CostFlex Systems, Inc. has been developing and supporting cost accounting software for healthcare organizations and financial decision support software since 1989. Our clients consist of large and small stand-alone hospitals, multi-facility organizations, clinics, physician groups, home health businesses and more. We are an independent niche vendor which interfaces with all other vendors. Because we are not a department of a larger health corporation, we deliver 5-star support to clients, 60-day turnkey installations, and provide ‘no charge’ upgrades and interfaces.
Our clients enjoy healthcare-specific activity-based cost accounting [ABC] with the highest available data accuracy, procedure and patient-level costing while keeping their staffing requirements to an industry-low 1/4 FTE. All other costing methods are supported as well (RCC, RVU, standard cost, etc).
With CostFlex, you’re in control. Instead of receiving costs annually, costs can be calculated on a monthly basis and can be aggregated on a monthly, quarterly or annual basis to ensure informed real-time decision-making
TESTIMONIALS
“Our region was up and running with accurate cost data in a few short months with CostFlex. The other regions in our organization made million dollar mistakes with a consultant staffed approaches to standard costing that were scrapped after two long/full years of work. I am pleased to endorse the CostFlex product methods.”
— Chief Financial Officer 600 Bed Organization, Midwest Region
“At my Critical Access facility, CostFlex provides the cost data accuracy I need with the least maintenance requirements of any system I have encountered.”
— Chief Financial Officer Critical Access Facility, Western Region
“In a few years since we started using CostFlex, we have averaged over $3 million a year in underpayment recoveries.”
— V.P. of Finance 4 Hospital System, Southeast Region
“Through the years, I have been a CFO with HCA and similar sized healthcare providers. I have never experienced the type of support I receive constantly from the CostFlex team. As a current CFO and CFO group member with my state’s hospital association, I endorse the tools and company constantly.”
— Chief Financial Officer Critical Access Facility, Western Region
“I appreciate the way the CostFlex team cares for my hospital. Their culture of customer service is first class. I have never worked with an outside vendor that has had such a proactive approach in finding ways to help me meet my hospital’s needs.”
— Chief Financial Officer 100 Bed Organization, Midwest Region
“CostFlex is quite simply the best software purchase decision I have made as CFO at the hospital.”
— Chief Financial Officer 600 Bed Organization, Midwest Region
“CostFlex is providing the information that supports our business plan.”
— V.P. of Finance 2300 Bed Hospital, Southeast Region
“As I always tell everybody, your firm is unique in the way you respond to customers. I am always happy to be a CostFlex client reference I want the world to know that CostFlex always delivers.”
— Chief Financial Officer Critical Access Facility, Western Region
“I created a variance report that identified over 5 million dollars in potential underpayments. Needless to say, this tool has been especially successful.”
— Director of Decision Support 500+ Bed Organization, Western Region
"I have been using CostFlex's Cost Accounting System for over three years and my organization for 22 years. It is an excellent costing system, and they continue to make meaningful enhancements to the system to meet the needs of the end user. Their customer service is awesome. The personal attention they give to the client is unmatched. I personally have not had a company take care of their clients like the people at CostFlex. Love working with their system and team. Keep up the great work CostFlex! Your clients appreciate all you do."
- Chad, Summa, Ohio
IMPLEMENTATION
CostFlex Software installation is an all-inclusive implementation, meaning our professional DSS staff will complete every aspect of the decision support system installation process for your organization, delivering a fully operational product by the end—all you’ll have to do is “turn the key,” metaphorically, to start using our software to its fullest potential.
You’ll be assigned a dedicated project manager who will organize and direct your installation project and keep it moving on schedule. The whole CostFlex software installation process, including staff training, takes less than eight weeks to complete from beginning to end.
With a proven track record spanning more than three decades, CostFlex ensures each installation is handled with precision and professionalism—so you can move forward with complete confidence.
ADDITIONAL SERVICES INCLUDE :
- Onsite Hosting or Cloud Based Hosting
- Single Sign-on Security
- Automated File Maintenance and Data Uploads
- Temporary Staffing
5-Star Client Support
Comprised of industry experts, CostFlex offers personalized, custom support, as well as a user friendly experience from start to finish. The CostFlex team has over 30 years of industry insight. We pride ourselves on providing responsive, customized support and maintenance to assist in matters both large and small and guarantee a response time of 48 hours or less.
TOTAL COST ACCOUNTING SOFTWARE SUITE
CUSTOM COSTING
We know there is no “one size fits all” process for healthcare cost accounting. CostFlex offers custom solutions tailored to your staff and organization to ensure your system meets your organization's unique needs. Whatever your organization’s needs, CostFlex can help you.
SOFTWARE PRODUCTS
ACTIVITY-BASED COST ACCOUNTING
Correctly restates expenses in terms of the specific patient charges and procedures that received benefit from every expense dollar on a monthly basis after financial closings.
PATIENT AND SERVICE LINE COST ACCOUNTING
Rolls activity-based cost accounting data from the
procedure level up to the patient level, making it easy to
group patient demographics into custom service lines for
performance reporting.
SERVICE LINE ANALYTICS
Aggregates and reports large volumes of service line data efficiently, with full marginal cost capabilities available for all reporting.
SQL ENTERPRISE DSS WAREHOUSE / REPORTING
Gathers, analyzes, stores, and reports DSS data that helps
healthcare organizations make more informed decisions. The
ability to compare facilities across all service lines is fully
supported.
FAQs
- What is healthcare cost accounting software?
Healthcare cost accounting software helps hospitals and health systems track, calculate, and analyze the true costs of delivering care, enabling accurate financial planning and resource allocation. - How does this software integrate with my existing EHR or ERP systems?
CostFlex, a leading healthcare cost accounting system seamlessly connects with popular EHR and ERP platforms to deliver smooth, secure data flow across financial and clinical operations. - What reporting capabilities does the software offer?
The software provides customizable reports on departmental, service line, and patient-level costs supporting strategic decision-making and compliance with industry regulations. - Is training and support included for new users?
Yes, CostFlex offers comprehensive onboarding, training resources, and dedicated support to drive rapid adoption and success. - How is data security managed in healthcare cost accounting software?
Robust encryption, role-based access, and compliance with HIPAA and healthcare data protection standards securing your financial and patient data.
THE COSTFLEX COST-BASED HOSPITAL BENCHMARKING SOLUTION
Our hospital benchmarking software pulls data directly from the activity-based costing-driven data that is used in our Total Cost Accounting software suite, delivering a significantly higher level of accuracy than guesstimates from a generic cost-to-charge ratio. With our web-based healthcare dashboarding tools, you’ll be able to filter the healthcare organizations included in a data set and visualize your big-picture findings as clear, easily readable graphics that show and explain valuable trends in organizational performance
When you participate in CostFlex’s hospital benchmarking program, you can rest assured that:
- we’ll protect your organization’s data privacy
- your costing data will be masked when it’s presented to our other clients
- your reimbursement data won’t be shared.
Your organization will be assigned a random identification number, preventing you from having to reveal its name in our system.

