Resource / Pricing Guide
How much should managed IT cost a medical practice?
Managed IT pricing starts with a simple formula: computers and servers × the monthly per-endpoint plan rate. Atlantic Computer Systems (ACS) lists Core IT at $110, Proactive IT at $175, and Complete IT at $295 per endpoint per month on a 3-year agreement. Regulated practices start at Complete IT; help desk plans and add-ons are scoped separately. Use this guide to compare the complete cost, not just the headline rate.
How much does managed IT cost for a medical practice?
The list-price arithmetic, followed by the items that complete the quote.
ACS list prices are $110 (Core IT), $175 (Proactive IT) and $295 (Complete IT) per endpoint, per month, on a 3-year agreement. An endpoint is one computer or server, and regulated practices start at Complete IT. A practice with five computers and no server has five endpoints: at the Complete IT list price, its endpoint plan would be 5 × $295 = $1,475 per month. That is arithmetic on the list price, not a quote.
The per-endpoint plan is the base, not the whole invoice. Help desk plans and optional add-ons are added to fit the practice; onboarding, hardware, software licenses, projects, migrations and onsite visits are scoped separately. Shorter terms and volume pricing for 25+ endpoints are confirmed on a short call. See the current per-endpoint plans and billed-separately items.
To compare providers fairly, give each one the same device inventory and ask for three figures: the monthly endpoint plan, recurring help desk and add-ons, and one-time first-year charges. A lower per-endpoint rate is not a lower total if essential support or HIPAA work sits outside it. When you want those figures for your practice, a free assessment gets you an exact scoped quote.
How managed IT is priced
Four common models. The first is the one most healthcare practices should want.
Per endpoint, per month
A flat monthly fee for each computer or server, covering its protection and support. Predictable, easy to budget, and it scales cleanly as you add equipment. The model we use.
Hours-based bundles
A monthly help desk block priced apart from the equipment fee. Fine when the hours are clear, murky when the quote does not say what happens past the block.
Tiered or all-inclusive
Good, better, best bundles. Fine if the tiers are transparent, risky when essential security or compliance sits in the top tier only and the base plan leaves you exposed.
Hourly break-fix
You pay only when something breaks. That sounds cheap until a server is down mid-clinic. Break-fix has no incentive to prevent problems, which is the opposite of what a practice needs.
What should a fair managed IT price include?
If these are missing from a quote, the low number is hiding a gap you will pay for later.
Monitoring & helpdesk
Proactive monitoring and a help desk plan sized to your practice, with patching scheduled around clinical hours. Ask whether help desk hours sit inside the endpoint rate or in a separate plan.
The full security stack
Managed cybersecurity: endpoint detection and response, email defense, MFA, and tested backups. These are the controls cyber-insurers now require, not optional extras.
HIPAA compliance support
A documented risk analysis, safeguards, signed BAAs, and audit-ready records. For a practice this is part of IT, not a separate invoice.
EHR & clinical-software support
Hands-on help with your EHR and practice-management software, so a slow chart or a broken interface is your MSP's problem, not yours.
Backup & disaster recovery
Encrypted, tested backups with documented recovery priorities and restore procedures, so you know what will be restored, in what order, and how recovery is verified.
A real relationship
Onboarding, a documented environment, and a named point of contact who knows your practice, not a different stranger on every call.
What moves the price up or down
The honest variables behind any quote.
Endpoints & locations
More endpoints and more sites cost more, and volume pricing applies from 25 endpoints. Multiple locations add networking and coordination.
Compliance & security depth
HIPAA scope, the maturity of your current controls, and what your cyber-insurance policy demands all shape the security layer you need.
Your software & hardware
Specialty EHRs, imaging, servers, and aging equipment add support load. Running end-of-life Windows 10, for example, raises both risk and cost.
Response time & onsite needs
Faster guaranteed response and hands-on visits cost more than remote-only, best-effort support. We are remote-first, and our own team comes onsite when a job needs it.
Hidden costs and red flags
Where a cheap headline price quietly becomes an expensive year.
Compliance as an upsell
If HIPAA risk analysis or security awareness training is a separate line item, the base price is not the real price. For a practice, those are not optional.
Per-ticket fees
Watch for plans that meter support by the ticket. A frozen operatory at 8am should not start a billing clock.
Onboarding and project markups
Large one-time onboarding fees and steep hardware markups can erase the savings on a low monthly rate. Ask for the all-in first-year cost.
Contracts with no accountability
A multi-year contract with no service-level commitments protects the provider, not you. Insist on clear, written SLAs and defined response times.
Why the cheapest IT is the most expensive
For a medical practice, the real cost is not the monthly fee. It is what happens when IT fails.
A plan that saves you a few hundred dollars a month but skips monitoring, tested backups, or a documented risk analysis is not a saving. It is a bet that nothing will go wrong, and the data on healthcare ransomware says that bet is getting worse every year. The right question is not "what is the cheapest IT we can get," it is "what does it cost us if our systems are down for a week, or if we have to notify patients of a breach." Good managed IT is priced to prevent exactly that. If you want to understand the threat side, read our 2026 ransomware action plan for practices.
What practices say about working with us
As someone working in healthcare, protecting patient information is non-negotiable. Atlantic Computer Systems has been outstanding: knowledgeable, responsive, and always ahead o…
Atlantic Computer Systems has been fantastic to work with. Their team is knowledgeable, responsive, and always quick to help when issues come up.
Huge shoutout to an amazing IT team! Reliable, responsive, and always ready to help, no matter how big or small the issue. They keep everything running smoothly behind the scenes.
Our healthcare agency couldn't be happier with their service. Their team is always professional, responsive, and really understands the challenges of managing sensitive patient…
Four was amazing at helping me get set up! He answered all my questions and guided me so well with getting my access and software. He's always easy to reach and does great with…
Four has been very knowledgeable and available when it comes to technological issues. He always solved the problem and is always professional and kind. Great support team!
Atlantic Computer Systems is wonderful. I've personally interacted with Four and Ed. They are both very knowledgeable and professional. I would highly recommend them to anyone n…
Four Acuna is very friendly, patient, courteous and very knowledgeable.
I needed managed IT for my remote business, and these guys had the best deal I could find and a free cybersecurity audit! Thank you ACS.
Four is kind, helpful and solution oriented. I appreciate the patient and non-judgmental way I've been treated as a less tech-savvy person. Thank you Four!
As someone working in healthcare, protecting patient information is non-negotiable. Atlantic Computer Systems has been outstanding: knowledgeable, responsive, and always ahead o…
Atlantic Computer Systems has been fantastic to work with. Their team is knowledgeable, responsive, and always quick to help when issues come up.
Huge shoutout to an amazing IT team! Reliable, responsive, and always ready to help, no matter how big or small the issue. They keep everything running smoothly behind the scenes.
Our healthcare agency couldn't be happier with their service. Their team is always professional, responsive, and really understands the challenges of managing sensitive patient…
Four was amazing at helping me get set up! He answered all my questions and guided me so well with getting my access and software. He's always easy to reach and does great with…
Four has been very knowledgeable and available when it comes to technological issues. He always solved the problem and is always professional and kind. Great support team!
Atlantic Computer Systems is wonderful. I've personally interacted with Four and Ed. They are both very knowledgeable and professional. I would highly recommend them to anyone n…
Four Acuna is very friendly, patient, courteous and very knowledgeable.
I needed managed IT for my remote business, and these guys had the best deal I could find and a free cybersecurity audit! Thank you ACS.
Four is kind, helpful and solution oriented. I appreciate the patient and non-judgmental way I've been treated as a less tech-savvy person. Thank you Four!
Managed IT cost: questions, answered
How much does managed IT cost for a small medical practice?
ACS list prices are $110 (Core IT), $175 (Proactive IT) and $295 (Complete IT) per endpoint per month on a 3-year agreement. Regulated practices start at Complete IT. Those figures are for the endpoint plan: help desk plans and optional add-ons are added to fit the practice, and one-time or project costs are separate. Shorter terms and volume pricing for 25+ endpoints are confirmed on a short call. A free assessment scopes the exact total.
Why price per endpoint?
The base-plan arithmetic is easy to check: count the computers and servers, then multiply by the plan price. Your quote should show that endpoint subtotal separately from help desk plans, add-ons and one-time charges so the complete bill is just as clear.
Is HIPAA compliance included in the price?
With ACS, regulated practices start at Complete IT, which carries the HIPAA risk work and documentation described on our pricing page. Confirm the exact scope in your quote. With any provider, ask whether the risk analysis, safeguards, BAAs and records are included or separately billed.
Are there setup or onboarding fees?
Yes. ACS onboarding is a one-time fee scoped to the endpoints, locations and systems we take over, and confirmed before you commit. Hardware, licenses, projects and migrations are also separate. Ask every provider for the all-in first-year cost so you can compare fairly.
Can we just use break-fix and pay only when something breaks?
You can, but for a practice handling patient data it leaves prevention, monitoring and documentation unclear. Compare the hourly quote with the cost of proactive work and potential downtime, and decide who owns patching, backups, security and HIPAA risk management between failures.
How do we get an exact quote for our practice?
Book a free, no-obligation assessment. We review your endpoints, software, security posture and HIPAA needs, then confirm the plan, recurring additions and one-time costs in writing. See our pricing model to understand the structure first.
Want a real number for your practice?
A free 30-minute assessment gets you a clear, itemized quote scoped to your endpoints, software, support and compliance needs. No obligation, no sales pressure.
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How we work with you
Real specialists who know your environment, remote-first and onsite when it matters.
Your own pod (larger clients)
A dedicated team that learns your whole environment.
A named account manager
Everyone else gets one Technical Account Manager as a direct point of contact who owns your account.
Remote-first response
Most support, monitoring, and projects are handled remotely, so you are not waiting on a truck roll.
Onsite when it matters
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