For practices sending their own mailings, a few times a year or a few times a month.
The difference is rates and payment terms. Everything below is the same either way.
Every competitor bundles postage into their per-piece rate and absorbs the risk of USPS rate increases — which means you pay more than you should, and your costs change twice a year without warning. PatientLetterHub charges postage at exact USPS cost, always shown separately on every invoice. When USPS raises rates, your invoice shows the new rate clearly. No surprises. No markups.
Rates effective July 12, 2026
A standard letter is 1–2 pages (one sheet, printed both sides). An extended letter is 3–4 pages (two sheets). Page count determines which bracket applies. Jobs over 4 pages require manual quoting.
It depends on the piece count, whether the letter is standard or extended, black and white or color, and what postage class it qualifies for. Tell us about your mailing and we will price the actual job rather than quote you a rate you then have to do arithmetic on.
Postage is billed at exact USPS cost as a separate line item on every invoice. We never mark up postage. For jobs over 500 pieces, we use presorted First Class rates which are lower than retail — those savings go to you, not us.
A Business Associate Agreement is a HIPAA-required contract between a covered entity (your practice) and a vendor handling protected health information (PHI). PatientLetterHub handles PHI on your behalf, so a BAA is legally required. We provide one at no extra charge, and it is signed before you send anything.
Answer five questions and see the real number, priced by the same engine that prices live orders. No account needed.
Five questions, a real price. No account needed.
Mailing something longer than four pages, or more than 100,000 letters? We quote those individually.
No. There is no subscription and no minimum volume. You pay for the mail you send, whether that is one job a year or one a week.
Yes. Practices with a valid USPS Nonprofit Authorization can activate nonprofit postage rates in their account settings. This requires a USPS Mailer ID, Customer Registration ID, and Nonprofit Authorization Number.