Simple payroll and benefits for small businesses ($40/mo + $6/person).
Finance Back Office · Payroll Peo
G2
Modern payroll, benefits, and HR platform for small businesses with home care integrations.
Gusto publishes pricing transparently — unusual in this category. Base tier is $40/month + $6/employee/month (rate verified at write time on existing seed data; check gusto.com/pricing for the current rate). Higher tiers add benefits admin, R&D tax credits, performance reviews, etc. Practical questions: (1) which tier covers your current size, (2) what does the contractor-only plan cost (relevant if you have a 1099 mix), (3) is benefits admin bundled or per-employee add-on, (4) what does the AMS integration cost — most are free but verify, (5) is there a state Medicaid-required prevailing-wage feature.
Gusto onboarding is genuinely self-serve — most small businesses are running payroll within a day or two. Plan for: business-tax registration, employee W-2/1099 setup, benefits-broker integration if applicable, and AMS sync (Careswitch and AxisCare both have native integrations).
Independent reviews on Gusto support are generally positive at the SMB tier. Higher tiers get better support attention. Confirm in your contract: response-time expectations, escalation paths, and whether dedicated CSMs exist for higher tiers.
Gusto connects with the following tools and platforms:
Care settings and agency models Gusto sells into.
Editorial last reviewed: 2026-05-01
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