When Does Usage-Based Pricing Work for Oncology Centers SaaS, and When Does It Backfire?

September 20, 2025

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When Does Usage-Based Pricing Work for Oncology Centers SaaS, and When Does It Backfire?

In the rapidly evolving healthcare technology landscape, oncology centers are increasingly relying on specialized software solutions to streamline operations, enhance patient care, and improve outcomes. As a SaaS provider in this niche, selecting the right pricing strategy can significantly impact both your business growth and your customers' success. Usage-based pricing has gained popularity across many SaaS sectors, but does it work effectively for oncology-specific software solutions? Let's explore when this pricing model shines and when it might create challenges in the oncology centers SaaS market.

Understanding Usage-Based Pricing in Healthcare SaaS

Usage-based pricing (UBP) is a model where customers pay based on their actual consumption of a service rather than a flat subscription fee. For oncology centers SaaS, this could mean charging based on:

  • Number of patients managed
  • Quantity of diagnostic images processed
  • Volume of treatment plans created
  • Number of clinical trials managed
  • Data storage used for patient records

This model differs from traditional subscription or seat-based pricing that charges a fixed monthly or annual fee regardless of actual usage.

When Usage-Based Pricing Works for Oncology SaaS

1. Aligning with Varying Center Sizes and Patient Volumes

Oncology practices range from small clinics to large cancer centers within hospital networks. A usage-based pricing model can effectively scale with the size of the practice, ensuring that smaller centers aren't priced out while larger institutions pay proportionally to their usage.

For instance, a community oncology center with 500 patients would pay significantly less than a comprehensive cancer center managing thousands of patients, creating a more equitable pricing structure that reflects actual value received.

2. Supporting Growth and Seasonal Fluctuations

Many oncology centers experience variations in patient volume throughout the year. Usage-based pricing accommodates these fluctuations naturally, allowing centers to pay less during slower periods and more during busier times.

According to a 2022 report by the Community Oncology Alliance, independent practices often experience 10-15% seasonal patient volume fluctuations. A flexible pricing model that adjusts to these changes helps maintain cost efficiency.

3. Creating Value-Based Pricing Alignment

When properly implemented, usage-based pricing can directly tie software costs to value creation. If your SaaS platform helps generate revenue or reduce costs for oncology centers (such as through improved billing efficiency or reduced treatment complications), usage-based pricing creates a natural alignment between your revenue and the value you provide.

Research published in the Journal of Oncology Practice indicates that oncology-specific EHR systems can reduce billing errors by up to 27% and improve reimbursement rates when correctly implemented. When pricing aligns with these outcomes, both vendor and provider benefit.

When Usage-Based Pricing Backfires for Oncology SaaS

1. Budget Unpredictability for Healthcare Administrators

Healthcare budgeting is often rigid, with annual planning cycles and limited flexibility. The unpredictability inherent in usage-based pricing can create significant challenges for oncology center administrators who need to forecast IT expenses accurately.

A survey by Healthcare Financial Management Association found that 78% of healthcare financial executives prefer predictable IT costs, even at a potentially higher overall price point, due to budgeting constraints.

2. Discouraging Software Adoption and Utilization

One of the most concerning potential backfires of usage-based pricing in healthcare is creating disincentives for proper system utilization. If oncology staff worry about increasing costs with each new patient entered or feature used, it may lead to suboptimal system usage.

This is particularly problematic for oncology software that requires comprehensive patient data entry to deliver optimal clinical decision support or analytics. If usage costs deter complete documentation, the clinical value of the system diminishes significantly.

3. Complexity with Enterprise Pricing and Multi-Department Implementations

Many oncology centers are part of larger healthcare systems with enterprise pricing agreements. Usage-based models can become extremely complex when implementing price fences between departments or tracking usage across integrated systems.

For software that integrates with multiple hospital systems via HL7 FHIR standards, usage tracking may become technically challenging and create friction with IT departments who need to monitor and allocate costs.

4. HIPAA Compliance and Data Tracking Complications

Tracking usage for billing purposes requires detailed monitoring of system activities, which introduces additional HIPAA compliance considerations. Extra care must be taken to ensure that any usage metrics collected don't inadvertently expose protected health information.

According to healthcare IT compliance experts, any usage tracking for billing purposes must be carefully designed to maintain complete HIPAA compliance, potentially adding development and administrative costs to the pricing model implementation.

Finding the Right Balance: Hybrid Pricing Models

Many successful oncology SaaS providers are finding that hybrid pricing models offer the best of both worlds. These approaches typically include:

Tiered Usage Pricing with Predictable Caps

Offering tiered packages based on expected usage ranges (e.g., up to 1,000 patients, 1,001-5,000 patients) provides more predictability while still scaling with center size. Each tier comes with a fixed monthly cost and clear usage limits, allowing for budgeting certainty while maintaining some usage-based scaling.

Core + Usage Pricing

This model sets a base subscription price that covers core functionality and essential services, with additional usage-based charges only for specific high-value features or extraordinary usage. This approach provides budget predictability for essential services while allowing for scaled pricing on optional components.

Value-Based Guarantees

Some innovative oncology SaaS providers are exploring outcome-based pricing guarantees, where the software is priced based on agreed performance metrics like reduction in treatment planning time, improved reimbursement rates, or specific workflow efficiency gains.

Implementing a Successful Pricing Strategy for Oncology SaaS

When determining the right pricing approach for your oncology centers SaaS offering, consider these best practices:

  1. Understand your customers' budget cycles: Align your pricing model with how healthcare organizations budget and pay for technology.

  2. Identify true value metrics: Choose usage metrics that genuinely reflect the value your software delivers rather than arbitrary technical measures.

  3. Provide pricing transparency: Oncology administrators need clear visibility into how costs will scale and what controls they have over usage.

  4. Offer budgeting tools: Provide dashboards and forecasting tools that help administrators monitor and predict usage-based costs.

  5. Consider implementation size in enterprise deals: Large health systems may require special enterprise pricing considerations that accommodate their scale and complexity.

Conclusion

Usage-based pricing can be an effective model for oncology centers SaaS when properly implemented with an understanding of healthcare budgeting realities and clinical workflows. However, it requires careful consideration of the potential downsides, particularly around budget predictability, adoption incentives, and compliance requirements.

The most successful pricing strategies for oncology software typically incorporate elements of usage-based pricing within a framework that provides sufficient predictability for healthcare financial planning. By focusing on genuine value metrics aligned with clinical and financial outcomes, you can create a pricing model that grows your business while supporting the vital work of oncology centers.

As the healthcare technology landscape continues to evolve with advancing standards like HL7 FHIR and increasing focus on value-based care, your pricing strategy should remain flexible enough to adapt to these changes while continuing to reflect the true value your technology brings to cancer care.

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