| How it works | Customers pay the listed price by any method. The business pays processing fees under a pricing model such as interchange-plus, tiered or flat rate. | Each item shows a cash price and a card price. The customer chooses how to pay and sees the applicable total. | Posted prices include card costs. Customers paying with cash (or sometimes ACH/debit, where allowed) receive a discount. |
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| Who pays processing cost | The business, as a cost of doing business. | Customers who choose card pay the higher card price; cash payers pay the lower price. | Largely shifted to card-paying customers, offset by the discount offered to non-card payers. |
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| Customer experience | One price for everyone. Familiar and simple at checkout. | Customers see both prices up front. Some may ask questions at first, so clear signage and staff scripts help. | Card payers pay the posted price; cash payers see a discount. Signage must make the program clear. |
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| Implementation considerations | Works with nearly any terminal, POS or gateway. The key decision is the pricing model and its markup. | Needs compatible equipment or POS software, price displays, receipts that show both amounts, and staff training. | Requires program-capable equipment, correct receipt formatting, signage at entry and point of sale, and pricing updates. |
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| Compliance & provider dependency | Lowest program-specific compliance burden. Standard card-network and provider rules still apply. | Rules for display, receipts and signage come from card networks, state law and the provider. Availability depends on the provider and your location. | Highly provider-dependent and must follow card-network rules and applicable state law. Must not be presented as a surcharge unless structured as one. |
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| Best-fit use cases | Practices that want a simple patient experience, B2B sellers whose contracts set prices, and high-volume merchants who can negotiate margins. | Retail-style pharmacies and clinics with meaningful cash volume that want customers to see a choice openly. | Businesses with a strong cash mix and price flexibility. Often less suited to B2B contracts or insurance-driven billing. |
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