Telehealth app cost calculator, built from real prices

Every number this calculator uses is one Zee Palm publishes: a prototype from $3,500, an MVP build from $12,000, a full custom build with EHR integration from $25,000, device integrations at $3,500 per platform. It gives you a range rather than a suspiciously precise figure, and shows what the range excludes.

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1. What are you actually buying?

These three floors are Zee Palm’s published starting prices. Everything below moves you within and between them.

2. Where does it run?

Most telehealth products need a patient-facing app and a separate clinician surface.

3. Which features are in version one?

Accounts, onboarding, profiles and basic analytics are in every build and are not listed. The percentages are a scope model, not per-feature prices.

4. Integrations and add-ons

These have their own published prices and are added as line items, because each one is genuinely its own project.

5. How designed does it need to be?

Clinical software rarely needs a bespoke interface, but some consumer-facing programs do.

6. How complex is the backend?

EHR integration is where most telehealth builds actually earn their scope.

7. The year after launch

Clinical software degrades faster than consumer software when unattended — an EHR vendor’s API changes on their schedule, not yours.

$13,000$24,500

One-off build cost. The low end is the published floor for this scope plus the add-ons you picked. The high end applies the scope model above.

MVP build floor
$12,000
QA & release readiness
$999
Scope model applied
+95%

Planning sprint, credited toward the build

$1,500

Running it, first 12 months

$12,000

This range excludes

  • App-store developer fees and hosting, billed to your own accounts
  • EHR vendor connection fees (Epic, Cerner and Athenahealth each charge their own)
  • Payer enrollment, credentialing and licensure fees
  • Marketing, ad spend and app-store optimization
  • Legal, clinical or regulatory review, and any certification

An estimate, not a quote. Real numbers come from a five-day planning sprint at $1,500, or the seven-day Healthtech MVP Blueprint at $1,999 for products with a clinical dependency map. Both are credited in full toward the build.

What actually drives telehealth build cost

Four things move a telehealth budget more than the feature list does, and none of them are what a generic app estimate accounts for.

Integration depth, not features

A telehealth app's real cost driver is what it has to talk to, not what it shows a patient. EHR write-back, payer eligibility checks and device data streams each carry their own weight, which is why the backend-complexity choice in this calculator moves the range more than any single feature.

Regulatory surface changes the build, not just the review

E-prescribing, licensure routing and consent handling aren't UI work with a compliance label on top — they change what the data model has to represent and what the backend has to enforce before a single screen gets designed.

Clinician-facing and patient-facing are different products

A patient booking a video visit and a clinician documenting one inside a busy day have almost nothing in common as interfaces. Most real telehealth builds are two connected products, not one screen set reused twice.

The year after launch

An EHR vendor changes their API on their own schedule, not yours. Maintenance from $1,000/mo is what keeps a telehealth integration from silently breaking the first time Epic or Cerner ships an update.

Exactly how this calculator works

The low end of the range is arithmetic, not opinion. It is the published floor price for the tier you picked, plus the published price of every device integration you selected. An MVP with EHR integration and one device platform is $12,000 plus $3,500, so the range starts at $15,500. Check every one of those numbers against the full price list.

The high end applies the same scope model used on the fitness app calculator: each feature and scope choice carries a percentage weight, the weights are summed, and the total is applied to the floor. Backend complexity carries the heaviest weights here on purpose — EHR integration and multi-tenant architecture are where a telehealth build genuinely earns its scope, more than any single clinical feature does.

The same escalation rule from the fitness calculator applies: if your selections push an MVP past roughly a doubling of its floor, the calculator prices it from the full custom build floor of $25,000 instead. The range never collapses below a 25% spread, for the same reason it doesn’t there — a confident-looking number before anyone has scoped the work is a sales tactic, not an estimate. The reliable number comes from a five-day MVP Planning Sprint at $1,500, or the seven-day Healthtech MVP Blueprint at $1,999 for products with a genuine clinical dependency map.

The unprofitable advice: ship scheduling, video visits and documentation before you add e-prescribing, payer billing or multi-state licensure routing. That first slice is a real product a clinician can use tomorrow; the rest is what version two is for, once the workflow is confirmed.

What people ask about telehealth app pricing

How much does it cost to build a telehealth app?

Using our published prices: a clickable prototype on synthetic data from $3,500, a bounded MVP build from $12,000, and a full custom build with EHR integration from $25,000. Device and wearable integrations for remote monitoring are $3,500 per platform. Most first versions land between $12,000 and $30,000 once EHR integration and one device platform are included. The calculator on this page builds a range from exactly those numbers.

Why do EHR integrations and e-prescribing cost so much more than a typical feature?

Because they carry real regulatory and interoperability weight that a typical app feature doesn't. HL7/FHIR R4 connections to Epic, Cerner or Athenahealth each have their own quirks and their own vendor connection fees, which sit outside this estimate entirely. E-prescribing for controlled substances (EPCS) is close to its own project, with identity-proofing and DEA requirements layered on top of the prescribing flow itself.

Is this calculator a quote?

No, and any calculator that claims to be one is lying. It is an estimate built from published floor prices plus a transparent scope model. The real number comes from a $1,500 five-day MVP Planning Sprint, or the $1,999 seven-day Healthtech MVP Blueprint for products with a genuine clinical dependency map — both credited in full toward the build if you go ahead.

What is not included in the estimate?

App-store developer fees and hosting, the EHR vendor's own connection fees (Epic, Cerner and Athenahealth each charge separately for API access), payer enrollment, credentialing and state licensure fees, marketing spend, and any legal, clinical or regulatory review. Those are yours and billed to your own accounts.

How can I make my telehealth app cheaper to build first?

Cut integration scope before you cut clinical features: ship with standard scheduling and documentation before adding a live EHR write-back, and add licensure-routing logic only once you're operating in more than one state. Video visits and documentation templates are usually the real version one; e-prescribing, payer billing and multi-provider triage are usually version two, added once the first buyer confirms the workflow.

Turn the estimate into a plan

Send us the range and we'll tell you if it's right

Paste your feature list and the number this gave you. We'll come back with what version one should actually contain, a fixed price and a date — usually within one business day.