Most medical scribe companies pay a predictable per-user or per-device monthly fee, which scales cleanly as you add or reduce scribe headcount. Pricing depends on how many scribes you support, how many client EHRs they touch, and how much security and compliance tooling you need. A distributed remote workforce with strict HIPAA requirements costs more than a small in-person team, but it is far cheaper than a single breach or a lost client contract. We start with an assessment and quote a flat monthly rate so budgeting stays simple as you grow.