The verdict in three sentences
A custom telehealth platform for a group of clinics costs between 60,000 and 180,000 EUR in 2026, HDS hosting and integration included in scope. Custom is justified above several thousand consultations per month or when the platform must integrate with the EHR and existing patient journey. Below that, a white-label solution at 1,500-6,000 EUR/month launches a service in a few weeks without tying up capital.
What a telehealth platform covers
A serious platform goes far beyond video: it handles booking, the virtual waiting room, e-prescription, payment and traceability. Here are the building blocks and their custom-build budget weight.
| Module | 2026 range (EUR excl. tax) | Indicative lead time |
|---|---|---|
| Secure video + waiting room | 15,000 - 40,000 | 6 - 9 wks |
| E-prescription | 10,000 - 28,000 | 4 - 7 wks |
| Payment + billing | 8,000 - 22,000 | 3 - 6 wks |
| Record + consultation report | 10,000 - 30,000 | 4 - 7 wks |
| EHR / calendar integration | 8,000 - 25,000 | 4 - 8 wks |
| HDS hosting + security | 9,000 - 35,000 | ongoing |
The total explains the 60,000-180,000 EUR range depending on integration depth and required security level.
Build vs White-label by volume
The right trade-off depends on monthly consultation volume. Here is a three-year comparison.
| Criterion | White-label | Custom |
|---|---|---|
| Entry cost | 0 - 10,000 EUR setup | 60,000 - 180,000 EUR |
| Recurring cost | 1,500 - 6,000 EUR/mo | 1,200 - 3,500 EUR/mo (HDS + maintenance) |
| Time to launch | 3 - 6 wks | 5 - 9 months |
| Cost per consultation (2,000/mo) | 0.90 - 3.00 EUR | 0.60 - 1.50 EUR (year 2+) |
| Brand and journey | Constrained | Fully controlled |
| 3-year TCO (order of magnitude) | 65,000 - 220,000 EUR | 120,000 - 300,000 EUR |
Below 1,500 consultations/month, white-label is faster and safer. Above that, custom's cost per consultation becomes competitive and owning the platform gains value.
Mini case study
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Ms Sarr, CEO of a 5-clinic group in Dakar and Abidjan, projects 3,500 teleconsultations/month. At white-label 2.20 EUR per consultation, that is 7,700 EUR/month, i.e. 277,200 EUR over 3 years. A custom build at 140,000 EUR + 30,000 EUR/year (HDS + maintenance) comes to 230,000 EUR over 3 years, with a cost per consultation dropping below 1 EUR from year two. Decision: custom, because integrating the 5 sites' EHR and a single brand were strategic for retention.
FAQ
How much does a custom telehealth platform cost in 2026?
Between 60,000 and 180,000 EUR depending on modules (video, e-prescription, payment) and EHR integration depth. HDS hosting adds a recurring cost.
Is white-label worse than custom?
No, it simply fits a different volume. Below 1,500 consultations/month it is faster and lower-risk; above that, custom becomes cheaper per consultation.
Must the platform be HDS-hosted?
Yes, telehealth processes health data. Expect an HDS premium of 30-60 % over standard hosting, i.e. 1,000-2,500 EUR/month for a group.
How long to launch?
Between 5 and 9 months custom for a group scope. A video + booking + payment MVP can ship in 12-16 weeks, then e-prescription and integrations by iteration.
Let's scope your project. Tell us your consultation volume, number of sites and whether you target build or white-label: we cost the 3-year TCO and cost per consultation. 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.
