The short answer
Nobody outside OpenLoop and its customers can tell you what OpenLoop costs, and we cannot either. OpenLoop publishes no pricing; the FAQ on its homepage says "Pricing and cost varies based on the services you are looking to add to your business," and G2's listing says the vendor has not provided pricing.
What is public falls into three piles of very different weight. First, OpenLoop's own claims about scale and services, which are verifiable as claims. Second, one OpenLoop services agreement filed with the SEC in a merger registration statement, which shows the fee structure with the numbers blacked out. Third, two competitors' accounts of OpenLoop proposals, which put the monthly fee at about $1,500 and the starting fee at $8,000 to $9,000. Those last numbers are unverified and come from companies that sell against OpenLoop. We sell against OpenLoop too, so apply the same discount to this page.
What OpenLoop says about itself
Checked on OpenLoop's site on November 4, 2026:
| Claim | Where |
|---|---|
| "1M+ Patients per month" and "400+ Virtual care brands" | Homepage |
| Network of over 2,000 licensed clinicians, 35+ specialties, all 50 states | Homepage |
| "600+ nationwide insurance plans, including Medicare & Medicaid," with revenue cycle management | Homepage |
| Nationwide pharmacy and lab network, at-home collection kits | Homepage |
| Launchpad: live "in as little as a day," workflows built on "serving over 500,000 patients per month" | Launchpad page |
| No price, no pricing page; "Get a demo" | Homepage FAQ |
The two patient figures differ (1M+ on the homepage, over 500,000 on Launchpad), probably because the pages were written at different times or count different things. In September we quoted 700,000. Ask which number applies to the network your patients would use.
In October OpenLoop and Astrin Biosciences announced a partnership to offer Astrin's Certitude breast cancer blood test through telehealth in 48 states, with OpenLoop handling physician ordering, collection and post-result guidance (HLTH, October 12). That kind of lab-plus-clinician program is squarely what OpenLoop is built for.
What competitors say OpenLoop costs (unverified)
| Source | Claim | Date | Status |
|---|---|---|---|
| Cuvo's cost guide | A "reviewed" May 2026 OpenLoop proposal: $1,500 a month, $9,000 implementation, a twelve-month initial term, roughly 50 to 59% of maintenance-patient payments retained; lists OpenLoop among platforms that run patient payments through their own account, remitted weekly | Updated Nov 3, 2026 | Competitor claim, unverified |
| Remedora's OpenLoop page | Operators reported "$8,000 setup + $1,500 / month" plus "a cut of each patient's payments"; 4 to 8 weeks to first order | Pricing dated October 2026 | Competitor claim, operator-reported, unverified |
| Our September post | Third-party pages reported $1,500 to $5,500 a month | Sep 23, 2026 | Unverified then, still unverified |
The two competitor accounts roughly agree on $1,500 a month and a starting fee in the $8,000 to $9,000 range. That agreement is worth something and not much more. Neither shows the proposal, neither says which services were in scope, and proposals vary by program.
The 50 to 59% figure needs the most care. A share "retained" means little until you know what it pays for. If it covers the clinician visit, labs, medication and shipping, it is closer to a cost of goods line than a platform fee, and comparing it to a $997 software fee would be unfair to OpenLoop. If it covers software and support only, it is very expensive. We do not know which, and Cuvo's page does not say.
What a filed OpenLoop agreement shows
The only primary document we found is a Telehealth Services Agreement between OpenLoop Healthcare Partners, PC and Enhanced US LLC, effective October 1, 2025, filed as Exhibit 10.11 to an S-4/A in 2026 by AParadise Acquisition Corp., the SPAC merging with Enhanced Group. Every dollar amount and percentage is redacted. The structure, read on November 4:
- Fees. Schedule F: "For each transaction, OpenLoop shall receive a fixed, all-inclusive fee," priced by service plan (initial labs, TRT plans, enclomiphene plans), plus a merchant processing percentage "to the extent incurred." The partner sets the retail price and keeps the remainder. No monthly platform fee appears in the document.
- Payments. Schedule D: "Payment is processed on OpenLoop's Stripe account."
- Records. Section 10(i): patient records "are and will remain under the control of OpenLoop," documented in OpenLoop's EMR.
- Exit. Section 10(ii): on termination OpenLoop will transfer patient information to another EMR and move "patient credit card tokens to such other merchant account" as the partner directs.
- Term. Initial term redacted, then annual renewal unless either side gives notice. We found no exclusivity clause; there is a restriction on hiring OpenLoop's clinicians for the term plus one year.
Two cautions. This is one contract with one partner (a testosterone and enclomiphene program), and Launchpad brands may sign something different. And a per-transaction, all-inclusive model does not fit a "$X a month" comparison at all. To compare it with the published platforms in our year-one cost model, you need OpenLoop's fee per transaction for each plan, minus your own cost of the medication, labs and visit it replaces.
The exit clause is better than many vendors offer in writing, and you should ask every vendor for the same. The payment flow is the opposite of the own-account model; who holds the money explains what that changes for payouts, reserves and disputes.
The January 2026 breach, briefly
OpenLoop disclosed that attackers accessed its systems in January 2026. The HHS Office for Civil Rights portal lists up to 716,000 affected individuals; notifications listed names, addresses, email addresses, dates of birth and medical information, and OpenLoop offered a year of credit monitoring (SecurityWeek, HIPAA Journal). Class actions filed in the Southern District of Iowa were consolidated in April. We would not price a vendor on one incident. We would ask how your patients' data is separated from other brands', and what the business associate agreement commits to on notification, of OpenLoop and of us.
Ten questions for the quote request
- Is the fee per transaction, per patient, per month, a percentage, or a mix? Give each number.
- What does each per-transaction fee include: visit, labs, medication, shipping, support?
- One-time implementation or setup fee, and what it buys.
- Initial term, renewal, and notice period.
- Whose Stripe or merchant account charges patients, and how many days until funds reach you?
- Who controls the medical records, and in what format do you get them during the contract?
- On exit: the token transfer and EMR transfer terms, in writing, with a timeline.
- Is any portion insurance billing, and how is that revenue split?
- Which clinicians and pharmacies serve your states, and can you bring your own pharmacy?
- How is your data separated from other brands', and who notifies patients after an incident?
Send the same list to every vendor. Questions 26 to 30 of the demo scorecard go deeper on security, and who owns what explains why question 6 decides the rest.
Who OpenLoop is right for
If your program bills insurance, OpenLoop is one of very few white-label options with payer relationships at that scale, and most founder-lane platforms, Turbopills included, do not bill payers at all. The same goes for programs that need specialists across 35-plus specialties, a lab network with at-home kits, or a partner that has run a 48-state diagnostic program. A per-transaction, all-inclusive fee also suits a brand that wants clinical cost to scale with volume and does not want to hold a merchant account.
If you are a founder-led cash-pay brand that wants its own merchant account, records under its own clinical entity and a fixed platform fee, OpenLoop is built for a different buyer. Our OpenLoop alternatives post lists nine options by lane.
We belong in that second group. Turbopills runs billing on your own gateway accounts with charges only after clinical approval, exposes your data through a GraphQL API, and ships storefront, intake, state-aware routing, pharmacy routing, the portal and a mobile app as one system, launched in weeks. We are in private beta, quote per program, onboard by hand and have limited capacity. Ask us the same ten questions.
FAQ
How much does OpenLoop Health cost? OpenLoop does not publish pricing. Competitors Cuvo and Remedora report proposals of about $1,500 a month with $8,000 to $9,000 to start and a share of patient payments; both are unverified. A filed OpenLoop agreement uses a fixed fee per transaction, with the amounts redacted.
Does OpenLoop take a percentage of revenue? In the filed agreement OpenLoop collects payments on its Stripe account and keeps a fixed per-transaction fee plus a processing percentage, and the brand gets the remainder. Cuvo says a May 2026 proposal kept 50 to 59% of maintenance payments; that figure is unverified and its scope unknown.
Is OpenLoop worth it? For insurance-billed programs, specialist care or lab-heavy programs at national scale, it is one of the few vendors built for the job. For a cash-pay brand that wants its own merchant account and a fixed platform fee, compare it with published-price platforms first.
How long does it take to launch on OpenLoop? OpenLoop's Launchpad page says "as little as a day." Remedora reports operators saw 4 to 8 weeks to a first order; that is a competitor's unverified account.