The verdict in three sentences
For a network of 5 to 15 clinics in and around Dublin, a custom telemedicine platform costs between 70,000 and 200,000 EUR excluding VAT, with health-grade certified hosting, encrypted video and electronic prescribing. The project takes 6 to 9 months, largely because of regulatory requirements. It beats per-clinician subscriptions beyond roughly 60 clinicians or when the network's patient journey is specific (chronic care follow-up, specialist-to-GP referrals between sites).
Off-the-shelf tool or your own platform: the real comparison
Market video consultation tools are fast to deploy and compliant. Their limits: the patient relationship partly belongs to the vendor, the experience carries someone else's brand, and the cost grows with every clinician. A medical director running several clinics across Dublin, Swords and Bray has to compare over five years, not the first month.
| Criterion (2026 estimate) | Market platform | Custom platform |
|---|---|---|
| Upfront cost | 0 to 5,000 EUR | 70,000 to 200,000 EUR |
| Recurring cost | 129 to 179 EUR per clinician per month | 1,500 to 4,000 EUR per month (hosting, maintenance) |
| 5-year cost for 60 clinicians | 464,000 to 644,000 EUR | 160,000 to 440,000 EUR |
| Brand and patient relationship | the vendor's | yours |
| Specific pathways (chronic care, referrals) | limited | designed for you |
| Time to go live | 1 to 2 weeks | 6 to 9 months |
| Health data | at the vendor | at your certified host |
The calculation flips below 30 clinicians: a subscription then remains the most reasonable choice.
Mandatory components and their cost
In Ireland, a remote consultation must meet Medical Council guidance on telemedicine, GDPR and the Data Protection Commission's expectations for health data, and integrate with existing practice systems and, where relevant, Healthlink messaging and national e-prescription transfer. In the French reference project the equivalent requirements are HDS hosting, INS identity and e-prescription.
| Component | Content | 2026 budget (EUR) | Timeline |
|---|---|---|---|
| Booking and patient record | multi-site calendar, SMS reminders, consents | 15,000 to 35,000 | 2 months |
| Encrypted video | end-to-end encrypted WebRTC, waiting room, document sharing | 15,000 to 40,000 | 2 months |
| E-prescribing and identity | electronic prescription, patient identity checks, clinician signature | 12,000 to 35,000 | 2 months |
| Billing and payment | practice software integration, online payment, insurer claims | 10,000 to 30,000 | 1.5 months |
| Security and compliance | strong clinician login, audit, data protection impact assessment | 10,000 to 35,000 | ongoing |
| Mobile apps | iOS and Android for patients | 8,000 to 25,000 | 2 months |
| Certified hosting and maintenance | health-grade servers, backups, support | 1,500 to 4,000 per month | ongoing |
The regulatory overhead typically represents 25 to 35 % of the budget. It is not negotiable: without compliant hosting and strong authentication, clinicians cannot use the tool.
Mini case study
Dr Aoife, medical director of an 8-clinic network in Dublin and Kildare, has 72 clinicians, 50 of whom run remote consultations. On a market platform at 149 EUR a month, the annual bill reaches 89,400 EUR for 50 clinicians, or 447,000 EUR over 5 years.
The custom platform, priced at 140,000 EUR with 3,000 EUR a month of certified hosting and maintenance, costs 320,000 EUR over 5 years. The saving reaches 127,000 EUR, and the network adds remote specialist advice between its clinics and diabetic patient follow-up, which the standard tool did not allow. Break-even comes around month 37.
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FAQ
How much does a custom telemedicine platform cost in 2026?
Between 70,000 and 200,000 EUR depending on modules, plus 1,500 to 4,000 EUR a month of certified hosting and maintenance. Compliance accounts for 25 to 35 % of the budget.
Is certified health-grade hosting mandatory?
Under GDPR, health data requires appropriate security and documented safeguards; in France, HDS certification is a legal requirement. Shared certified hosting starts around 400 EUR a month, dedicated infrastructure often exceeds 1,500 EUR.
Can patients be reimbursed for remote consultations?
It depends on the payer: private insurers in Ireland increasingly cover virtual GP visits, and in France the Assurance Maladie reimburses at the same rate as in-person visits when conditions are met. The platform must produce compliant billing records.
Why 6 to 9 months?
Integrating strong clinician authentication, identity checks and e-prescribing requires testing and approvals. Functional development alone would take about 4 months.
From how many clinicians is custom profitable?
As an order of magnitude, beyond 50 to 60 active clinicians over 5 years. Below 30, a subscription remains cheaper.
Let's scope your project. Describe your network, clinician count and the pathways to cover: we will price a compliant platform between 70,000 and 200,000 EUR with a 6 to 9 month plan. 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.
