What do MSPs charge for HIPAA compliance management?

Commonly $99–199 per client organization per month for the managed programme — running the assessment, tracking remediation, keeping policies and training current, and producing the evidence pack — with remediation projects billed hourly on top. The flat fee covers the recurring work; the hourly work covers whatever the assessment surfaces.

How much time does a client's compliance programme actually take?

Front-loaded. Expect several hours in the first month for setup, the assessment walkthrough and policy rollout, then roughly an hour or two a month in steady state: chasing acknowledgements and training, reviewing new vendors, updating the register, and refreshing the evidence pack when a client is asked for it. Timing your first two clients honestly is the most reliable pricing input you can get.

What would a compliance service line earn you?

Put in your client count, what you would charge, and what your time costs. The calculator applies our published per-client platform pricing — including the volume tiers — and shows the margin, per client and in total. Free, no signup; nothing you enter is stored.

Last reviewed August 3, 2026.

Margin / client / mo

-$13

Monthly margin

-$100

Annual margin

-$1,200

Your revenue (8 clients × $149)	$1,192/mo
Platform cost ($49/client at your volume tier)	−$392/mo
Your time (1.5 h/client at $75/h)	−$900/mo
Margin (-8% of revenue)	-$100/mo

What this leaves out, honestly: onboarding time for each client (front-loaded, then it drops), remediation projects the assessment surfaces (bill those hourly — do not absorb them into the flat fee), your sales time, and any other tooling you fold into the service. Volume pricing applies per tier across all clients: $49 base, $39 at 10+, $29 at 25+.

Why the margin holds up

The expensive part of compliance work is not expertise — it is keeping track: which client’s training lapses this month, whose BAA renews, which remediation task went stale. That is software work, not billable-hour work. When the tracking is automated, the hour or two you actually spend per client each month is judgement, and judgement is what clients pay MSP rates for. Remediation projects the assessment surfaces are the other half of the revenue — bill those hourly rather than absorbing them into the flat fee.

Test the numbers with a real client.

Set up one client organization, run their programme for 14 days free, and time what it actually takes before you price it into a renewal. No credit card, no sales call.

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Questions MSPs ask

What do MSPs charge for HIPAA compliance management?: Commonly $99–199 per client organization per month for the managed programme — running the assessment, tracking remediation, keeping policies and training current, and producing the evidence pack — with remediation projects billed hourly on top. The flat fee covers the recurring work; the hourly work covers whatever the assessment surfaces.
How much time does a client's compliance programme actually take?: Front-loaded. Expect several hours in the first month for setup, the assessment walkthrough and policy rollout, then roughly an hour or two a month in steady state: chasing acknowledgements and training, reviewing new vendors, updating the register, and refreshing the evidence pack when a client is asked for it. Timing your first two clients honestly is the most reliable pricing input you can get.

Keep reading

Looking for the software rather than the explanation? MSP client console.

New to selling compliance? Start with the HIPAA for MSPs guide →

Estimates for planning, based on the numbers you enter and our published pricing; not a quote, and not financial or legal advice. Your actual costs and what your market bears will differ — time your first clients and adjust.