Overview
Every patient purchase made through your RepeatMD app follows the same standard fee structure. This article explains each fee, who pays it, and where to find it, so you can answer patient questions and reconcile your payouts.
This article covers fees on patient purchases in your app (treatments, packages, memberships, and products). It does not cover your RepeatMD platform subscription. These rates apply to US accounts only.
Note: These are the current standard rates, effective November 16, 2026. To learn what changed, see Understand the Payment Processing Rate Update.
Your fee structure at a glance
Fee | Rate | Who pays it |
Patient service fee | 2.5% of the purchase price | Patient (added at checkout) |
Card processing fee | 2.99% + $0.30 per transaction | Practice (deducted from your payout) |
Affirm processing fee | 4.99% + $0.30 per transaction | Practice (deducted from your payout) |
Your practice pays only one processing fee per transaction. Card transactions have the card processing fee, and Affirm transactions have the Affirm processing fee. An Affirm transaction never has both.
How it works
Patient service fee. A 2.5% service fee is added to the patient's total at checkout. The patient pays it on top of your listed price. Sales tax, when applicable, is also added on top.
Card processing fee. When a patient pays by card, your practice pays 2.99% + $0.30 per transaction. This fee is deducted before the funds are paid out to you. The $0.30 is never charged to the patient.
Affirm processing fee. When a patient finances a purchase with Affirm, your practice pays 4.99% + $0.30 per transaction. This fee is deducted before the funds are paid out to you. For what patients pay Affirm, see What will my patients pay if they use Affirm?
What the patient pays: your listed price + 2.5% service fee + sales tax (if applicable).
What your practice receives: your listed price − the card or Affirm processing fee.
Examples
Card purchase
Tim buys an $80 facial and pays by card.
| Amount |
Listed price | $80.00 |
Patient service fee (2.5%) | $2.00 |
Patient pays | $82.00 (plus tax, if applicable) |
Card processing fee (2.99% + $0.30) | −$2.69 |
Practice receives | $77.31 |
Affirm purchase
Jennifer buys a $100 treatment package and pays with Affirm.
| Amount |
Listed price | $100.00 |
Patient service fee (2.5%) | $2.50 |
Patient finances | $102.50 (plus tax, if applicable) |
Affirm processing fee (4.99% + $0.30) | −$5.29 |
Practice receives | $94.71 |
Find fees in the Admin Panel
Log in to the Admin Panel.
Open your shop Summary Report.
Find the processing fee column for the transaction.
Refunds
When you refund an order, fees may be reversed or adjusted depending on whether the refund is full or partial and whether the patient paid by card or Affirm. For steps, see:
Common questions
Q: Why is the patient's total higher than my listed price?
A: The 2.5% patient service fee is added at checkout, plus sales tax when applicable.
Q: Is the $0.30 charged to patients?
A: No. The $0.30 is part of the processing fee your practice pays.
Q: Where do I see what my practice paid in fees?
A: In the shop Summary Report in your Admin Panel.
Q: Does this cover my RepeatMD subscription?
A: No. For subscription billing, see Pay an overdue balance and update your payment method (Admin Panel).
Next steps and support
Need help? Email support@repeatmd.com