Stretch your budget.
Medi-Cal coverage losses could mean more unpaid care.
California's Legislative Analyst projects the number of uninsured Californians could roughly double by 2030, and one analysis estimates community health center revenue losses of $1.1 to $1.4 billion from Medi-Cal enrollment declines.
Compare annual costs.
| Option | 5 agents | 10 agents |
|---|---|---|
| In-house | $281,502 | $563,004 |
| Praxis | $175,500 | $351,000 |
| Annual savings | $106,002 | $212,004 |
- Model assumes 37.5 hours/week for 52 weeks.
- In-house: $24/hour plus 20.3% estimated employer costs.
- Praxis: $18 per billed hour. Transition and retained clinic costs excluded.
The $24 wage is just under the California median for customer service representatives. The 20.3% employer-cost estimate is conservative: federal data puts private-industry benefit costs well above that share of wages. Every Praxis team includes QA, trainers and supervisors at no extra cost. See the call center service.
Calculate your savings.
Enter your own staffing numbers. The Praxis rate stays at $18 per billed hour.
Full-time phone staff
Paid hours per agent
What you pay per hour
Payroll taxes, benefits, paid leave
- In-house, per year
- $281,502
- Praxis at $18 per billed hour
- $175,500
- Annual savings
- $106,002
Estimate only, for 5 agents over 52 weeks. Transition and retained clinic costs excluded. Every Praxis team includes QA, trainers and supervisors at no extra cost.
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Let's run your clinic's numbers.
Tell us how many agents or how much call volume you have now, and we'll send a comparison built on your figures.
Sources
- California EDD: Customer Service Representatives, California hourly wages (2026, 1st quarter; median $24.39)
- U.S. Bureau of Labor Statistics: Employer Costs for Employee Compensation, December 2025
- California Legislative Analyst's Office: How Will the Changing Landscape Affect California's Health Care System? (May 2026)
- Chapman Consulting: Financial Impact of Recent and Proposed Policy Changes on California's Community Health Centers (May 2026)