The verdict in three sentences
A custom telehealth platform for a health group in Toronto represents in 2026 an investment of 60,000 to 160,000 EUR, including secure video, scheduling and payment on compliant hosting. A realistic timeline runs 5 to 9 months, maintenance 800 to 1,800 EUR/month. Success is measured by a target adoption rate of 40 % and fewer travel-related cancellations.
What the platform is made of
Custom telehealth differs from consumer tools by controlling the journey: integration with the existing calendar, online payment, shared record, and above all compliance on the video flow. Custom avoids the per-consultation fees of third-party platforms.
| Building block | Content | 2026 range (EUR) |
|---|---|---|
| Secure video | Encryption, waiting room, adaptive quality | 15,000 - 40,000 |
| Scheduling + booking | Slots, reminders, queue | 10,000 - 26,000 |
| Online payment | Cards, insurance, receipts | 8,000 - 22,000 |
| Shared record | Documents, reports | 10,000 - 30,000 |
| Compliant hosting + security | Certification, logging | 8,000 - 30,000 |
| Patient mobile app | iOS/Android or PWA | 12,000 - 35,000 |
Total cost and savings vs third-party platforms
Third-party platforms charge a fee per consultation. At volume, a proprietary platform becomes cheaper and capitalizes an asset. Here is the 3-year comparison for a group doing 3,000 consultations/month.
| Scenario (3,000 acts/month, 3 years) | Total cost | Asset owned |
|---|---|---|
| Third-party at 1.20 EUR/act | 129,600 EUR | No |
| Third-party at 2.00 EUR/act | 216,000 EUR | No |
| Custom 80,000 EUR + maint. 1,000 | 116,000 EUR | Yes |
| Custom 110,000 EUR + maint. 1,400 | 160,400 EUR | Yes |
| Custom 160,000 EUR + maint. 1,800 | 224,800 EUR | Yes |
| Additional compliant hosting | 500 - 1,200 EUR/month | By volume |
Mini case study
Sarah, director of a health group in Toronto (6 sites), runs 2,800 consultations/month on a third-party platform at 1.50 EUR/act, or 4,200 EUR/month in fees. She invests 105,000 EUR in a custom platform + maintenance 1,300 EUR/month + compliant hosting 900 EUR/month. Recurring cost: 2,200 EUR/month versus 4,200 EUR: 2,000 EUR/month saved. By integrating the calendar, adoption rises from 28 % to 40 %, generating about 340 extra acts/month at 22 EUR margin, or 7,480 EUR/month. The build pays back in about 12 months.
FAQ
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What does a custom telehealth platform cost in 2026?
Between 60,000 and 160,000 EUR depending on blocks (video, payment, mobile app). A video + scheduling + payment core stays around 70-90,000 EUR; adding a mobile app and shared record pushes past 120,000 EUR.
Must the video flow use compliant hosting?
Yes whenever health data transits or is recorded. Secure video and logging are part of the compliance perimeter to cost from scoping.
At what volume does custom pay off?
Generally above 2,000-2,500 acts/month, where third-party fees exceed the cost of a proprietary solution over 3 years.
How do you reach 40 % adoption?
By integrating the existing calendar, simplifying access (PWA, one click) and training clinicians. Adoption is a journey issue as much as a technical one.
What does maintenance at 800-1,800 EUR/month cover?
Video maintenance, security updates, payment evolutions and support. A critical video flow demands solid maintenance.
Let's scope your project. Share your act volume, sites and budget: we cost a compliant platform and the break-even against fees. Detailed quote within 48 h. WhatsApp +221 77 596 93 33.
Mohamed Bah
Fondateur, Kolonell
Passionate about digital and entrepreneurship in Africa, Mohamed has been helping Sénégalese businesses with their digital transformation since 2020. Founder of Kolonell, he believes every SME deserves a professional and accessible online présence.