Payroll Services
Best Payroll Services for Healthcare
Healthcare payroll pays nurses, aides and clinicians on rotating shifts, with differentials, on-call and per-diem pay, and sometimes a fourteen-day overtime period. A payroll service should take hours from scheduling, include every premium in overtime, and handle several rates per person.
- products that fit
- 7
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Top 5 by LeadChange Scoreof 7 that fit · 2 not scored yet · scored for healthcare (reweighted)
OnPay6.9 out of 10, Medium confidence
Paychex Flex6.2 out of 10, Medium confidence
Paycor6.1 out of 10, Medium confidence
TriNet5.6 out of 10, Medium confidence
Netchex4.8 out of 10, Medium confidence
Patriot PayrollNot scored yet
Vensure Employer SolutionsNot scored yet
See the full rankingMedium confidence
Payroll services for healthcare, ranked
Ranked by LeadChange Score from verified facts; products with too few verified facts are not scored yet and come last. Prices are list prices as published by each vendor.
Filter by verified facts
OnPay
OnPay suits US small businesses that want full-service payroll at one published price: $49 a month plus $6 per worker, with federal, state and local tax filings, W-2s, 1099s, multi-state payroll and unlimited pay runs included. Setup and data migration are free, and support is by phone, chat and email.
Paychex Flex
Paychex Flex suits US small and mid-sized employers that want unlimited payroll runs, automated multi-state tax filing and room to add HR, time tracking and benefits from one vendor. Paychex was founded in 1971 and is a public company.
- Pricing model
- Base fee + per employee4
Paycor
Paycor suits US employers from small businesses to companies with 1,000+ employees that want payroll, HR, time, recruiting and talent tools on one platform with open APIs. Plans run from Basic payroll to Complete + ASO, all priced by quote. It holds SOC 1 and SOC 2 Type 2 attestations and supports single sign-on.
TriNet
TriNet suits small and mid-size businesses that want a PEO with payroll, payroll tax filing, benefits, workers' compensation administration and HR experts in one flat per-employee fee, or the lighter HR Plus (ASO) service without co-employment.
Netchex
Netchex suits US employers with hourly, frontline teams, such as restaurants, hotels, clinics, retailers and manufacturers, that want payroll, tax filing, time, HR and benefits in one cloud system with an assigned implementation lead.
- Pricing model
- Quote only9
Show all 7 products
- Patriot PayrollNot scored yet (14 of 24 facts verified) · From $37/mo + $5/employee/mo (Full Service Payroll plan)1Patriot Payroll plans and prices
- Vensure Employer SolutionsNot scored yet (12 of 24 facts verified)Vensure Employer Solutions pricing
LeadChange Score: editorial assessment based on public information.
What matters for healthcare
Shift differentials in overtime
Federal rules require night-shift differentials and similar premiums to be included in the regular rate used for overtime. Ask the provider to show a week with overtime and a differential.
Several rates per person
Staff who work two roles or departments in one week are owed overtime on the weighted average of their rates. Check that the provider calculates it.
The 8 and 80 overtime system
Hospitals and residential care establishments may use a fixed fourteen-day period, paying overtime after 8 hours in a workday and 80 hours in the period, with a prior agreement with employees. Ask whether the provider can run it.
On-call and per-diem pay
Irregular schedules mean frequent changes. Ask how on-call and per-diem pay are entered and approved before each run.
More tools for healthcare
- Applicant Tracking SystemsApplicant tracking systems for healthcare
- ASO ServicesASO services for healthcare
- Background Check ServicesBackground check services for healthcare
- Benefits AdministrationBenefits administration for healthcare
- COBRA AdministrationCOBRA administration for healthcare
- Corporate LMSCorporate LMS for healthcare
- Earned Wage AccessEarned wage access for healthcare
- Employee Discount ProgramsEmployee discount programs for healthcare
- Employee Engagement SoftwareEmployee engagement software for healthcare
- Employee Recognition SoftwareEmployee recognition software for healthcare
Find your fit
By industry
Popular comparisons
More on payroll services
- All payroll services, ranked
The full ranking, top picks and how to choose.
- Payroll Services comparison table
Every product side by side: score, price and verified features.
- Payroll Services pricing guide
Published list prices, cost by headcount and fees to ask about.
- Payroll services for small business
The ranking reweighted for small business.
- Payroll services for mid-sized companies
The ranking reweighted for mid-sized companies.
- Payroll services for manufacturing
The ranking reweighted for manufacturing.
- Payroll services for nonprofits
The ranking reweighted for nonprofits.
Frequently asked questions
Do shift differentials count toward overtime for healthcare workers?
Yes. Federal rules require night-shift differentials and similar premiums to be included in the regular rate, so overtime is paid on the higher, blended rate rather than on the base wage alone. A payroll service for healthcare employers should add every differential, on-call and premium payment to the regular rate before it calculates overtime.
What should a payroll service for healthcare employers handle?
Shift differentials and premiums in the overtime rate, the 8 and 80 overtime system for hospitals and residential care where staff agree to it, several pay rates per person, and on-call and per-diem pay. Ask for a sample run with a nurse who worked two units and an extra shift.
What are the best payroll services for healthcare?
On the LeadChange Score weighted for healthcare, the highest-scoring of the 5 products with a published score are OnPay (6.9/10), Paychex Flex (6.2), and Paycor (6.1).
Which payroll services for healthcare offer a free trial?
OnPay and Patriot Payroll list a free trial, according to their vendors: 2 of the 7 products for healthcare.
Which payroll services for healthcare have SOC 2 Type II?
OnPay, Patriot Payroll, Paycor, and TriNet state SOC 2 Type II compliance. That is 4 of the 7 products for healthcare.
Which payroll services for healthcare integrate with QuickBooks Online?
QuickBooks Online, listed by 4 of the 7 payroll services for healthcare: Netchex, OnPay, Patriot Payroll, and TriNet.
Which payroll services for healthcare have a mobile app?
Netchex, Patriot Payroll, Paychex Flex, Paycor, TriNet, and Vensure Employer Solutions confirm a mobile app; 1 of the 7 products for healthcare does not document one.
Which payroll services for healthcare are built for enterprises?
Netchex and Paycor list enterprises among the company sizes they serve.
Which payroll services for healthcare support single sign-on?
Paycor and TriNet document single sign-on; 5 of the 7 products for healthcare do not.
How we research
This ranking of payroll services for healthcare reweights the LeadChange Score: capability coverage 35%, pricing transparency & value 15%, integrations & API 10%, security & compliance 15%, fit & support 15%, and data confidence 10%. Only products with a verified fact showing they serve this segment are listed.
How this page was made
What it is built from
24 verified facts, each checked against the vendor's own pages or another primary source, most recently on Oct 22, 2026.
Method
Scored and compared with the LeadChange methodology, version 1.3. Read the methodology
Independent review
Not reviewed yet by our independent reviewer. How we review
Hands-on testing
We have not tested these products hands-on: this page uses public information only.
Who made it
The LeadChange Research Team, following a written research process. No named expert has reviewed this page. About us
Independence and errors
Who pays us never changes a score or a rank. If something here is wrong, tell us and we correct it publicly. Request a correction
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Sources
The 9 pages this page's facts come from, with the day we last checked each one. The numbers beside the figures above link here.
Quotes from the sources
- Patriot Software patriotsoftware.com/pricing“Basic Payroll is $17/month + $4 per worker paid; Full Service Payroll is $37/month + $5 per worker paid.”
- OnPay onpay.com/payroll/software/costs-pricing“Get started at just $49 base + $6/worker per month. No hidden fees, ever.”
- OnPay onpay.com/security“Third-party Certification: OnPay holds third-party auditor certification with the AICPA’s SOC program and is SOC 2 Type II compliant.”
- Paychex paychex.com/payroll/paychex-flex-essentials“Our most affordable option: Only $39/mo. + $5 per employee”
- Paycor paycor.com/plans-pricing“Answer a few questions to get a custom price quote if you're a small business or view our mid-market product plans.”
- Paycor paycor.com/compliance-solutions/security“Paycor is accredited by and compliant with GDPR, FinCEN, US Privacy Shield, SOC 1 Type 2, and SOC 2 Type 2 security standards.”
- TriNet trinet.com/peo/pricing“PEPM stands for "Per Employee Per Month" and is the pricing method TriNet uses to determine your administrative cost.”
- TriNet assets.contentstack.io/v3/assets/blt9ccc5b591c9e2640/blt2147f424591a508f/657239817631d147b77ffb80/TriNet_Security_and_Privacy_White_Paper_2023.pdf“TriNet has both a SOC 1 Type 2 report and a SOC 2 Type 2 report for the TriNet platform.”
- Netchex netchex.com/netchex-faqs“Netchex charges per-employee, per-month (PEPM), not per payroll. Netchex utilizes quote-based pricing, which can vary depending on the size of your company and the services you are interested in.”