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Well....he asked me to lower my line rate for him (sm)

Posted By: Ga Peach on 2005-09-06
In Reply to: I make $43.50/hour and my doc knows that it takes me - sm - 1234

which I did....then he asked that I make copies of everything he cc's and copies of the letters he dictates....then asked me to subtract off the templates he uses, even though I am using my ink to print these templates and making changes where he wants....it seems that I am spending more time doing these things than I am making any money. Just don't know what to do. I am not complaining, just need some helpful advice. Thanks

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I would not lower the rate. They know how
much they are paying you and have accepted it.
Never lower your rate

I would never, ever lower my rates.  Is the one doctor in the group that is complaining a constant whiner?  He may just be a tightwad that still has the first .01 he ever earned.  Think about it - we complain about the cost of gas increasing and the cost of groceries increasing, but those businesses sure aren't going to drop the price of their product due to our complaining just to keep our business.  You run a business and the point of that is to earn money.  If you or a family member had to see this particular doctor, would he drop his office visit rate because you complained about his bill?  Never!

Not only that, these are cardiologists - one of the elite money makers in the medical profession. 

Write a note stating that you understand his concerns about the cost, but state that in spite of your expenses increasing along with everything else recently, you will agree not to go up on your rate for a year instead.  Tell him while there is less expensive out there, it comes back to the old saying of, "you get what you pay for." 

I do not give a lower rate for any templates--I still--sm
have to pull them up and there are usually changes that I have to do. I charge my rate x 3 for envelopes and they supply the envelope. I also charge for cc's--if the name and address are provided. If not, I do not print an envelope for them, the office does.

Your other option would be to have his office print the envelope. My ink cartridge runs about 25-30$ depending on where I get them, and can get very expensive depending on the amount you will be printing each week.

I also do not take anything off my rate. I have figured how much I have to charge in order to make a profit and do not vary from that. If he gets you to drop your rate below your profit margin, guess how long it will take for him to spread the word to his friends that you will come down on your rates??
Client interested but wants to lower rate. sm
He said he wants to hire me to do his work, but at 8 cpl and give a week's turnaround time. I worked as an SC at that rate, but not as IC.

Is there anything I can say or show him to convince him this rate is incorrect?
Have you forgotten we have not gotten the new pay plan yet which will lower the base rate I am sure
and be incentive tiered according to production which is next to impossible on so many accounts anymore. This is only the beginning of the pay decrease.
Call the credit card companies and ask them to lower your rate. sm
Tell them you are having trouble and you need a lower rate. I would try that first on your own. I have done it and went from 14.9% to 4.9% on my credit cards. I can now pay them more monthly than they ask for and I am on my way out of credit card debt.

Consolidation companies, some, charge a fee and it goes on your credit report as "write off or bad creditor". If you have no success with the cc companies yourself, than try a consumer company to help you.

Good luck to you!
You're likely to make more money on the lower rate because easier to understand and can probably
faster and need less time to look things up, etc. Just my 2 cents.
With the lower pay per line, I'd have to be able to
get 700-800 lph under that platform to make more money and there is no way to do that.  The higher uppities have even admitted it is best for the slower people, not someone fast.
Line Count...lower pay

I have been doing transcription for many years now.  For many of those years I was paid 9 cents/line per 70 character count with the WordPerfect 5.1 (DOS) program.  I have now been switched over to Microsoft Word and there is a variation in word/line count and a drop in my pay.  Can anyone explain this please?

Audio minute rate - someone asked

I was getting $2/per minute about 7 years ago.  I'm getting a bit more than that now (weighted for difficulty) and it's still a pretty good rate.  Problem is the dictators I do like to cut and paste from prior notes.  With my per-line rate I was getting paid for all of the text on the document including information left in place from the prior report. (Yeah, I know - suhweet!) 

Dictated minute works out to be a little bit less, depending on the dictator, than before, but combined with the change in platform that makes everything slower, it's a shock to the system, to say the least.  Hope that helps!

Gross line, also including blank lines because my line rate is so low. It all works out in the wash.
suggest offering a line count lower than....nm

1) do you have a contract stating line counting and line rate,sm
if you look at the IRS website it's pretty clear what constitutes IC versus SE versus employee. You might want to photocopy that along with a copy of your contract with your next invoice and also put on the invoice any monies due from past invoices they "changed"...maybe catch more flies with honey than vinegar. Good luck!
Wait until we get a lower base rate and incentive and no work for incentive.Should prove interesting
because everyone will probably have a lower base rate than now. As I say, should prove interesting.
Been discussed in the past that Word's line counter is lower than normal. Anyone else? nm
Yep, that woudl be the reason for the lower line rates these days! Boy, you figured that all out...

However, you fail to see that if the company itself was honest about the company, its structure, the software, and the accounts, few MTs would leave so quickly.  It's the old saying of what came first, the chicken or the egg? 


To the original poster, if you feel uncomfortable with a company or an account, by all means go with yorur gut feeling.  If you feel somehow responsible for accepting the job without researching it first and want to keep your side of the street clean, you can always resign and offer to return the equipment at your expense.  As always, make sure you get a return receipt, but this might make the ending to this chapter of your life more comfortable for you. 


Good luck in whatever you decide to do!!!

That still is not a paid line rate. If your base is $0.10 per line, it will be $0.08 cpl.
Considering other companies pay 4 or 5 cents per line for VR - you are still making out.

I would go with the line rate. At less than 9.5 cents per line sm
I make $30 an hour.  I would never transcribe for $15 an hour, for anyone.
Does your program change lower case to upper? If so, type all in lower and
it will change the ones it is supposed to.
I wouldn't lower my rates. Should I request a lower CPL from my employer
because I use a ton of normals, templates and such to increase my line count?
How do I know what the line rate is, since it is the co's
Line rate - sm
If you do 250 lines per hour at 8 cpl, you would make $20. If you did 300 lines per hour, you would make $24. The platform and many other factors would determine how many lines per hour you could do. I would not expect to be offered much more than 8 cpl for radiology, if that. Good luck.
line rate P.S. - sm
I'm referring to employee status, not IC. You could probably get a little more per line being IC, but I'm not into IC status, so can't say for sure.
Rad line rate - sm
Depends on IC or employee...if employee, you'll be lucky to find 8 cpl, probably 7-7.5 cpl is average. Don't know about IC, but seems they don't offer much more than that anymore. Experience doesn't seem to play much of a role anymore either...seems they offer the same no matter how long you've been doing it. Good luck.
line rate
I agree with Patti.  I also work at home and get many distractions but also have accounts that I make around $35 an hour. There is no way I could accurately log in and out on a time card and would also lose money. I am very accurate, as I proofread everything.  I like the line rate but agree that companies should pay a higher line rate to more experienced transcriptionists and should be more concerned with accuracy than they are.
line rate
does anyone know what Spheris pays per line or what the going rate is per line.
Is the line rate enough to
make ends meet? Do you have backup work in case their volume drops? Do you have the flexibility you need? These are all questions I would consider before doing IC.
Line rate

In my opinion, 9 to 10 cpl for clinic, 10 to 12 cpl for acute care.  These should even be higher if you have your own accounts (no middle man).   But like some said below, it all depends on the account and also the way the lines are counted.  I have over 12 years experience in all specialties and in acute care, and I have worked for 8 cpl as an IC and made more per hour than working for 11 cpl doing acute care.   The 8 cpl was all by templates and I could make many, many normals, averaging about 400+ lines per hour, plus it was easy work. 

Ask specific questions about the work, what kind of account, how many doctors, etc.  That in my opinion is more important.     


line rate sm
Oh boy, now I see a line rate advertised to the "buyer" for 7.9 cents. What are they paying their transcriptionists -- 5 cents?
line rate
Hello.  I am applying for an MT job and I have 21 yrs of expereince.  They want to pay me 8 cents/line.  Is that the going rate?  It seems it should be more since I started 21 years ago getting 7 cents/line.
line rate
i live in long island. new york!!!!!!!
line rate
i am doing it more from boredom as i have my own accounts also that don't take much time and is not productive enough for what i am used to. it seems like it should be more to me too.
line rate
I think it is pretty common knowledge what the average line rate is for nationals, etc.  Does anyone know what the national gets paid by the line?  I'm wondering because I may have the opportunity to work directly for a hospital without having to go through the middle man.  Keeping my fingers crossed.  I don't think they have much of a clue of what to charge either so I thought I would just see what an average might be?  Thanks.
line rate
that is pretty low to start. Are you brandnew in the field? If no experience, it might be worth it just to gain some.
line rate
I think going by gross line is a good way to go.
line rate
I make 8-9 cpl per gross line, and that is with a middle man, so the docs are paying 12-13 cpl per gross line.

Location is definitely a factor in pricing, but in my case, one MTSO is across the country from me and the other is local. I think that is definitely a low rate for direct office contact.
Line rate

I would like to get my own accounts with doctors but I don't know what to charge. How do I figure out what to charge. Does it matter where I live and what specialties I do?

Line rate

I haven't found anything. What should I do a search for?

Line rate
I charge 15 cpl to my neurosurgeon, only because he takes too long to remit.  I do think I will offer a discount  like you within 3 days of receipt, of course.  But he has never balked at my rate.  I almost feel guilty charging this rate.
Per Line Rate
When I started my new job with a national, I told them I would not take less than 9 cents per line for my 20+ years of experience, and they agreed. If we are foolish enough to say okay to the low rate, so much the better for them! I hope everyone listens to this poster because she is so right.
Line rate

What would be a reasonable line rate for dermatology. Current MT is charging .12 per line. I will be typing very short one or two paragraph letters with no progress notes. 

Also, I need a dermatology reference books - Any suggestions?


Per line rate

I see a lot of talk about line rates and MT's unhappy with their line rate they receive.  I would like some opinions.  We pay 8 cents per line and the line consists of 65 characters plus spaces.  This is exactly how we invoice our clients.  Is this a fair rate in your opinion?

ASR line rate?

Just started training in ASR and received line rate and LPH goal proposal.  I have no way of knowing if this is an acceptable rate or not.  My first imperssion is that they have basically cut the line rate in half for ASR work and are expecting twice the number of lines just to break even on ASR vs nonASR.  Goody, goody  Type twice the lines for half the pay.  Would appreciate any input on competitive ASR line rate and production goal number, i.e., lines per 8-hour shift.   

VR line rate
Could someone just throw out some numbers for me on a fair VR line rate?  I know the rate will vary greatly - just as it does for MTing and QAing.  We all know the nationals pay 8-10 cpl (hopefully on a 65 character line w/spaces) for MT work - and more often than not they just pay for the typed report and not for any ADT info - no headers/footers, signature lines, etc.  We probably can agree on QA rates - 3.5 seems to be the minimum acceptable and again on a 65 character line and while the company would like to believe you match 100% voice to typed word - it is possible to give a quick read and fill in the blanks - but only if you know the MT and know the dictator and this can be dangerous.  Can someone please PLEASE give me some indication of what VR pays?  Thanks so much! 
per line rate?
I have been working with the company I am with now for 4 years.  I have 10 years of MT experience.  I am wondering what I should be able to expect for pay per line?  What is an average or what are other people are getting paid?
We get a better line rate sm
overall for working more difficult accounts, and this includes heavy ESLs, but all work types. Bonuses for lph production. But nothing specifically for work types, just general level of skill. I've never seen anywhere that they adjust by work types (although I think they should).
I'd look for another job. With my line rate at
the number of lines you do a day I'd make $65,000+. 
Anyone know what the going rate per line is in NJ?

Line Rate

In my honest opinion 9 cpl is good for online work.  You would want to go higher if you had your own account though to cover your overhead especially if it required printing or delivering the work, other duties as required including bookkeeping.   

I think 8 cpl is acceptable though in a case where the dictators are good, and you can get good lines especially if it is for a national or MTSO.  However, I would expect a raise if you stick it out, are responsible, and are in essence making the MTSO money.  I hope this helps. 

Then you have the fact that an employee might not make as much as an IC per se because an employee is getting benefits as opposed to pay per line rate. 

Line Rate
I know it is not set by the state I just want to know what people are actually getting paid so I can get a feel for the industry average in Michigan.