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Per page versus per line

Posted By: CrazyMT on 2005-11-10
In Reply to:

Does anyone know how to compare a per-page rate versus a per 65-character incl. spaces rate?

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65 character line versus gross lines versus pay by word

I am checking into other options for transcription.  Can anyone tell me how to compare all of these types of lines & also payment per word?  I know companies use different scales, so I wondered how they compare.  I have been paid on a 65 character line with spaces, but I may be making a change in the future - don't want to get burned.

Thank you in advance!

Gross line = each line on page counts as a line, even if it's only 1 word. nm
Gross line versus character line....Sm please

I am thinking of taking a job that pays by the gross line and not a 65-character line.  I have never worked this way.  Does this literally mean if there is one little word on a line you get paid for it?  I have not pinned her down on a line rate but I am just thinking I am going to be comparing apples to oranges and am wondering how to accomplish that. 

Thanks for any help!

line versus report sm
There is just no way of knowing until you're there.  It's crazy.  I used to work for a company that paid by report, but they were all MRIs and specials.  Then I worked at Spheris for a few months being paid by the line and could never get my line count because #1 the platform sucked (copy and paste.. it took longer to save a report than to type it) and #2 I was getting a lot of short reports.  A lot of companies pay by the line on certain accounts and by the report for others. So you just have to try it.  If it's not working out for you after a month or so, it's time to look elsewhere.
per word versus per line

I have never been paid by the line before, and I was wondering before I go any further, what would be the minimum requirement of lines per day for most services?  I want to be full time and have benefits.



Pay by line versus pay by characters; what is
per page is better with rad than per line - sm
Per line means you will work your hiney off just to make any $$. Per report is the best way to go. I was paid $1.40 per report. I averaged about $33-35/hour and worked 3 hours a day.

If I worked onsite for a radiologist I was paid $88 (EIGHTY-EIGHT) for 2 (TWO)hours onsite.

By the page or by the line?
Is $2 to $3 per page good or getting paid by the line better?
By line or page?
Hi all...if you had an account with progress notes where you use a previous visit note for the patient and then only change the date and the vital signs on the new note for the patient, would you charge by the line for those reports or by the page? These are physical therapy notes where the patient comes for HUMS therapy just about every day to every other day of the week, so everything in the note stays the same except the date and vitals. Thanks in advance.
pay per dictated minute versus per line
which is better being paid per dictated minute or paid per line? 
Gross versus 65 char line
Can someone tell me how a gross line is calculated. Thanks.
...up to you to see if you can make more per line at home versus going
QA Pay Preference -- hourly versus per line? SM

I've been offered two QA jobs; one that pays $15 per hour and one that pays 4 cpl.  I'm told that I can make more than $15 per hour on production because you get credit for all lines in a report, even if you make only one correction.  So I figured that to make the equivalent of $15 per hour, I would have to QA 3000 lines a day.  So here's my question, is 3000 lines of QA in an 8 hour day feasible and is it possible to do more lines than that in an 8 hour day?

Both offer employee status, benefits, etc.  Benefit plans are pretty much exactly the same down to the same health insurance company. 

It is not MT versus MTSO we have a bottom line too, & right now it is -
page v. line count
It can be anywhere from 40 pages to 75/80 pages depending on the length of the report.
page v. line count
I'm basing that on 1200 lines per day!
Question regarding IC pay by line vs. by page...

I am a Southern California IC for two chiropractors and soon starting a third chiropractor in a few weeks.  I charge $1.50 - $3.00 per page.  Usually the notes are 10-25 gross lines and sometimes (1-2x/wk) a  60+ line report.  I do approximately 150 reports a week total with the two chiros.  So after paying gas, paper, ink, taxes, etc., I feel like I am making very little for what I am putting out. 

So now I am considering charging by the line, but worry on how much to charge.  I print out all reports, pick up and deliver 2x/wk, and pay for all materials including disks for backup.  I feel I should be making more, but worry what to charge.  Does anyone have an amount that sounds fair?  I was thinking in the lines of  .16 or .17 per line, does that sound right?



paid by page or line
wondering how many people out there get paid by the page instead of by the line? I am getting paid by the page (varies from 1.50 to 1.80 a page, and half that for less than 15 lines on a second page). Welcoming any insights to what others are getting.....thanks!
byte count versus gross line-sm

Does anyone know how to compare byte count versus gross line pay?

Thank you

Line rates gross versus 65-character

I recently had a call for family practice dictation and I offered 12 cents per line.  Have always charged by the gross line and was charging 14 cents, which I thought was too high, so lowered it to 12 cents.  However, the more I am reading I see that 65 character seems to be the way everything is getting billed.  I also realize at 12 cents per line I lose a lot going to 65 character lines. 

I also realize with family practice that they might have a lot of times where there is one or two words on a line and probably wouldn't be too happy about paying for gross lines. 

I guess I'm looking for advice on charging.  Is charging for gross lines unheard of anymore? I have already quoted the 12 cents, so that will have to be my charge.  But as far as gross or 65 character, I haven't been asked that yet but would need to have that absolutely straight with them before starting.  Any opinions would be greatly appreciated.  I know I'm a little behind the times and am trying to catch up and stay competitive also. 


I get paid by the line. Pay by the page is a ripoff sm

I do a lot of MRI/CAT scan/neuroradiology, etc.  These are sometimes long drawn-out reports and sometimes go to 2 to 2-1/2 pages. 

Most companies that pay by the page only pay at most $2.00 a page.  You can make more by the line. 

Thanks! I have also noticed that some radiology is by the page and not the line... sm
is there a specific reason for this?

ICs -- what are your rates right now? what are you charging per line, page, minute, etc?

I'm trying to get my own docs and want to set rates that are equivalent to everyone else so as not to undercut and lower our industry standards. But, I can't seem to find out what rates are locally, soooo, as much input as possible would be appreciated.  Anyway, I know that local family practices have been quoted by the hour, by the minute, by the line, by the page, and so on.

I don't really want to do by the minute -- it makes them feel like they have to dictate at sonic speed. Some of them balk at by the line because no matter what you tell them, they feel like they are penalized for having nice formats. They balk at by the page because they think you will extend it to 2 pages for more money. Then there are the ones who gripe about hourly rates because they feel like you will type slower to make more money. I actually typed a sample tape for a local practice a year ago and based on my rate the office manager figured it up PER PATIENT and said it was too much!! 

I know family practice docs and nurse practitioners don't make that much money but dangit I gotta feed my family too.

So help, please!!!!



I'm paid by the hour, but by page or line are both common.
I work on-site, which is why I'm hourly. I also think working on-site with the actual paperwork in front of you makes for the best quality. Otherwise there would be sooooo many tech errors or dictator mis-speaks that I wouldn't be able to research from home that it would drive me crazy. But lots of MTs do it, of course.
I know that for the hard page break, what about moving to the next line while keeping the justificat
Personal page/web page resource

Thanks a lot for sharing these great websites!
Question versus gross lines versus 65-character lines....

I have always charged or been paid by 65 or 60 character lines or per letter or space typed, but have never been paid or charged per gross line.

What is the advantage of this?  If I were to charge 11 cents per 65-character line including spaces, what does this figure out to for an average line rate and how do you do this calculation? 

I'm wondering if it is financially beneficial for me to bill by gross line or to keep it the way I have it.  I do know some accounts will only pay per 65-character line, as this was the deal my first own account I recently acquired.  They were adamant on a 65-character line, but didn't specify with or without spaces and I personally would never not charge for spaces.

Thanks for explaining this.  I appreciate it and hope everyone has a speedy day.

Yep, $2.00 a page and the page has about 30-40 lines on it nm
NJ $3 page, though I have heard as low as $1 page.

When I worked for a national, up thru 2 years ago, I was getting $1.75 page and heard they got $4.

A gross line is anything on a line is a line. A line set at 65 characters means it sm
has 1-inch margins on each side. The maximum number of characters on that line would be 65 and that includes spaces. If there is 1 character on that line it is a line.

A standard 65-character line usually consists of 65 characters with spaces unless, of course, the employer does not pay for spaces and then it would be 65-characters without spaces.
Anything on the line makes up a line even if just one letter or number. Every line of print is a
Gross line means anything on a line is counted as a line.

You can get an idea in the difference using documents you have already created, assuming you're working in Word. Simply open a document and check the properties. Click on the statistics tab and you will see the number of lines as well as characters with and without spaces. If you're currently getting paid by the line and a line is 65-characters with spaces, do the math and see how that number of lines compares with the number of lines in your stats.

One thing to keep in mind: if you have a blank line between paragraphs, instead of hitting the enter key twice, format your document to give the appearance of blank lines between paragraphs.

PPD versus ppd

Ok - maybe I am having a brain fart - the dictation says the guy smokes 1 "ppd"  (pack per day) should i do ppd or PPD??  It is verbatim.


x versus X
I need to know if it should be x or X.  IE  8 mm X 7 mm.
CMA versus CNA
Medical Assistants ARE allowed to give medications and injections, and have been taught properly by their MA schooling how to do this. CNA is all patient care, changing beds, changing clothes, bathing, taking vitals (maybe), but no giving of medications. They were not schooled in this and legally should not be doing it...and that is probably universal through all states. That was what I was taught when taking my MA courses. LPNs can, FNPs can, RNs can, PAs can, but not CNAs. Totally different area of care.
RMT versus CMT - sm

The RMT (Registered Medical Transcriptionist) credential that is for those MTs who have just recently graduated or have been working but do not have the required 2 years of acute care experience to write the CMT (Certified Medical Transcriptionst) exam. 

You can find information about the CMT and RMT exams and credentials at http://www.aamt.org/scriptcontent/creddesig.cfm.

RE: cc versus ml
We were told cc was on the "Do not use" list, according to
Joint Commission for a couple of years now.
CVA versus CVA
One is an infarct in the heart, the other is an infract in the brain, but I agree with other posts. Many times it will be dictated in the body of the report and you can determine the exact differentiation between the two. However, if you absolutely cannot do this, you cannot guess in a diagnosis and have to simply leave it as CVA, or possibly defer it to QA, in which they probably cannot determine it any more than you can, and they would probably leave it as CVA.
MT versus MLS
How about the MTSO Company who now refers to their MTs as Medical Language Specialists.  Does anybody believe they get more money for being an MLS instead of just a plain ole MT?
MT versus becoming RN

Hi all.

I did a search in my area to look at RN salaries.  I know working from home I can make $52,000 with some effort.  The having to pay my own taxes is offset by not having to drive to/from work.  Just curious of any of you have decided to go to school to be an R.N.  My husband thinks it would be a good idea, but since I have been at home for over 10 years, it would take some convincing!


Base Salary $59,036 70.4%
Bonuses $150 0.2%
Social Security $4,528 5.4%
401k / 403b $3,670 4.4%
Disability $947 1.1%
Healthcare $5,328 6.4%
Pension $2,486 3.0%
Time Off $7,740 9.2%
Total $83,883 100%

Gross line, also including blank lines because my line rate is so low. It all works out in the wash.
Well, I'm not sure that you really want an answer of HOW to do it versus
just defending yourself, which is fine, by the way.  Well, if you want an opinion on your situation, you see the problem yourself. You admit that you didn't discipline them and let them always have their way, which you feel is responsible for today's behavioral problems. Chances are they would have the same problems were they not with you 24/7 cause its your parenting skills that are at issue. Know what I mean?  No, being an MT at home and raising your kids is NOT equivalent to what you, yourself, admit you did.  You can't sit and type and let children run the house free will. You have to use your head and multitask, as the other poster said! Plan your days, plan activities, have a schedule for them, etc. Not trying to be mean, but that's really obvious, isn't it? You realize it now.  Why not say something encouraging, like, Gee, I'm sure it can be done, but not the way I did it. I messed up.  Rather, you post your negative experience which YOU caused and act like it can have no other outcome. It can.  I have 3 kids, and all 3 different personalities.  My oldest and first was the most demanding.  I basically set up a Little Tykes playground for her in my office, and STILL she didn't want me to "type", as she grew to call it. Constant battle of wills, but guess who prevailed? Me! I'm the parent! She grew to understand that she would have her fun time AFTER my work - i.e. going to the park, movies, etc. My second child was an angel and would just sit on the floor playing with fuzz if that's all there was.  My third child was a boy, and enough said there!  I had no help whatsoever - unless you can include a bunch of negative relatives who mocked me rather than offer a hand in help, but it CAN BE DONE, and we were SO happy together.  It is SO worth the effort - these are your children - your legacy - your LIFE.  If they aren't your life, then my words are falling on deaf ears.  I work around the clock - still do - typing hours here and there to have MY FAMILY as my #1 Priority.  All my employers have always understood that and been more than willing to work with me.  Also, I had stayed away from working for some companies that demand a set schedule because I refuse to work a set 8 hours shift with kids.  Know what? Every single company said they would let me do "my own thing" on hiring, so while everyone else complains about having to work a straight 8 hour shift, I didn't have to! It can be done, even with the strictest companies! They respect where our hearts are, if its with our kids!  Again, sorry for what sounds like a horrible experience for you and your kids, but you, yourself, admit it was your own fault.  You are not the majority, though, again, the posters on this board are definitely anti-kids, so you've found your niche in that regard, so to speak!  And, also, now that your kids have behavioral problems, severe, I believe, per YOUR words -- is the solution going to come from an outside source? From a stranger? Or from you?  It doesn't sound to me like its working now.  Only YOU can really fix your mistake and change your kids. As long as they're still with you, no matter how old, there is hope.  But passing them off to the school system, or counsellors, or some "expert" is probably not gonna be too successful. Ground Zero is Mom, good or bad, positive or negative.
melena versus whatever
You are correct - and heaven help us all (including the patients) if that's the kind of QA you're getting on your job.  Just to get more confused, check out "melanosis coli"  which refers to dark pigmented lesion in the colon - NOT to bleeding or melena.
IC versus employee
I have been an IC/MTSO both married and divorced for the past 15 years.  I feel that I bring home "more" of a dollar than if I were making the same amount as an employee.  I do have quite a few write offs as I do have a real "office" in the home, I take my depreciation on the house as I feel when and if I sell prior to dying, will deal with it then.  I do deliver and pick up so have mileage.  I save for my vacations and time off.  I have the flexibility to take time off during the day if needed --work at night true but I CHOSE it not someone else.   When married I just had my husband over withhold a  little more and did not need to worry about the "tax bite" on April 15th.  I planned and planned so I knew what he had to over withold.   But again, when I make over $50K and end up paying SS on only $15K or so, it is well worth it to me.   I did take a small "in-clinic" employee status this year to get out of the house as with no hubby - thank the Lord, and no kids it gets me out and I take out more of my taxes that way.  But when I did not do that, I just took 5 to 10% out of each check and put it in a special account and it was more than enough to cover my taxes.  Truly look at your paychecks as "employees" and see what you really bring home but everyone thinks that because your "employer" pays those taxes FOR you, you are not really paying them.  So you just have to do the same.  And you have to add the two salaries together even as an employee so that also hurts.  But again, I feel being self employed or IC is the only way to go.  Even when on vacation I stop in a local transcription company or a couple of clinics or hospital and talk to them about providing services so I can count part of it as a write off.   Also look for seminars in cities you want to visit.  I go to Vegas every year for the "electronic show" to see what is new for my company.  Again, if you look carefully at deductions and plan, plan, plan it is better - at least to me - financially to be an IC.    Patti -- e-mail me if you wish
IC versus employee...
Am thinking about going from employee to IC - what is involved with being an IC? Taxes, etc...would appreciate any advice from IC's. TIA
how did they come up with 40mg versus 40 mg?....
i was taught not to do it that way. i understand that every company has "their own departmental specs" or "preference" if you may, but that is a little bit to much for me.
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8 cpl IC versus employee
No I mean money wise what is the difference once you take out the taxes. 8 cpl as an IC is less money than 8 cpl as an employee when the employee pays half your social security
IC versus employee
I was following you until you said "my regular scheduled hours". Um, if you are IC, you shouldn't have scheduled hours, only a set amount of production within a specified time period (say 2000 lines in 24 hours). I'd say you are already crossing that IRS rule of who has control without even considering the OT issue.

But, to answer your question, they can ask for help and you can say yes or no, but you are not under any obligation to do it. As the other poster did point out, preference might be given to someone else at a later time, but IMHO, not working "every weekend" is acceptable. You can give yourself permission to take some time off. No, they do not have to pay you overtime, but you could ask for incentive pay for the work you provide on days you are not already comitted to (they will probably tell you no).
cpl WITH versus cpl WITHOUT spaces

I really don't want to open a can of worms about poor pay, but I am really trying to compare these two options.  I need to make a decision about which company to go with.  Since I have no idea which has the better platform or better dictators I'm pretty much flying blind.  The obvious difference is that one pays for spaces and one doesn't (I didn't know there were still companies that DIDN'T pay for spaces).  Both are part-time IC.

Company 1 -- 7.6 cpl with spaces, no headers or footers

Company 2 -- 9 cpl with headers and footers, no spaces

Any insight would be very welcomed.