Private Practice Pricing Guide for Nurses and Midwives

Add your target annual salary, business overhead costs, taxes, and paid-time-off requirements together to find your gross annual revenue goal. Divide this total by the number of billable hours you realistically plan to work each year, which is typically around 1,000 to 1,200 hours once administrative tasks are removed. This formula gives you a sustainable base hourly rate that protects your personal financial health.

Package rates are highly recommended for private clinical services because they focus on the overall healthcare outcome rather than the time spent. Hourly charging can penalize your efficiency and lead to clients rushing through sensitive consultations. Packaging your visits with post-appointment messaging support provides predictable revenue for you and clear, upfront costs for the family.

Establish a structured sliding-scale system with a limited number of spots per month to assist low-income clients without devaluing your standard rates. Alternatively, offer flexible payment plans through third-party processors to make your services accessible over time. Having these policies pre-written allows you to respond compassionately and professionally without making emotional, on-the-spot financial compromises.

In many jurisdictions, essential healthcare and nursing services are exempt from sales tax or VAT, but non-essential wellness consultations or product sales may be taxable. You must consult a local certified accountant to determine the exact tax classifications for your specific state or country. Keep your clinical charting separate from purely coaching services to clearly document tax-exempt healthcare delivery.