R1 RCM vs Waystar
Side-by-side from the Top 11 ranking of The 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 RCM | Waystar | |
|---|---|---|
| Top 11 rank | #2 / The 11 Best Revenue Cycle Management Software (2026) | #1 / The 11 Best Revenue Cycle Management Software (2026) |
| Score (out of 9.4) | 9.1 | 9.3 |
| Best for | End-to-end outsourced RCM for systems | Highest clean claim rate |
| Pricing | $$$$ (percentage of net collections, custom enterprise) | $$$ ($200 to $500/provider/mo est. plus per-claim fees) |
| HQ | Murray, USA | Louisville, USA |
| Founded | 2003 | 2017 |
R1 RCM
Full-service revenue cycle partner built for large hospitals and health systems.
www.r1rcm.comSee full entry in The 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.comSee full entry in The 11 Best Revenue Cycle Management Software (2026)
Methodology and scoring weights live at /methodology. No vendor pays for placement — see about.