R1 RCM vs Waystar

Side-by-side from the Top 11 ranking of Waystar vs R1 RCM vs athenahealth: 11 Best Revenue Cycle Management Software 2026. Last verified July 12, 2026.

The short answer

Waystar ranks higher on Top 11 (#1 vs #2) for Practice administrators, CFOs, and billing leaders at hospitals, physician groups, and specialty practices. Best-in-class clearinghouse with a near-99% clean claim rate across 5,000-plus payers.

At a glance

R1 RCMWaystar
Top 11 rank#2 / Waystar vs R1 RCM vs athenahealth: 11 Best Revenue Cycle Management Software 2026#1 / Waystar vs R1 RCM vs athenahealth: 11 Best Revenue Cycle Management Software 2026
Score (out of 9.4)9.19.3
Best forEnd-to-end outsourced RCM for systemsHighest clean claim rate
Pricing$$$$ (percentage of net collections, custom enterprise)$$$ ($200 to $500/provider/mo est. plus per-claim fees)
HQMurray, USALouisville, USA
Founded20032017

R1 RCM

Full-service revenue cycle partner built for large hospitals and health systems.

www.r1rcm.com

See full entry in Waystar vs R1 RCM vs athenahealth: 11 Best Revenue Cycle Management Software 2026

Waystar

Best-in-class clearinghouse with a near-99% clean claim rate across 5,000-plus payers.

www.waystar.com

See full entry in Waystar vs R1 RCM vs athenahealth: 11 Best Revenue Cycle Management Software 2026

Methodology and scoring weights live at /methodology. No vendor pays for placement — see about.