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How Much Do Healthcare Staffing Agencies Cost? Breaking It Down

Written By
David Bardwell
Published On
June 17, 2025
Finding the right healthcare professionals in Northeast Ohio isn’t just about securing top talent—it’s also about managing costs effectively. Healthcare facilities often turn to staffing agencies for support, but navigating their pricing structures can be tricky. Understanding the fees they charge and the factors that influence them can help you make smarter financial decisions.

Whether you’re comparing permanent vs. temporary staffing or trying to negotiate the best deal, this guide will break it all down so you can get top-tier staff without breaking the bank.

Understanding the Basic Fees of Healthcare Staffing Agencies

Staffing agencies typically charge fees based on a few key elements. These fees cover recruiting, screening, and placement costs. Here’s a quick breakdown of common charges:
  • Placement Fees – This one’s straightforward: If an agency finds you the perfect healthcare worker, they charge a placement fee. It could be a flat rate or a percentage of the employee’s first-year salary.
  • Markup Rates – Agencies don’t just pass along the staff’s hourly wages—they add a markup to cover administrative costs and their own profits. This usually ranges between 25% and 75%.
  • Contract Fees – Short-term or contract placements come with extra fees based on the skill level required and the duration of the contract. Expect higher fees when demand spikes.
  • Conversion Fees – Hired a temp and want to make them permanent? Agencies will charge a conversion fee to account for losing that employee from their temp pool.

Understanding these fees upfront helps you plan your budget and avoid surprises.

Factors That Influence Staffing Agency Costs

Not all agencies charge the same rates, and several factors determine the final price tag. Knowing what impacts pricing can help you negotiate better deals.
  1. Staff Type – Specialized professionals, such as nurses or therapists, cost more than general staff. Scarcity of qualified candidates can drive up fees.                                                                                                                                                                                                                                                                                           
  2. Experience Level – More experienced healthcare professionals demand higher wages, which agencies pass on through their pricing.                                                                                                                                                                                                                                                                                                                                          
  3. Location Matters – Urban areas and high-cost regions generally have higher fees, while rural facilities might pay extra to attract staff.                                                                                                                                                                                                                                                                                                                                                 
  4. Contract Length – Short-term staffing often costs more per hour due to the administrative burden of frequent hiring. Long-term contracts may come with discounts.                                                                                                                                                                                                                                                                                                                                                                    
  5. Supply & Demand – Expect higher rates during flu season, emergencies, or times of increased staffing shortages.
With these factors in mind, you’ll be better prepared to weigh your options and budget accordingly.

Comparing Prices: Permanent vs. Temporary Staffing

When considering healthcare staff, you’ll need to decide between permanent and temporary staffing. Each option has different cost structures.

Permanent Staffing:

  1. Higher Upfront Costs: Permanent staffing involves higher initial costs. You usually pay a placement fee, which is a percentage of the new hire’s salary. This fee compensates the agency for their recruitment efforts.                                                                                                                                                                                                                                                                               
  2. Long-Term Investment: While the upfront costs are high, permanent employees can be more cost-effective over time. They integrate better into the team and require less ongoing supervision, which can save money.  

Temporary Staffing:

  1. Flexibility: Temporary staffing offers more flexibility. You can hire staff for short-term needs or seasonal demand. This reduces the commitment and allows for quick adjustments to staffing levels.                                                                                                                                                                                                                                                                                    
  2. Ongoing Fees: Temporary staff come with ongoing fees, such as hourly markups. These can add up over time. If you require long-term temporary staff, costs may accumulate and exceed those of permanent hires.

Which to Choose?: The best choice depends on your specific needs. Permanent staffing is better for stable, long-term roles, while temporary staffing suits fluctuating demands. By understanding the costs and benefits of both, you can make informed decisions that align with your budget and staffing needs.

Tips to Get the Best Value from Healthcare Staffing Agencies

Finding the best value from healthcare staffing agencies means negotiating wisely and knowing what to look for. Here are some tips to help you get the most out of your investment:
  1. Shop Around: Don’t settle for the first agency you find. Compare fees, services, and reputation among different agencies. This helps you find a good deal and ensures you’re getting quality service.                                                                                                                                                                                                                                                                                                                                                            
  2. Negotiate Fees: Agencies are often open to negotiation. Ask for discounts on long-term contracts or bulk placements. Don’t be afraid to discuss fee structures and ask for a breakdown of costs.                                                                                                                                                                                                                                                                                                                               
  3. Clear Requirements: Be clear about your staffing needs from the start. Providing detailed job descriptions and expectations helps the agency find the right candidates faster, saving time and money.                                                                                                                                                                                                                                                                                                                                              
  4. Check Track Records: Request to see the agency’s track record. Look for reviews, testimonials, and success rates. An agency with a good history is more likely to provide reliable, cost-effective services.                                                                                                                                                                                                                                                                                                                                         
  5. Focus on Quality: Sometimes the cheapest option isn’t the best. Focus on the quality of staff provided. Well-qualified employees can be more efficient, provide better care, and ultimately save you money.                                                                                                                                                                                                                                                                                                                             
  6. Build Relationships: Establish a good relationship with your staffing agency. Building trust and open communication can lead to better service and more favorable terms.

By following these tips, you can ensure you’re getting the best value for your money while maintaining high standards of care.

Conclusion

Choosing a healthcare staffing agency requires more than just comparing costs—it’s about finding the right balance between price, service quality, and long-term value. By understanding the basic fees, recognizing cost factors, comparing staffing options, and applying negotiation strategies, you’ll be in a strong position to get the best talent for your facility—without overspending.


Contact BrightStar Care® Cleveland at (440) 306-9447 or visit our website to discuss how we can support your staffing needs with our reliable and professional medical staffing solutions. Let us help you achieve the best results.