Quick Answer
Last verified:
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Spruce Health costs $24 to $49 per user/month as of November 2026, with 2 plans available. Plans: Basic at $24/user/month, and Communicator at $49/user/month. 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/user/month, Communicator at $49/user/month.

Last verified: | Sources: 1 pricing pages and reviews
Know Before You Buy — See Spruce Health Plans

Spruce Health lists $24-$49/user/month, but hidden costs like implementation and support add to the total as of November 2026. Key hidden costs: implementation and onboarding fees, voip desk phone hardware, csv data export add-on. Verified from 1 sources by CostBench.

Hidden Costs Breakdown

1

Implementation and Onboarding Fees

high implementation

These fees range from $500 to $5,000 for small practices and $5,000 to $20,000 for larger clinics, covering setup, training, and customization (source dated Jul 2026).

Grounded summary

Larger practices may be required to pay an onboarding fee for setup, training, and customization, with specific pricing not publicly listed

2

VoIP Desk Phone Hardware

medium addon

The cost of VoIP desk phone hardware is not included in Spruce Health plans, requiring users to purchase devices separately. A Yealink T44W desk phone costs $139, and a Yealink W73P handset and base station cost around $161.

Grounded summary

For example, a Yealink T44W desk phone costs $139 per device, and a Yealink W73P handset and base station cost around $161

3

CSV Data Export Add-on

medium addon

Spruce Health charges an additional $100 per month for a CSV export add-on, which provides scheduled access to raw data.

Grounded summary

CSV Data Export: Spruce Health charges an additional $100 per month for a CSV export add-on, which provides scheduled access to raw data

4

Payment Processing Fees

high overage

All payments processed through Spruce Health via Stripe incur standard fees of 2.9% + $0.30 per transaction.

Grounded summary

Payment Processing Fees: All payments processed through Spruce Health are handled via Stripe, incurring standard fees of 2.9% + $0.30 per transaction

5

Taxes and Surcharges

medium compliance

Federal, state, and local taxes and surcharges for telecommunication services like VoIP calling, e911, and texting are passed directly to the user. These amounts vary based on the business address.

Grounded summary

These amounts vary based on the business address

6

SMS Registration Fee

low addon

A one-time fee of $19.50 is charged to enable outbound SMS.

Grounded summary

Larger practices may be required to pay an onboarding fee for setup, training, and customization, with specific pricing not publicly listed

7

Onboarding and Implementation Fees

high implementation

Larger practices may be required to pay an onboarding fee for setup, training, and customization.

Grounded summary

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.

8

Feature Upgrades

high addon

Essential features require an upgrade from the 'Basic' plan to the 'Communicator' plan.

Grounded summary

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 to the "Communicator" plan, which costs $49 per user per month.

Frequently Asked Questions

01 What hidden costs should I budget for with Spruce Health?

Beyond the license fee, budget for: Implementation and Onboarding Fees ($500 to $20,000 (source dated Jul 2026)); VoIP Desk Phone Hardware ($139 to $161 per device); CSV Data Export Add-on ($100 per month); Payment Processing Fees (2.9% + $0.30 per transaction); SMS Registration Fee ($19.50); Onboarding and Implementation Fees ($500 to $5,000 (small practices) or $5,000 to $20,000 (larger clinics) (source dated Jul 2026)); Feature Upgrades ($25 per user per month increase). Exact totals depend on your deployment size and negotiated terms.

02 Does Spruce Health charge for implementation?

Spruce Health implementation is not included in the license cost. These fees range from $500 to $5,000 for small practices and $5,000 to $20,000 for larger clinics, covering setup, training, and customization (source dated Jul 2026).. Estimated impact: $500 to $20,000 (source dated Jul 2026).

03 How much does Spruce Health support cost?

Premium support pricing for Spruce Health depends on your tier and contract terms. See the sourced cost breakdown above for any verified figures we have.

04 Are there overage or storage costs with Spruce Health?

All payments processed through Spruce Health via Stripe incur standard fees of 2.9% + $0. Estimated impact: 2.9% + $0.30 per transaction.

05 What add-ons cost extra with Spruce Health?

Add-on pricing for Spruce Health varies by feature. The sourced cost breakdown above lists any verified add-on costs we have.

Now You Know the Real Cost — See Spruce Health Plans

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