The verdict in three sentences
Private clinic management software is paid either per use (50 to 150 EUR/user/month for healthcare SaaS) or as an investment (60,000 to 180,000 EUR excl. VAT for custom development). Custom becomes profitable beyond 15 to 20 practitioners, or when your workflows (bookings, records, billing, insurance) do not fit a packaged editor. In both cases, certified health-data hosting and GDPR/data-protection compliance are not optional: they are legal prerequisites that account for 5 to 15 % of the budget.
Editor SaaS or custom development: the numbers
The choice depends on clinic size, number of specialties and how far you need to customize workflows. Here are 2026 orders of magnitude.
| Criterion | Healthcare SaaS | Custom Kolonell |
|---|---|---|
| Entry cost | 0 to 5,000 EUR (setup) | 60,000 to 180,000 EUR excl. VAT |
| Recurring cost | 50 to 150 EUR/user/month | 800 to 2,500 EUR/month (maintenance + hosting) |
| Time to launch | 2 to 8 weeks | 4 to 8 months |
| Workflow customization | Limited to options | Total |
| Code ownership | No | Yes |
| Certified health hosting | Included (shared) | Dedicated or certified, your choice |
| Insurance / claims integration | Depends on editor | To specification |
For an 8-practitioner clinic, SaaS at 90 EUR/user costs about 8,640 EUR/year, close to 43,000 EUR over 5 years — without ever owning the tool. Custom at 110,000 EUR amortized over 5 years costs about 22,000 EUR/year all-in, with an asset in your name.
What the budget actually covers
Software price is not just about features: security and interoperability concentrate most of the effort.
| Item | Share of budget (custom) | Detail |
|---|---|---|
| Multi-practitioner scheduling | 15 % | Shared calendar, rooms, resources |
| Electronic patient record | 25 % | History, prescriptions, imaging |
| Billing & insurance claims | 20 % | Quotes, payment, e-transmission |
| Health-data hosting & security | 12 % | Encryption, logging, backups |
| Patient portal / reminders | 13 % | SMS, email, online documents |
| Analytics & reporting | 10 % | Occupancy, revenue, no-shows |
| Training & data migration | 5 % | Migrating legacy systems |
Mini case study
Dominique, director of a 12-practitioner multi-specialty clinic in London, faces 18 % no-shows and a 71 % occupancy rate. She invests 120,000 EUR excl. VAT in a custom tool with SMS reminders and fine slot management. No-shows drop to 8 %, occupancy rises to 84 %. On an average revenue of 90 EUR per consultation and 160 slots/day, recovering 10 occupancy points means about 16 consultations/day, i.e. 1,440 EUR/day or nearly 330,000 EUR/year of recovered billable capacity. The tool pays for itself in under six months.
FAQ
Need a professional website?
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Is certified health-data hosting really mandatory?
Yes. As soon as you store or process personal health data for a third party, the host must be certified in your jurisdiction. Budget 300 to 1,500 EUR/month depending on volume and redundancy level.
Can we keep a public booking platform and a back-office tool together?
Yes, via API or gateway. Many clinics keep a consumer booking tool and connect their record/billing system to it. Budget 5,000 to 15,000 EUR for a clean integration.
How long to deploy a custom build?
Expect 4 to 8 months depending on scope, including 3 to 6 weeks just for data migration and training of clinical teams.
Is SaaS cheaper in the long run?
Rarely beyond 15 practitioners. Above that threshold, per-user subscription often exceeds the amortized cost of an owned tool, on top of vendor lock-in.
What happens during a data-protection audit?
You must show the processing register, access logs, encryption and certified hosting. A well-built custom system documents all of this natively; SaaS shifts that responsibility to the editor, who must be audited.
Let's scope your project. Tell us about your clinic (number of practitioners, specialties, billing and insurance needs) and we will frame a scope with an indicative budget across SaaS and custom. 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.

