Price checkPer seat
Basic$24/per user/moCommunicator$49/per user/mo
See all 2 plans

All Spruce Health Plans & Pricing

Plan Monthly Annual Best For
Basic
Communicator
View all features by plan (compare side-by-side)

Basic

Communicator

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Compare Spruce Health with alternativesAdjust seats, lock a tier, add up to 2 more products side-by-side. Shareable URL.
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What does Spruce Health actually cost you?

Drag the slider. Pick a tier. Your projected spend updates as you go.

Tier
Billing
Your projected cost$600per month · $24/seat × 25seats
Year 1 license$7.2K12 months at this rate
At a glance

List price by tier (annualized, per seat)

Per-seat list price across Spruce Health's plans, annualized. Custom-priced tiers show a hatched bar.

Basic$288/yr
Communicator$588/yr
Quick Answer
Last verified:
High confidence

Spruce Health costs $24 to $49 per per user as of July 2026, with 2 plans available. Plans: Basic at $24/per user, and Communicator at $49/per user. Pricing depends on your chosen tier, contract length, and negotiated discounts.

Use the interactive pricing calculator to estimate your exact cost based on team size and requirements.

  • Free tier: No free tier available

Spruce Health offers 2 pricing tiers: Basic, Communicator. Paid plans include Basic at $24/per user, Communicator at $49/per user.

Compared to other telehealth software, Spruce Health is positioned at the budget-friendly price point.

  • 8 documented hidden costs beyond list price
  • Contracts auto-renew — at any time
  • G2 rating: 4.7 out of 5 from 339 reviews (as of Jul 2026)
Last verified: | Sources: 1 pricing pages and reviews

How much does Spruce Health cost?

Spruce Health pricing ranges from $24 to $49/per user across 2 plans. Plans include Basic at $24/per user, Communicator at $49/per user.

Spruce Health Pricing Overview

Spruce Health has 2 pricing plans ranging from $24 to $49/per user. The Basic plan costs $24/per user. The Communicator plan costs $49/per user.

Spruce Health contracts auto-renew, requiring at any time notice to cancel.

There are at least 8 documented hidden costs beyond Spruce Health's list price, including implementation, training, and add-on fees.

This pricing was last verified in June 13, 2026 from 1 independent source.

See Spruce Health Plans

Spruce Health offers two paid tiers for its software. Pricing is available on a per-user basis. The available plans are Basic and Communicator.

How Spruce Health Pricing Compares

Compare Spruce Health pricing against top alternatives in Telehealth.

Amwell $10000-$150000/custom enterprise pricing View pricing → Doxy.me $0-$50/per provider/month View pricing → SimplePractice $0-$99/per provider/month View pricing →

Compare Spruce Health vs Alternatives

Before committing to Spruce Health, compare pricing with these 3 alternatives in the same category.

VSAmwell
From $10000/custom enterprise pricing

General users and teams

Compare pricing
VSDoxy.me
Free

Solo practitioners needing a no-cost telehealth option

Compare pricing
VSSimplePractice
Free

Exploring all features before commitment

Compare pricing

All Spruce Health alternatives & migration guides

What Companies Actually Pay for Spruce Health

Review scores
G2 4.7out of 5 (339)
Third-party review aggregates, as of Jul 2026
Top pricing complaints
Limited Features and Expensive TiersMessaging Issues and Account RequirementsCustomer Support DeficienciesTechnical Performance and Integration

How Spruce Health Pricing Compares

Software Starting Price Top Price
Spruce Health $24/per user $49/per user
Amwell $10000/custom enterprise pricing $150000/custom enterprise pricing
Doxy.me Free $50/per provider/month
SimplePractice Free $99/per provider/month
Teladoc Health Free $119/custom enterprise pricing
Zoom for Healthcare $14.16/per user/month $14.16/per user/month

Browse all Telehealth pricing →

8 Spruce Health Hidden Costs Beyond the List Price

Beyond the listed price, Spruce Health has at least 8 documented hidden costs that can significantly increase total cost of ownership.

Watch for 8 hidden costs
  • Implementation and Onboarding Fees $500 to $20,000
    high 1 source
    industry "Larger practices may be required to pay an onboarding fee for setup, training, and customization, with specific pricing not publicly listed"
  • VoIP Desk Phone Hardware $139 to $161 per device
    medium 1 source
    industry "For example, a Yealink T44W desk phone costs $139 per device, and a Yealink W73P handset and base station cost around $161"
  • CSV Data Export Add-on $100 per month
    medium 1 source
    industry "CSV Data Export: Spruce Health charges an additional $100 per month for a CSV export add-on, which provides scheduled access to raw data"
  • Payment Processing Fees 2.9% + $0.30 per transaction
    high 1 source
    industry "Payment Processing Fees: All payments processed through Spruce Health are handled via Stripe, incurring standard fees of 2.9% + $0.30 per transaction"
  • Taxes and Surcharges
    medium 1 source
    industry "These amounts vary based on the business address"
  • SMS Registration Fee $19.50
    low 1 source
    industry "Larger practices may be required to pay an onboarding fee for setup, training, and customization, with specific pricing not publicly listed"
  • Onboarding and Implementation Fees $500 to $5,000 (small practices) or $5,000 to $20,000 (larger clinics)
    high 1 source
    industry "Annual Contracts for Larger Practices: For larger practices, Spruce Health may require an annual commitment, often accompanied by onboarding fees, to ensure a smooth transition and ongoing account management."
  • Feature Upgrades $25 per user per month increase
    high 1 source
    industry "Feature Upgrades: The base "Basic" plan costs $24 per user per month, but essential features like scheduled auto-replies, scheduled call routing, missed-call text-back, VoIP desk phone support, mobile payments, and integrations require an upgrade ..."
Tip

Ask your Spruce Health sales rep about these costs upfront. Getting them in writing before signing can save you from surprise charges later.

Full hidden costs breakdown →

Intelligence sourced from 2 independent sources
industry G2 B2B reviews
Key claims include inline source attribution. Data verified against multiple independent sources. 9 source citations total.

Spruce Health Contract Terms

Spruce Health contracts auto-renew. Changes require at any time. These terms are sourced from verified buyer experiences.

Contract Terms
Auto-Renewal Yes
Cancellation Notice at any time
Minimum Commitment month-to-month by default; annual commitment may be required for larger practices
Based on 1 verified source

Spruce Health Pricing FAQ

01 What is the cheapest plan?

The Basic plan is the cheapest paid plan at $24.0 per user per month.

02 Are there any annual discounts?

Annual pricing is not available for the Basic or Communicator plans.

03 Is there a free plan?

Spruce Health does not offer a free plan.

Is this pricing incorrect? — we'll verify and update it.