FinPay vs Flywire
Two Patient Payments & Billing vendors, side by side. Facts from public sources; judgments are ours.
At a glance
Derived from public facts · a rough scale, not a ranking
| FinPay | Flywire | |
|---|---|---|
| Pricing model | Not published · Platform plus managed service fees | Per-transaction / per-chart · Payment processing fees, quote only |
| Speed to go live | Admissions workflow redesign, one to three months | Deep Epic payment workflow integration |
| Automation model | Tech-enabled service · Platform plus engagement specialists | Software platform · Patient payments embedded in MyChart |
| Built for | Mid-size groups, Enterprise systems | Enterprise systems |
| Security posture | HIPAA, PCI DSS | SOC 2 Type II, PCI DSS, HITRUST, HIPAA |
| Company maturity | 11 yrs (est. 2015) | 17 yrs (est. 2009) |
| Financial backing | $28M+ · Growth stage | Public (NASDAQ: FLYW) |
| Named customers | 1 named | 2 named |
| Published results | No public numbers | Specific numbers public |
| Documented integrations | 3 listed | 1 listed |
| Third-party validation | None found | KLAS / analyst cited |
Bottom line
- Pick FinPay if you run behavioral health or other high-balance episodic care and want patients financially cleared and on payment plans before admission.
- Pick Flywire if you're a health system on Epic that wants patient payments and affordable payment plans embedded directly in MyChart and Resolute.
FinPay
Pre-care patient financial engagement and payment plans
- Founded
- 2015
- HQ
- King of Prussia, PA
- Stage
- Growth stage
- Raised
- $28M+
What it does
- Pre-care patient financial clearance and education
- Automated verification of benefits and responsibility estimates
- Compliant payment plans and digital payments
- FinPass digital experience from admission through discharge
- Managed patient engagement teams as a service
- Post-discharge balance follow-up
Where it's strong
- Pre-care engagement model collects money at the point of highest patient willingness, before treatment starts.
- Deep behavioral health and SUD specialization, a segment most payment vendors ignore.
- Offers managed services, so providers without billing staff can still run the model.
What buyers should weigh
- The model requires changing admissions workflows, which takes operational buy-in, not just software install.
- Concentration in behavioral health means fewer references in acute or ambulatory settings.
- No major funding or expansion announcements since the 2022 growth round.
Named customers
Recovery Centers of America
Integrations
Flywire
Public payments company with a healthcare affordability arm
- Founded
- 2009
- HQ
- Boston, MA
- Stage
- Public (NASDAQ: FLYW)
- Raised
- $263M pre-IPO
What it does
- Digital patient billing and payment portal
- Analytics-driven patient outreach and engagement
- Self-service payment plans, provider-funded or financed
- Integrated non-recourse financing up to 60 months
- Cross-border payments in 140+ currencies
Where it's strong
- Public-company scale and financial transparency, with proven deployments at very large systems like Banner Health and CommonSpirit.
- The affordability suite lets providers offer long payment plans without carrying receivables, since financed plans are funded non-recourse.
- A Forrester Total Economic Impact study commissioned by Flywire found clients can reach a 269% ROI.
What buyers should weigh
- Healthcare is one of four verticals alongside education, travel, and B2B, and recent capital went to travel (the $330M Sertifi deal), so healthcare is not the company's center of gravity.
- It covers patient payments and engagement, not claims, denials, or payer-side revenue cycle work, so you still need other RCM tooling.
- Best suited to large systems with high patient-pay volume; smaller groups may not justify the platform.
Named customers
Banner Health · CommonSpirit Health
Integrations
Compare against the rest of Patient Payments & Billing
Deciding between these two?
First Pass tracks Patient Payments & Billing every week: funding, launches, and what changed since this page was written.