Clinical hour value calculator: what your hour costs

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Every procedure takes time, and time has a cost: rent, staff, bills and your own pay. Dividing that by the hours you can truly sell gives the clinical hour value, a number that should sit behind every price. The calculator shows the cost and the minimum value of the hour.
Your data stays in your browser. The starting values are a hypothetical example.
What does each field mean?
| Field | What to enter |
|---|---|
| Fixed costs per month | Rent, staff, bills, accountant, software, installments. |
| Desired owner's draw | The pay you want to take from the clinic. |
| Schedule hours per day | Hours open for patients. |
| Working days in the month | Business days in your schedule. |
| Realistic occupancy | The percentage of hours you manage to sell. |
| Taxes on the price | Percentage of taxes. |
How is the calculation done?
- Sellable hours = hours per day × days × occupancy.
- Cost per sellable hour = (fixed costs + owner's draw) ÷ sellable hours.
- Minimum hour value = cost per hour ÷ (1 minus taxes).
Worked hypothetical example
Hypothetical example: R$ 12,000.00 of fixed costs, an owner's draw of R$ 10,000.00, 8 hours per day, 20 days, 70% occupancy and 12% taxes.
| Step | Calculation | Result |
|---|---|---|
| Sellable hours | 8 × 20 × 70% | 112 |
| Cost per hour | 22,000 ÷ 112 | R$ 196.43 |
| Minimum hour value | 196.43 ÷ 0.88 | R$ 223.21 |
| Cost per hour at 100% | 22,000 ÷ 160 | R$ 137.50 |
The difference between R$ 137.50 and R$ 196.43 is the cost of the empty schedule. Raising occupancy lowers the cost of the hour without changing anything else.
How do you use the result?
Take the cost of the hour to the minimum price per procedure and to the evaluation consultation cost. To see how occupancy affects everything, use the occupancy rate and the schedule capacity. And the break-even point shows the minimum to finish the month in the black.
Frequently asked questions
What is the clinical hour?
It is the cost of keeping you in practice for one sellable hour: overhead plus your pay, divided by the hours that can actually be sold.
Why does occupancy go into the calculation?
Because the overhead cost is fixed. The fewer hours you sell, the more expensive each one you do sell becomes.
Is the clinical hour value the price of the appointment?
No. It is the base. The price also adds material, taxes, fees and the desired margin.