How is the 1.5% transaction fee calculated?

The 1.5% fee is applied to each completed order flowing through Casandra, based on your test pricing. It applies to both in-house tests and send-outs. Only completed orders are charged — not searches, not abandoned orders. This aligns Casandra's success directly with your test volume growth.

What's included in the monthly platform fee?

The monthly platform fee (starting at $10k for health systems) covers EHR-integrated ordering, enterprise catalog management, single pane of glass visibility, lab stewardship dashboard, intelligent routing control, pathway enforcement, HIPAA-compliant hosting, and ongoing enterprise support. All features included — no add-ons or module unlocks.

How is pricing scoped for different health system sizes?

Implementation and monthly fees are scoped based on system size, number of facilities, catalog complexity, community physician reach, and integration requirements. A 200-provider community hospital network has different needs than a 2,000-provider academic medical center. We'll scope pricing for your specific deployment.

For Health System Outreach Labs

Enterprise pricing.
Three components. Health system scale.

Q: What does the implementation fee cover?

Implementation starting at $100k covers enterprise catalog build, LIS integration, SMART on FHIR EHR activation across community practices, routing logic configuration, pathway setup, stewardship dashboard configuration, and go-live support. Scope is based on your system size, facility count, and operational complexity.

Implementation, monthly platform access, and a transaction fee aligned with your test volume. Pricing scoped for enterprise health system deployment.

Pricing

Enterprise deployment. Scoped for health system scale.

Built for health system enterprises — complete visibility across all testing, intelligent routing control, and pathway enforcement. Pricing reflects deployment complexity and organizational scale.

One-time

Implementation

Starting at $100k

one time

Enterprise catalog build, LIS integration, EHR activation, routing logic configuration, pathway setup, and go-live support. Scope varies by system size and complexity.

Enterprise test catalog build — routine, specialty, in-house, and approved send-outs
LIS integration for in-house tests and send-out routing
SMART on FHIR EHR activation across community physician practices
Intelligent routing logic and pathway enforcement configuration
Health system stewardship dashboard and analytics setup
Dedicated enterprise onboarding team and pilot support

Implementation scope is scoped based on your system's size, number of facilities, catalog complexity, and integration requirements.

Ongoing

Monthly Platform Fee

Starting at $10k

per month

Full platform access — EHR ordering, catalog management, enterprise analytics, routing control, stewardship tools, and support. All features included.

EHR-integrated ordering for community physician practices
Enterprise test catalog management and updates
Single pane of glass visibility across all testing
Lab stewardship dashboard and utilization analytics
Intelligent routing control and pathway enforcement
HIPAA-compliant infrastructure and SOC 2 aligned security
Ongoing enterprise support and platform updates

Monthly fee is scoped based on system size, number of facilities, ordering provider count, and enterprise complexity.

Per order

Transaction Fee

1.5%

of test cost

Applied to completed orders only. We get paid when orders happen — directly aligned with your test volume and success.

Applied only to completed orders flowing through Casandra
Based on your test pricing — never marked up
Aligns Casandra's success with your order volume growth
Transparent reporting across all order transactions

Transaction fee applies to both in-house tests and send-outs routed through the platform. You maintain full control over test pricing and commercial relationships.

Example pricing scenario

A mid-size health system with 2,000 completed orders per month at an average test price of $400

Implementation fee

Year 1 only, amortized over 12 months

~$8,333 / mo

Monthly platform fee

Enterprise access and support

$10,000 / mo

Transaction fee

1.5% × 2,000 orders × $400 avg

$12,000 / mo

Total (year 1)

Including amortized implementation

~$30,333 / mo

Total (year 2+)

No implementation fee

$22,000 / mo

Numbers above are illustrative. Your actual implementation and monthly fees are scoped based on system size, facility count, and complexity. We'll model your specific deployment on the demo call.

How we think about pricing

Infrastructure pricing. Not marketplace margins.

The 1.5% per-test fee aligns our incentives with yours. We only earn more when your ordering volume grows — not by taking a cut of your existing revenue or owning the relationship.

No revenue share

We don't take a percentage of your test revenue. You keep your pricing, your margins, and your commercial relationship with providers entirely intact.

Modular by design

Start with catalog listing. Add EHR ordering when you're ready. Expand to the full platform as volume grows. No minimum contract on Catalog tier.

You own the relationship

Providers order from your lab directly. Casandra orchestrates the workflow — it doesn't sit between you and your customers commercially or financially.

Early-stage lab support

Built for emerging specialty labs.

Many specialty labs begin with a single test, limited operational infrastructure, and early commercial volume. Casandra supports phased adoption paths that reduce upfront complexity while preserving a scalable foundation for growth.

For qualified early-stage labs, we can tailor implementation timing, onboarding scope, and early-volume economics around where your lab is today — without changing the core Casandra pricing model.

Flexible pricing aligned to early test volume

Start with portal ordering, expand into EHR workflows

Optional commercially supported Casandra LIS deployment based on OpenELIS

Clear path to enterprise LIS integration as your lab scales

Build your launch path

Tell us where you are in your commercialization journey, and we'll map out a practical path forward.

Discuss launch path

No commitment required

Tailored to your lab's current stage

Common questions

Frequently asked

Everything you need to know before getting started.

What does the implementation fee cover?

The $25,000 implementation fee covers everything required to get your lab live — structured test catalog build, LIS integration, SMART on FHIR EHR activation, specimen routing configuration, and go-live support. It's a one-time fee paid at the start of the engagement. Most labs are live within 4–8 weeks of signing.

How is the 1.5% per-test fee calculated?

The 1.5% fee is applied to each completed order that flows through the Casandra EHR ordering workflow, based on your lab's test price. It only applies to orders that complete — not searches, not abandoned orders. If a provider searches but doesn't order, there's no fee. This structure means Casandra's incentive is directly aligned with your ordering volume.

Is the per-test fee a revenue share or reseller margin?

No. Casandra does not take a revenue share, reseller margin, or percentage of your business. The 1.5% fee is an infrastructure orchestration fee — similar in structure to how Stripe charges per payment transaction. Your test pricing, payer contracts, and commercial relationships with providers remain entirely under your control. Casandra never touches or marks up your test price.

What's included in the $5,000 monthly platform fee?

The monthly platform fee covers the full Casandra platform — EHR-integrated ordering, catalog management, LIS connectivity, analytics and utilization reporting, sponsored testing infrastructure, companion diagnostic intelligence, HIPAA-compliant hosting, and ongoing support. There are no feature add-ons or module unlocks — every lab gets the complete platform.

Does pricing vary based on lab size or operational complexity?

Yes. Casandra's pricing philosophy remains consistent across labs, but implementation scope, infrastructure requirements, integrations, and support needs can vary significantly based on operational scale.

Do I need to replace my existing LIS?

No. Casandra overlays your existing LIS without replacing it. We integrate bidirectionally with major LIS platforms including Sunquest, Orchard, Beaker, and others. If you're a startup lab without an LIS yet, Casandra LIS is a free open-source option pre-integrated with the platform from day one.

What EHR systems does Casandra support?

Casandra uses SMART on FHIR — the open interoperability standard — which means it works inside any FHIR-compliant EHR, including Epic, Cerner/Oracle Health, Athena, Meditech, and Allscripts. No custom integration is required from the health system or provider side.

Is there a minimum contract length?

Agreements are typically structured as annual contracts, reflecting the implementation investment on both sides. We'll scope the right arrangement for your situation on the demo call.

Ready to see it working?

We'll show you the ordering workflow live — your test, inside the EHR, in under 30 minutes. No slides, no pitch deck.

Book a Demo Browse Test Catalog

For Health System Outreach Labs

Enterprise pricing.
Three components. Health system scale.

Implementation, monthly platform access, and a transaction fee aligned with your test volume. Pricing scoped for enterprise health system deployment.

Pricing

Enterprise deployment. Scoped for health system scale.

Built for health system enterprises — complete visibility across all testing, intelligent routing control, and pathway enforcement. Pricing reflects deployment complexity and organizational scale.

One-time

Implementation

Starting at $100k

one time

Enterprise catalog build, LIS integration, EHR activation, routing logic configuration, pathway setup, and go-live support. Scope varies by system size and complexity.

Enterprise test catalog build — routine, specialty, in-house, and approved send-outs
LIS integration for in-house tests and send-out routing
SMART on FHIR EHR activation across community physician practices
Intelligent routing logic and pathway enforcement configuration
Health system stewardship dashboard and analytics setup
Dedicated enterprise onboarding team and pilot support

Implementation scope is scoped based on your system's size, number of facilities, catalog complexity, and integration requirements.

Ongoing

Monthly Platform Fee

Starting at $10k

per month

Full platform access — EHR ordering, catalog management, enterprise analytics, routing control, stewardship tools, and support. All features included.

EHR-integrated ordering for community physician practices
Enterprise test catalog management and updates
Single pane of glass visibility across all testing
Lab stewardship dashboard and utilization analytics
Intelligent routing control and pathway enforcement
HIPAA-compliant infrastructure and SOC 2 aligned security
Ongoing enterprise support and platform updates

Monthly fee is scoped based on system size, number of facilities, ordering provider count, and enterprise complexity.

Per order

Transaction Fee

1.5%

of test cost

Applied to completed orders only. We get paid when orders happen — directly aligned with your test volume and success.

Applied only to completed orders flowing through Casandra
Based on your test pricing — never marked up
Aligns Casandra's success with your order volume growth
Transparent reporting across all order transactions

Transaction fee applies to both in-house tests and send-outs routed through the platform. You maintain full control over test pricing and commercial relationships.

Example pricing scenario

A mid-size health system with 2,000 completed orders per month at an average test price of $400

Implementation fee

Year 1 only, amortized over 12 months

~$8,333 / mo

Monthly platform fee

Enterprise access and support

$10,000 / mo

Transaction fee

1.5% × 2,000 orders × $400 avg

$12,000 / mo

Total (year 1)

Including amortized implementation

~$30,333 / mo

Total (year 2+)

No implementation fee

$22,000 / mo

Numbers above are illustrative. Your actual implementation and monthly fees are scoped based on system size, facility count, and complexity. We'll model your specific deployment on the demo call.

How we think about pricing

Infrastructure pricing. Not marketplace margins.

The 1.5% per-test fee aligns our incentives with yours. We only earn more when your ordering volume grows — not by taking a cut of your existing revenue or owning the relationship.

No revenue share

We don't take a percentage of your test revenue. You keep your pricing, your margins, and your commercial relationship with providers entirely intact.

Modular by design

Start with catalog listing. Add EHR ordering when you're ready. Expand to the full platform as volume grows. No minimum contract on Catalog tier.

You own the relationship

Providers order from your lab directly. Casandra orchestrates the workflow — it doesn't sit between you and your customers commercially or financially.

Early-stage lab support

Built for emerging specialty labs.

For qualified early-stage labs, we can tailor implementation timing, onboarding scope, and early-volume economics around where your lab is today — without changing the core Casandra pricing model.

Flexible pricing aligned to early test volume

Start with portal ordering, expand into EHR workflows

Optional commercially supported Casandra LIS deployment based on OpenELIS

Clear path to enterprise LIS integration as your lab scales

Build your launch path

Tell us where you are in your commercialization journey, and we'll map out a practical path forward.

Discuss launch path

No commitment required

Tailored to your lab's current stage

Common questions

Frequently asked

Everything you need to know before getting started.

What does the implementation fee cover?

How is the 1.5% per-test fee calculated?

Is the per-test fee a revenue share or reseller margin?

What's included in the $5,000 monthly platform fee?

Does pricing vary based on lab size or operational complexity?

Do I need to replace my existing LIS?

What EHR systems does Casandra support?

Is there a minimum contract length?

Agreements are typically structured as annual contracts, reflecting the implementation investment on both sides. We'll scope the right arrangement for your situation on the demo call.

Ready to see it working?

We'll show you the ordering workflow live — your test, inside the EHR, in under 30 minutes. No slides, no pitch deck.

Book a Demo Browse Test Catalog

Enterprise pricing.Three components. Health system scale.

Enterprise deployment. Scoped for health system scale.

Infrastructure pricing. Not marketplace margins.

Built for emerging specialty labs.

Build your launch path

Frequently asked

Ready to see it working?

Enterprise pricing.Three components. Health system scale.

Enterprise deployment. Scoped for health system scale.

Infrastructure pricing. Not marketplace margins.

Built for emerging specialty labs.

Build your launch path

Frequently asked

Ready to see it working?

Enterprise pricing.
Three components. Health system scale.

Enterprise pricing.
Three components. Health system scale.