What percentage should I settle for medical debt?
Sophia Koch
Updated on February 15, 2026
Conclusion. On average, you can expect your debt collector to settle for 48% of your total medical debts. Working with an agency can help you get a better deal than if you try to negotiate alone.
Will medical collections settle for less?
If you want to resolve this debt by settling it, you have a good chance of doing so for less than the full amount. You may want to save up until you can pay 25 percent of the original amount. The collection agency should be more impressed with an offer of a lump sum than with promises to make payments.
Should I settle a collections claims or pay it in full?
If you are settling your debt, at least try to get them to report your debt as “paid in full” rather than “settled for less than the full balance.” Having your collections listed as paid in full in your credit report is more favorable than having your debts paid for a fraction of what you owed.
Can you negotiate with medical debt collectors?
If you have medical bills in collections or you think you can take on the work of a medical bill advocate, you may be able to negotiate down the cost of your medical bills on your own. For medical bills in collections, know that debt collectors generally buy debts for pennies on the dollar.
How much should I offer to settle with a collection agency?
Offer a specific dollar amount that is roughly 30% of your outstanding account balance. The lender will probably counter with a higher percentage or dollar amount. If anything above 50% is suggested, consider trying to settle with a different creditor or simply put the money in savings to help pay future monthly bills.
What happens when a medical bill goes into collections?
Medical Debt Collections. If you take no action to resolve your medical debt, the bill will go into collections. Medical debt collections are incredibly common. The Consumer Financial Protection Bureau said that in 2014 more than 43 million Americans had medical debt in collections that was affecting their credit score.
Can you settle medical debts with collection agency?
You don’t have to let them lead you down the path to bankruptcy – you can negotiate your bills with the original creditors or with collection agencies. All you need is some guidance and you can settle your medical debts for far less than you thought possible.
Do you settle or pay in full when debt goes into collections?
Debt in collections: Do you settle or pay in full? Once your debt goes into collections, you can choose to pay the full amount or negotiate a lower amount. Which choice looks better on your credit report?
What’s the best way to pay off medical debt?
3. Negotiate a reduced bill. Many medical providers will offer you a discount if you show a willingness to pay and explain or prove that paying the entire balance is not possible. Borrowers who are prepared to pay a lump sum can often negotiate a generous reduction of their medical debt.