In Instinct EMR and ITP, charging injectable medications per mL—with a dispensing fee built into the product—keeps invoicing consistent, simplifies client estimates, and helps maintain accurate inventory counts. This approach avoids the confusion and difficult conversations that tiered or weight-based pricing creates.
Set injectable medications to charge per mL
Configure injectable medications to charge per mL administered rather than using tiered pricing based on patient weight, inpatient vs. outpatient status, or injection number. A first injection and a second injection of the same medication involve the same action, the same supplies, and the same cost — pricing them differently creates inconsistency on the invoice and complicates client estimates before hospitalization.
When setting up injectable products in Admin, configure:
A cost per mL
A dispensing fee (to cover administration costs—see below)
A minimum and/or maximum fee, if applicable, to your practice
Tip: Per-mL pricing also helps with inventory management. Because Instinct tracks quantity by mL administered, your team can monitor stock levels and reorder accurately.
Include administration fees as a dispensing fee on the product
Rather than charging a separate administration fee line item on the invoice, apply the administration cost as a dispensing fee on the injectable product. The total medication cost plus dispensing fee appears as a single line item on the client invoice.
For example, Famotidine injectable has a cost of $1.20 per mL and a dispensing fee of $35.00. If 2 mL is administered, the invoice shows one line item: Famotidine injectable = $37.40.
This approach:
Eliminates a separate administration fee line item that clients may question
Prevents missed charges when staff forget to add the administration fee manually
Produces a cleaner invoice with fewer items to explain
Frequently asked questions
Why avoid tiered pricing for injectables?
Tiered pricing based on weight or patient status creates problems when a patient's weight changes mid-stay or when the same medication appears at different prices across invoice days. Both situations require difficult conversations with clients and make inventory control harder to manage.
What if our practice charges differently for outpatient vs. inpatient injections?
Instinct recommends using a single per-mL price regardless of patient status. The same medication, the same supplies, and the same clinical action should carry the same cost. If your practice currently uses context-specific pricing, consider transitioning to a flat per-mL rate to simplify invoicing and client communication.
Still need help?
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