Payments software for med spas and aesthetics clinics

Where the money leaks

The four payment flows you need

1. 1

   Booking deposit

   Share a deposit checkout link when the appointment is confirmed. The card is charged immediately and the amount is credited against the treatment.

2. 2

   Treatment package

   Create a product for the full course at its package price. One checkout collects the whole amount and the client redeems sessions over time.

3. 3

   Monthly membership

   Bill members on a schedule with automatic retries on a declined card, and let them update details through a self-serve billing portal.

4. 4

   Retail and aftercare

   Sell skincare and aftercare products from the same storefront page so post-treatment revenue is captured without a second system.

What med spa payment processing actually costs

There are two separate costs and any provider who blends them is making comparison harder. The first is card processing, charged by Stripe directly to your account — Stripe's published US online card rate is 2.9% plus 30 cents at the time of writing, and card-present, international and currency-converted transactions differ.

The second is the software platform fee. Enterprise Pay Gateway charges a fixed monthly subscription from $49 plus a platform fee that falls as volume rises: 0.75% on Starter, 0.60% on Growth, 0.40% on Pro, and a negotiated 0.20%–0.35% for Enterprise clinics and groups.

For a single-site clinic doing $80,000 a month, that is the Growth plan: $99 plus roughly $480 in platform fees, alongside whatever Stripe charges for processing. Run your own numbers on the pricing page before deciding.

Deposits, cancellations and what you can legally keep

A deposit is only defensible if the client agreed to it in writing before the charge. Put the cancellation window and the deposit amount in the booking confirmation and on the checkout description — the description shows at payment and is the evidence a card issuer looks for in a dispute.

Keep the deposit proportionate to the loss. Full-price charges for a missed appointment attract disputes; a fixed deposit credited against treatment almost never does.

Refund promptly when a client cancels inside the window. A fast refund costs less than a chargeback, which carries a fee and counts against your dispute ratio regardless of who was right.

Memberships that survive card failures

Roughly one in ten recurring card charges fails at some point in a year, usually because a card expired or was reissued after fraud. Without retries and a way for members to update their card, that failure becomes silent churn.

Use scheduled retries over the days following a decline, an email that links straight to a billing portal, and a clear rule for when access pauses. Members who can fix their own card almost always do.

Compliance notes specific to aesthetics

Card data never touches your systems with hosted checkout, which keeps your PCI obligation at the simplest self-assessment level. That is the right default for a clinic with no in-house engineering.

Payment records are financial records, not clinical ones — keep treatment notes in your clinical system. Enterprise Pay Gateway stores what is needed to reconcile a payment: amount, date, product name and the customer email used at checkout.

Medical aesthetics is generally treated as a standard-risk category by card processors, but describe your services precisely during verification. Vague descriptions are the most common cause of onboarding delays and later account reviews.

Frequently asked questions

Can a med spa take a deposit to hold an appointment?

Yes. Create a deposit product at the amount you want to hold, share its checkout link when confirming the booking, and credit the deposit against the treatment price. Publish the cancellation terms in the booking confirmation and in the checkout description so the charge is defensible if disputed.

How do treatment packages work with card payments?

Sell the full course as a single product at its package price. The client pays once through hosted checkout and redeems sessions over time. This collects the revenue up front and removes manual package tracking from the front desk.

What does payment processing cost a med spa?

Two separate costs: Stripe's card processing fee, billed by Stripe to your account, and the software platform fee. Enterprise Pay Gateway charges $49 to $199 a month plus a platform fee of 0.75% down to 0.40%, with negotiated 0.20%–0.35% pricing for larger groups.

Can memberships and one-off treatments run in the same account?

Yes. Recurring memberships, prepaid packages, deposits and retail products all run through the same connected Stripe account, the same dashboard and the same payout schedule.

How long does it take to start accepting payments?

Stripe verification is usually completed in minutes if you have your business details, tax identification number and owner identity documents ready. Products and checkout links can be created immediately afterwards.