Telehealth pricing that actually makes sense.
Most telehealth pricing pages hide the real costs. Here is a transparent breakdown: what platforms charge, what providers cost, what insurance pays, and what your margins look like at each stage. No asterisks.
What telehealth platforms actually charge.
Telehealth platforms typically charge per provider, per patient encounter, or as a flat monthly fee. The pricing model you choose determines your cost structure at scale — and most founders pick wrong. Employer-facing operators may also compare PEPM pricing when evaluating digital health economics.
Per-provider pricing punishes growth. Per-visit pricing punishes volume. Flat pricing with usage tiers is the only model that scales with your business without creating perverse incentives.
Per-provider pricing
Common with legacy EHR platforms. $100-500/provider/month. Works for small practices, but costs spiral as you add providers. A 10-provider practice pays $1,000-5,000/month before seeing a single patient.
Per-encounter pricing
$5-25 per patient visit. Looks cheap at low volume, but at 1,000 visits/month you are paying $5,000-25,000/month. The platform's incentive is to drive your costs up, not down.
Flat + usage tiers
Base platform fee ($200-500/month) with transparent add-ons for volume. Remedora uses this model — your platform costs grow proportionally with revenue, not faster.
How telehealth businesses generate revenue.
Cash-pay consultations
Patients pay $49-199 per visit. No insurance paperwork. 80%+ margins. Works best for urgent care, weight loss, dermatology, and mental health. Fastest path to profitability.
Subscription programs
Monthly fee ($49-299/month) for ongoing treatment access. Weight loss, birth control, hair loss, skincare. Creates predictable MRR. Compounds over time — a 1,000-subscriber weight loss program at $199/month generates $199K/month.
Insurance-based visits
Reimbursement rates: $50-120 for established patients, $80-200 for new patients. Lower margins but higher addressable market. Requires credentialing with each payer (30-90 day process).
Ecommerce & Rx fulfillment
Sell prescription products directly through your storefront. Patients complete intake, get prescribed, and purchase in a single flow. Revenue from both the consultation and the product.
White-label licensing
License your telehealth infrastructure to other practices. Charge $500-2,000/month per client. Turns your platform expertise into a revenue center.
Hybrid model
Combine cash-pay, subscriptions, and ecommerce. The most profitable telehealth businesses derive 60-70% of revenue from recurring subscriptions and product sales, not one-off consultations.
Where the money goes (and where it stays).
A typical cash-pay telehealth visit at $99 generates $79-89 in gross profit after payment processing and platform costs. The real margin killer is not the platform — it is paying providers for low-value administrative work that should be automated.
The most profitable telehealth businesses automate intake, charting, and prescription routing so providers spend 90% of their time on clinical decisions, not paperwork.
Cash-pay visit margin
Gross revenue: $99. Payment processing (3%): -$3. Platform cost: -$2-5. Provider time (5 min at $100/hr): -$8. Net margin: $83-86 per visit. At 100 visits/day, that is $8,300-8,600/day in gross profit.
Subscription margin
Monthly revenue: $199. COGS (medication + pharmacy): -$30-60. Platform: -$5. Provider review (amortized): -$10. Net margin: $124-154/subscriber/month. At 500 subscribers: $62K-77K/month recurring.
Insurance visit margin
Reimbursement: $80-120. Billing cost (8-12%): -$7-14. Credentialing amortized: -$2. Platform: -$5. Provider time (15 min): -$25. Net margin: $41-74 per visit. Lower but scalable with volume.
If your pricing guide story depends on manual cleanup, it is not done.
The right platform does not just add features. It removes the manual bridges between intake, provider review, prescribing, and fulfillment. If your team is still copy-pasting between tools, the platform is not doing its job.
Talk with RemedoraCommon questions about pricing guide.
How much does a telehealth platform cost per month?
Telehealth platform costs range from $200/month for basic intake and video to $2,000+/month for full-featured platforms with e-prescribing, ecommerce, and compliance tools. Remedora includes intake, charting, e-prescribing, storefront, and HIPAA compliance in a single platform with transparent tiered pricing.
Is telehealth profitable?
Yes — cash-pay telehealth has 80%+ gross margins. A single provider reviewing 50 patients per day at $99/visit generates $4,950/day in revenue with $4,000+ in gross profit. Subscription-based telehealth (weight loss, skincare, mental health) generates even higher margins through recurring revenue.
What does telehealth cost patients?
Cash-pay telehealth visits cost $49-199 depending on specialty and complexity. Subscription programs range from $49-299/month. Insurance-based visits have standard copays ($15-40). The most popular telehealth services are in the $49-99 range for common conditions.
How do telehealth subscriptions work?
Patients pay a monthly fee for ongoing access to treatment. The subscription typically includes: monthly provider review, prescription management, and medication fulfillment. Weight loss programs ($149-299/month) and birth control ($49-79/month) are the most common subscription models.
What is the cheapest way to start a telehealth business?
The lowest-cost path is: (1) Form an LLC ($100-300), (2) Get your NPI (free), (3) Obtain state medical license ($200-2,000), (4) Secure malpractice insurance ($2,000/year), (5) Use Remedora for intake, prescribing, and ecommerce ($200-500/month). Total first-year cost: under $5,000. Revenue can start in week one with cash-pay visits.