Thriving Practice with Tracy Cherpeski

The Ick Factor: Why Practice Owners Avoid Fee Conversations — And What It's Costing Them – A Special Snack Episode, EP 252

April 24, 2026·12 min
Episode Description from the Publisher

If you've ever looked at your fee schedule and felt a knot in your stomach, you're not alone. Fee setting is one of the most avoided conversations in private practice — and it's not about not caring. It's about the discomfort that runs deep in helping professions, where talking about money can feel like it conflicts with the commitment to care.  Read the full show notes, memorable quotes, and key takeaways.  Is your practice growth-ready? See Where Your Practice Stands: Take our Practice Growth Readiness Assessment  In this SNACK episode, Tracy Cherpeski sits down with Miranda Dorta to cut through that discomfort and get practical. They explore why so many practice owners undercharge, what that pattern has to do with burnout, and what it actually takes to build a fee structure that reflects your value and keeps the lights on.  You'll hear Tracy break down the numbers every practice owner should know cold — from burn rate and cash flow to how insurance versus out-of-pocket decisions shape your entire business model. She also shares the one number you can pull up right now that tells you a lot about where your practice stands.  Whether you're just starting to look at your finances or you know it's time to raise your fees and keep putting it off, this conversation will help you take off the clinician hat and put on the CEO hat — without losing what makes your practice worth running.  Read the full show notes, memorable quotes, and key takeaways.  Is your practice growth-ready? See Where Your Practice Stands: Take our Practice Growth Readiness Assessment  Connect With Us:  Be a Guest on the Show  Thriving Practice Community  Schedule Strategy Session with Tracy  Tracy’s LinkedIn  Business LinkedIn Page

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