The verdict in three sentences
A health group renting a white-label telemedicine solution pays per consultation and controls neither the data nor the journey. A custom platform (70,000 to 180,000 EUR) integrates secure video, booking, payment and e-prescription under your brand. The non-negotiable point: HDS and GDPR compliance, budgeted from design, not afterwards.
2026 pricing for a custom platform
The budget depends on consultation volume, modules and the level of integration with your existing systems. 2026 orders of magnitude.
| Item | 2026 range | Note |
|---|---|---|
| Platform development | 70,000 to 180,000 EUR | By modules and volume |
| Annual maintenance | 15 %/year of build | 10,500 to 27,000 EUR/year |
| HDS hosting | 1,500 to 6,000 EUR/month | By load and redundancy |
| E-prescription module | 12,000 to 28,000 EUR | Signature, traceability |
| Payment integration | 6,000 to 15,000 EUR | Card, mobile money by market |
| Mobile app (iOS/Android) | 25,000 to 60,000 EUR | Optional |
Rent or build: the per-consultation math
White-label solutions often charge 1 to 3 EUR per consultation plus a subscription. At high volume, custom becomes cheaper. Order-of-magnitude comparison for 2026.
| Monthly volume | White-label cost (estimate) | Amortized custom cost (estimate) |
|---|---|---|
| 500 consultations | 1,500 to 2,500 EUR/month | High (build not amortized) |
| 2,000 consultations | 4,000 to 8,000 EUR/month | Competitive from year 2 |
| 5,000 consultations | 9,000 to 18,000 EUR/month | Clearly cheaper |
| 10,000 consultations | 18,000 to 35,000 EUR/month | Minimal cost per consult |
| Data ownership | No | Yes |
| Journey customization | Limited | Total |
Mini case study
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Dr. Fontaine leads a group of 4 health centers running 4,000 teleconsultations/month via a white-label solution at 2 EUR/consultation plus 1,500 EUR/month subscription, or 9,500 EUR/month, about 114,000 EUR/year. By building his own platform at 140,000 EUR plus 21,000 EUR/year maintenance and 4,000 EUR/month HDS hosting, his recurring annual cost falls to about 69,000 EUR (maintenance + hosting). From year 2, he saves about 45,000 EUR/year versus white-label, while owning his data and patient journey. The build pays back in a little over 3 years.
FAQ
How much does a custom telemedicine platform cost in 2026? Budget 70,000 to 180,000 EUR depending on modules (video, booking, payment, e-prescription) and the mobile app. Add maintenance of 15 %/year and HDS hosting.
Is HDS hosting mandatory? Yes, in France any platform hosting health data must use a certified HDS host. It is a recurring cost (1,500 to 6,000 EUR/month) to factor in from the start.
Rent or build your platform? Below 1,000 to 1,500 consultations/month, white-label is often simpler. Beyond that, custom becomes cheaper and makes you the owner of your data.
Is the video really secure? Yes, a compliant platform uses end-to-end encryption, strong authentication and access logging, without relying on non-compliant consumer tools.
How long to launch the platform? Budget 22 to 32 weeks for a full scope, with a pilot (video + booking + payment) usable in 14 to 18 weeks.
Let's scope your project. Specify your consultation volume, key modules and level of system integration, and we will price your platform. 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.
