4.9 (400+
reviews)
Introduction to Spruce Health Pricing
Spruce Health is a healthcare communication and telehealth platform designed to help practices connect securely with patients and care teams. It supports providers with tools for secure messaging, telemedicine visits, prescription coordination, internal collaboration, and patient engagement.
Healthcare practices from solo practitioners to multi-location clinics—use Spruce Health to streamline patient communication while maintaining HIPAA compliance. However, understanding Spruce Health pricing per month and per year is critical before adopting the platform, as costs can scale quickly with additional users and features.
This blog breaks down Spruce Health pricing, available plans, add-ons, and limitations, and compares it with Emitrr, a more automation-focused healthcare communication platform built for scalability and cost efficiency.
Spruce Health Pricing
Spruce Health offers flexible, per-user pricing designed to support healthcare practices of different sizes. Its plans focus on secure communication, telemedicine, and HIPAA compliance, allowing clinics to choose a tier based on their operational needs, team size, and patient communication volume.
Basic Plan
Price: $24 per user, per month
Key Features Included:
- HIPAA-compliant secure messaging
- Secure app-based patient communication
- 2-way SMS HIPAA-compliant texting
- Secure texting chat
- Contact and patient list management
- Business Associate Agreement (BAA)
- Onboarding resources
Limitations
- Limited automation capabilities
- No advanced phone system features
- Fewer administrative and workflow tools
Free Trial: Available
Communicator Plan
Price: $49 per user, per month
Key Features Included:
- Advanced medical phone system
- Video telemedicine visits
- Auto-attendant phone trees (IVR)
- VoIP desk phones
- Missed-call text-back
- Scheduled messages and auto-replies
- Urgent escalation and after-hours triage
- Bulk (broadcast) messaging
- E-fax and mobile payments
- Clinical questionnaires
- Team organization and access controls
- Integrations and API access
- Dedicated support
Limitations:
- Higher per-user cost
- Advanced features unavailable on lower plans
Free Trial: Available
Add-Ons and Extra Costs
Spruce Health pricing may rise beyond base plans due to optional add-ons and usage-based features. These extras support advanced communication needs but can make monthly expenses harder to forecast for expanding healthcare practices.
- Additional users or providers increase costs as clinical teams expand.
- Premium telemedicine features support complex virtual care workflows and visits.
- Advanced call routing and IVR improve patient call handling efficiency.
- Broadcast messaging enables large-scale patient outreach and announcements.
- Custom integrations and API access support tailored system connectivity.
Spruce Health Pricing vs Emitrr Pricing: A Comparison
Comparing Spruce Health pricing with Emitrr pricing is essential for healthcare practices that depend on consistent patient communication app, appointment reminder, and follow-ups. While both platforms support HIPAA-compliant communication, their pricing structures impact long-term affordability differently.
Many healthcare platforms seem cost-effective at first, but expenses often increase as practices add providers, scale patient outreach, or unlock advanced features. Per-user fees, add-ons, and usage-based charges can significantly raise monthly and yearly costs.
Key factors to evaluate include the total cost of ownership, scalability across teams, depth of automation, and how easily staff can manage patient communication across multiple channels without increasing operational complexity.
Pros and Cons of Spruce Health Pricing
Pros of Spruce Health Pricing
- Flexible Plan Options: Spruce Health offers multiple pricing tiers that cater to both solo practitioners and larger clinics. This flexibility allows healthcare providers to choose a plan that aligns with their size, communication needs, and level of patient interaction.
- HIPAA-Compliant Communication: The platform provides a strong HIPAA-compliant infrastructure with secure messaging, telehealth, and data protection. Practices can confidently manage patient communication while meeting regulatory requirements without relying on third-party compliance tools.
- Built-In Messaging and Telehealth: Spruce Health includes secure messaging and video telemedicine features within its plans. These tools help providers engage patients digitally, reduce no-shows in-person visits when appropriate, and improve overall accessibility to care.
- Free Patient App Access: Patients can use the Spruce app at no additional cost for basic communication. This lowers adoption barriers, improves patient engagement, and enables smoother communication between healthcare teams and patients.
Cons of Spruce Health Pricing
- Rising Costs with Growth: Spruce Health pricing is based on per-user billing, which can become expensive as more providers or staff members are added. Growing practices may find monthly and yearly costs increasing faster than expected.
- Feature Restrictions by Tier: Many advanced capabilities, such as enhanced call management and automation tools, are only available on higher-tier plans. Smaller practices may need to upgrade sooner to access essential features.
- Add-On Expenses: Optional features and usage-based add-ons can significantly raise the total monthly expense. This makes it harder for clinics to predict long-term costs and maintain budget control.
- Limited Automation Flexibility: Compared to Emitrr, Spruce Health offers limited multi-channel automation. Practices handling high communication volumes may require additional tools to automate reminders, follow-ups, and patient outreach efficiently.
See how AI is changing healthcare:
Emitrr Pricing
Emitrr provides transparent, automation-first pricing designed for healthcare practices that need reliable, multi-channel patient communication. Its plans focus on HIPAA compliance, intelligent automation, and predictable costs, helping clinics improve efficiency without unexpected expenses as communication volume or team size grows.
- Standard Plan – $20 per user/month: The Standard Plan supports everyday healthcare communication with HIPAA-compliant scheduling, automated online appointment scheduling, secure two-way texting, and a centralized team inbox. Structured workflows ensure consistent communication, while the absence of extra mobile line requirements keeps costs predictable for small and mid-sized practices.
- Professional Plan – $35 per user/month: The Professional Plan adds AI-powered patient triage, intelligent automation, and high-volume messaging capabilities. Advanced analytics and reporting help practices track performance, while scalable communication workflows allow teams to grow without investing in additional phone infrastructure or increasing operational complexity.
How Emitrr Offers Better Value for Money Compared to Spruce Health
Emitrr delivers better value for healthcare practices by combining automation, scalability, and transparent pricing into one platform. Unlike Spruce Health, Emitrr includes essential communication and workflow features upfront, helping clinics manage patient engagement efficiently while keeping costs predictable as operations grow.
- Multi-Channel Messaging: Emitrr enables patient communication through SMS, WhatsApp, and calls under a single pricing plan. Clinics do not need to pay separately for different channels, allowing teams to reach patients more effectively while simplifying communication management across multiple touchpoints.
- Automated Reminders and Follow-Ups: Emitrr includes automated appointment reminders and follow-ups as standard features. This reduces no-shows, saves staff time, and ensures consistent patient communication without relying on manual outreach or paying extra for automation capabilities.
- Team Collaboration and Reporting: Emitrr provides built-in team collaboration tools and detailed reporting dashboards. Healthcare teams can track communication performance, manage workloads, and maintain accountability, improving operational visibility without purchasing additional analytics or reporting add-ons.
- Lower Overall Cost: Emitrr offers lower per-user pricing suitable for clinics of any size. By including automation, analytics, and multi-channel communication upfront, Emitrr helps healthcare practices scale efficiently without experiencing sudden increases in monthly or yearly expenses.
Take a look at what more you can do with Emitrr AI:
FAQs
Spruce Health pricing starts at $24 per user per month for the Basic plan and goes up to $49 per user per month for advanced communication features, excluding optional add-ons and usage-based services.
Yes, the Spruce patient app is free to download and use, but healthcare providers must subscribe to a paid plan to access messaging, telehealth, and administrative features.
Spruce Health is used for secure patient messaging, video telemedicine visits, care team collaboration, prescription coordination, and patient engagement while maintaining HIPAA compliance across healthcare communication workflows.
Spruce Health pricing per month ranges between $24 and $49 per user, depending on the selected plan and required features, with additional costs possible for add-ons and expanded usage.
While base pricing is transparent, costs can increase through add-ons such as extra users, advanced telehealth tools, call management features, and custom integrations or API usage.
Spruce Health is best suited for practices that rely heavily on telemedicine, secure messaging, and phone-based communication, especially providers seeking an all-in-one clinical communication platform.
Compared to Spruce Health, Emitrr provides stronger automation, AI-powered workflows, multi-channel communication, and lower overall costs, making it more scalable for clinics managing high patient volumes.
Conclusion
Spruce Health pricing offers flexible plans with secure messaging and telehealth capabilities that suit many healthcare practices. However, as clinics grow, costs can increase quickly due to per-user pricing, higher-tier plans, and optional add-ons required for advanced functionality. This can make long-term budgeting more challenging. Emitrr provides a stronger value proposition by combining HIPAA-compliant communication, automation, AI-powered triage, and built-in reporting at predictable price points. With multi-channel messaging and intelligent workflows included upfront, Emitrr helps healthcare practices scale efficiently while maintaining cost control and improving patient communication without unexpected monthly or yearly expenses.