The verdict in three sentences
A private clinic that wants to unify scheduling, the patient record and billing either pays a per-practitioner subscription (60 to 150 EUR/month) or invests in a custom build amortized over several years (50,000 to 120,000 EUR excl. tax). The decisive factor is not the software but health-data hosting (HDS), which is mandatory and billed on top (300 to 900 EUR/month). Custom becomes cost-effective beyond 15 to 20 practitioners, or when internal workflows fit no standard tool.
Off-the-shelf suite or custom platform
Vendors sell clinical suites by subscription: fast to deploy but priced per head and often rigid on internal circuits (operating rooms, day hospitalization, third-party payment). Custom flips the logic: heavy upfront investment, then low marginal cost per added practitioner.
| Criterion | Off-the-shelf suite | Custom platform |
|---|---|---|
| Entry cost | 0 to 5,000 EUR (setup) | 50,000 to 120,000 EUR excl. tax |
| Recurring cost | 60 to 150 EUR/practitioner/month | 300 to 900 EUR/month (HDS + maintenance) |
| Time to go live | 2 to 6 weeks | 4 to 7 months |
| Workflow customization | Limited | Total |
| Cost at 20 practitioners/year | 14,400 to 36,000 EUR | ~10,000 EUR (after amortization) |
| Code ownership | No | Yes |
Modules and regulatory requirements
Price depends mostly on functional scope and legal obligations. In France, hosting health data requires an HDS-certified provider; access traceability and health-data GDPR compliance are not optional.
| Module / requirement | 2026 range | Type |
|---|---|---|
| Multi-practitioner calendar + online booking | 8,000 to 18,000 EUR | Build |
| Electronic patient record (EMR) | 15,000 to 40,000 EUR | Build |
| Billing + third-party payment | 10,000 to 25,000 EUR | Build |
| Certified HDS hosting | 300 to 900 EUR/month | Mandatory recurring |
| Access traceability (logging) | Included in base | Mandatory |
| Health-data GDPR compliance | 5,000 to 15,000 EUR | Project |
| Evolutive maintenance | 12 to 18% of build/year | Recurring |
Mini case study
Dr Fall, director of an 18-practitioner private clinic in Dakar with a Paris branch, is weighing options. A market suite at 110 EUR/practitioner/month would cost 18 x 110 x 12 = 23,760 EUR/year, i.e. 71,280 EUR over three years. A custom platform at 85,000 EUR plus 600 EUR/month for HDS and maintenance comes to 85,000 + (600 x 36) = 106,600 EUR over three years. The market wins over three years, but from year 4 custom pulls ahead (7,200 EUR/year vs 23,760 EUR), and the clinic owns its code and the specific operating-room workflows the vendor refused to build.
FAQ
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What is the real starting budget for a mid-size clinic?
Expect 50,000 to 120,000 EUR excl. tax for a full custom build (scheduling + EMR + billing), or zero to 5,000 EUR of setup with an off-the-shelf suite. The gap is recovered on the per-practitioner recurring cost.
Is HDS hosting really mandatory?
Yes, as soon as you store personal health data in France. The provider must be HDS-certified; budget 300 to 900 EUR/month depending on volume and redundancy.
How long to deploy a custom platform?
Between 4 and 7 months for full scope, versus 2 to 6 weeks for a configured market suite. Custom requires specifications, development and clinical acceptance testing.
From how many practitioners is custom worthwhile?
Generally beyond 15 to 20 practitioners, or earlier if your internal circuits (complex third-party payment, operating rooms) fit no standard tool.
Can existing records be migrated?
Yes, through a data migration. Budget 5,000 to 15,000 EUR depending on source format and volume; it is a line item to quote from the start.
Let's scope your project. Describe your clinic (number of practitioners, desired modules, HDS constraint) and we will price a build or hybrid solution with an indicative budget and timeline. 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.

