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Contribution margin calculator per patient

Enter price and variable cost per order to get contribution margin per order, the contribution margin ratio and the total across your orders.

Medication, consult, pharmacy, shipping, payment fees, refunds.

For total contribution margin.

My numbers

Save your own numbers once and reuse them in every calculator. They stay in this browser; nothing is sent to us.

Which numbers are saved?
  • First-order revenue per patient (AOV): not saved
  • Medication / product cost per order (COGS): not saved
  • Clinician consult cost per patient: not saved
  • Pharmacy dispensing / fulfillment fee: not saved
  • Shipping per order: not saved
  • Payment processing: not saved
  • Refund + chargeback rate: not saved
  • Monthly churn: not saved
  • Patient acquisition cost (CAC): not saved
  • Monthly ad spend: not saved

Contribution margin per patient

Enter your numbers to see the result.

Free tool by Telehealth Media · telehealthmedia.com

Need the variable cost? The break-even ROAS calculator builds it line by line.

How it works

Contribution margin is what each order leaves after the costs that rise and fall with orders. It is the money available to pay for acquisition, overheads and profit.

  • Contribution margin per order = price - variable cost per order
  • Contribution margin ratio = contribution margin / price x 100
  • Total contribution margin = contribution margin per order x orders

In telehealth, variable cost per order includes more than the product: medication, the clinician consult, the pharmacy fee, shipping, payment processing and an allowance for refunds and chargebacks. The break-even ROAS calculator builds that number line by line.

Contribution margin per first order is also your break-even CPA: the most you can pay for a patient on the first order and not lose money.

Worked example

A first month is priced at 199 USD and costs 103.92 USD to deliver, across 1,000 orders.

Worked example
StepCalculationResult
Contribution margin per order199 USD - 103.92 USD95.08 USD
Contribution margin ratio95.08 / 199 x 10047.8%
Total contribution margin95.08 USD x 1,00095,080 USD

These numbers illustrate the formula; enter your own.

Telehealth notes

  • Fixed costs such as salaries, software and rent do not belong in variable cost. They come out of total contribution margin later.
  • Some consult costs are paid whether or not a prescription is written. Spread those over the patients who do convert.
  • Refills often have a different cost per order than the first fill, for example no consult. Work out each separately if they differ.
  • If contribution margin is zero or negative, no amount of ad efficiency fixes it. The price or the cost stack has to change first.

Questions

What is the contribution margin formula?

Contribution margin equals price minus variable cost. The ratio is that margin divided by price.

What counts as a variable cost for a telehealth order?

Costs that come with each order: medication, consult, pharmacy fee, shipping, payment processing and refunds.

How is contribution margin different from gross margin?

Gross margin usually subtracts only product cost. Contribution margin subtracts every cost that scales with orders, which is more useful for ad decisions.

Are my numbers stored?

No. The calculation runs in your browser and nothing is sent to us.