinicians)$80,000$30,104
Multidisciplinary (therapy + nutrition)$35,000$13,244

Getting Started

Switching from SimplePractice's built-in processing to PaySec:

  1. Sign up for PaySec (healthcare/wellness merchant account)
  2. Connect PaySec to your SimplePractice account
  3. Configure client payment preferences
  4. Notify clients of new payment options (template provided)
  5. First sessions bill through PaySec at zero cost

Transition takes under 30 minutes. PaySec provides a client communication template so you can inform your caseload professionally.


PaySec + SimplePractice: the practice management platform built for clinicians, now with payment processing that respects your margins as much as you respect your clients.

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