When is 35 cents too much?

When it adds up to a big difference in your income.
We’re not talking about switching from Starbucks to 7-Eleven every morning for coffee. We’re talking clearinghouse costs.
Some clearinghouses charge 35 to 50 cents per claim. Some charge a flat $50 monthly fee. It sounds like chicken feed, but what the cluck is going on here. [...]

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