HIPAA Messaging Cost Calculator
See what secure messaging actually costs for your practice — compare pricing across every major platform in seconds.
Compare pricing nowMost HIPAA-compliant messaging vendors hide their pricing behind sales calls, demos, and multi-week procurement cycles. This calculator uses only publicly available pricing to show you what each platform actually costs for your team size — and flags the hidden fees, contract requirements, and setup friction that don't appear on pricing pages.
HIPAA messaging platform pricing at a glance
The table below summarizes published pricing, signup requirements, and hidden costs for the most widely used HIPAA-compliant messaging platforms. Use the interactive calculator above to see costs tailored to your team size and messaging needs.
| Platform | Published pricing | Free tier | BAA included | Self-serve signup | Setup time | Watch out for |
|---|---|---|---|---|---|---|
| BloomText | Free: $0/mo; SMS: $89/mo; Team Chat: $11/user/mo | Yes | Yes | Yes — start free | Same day | None. No setup fees, no onboarding cost, no annual contract. Cancel anytime. |
| OhMD | Communicate: $300/mo; Automate: $500/mo | Yes | Yes | Yes — online signup | Same day | Starts at $300/mo. Small clinics report quotes up to $2,000+/mo. Calling billed separately. |
| TigerConnect | Essentials: $10/user/mo | No | Yes | Enterprise sales only | 2-6 weeks | Starts ~$8–15/user but implementation fees add $2,000–$10,000+. Annual contract reportedly difficult to cancel. Min 25 users. |
| Spruce Health | Basic: $24/user/mo; Communicator: $49/user/mo | No | Yes | Yes — 14-day trial | 1-3 days | Onboarding fees $500–$5,000 for small practices. CSV export $100/mo extra. Patients need the Spruce app. |
| pMD | pChat: $10/user/mo | No | Yes | Yes — online signup | Same day | Patients need the pMD app to receive messages. No free tier. |
| Doximity Dialer Pro | Dialer Pro: $24/user/mo | No | Yes | Requires annual license | 1-2 weeks | Annual contract ($288/yr per license). Not a messaging platform — voice and video calls only. |
| Hucu.ai | Contact sales | Yes | Yes | Yes — free tier available | Same day | Per-patient pricing model — costs scale with patient volume, not team size. |
| Celo Health | Free: $0/mo; Growth: $49/mo; Business: $99/mo; Business Pro: $199/mo | Yes | Yes | Yes — free tier available | Same day | Free plan has no BAA. Patient messaging locked to Business Pro ($199/mo). Annual billing required. |
Need HIPAA-compliant messaging?
Get started for freeQuestions to ask before you sign
Before committing to any vendor, ask these questions. The answers will reveal costs that don't appear on the pricing page.
- Do you charge an implementation or onboarding fee?
Some vendors charge $2,000–$10,000 upfront for setup, training, and onboarding before you send a single message. If the answer isn't "no," ask for the exact amount in writing.
- Can I cancel month-to-month, or is there a minimum contract?
Multi-year contracts with early termination penalties lock you in even if the tool stops meeting your needs. Ask for month-to-month billing or a money-back guarantee.
- Are there per-message fees or overage charges?
Some platforms charge per SMS segment above a plan limit. A practice sending 500 patient texts per month could face surprise charges if the base plan only covers 200.
- How long until we can actually send our first message?
Enterprise tools may take 2–6 weeks for BAA execution, legal review, and provisioning. That's weeks of paying for a tool you can't use yet.
- Do we need IT staff to set this up and maintain it?
Tools requiring server configuration, SSO setup, or EHR integration may need dedicated IT staff or a consultant — a hidden cost that never appears on the pricing page.
- Do our patients need to download an app to communicate?
If patients must install an app to receive messages, expect lower response rates and more friction. Ask whether patients can reply via standard SMS on their existing phone.
Frequently Asked Questions
- We use only publicly available pricing from each vendor's website. When exact pricing is not published, we show "Contact sales" rather than guessing. Verify current pricing directly with each vendor before making a purchasing decision.
- We verify competitor pricing quarterly and update this page when changes are found. Each vendor row includes a "last verified" date so you can see how recent our data is.
- Many HIPAA messaging vendors do not publish their pricing publicly. They require a sales call or demo to get a quote. We show "Contact sales" rather than estimating, because publishing inaccurate pricing would not help your decision.
- Yes. BloomText offers a free plan that includes a signed BAA, secure messaging, and up to 10 team members. Paid plans start at $89/month for SMS patient texting and $11/user/month for team chat.
- Patient SMS lets your practice text patients on their personal phone — they reply via regular SMS without downloading an app. Team chat is internal secure messaging between your staff members for care coordination and collaboration.
How accurate is this calculator?
How often is pricing updated?
Why do some platforms show "Contact sales"?
Is BloomText really free?
What is the difference between patient SMS and team chat?
Methodology and sources
We built this calculator using only publicly available pricing data from each vendor's website. When a vendor does not publish pricing, we show "Contact sales" rather than estimating. Prices shown are monthly costs based on your team size and selected messaging needs. We verify pricing quarterly and update this page when changes are found.
- BloomText — published pricing (verified May 26, 2026)
- OhMD — published pricing (verified May 26, 2026)
- TigerConnect — published pricing (verified May 26, 2026)
- Spruce Health — published pricing (verified May 26, 2026)
- pMD — published pricing (verified May 26, 2026)
- Doximity Dialer Pro — published pricing (verified May 26, 2026)
- Hucu.ai — contact sales for pricing (verified May 26, 2026)
- Celo Health — published pricing (verified May 26, 2026)
Page last updated May 26, 2026.
