Pricing That Scales With How You Operate Care
Start with the care programs you need today and scale into broader clinical intelligence, interoperability, quality, and operational capabilities as your organization grows.
Straightforward monthly pricing for Starter and Professional; configurable pricing for organizations operating care at scale. All plans are built around HIPAA's technical safeguards, including encryption in transit and at rest.
Starter
Small practices
The entry point for connected care operations — one clinical workflow, core billing readiness, and room to grow.
Includes:
- Up to 200 patients, 5 clinician accounts
- Care programs, triage queue, and patient context in one workflow
- Standard assessments (PROMIS, PHQ-9, GAD-7)
- Billing readiness tracking and time logging
- Encounter documentation and consent management
- Email support
- Care gap detection & quality measure tracking
- Advanced billing, prior authorization & compliance audit logs
- Custom assessment templates & multi-clinician team workflows
- Third-party integrations
Professional
Growing practices & multi-program teams
For practices running structured RPM, RTM, and CCM programs across a larger, coordinated care team.
Includes:
- Up to 2,000 patients, 25 clinician accounts
- Structured RPM, RTM, and CCM programs with multi-clinician workflows
- Care gap detection and quality-measure tracking aligned to HEDIS, MIPS, and CMS Star Rating methodologies
- Advanced billing, prior-authorization workflows, and compliance audit logs
- Custom assessment templates and alert rules
- Funder & grant outcome reporting
- Basic third-party integrations
- Full API, FHIR, and webhook access
- White-label branding (custom domain & theming)
- Dedicated account manager
Enterprise
Health systems, MSOs, FQHC networks, ACOs & complex organizations
For organizations operating care across multiple sites, populations, or governance requirements.
Includes:
- Unlimited patients and clinician accounts
- Everything in Professional
- Full API access, FHIR R4 (read/write for Patient, Observation, and MedicationStatement; read access to Condition, Practitioner, and Medication), and webhook / bulk-export integration
- Device connectivity (Omron, Tenovi) — ready to activate with vendor credentials
- Eligibility and prior-authorization infrastructure (Availity, Change Healthcare) — ready to activate with payer credentials
- White-label branding: custom domain and theming
- Dedicated account manager
When Your Organization Gets More Complex
Enterprise pricing isn't a bigger checkbox list — it reflects the scale and structure of how your organization actually operates.
Need a Quick Billing-Readiness Check First?
Billing Pulse is free, requires no login, and estimates reimbursement opportunity from the data you provide — a practical way to see your own patient list against CMS billing thresholds before talking to us about a plan.
Try Billing PulseAll Plans Include
HIPAA Technical Safeguards
Encryption in transit and at rest, audit logging, and role-based access control
Encryption
Data encrypted in transit and at rest
Tenant Isolation
Every query is scoped to your organization, enforced at the data layer
Guided Onboarding
Self-service setup for Starter and Professional; a dedicated implementation plan for Enterprise
Frequently Asked Questions
How does pricing work?
Starter and Professional are flat monthly subscriptions — one predictable price per organization, billed monthly, regardless of how many patients you enroll within your plan's limits. There is no per-patient charge and no usage metering. Enterprise is quoted individually based on your organization's scale and requirements.
What determines Enterprise pricing?
Enterprise pricing reflects the shape of your organization, not a feature checklist — patient and population volume, the number of sites or member practices, integration and device/payer connectivity requirements, network or multi-tenant governance needs, and implementation scope. We quote it after understanding how your organization actually operates.
Can I switch plans later?
Yes, you can upgrade or downgrade your plan at any time. When upgrading, the new features are available immediately. When downgrading, changes take effect at the start of the next billing cycle.
Is there a setup fee?
No setup fees for Starter and Professional — onboarding is self-service, from signup through a guided setup flow. Enterprise plans may include implementation services depending on your integration and migration requirements, which are quoted separately.
What kind of support is included?
Starter includes email support. Professional includes priority support. Enterprise includes a dedicated account manager. Specific response-time commitments are addressed in your service agreement.
Do you offer pricing options for FQHCs and non-profits?
Contact us about pricing options for FQHCs, nonprofit clinics, and community health organizations — these are evaluated as part of an Enterprise conversation around your organization's population, funding structure, and reporting requirements.
What about MSOs and multi-practice organizations?
For MSOs and multi-practice organizations, pricing is based on network scope, site count, population, integration needs, and governance requirements — the same dimensions as any Enterprise quote, scaled to a multi-practice network.
Can Billing Pulse be used before choosing a plan?
Yes. Billing Pulse is a free, no-login tool that estimates which of your patients appear billable this month from a CSV you provide. It's a good way to see your own data against CMS billing thresholds before talking to us about a plan.
What happens to my data if I cancel?
Data export and retention are handled according to the applicable agreement and our data-retention policy. Contact us before cancelling if you need a data export.
Find the Right Operating Model for Your Organization
See how VitalEdge can fit your care programs, population, integrations, and operational requirements.