The verdict in three sentences
A health network can build its custom telemedicine platform for 50,000-130,000 EUR, or start white-label at 8-20 EUR per consultation to validate the market without heavy investment. Custom is justified when volume is high and brand, pathways and integrations (EHR, payment) become strategic. Either way, secure video and certified health-data hosting are the non-negotiable base, with a 5-10 month timeline.
The technical building blocks of a telemedicine platform
Telemedicine is more than a video call: it is a full chain, from booking to prescription and payment, traced and secured end to end.
| Technical block | Detail | Range |
|---|---|---|
| Secure video | Encrypted WebRTC, waiting room | 12,000-30,000 EUR |
| Booking & scheduling | Clinician diary, reminders | 8,000-18,000 EUR |
| E-prescription | Digital script, signature | 10,000-25,000 EUR |
| Online payment | Card + mobile money, billing | 6,000-15,000 EUR |
| Record & report | History, secure sharing | 8,000-20,000 EUR |
| Patient & clinician area | Dashboards, documents | 8,000-22,000 EUR |
Add certified hosting (1,500-3,500 EUR/month) and a 5-10 month implementation depending on required integrations (existing EHR, lab, payment system).
Custom build vs white-label
White-label saves time and avoids technical risk, but charges per consultation and constrains the brand. A custom build flips the ratio as volume grows.
| Criterion | White-label | Custom build |
|---|---|---|
| Upfront cost | Low (setup) | 50,000-130,000 EUR |
| Cost per consultation | 8-20 EUR | ~0 (excl. hosting) |
| Break-even | profitable at low volume | profitable from ~6,000 consult./yr |
| Brand & experience | Constrained | Fully controlled |
| Integrations (EHR, payment) | Limited | Custom |
| Code ownership | No | Yes |
| Launch time | 4-8 weeks | 5-10 months |
At 15 EUR/consultation white-label, 8,000 consultations/year cost 120,000 EUR/year: beyond that volume, a 100,000 EUR custom build pays back in under two years while giving platform ownership.
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Mini case study
Sarah, director of a health network covering several rural areas, targets 10,000 teleconsultations/year. White-label at 15 EUR/consultation would cost 150,000 EUR/year in fees.
She commissions a custom platform at 110,000 EUR, plus 30,000 EUR/year hosting and maintenance. In year one, her total cost (140,000 EUR) already undercuts the 150,000 EUR of white-label fees; in year two she pays only 30,000 EUR versus 150,000 EUR, saving 120,000 EUR/year. The platform also opens access to underserved areas, generating new consultation revenue.
FAQ
What does a telemedicine platform cost in 2026? From 50,000 to 130,000 EUR for a custom build depending on blocks (video, e-prescription, payment, integrations), plus certified hosting (1,500-3,500 EUR/month). White-label starts at 8-20 EUR per consultation.
Must the video be specially secured? Yes: encrypted streams, virtual waiting room, confidentiality and certified hosting. A mainstream consumer tool is not enough for health data.
When does a custom build pay off? Generally beyond about 6,000-8,000 consultations/year, white-label's per-consultation cost exceeds the amortisation of an owned platform.
Can mobile-money payment be integrated? Yes, alongside card: especially relevant for a network operating in West Africa, with automatic billing and reconciliation.
How long to launch? Expect 4-8 weeks white-label and 5-10 months for a custom build, depending on the number of integrations (EHR, lab, payment) required.
Let's scope your project. Share your target consultation volume, integrations (EHR, payment) and billing model, and we will price build or white-label and certified hosting. 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.