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Waystar

Waystar

Healthcare Revenue Cycle

VS

Exact Payments

PayFac-as-a-Service

Exact Payments
Fees from
Custom vs Custom
Features

1 shared

1 unique to Exact Payments
Regions

1 shared

Pay methods

2 shared

2 unique to Waystar · 2 unique to Exact Payments
On licensing

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Show full specs
2 features · 6 payment methods · 1 regions. We don't rank these — they're here for reference.
Waystar Waystar
Exact Payments Exact Payments
Quick Facts
Fees
Standard transaction rate
Custom
Custom
Settlement
Time to receive funds
1–3 business days
1–2 business days
Founded
2017
2017
Headquarters
Louisville, Kentucky
Kitchener, Ontario, Canada
Sandbox / Test Mode
✓
✓
Webhook Support
✓
✓
Features
Exact Payments leads (2 vs 1)
Enterprise
✓
✓
Startup Friendly Unique
—
✓
Payment Methods
Ach Unique
✓
—
Apple Pay Unique
—
✓
Check Unique
✓
—
Credit Card
✓
✓
Debit Card
✓
✓
Google Pay Unique
—
✓
Regions
North America
✓
✓

Waystar is best when you...

Healthcare Revenue Cycle
View Waystar

Exact Payments is best when you...

PayFac-as-a-Service
Need Startup Friendly
Not available with Waystar
View Exact Payments

Frequently Asked Questions

What is the difference between Waystar and Exact Payments?
They share 2 payment methods and 1 region. Waystar adds ACH, Check that Exact Payments does not list; Exact Payments adds Apple Pay, Google Pay that Waystar does not list; only Exact Payments offers Startup Friendly.
Which is cheaper, Waystar or Exact Payments?
Neither publishes a rate card — both quote on engagement, so the cheaper option depends on the volume you bring to the negotiation.
Where can I use Waystar and Exact Payments?
Waystar lists 1 region and 4 payment methods; Exact Payments lists 1 and 4. both cover North America. Check the country list on each profile before onboarding — regional coverage is not the same as local acquiring.
How do Waystar and Exact Payments compare on integration and settlement?
both offer a sandbox; both support webhooks; Waystar settles in 1–3 business days, Exact Payments in 1–2 business days.

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Data on this page is indicative and may be out of date — always verify fees, coverage, and terms directly with each provider before signing. Comparisons are generated from published data and provider-submitted updates; they are information, not advice or an endorsement. Some outbound links may earn us a referral commission — commissions never influence scores or rankings.

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