The answer, with the assumptions on top
At 100 active patients, the published plans we could verify cost between $2,400 (Remedora's platform fee alone) and about $82,000 (Telegra Pro) in year one. At 1,000 active patients the range is roughly $30,000 to $145,000, and the order of the vendors changes completely, because the line that matters stops being the monthly fee and becomes whatever the vendor charges per consult or per dollar processed.
Every number below comes from a vendor's own pricing page, read on November 4, 2026. Where the page did not publish a number, the cell says so and the cost is left out, which flatters that vendor. Read the table with that in mind.
The assumptions, so you can swap in yours:
| Input | Value we used | Why |
|---|---|---|
| Active patients | 100, 500, 1,000, held flat for 12 months | Steady state keeps the math readable; a ramp lowers everything |
| Average charge per patient per month | $300 | Drives every percentage fee; a cash-pay GLP-1 or TRT subscription sits near it |
| Annual payment volume | $360,000 / $1.8M / $3.6M | Patients x $300 x 12 |
| Consults per patient per year | 4 | Initial visit plus roughly quarterly reviews |
| ID verifications | 1 per patient per year | Telegra charges "once per patient, per year" |
| Setup fees | Paid in year one, upfront | Installment options cost slightly more |
Year-one platform cost at three volumes
Sources are the vendors' pricing pages, all checked November 4, 2026: Remedora, Qualiphy, Fuse Health, Cuvo, Tessic Health, Telegra, Rimo and CareValidate.
| Plan | What we counted | 100 patients | 500 patients | 1,000 patients |
|---|---|---|---|---|
| Remedora | $200/mo; provider pay, medication and shipping "separate," amounts unpublished | $2,400 | $2,400 | $2,400 |
| Rimo | "From $2,500" a month, "$0 a patient," no setup fee; consultation fees billed separately, amount not published | $30,000 | $30,000 | $30,000 |
| Telegra Plus | $5,000 onboarding + $2,999/mo + $1.00 per ID; consult fee not published | $41,088 | $41,488 | $41,988 |
| Telegra Pro | $10,000 + $5,999/mo + $0.75 per ID; consult fee not published | $82,063 | $82,363 | $82,738 |
| Fuse DIY | $0 upfront, $699/mo once live, 3% merchant fee | $19,188 | $62,388 | $116,388 |
| Fuse Growth | $5,600 upfront (includes month 1) + $699/mo for 11 months + 2% | $20,489 | $49,289 | $85,289 |
| Fuse Partner | $30,000 covers 12 months + 2% | $37,200 | $66,000 | $102,000 |
| Cuvo Launch | $9,800 setup + $997/mo + $25 per completed consult | $31,764 | $71,764 | $121,764 |
| Cuvo Grow | $15,000 + $2,500/mo + $25 per consult | $55,000 | $95,000 | $145,000 |
| Tessic Launch | $8,000 + $1,000/mo + $25 per consult | $30,000 | $70,000 | $120,000 |
| Tessic Grow | $15,000 + $2,000/mo + $25 per consult | $49,000 | $89,000 | $139,000 |
| Qualiphy | $27.99 per exam, no monthly fee (a clinical layer, no storefront) | $11,196 | $55,980 | $111,960 |
| CareValidate | 3.7% all-in processing; platform fee not posted | $13,320 | $66,600 | $133,200 |
| Turbopills | Private beta, quoted per program | Quote | Quote | Quote |
Two plans need a footnote. Fuse's own page disagreed with itself on November 4: the DIY plan card said $699 a month once live and the FAQ said $499. At $499 the DIY row drops by $2,400 at every volume. And CareValidate's 3.7% includes card processing, fraud protection and chargeback support, while every other row excludes processing. At Stripe's published 2.9% plus 30 cents per charge, processing on the same volume would be $10,800, $54,000 and $108,000, so CareValidate's premium over standard processing in this model is about $2,520, $12,600 and $25,200. Whether you would actually get Stripe's standard rate in a restricted category is a separate question; passing processor review covers that.
Karpa Health is missing on purpose. Its own site no longer shows a price (the $297 Launch tier we cited in September now appears only on Capterra), so it moved to the quote column with us.
Show the work: one row, line by line
Cuvo Launch at 500 patients, because Cuvo publishes enough to check:
- Setup: $9,800, once.
- Monthly fee: $997 x 12 = $11,964. Setup plus twelve months is $21,764, which matches the year-one platform figure Cuvo prints in its own cost guide.
- Consults: 500 patients x 4 a year = 2,000 consults x $25 = $50,000.
- Total: $71,764, or $11.96 per patient per month (500 x 12 = 6,000 patient-months).
Fuse Growth at 500 patients:
- Upfront: $5,600, which Fuse says includes expedited LegitScript coordination and the first month.
- Months 2 to 12: 11 x $699 = $7,689.
- Merchant fee: 2% of $1.8M = $36,000.
- Total: $49,289, or $8.21 per patient per month, before card processing, which Fuse says "may apply separately."
Run any other row the same way. The model is three multiplications, and a vendor that will not let you do them is asking you to trust its spreadsheet instead of yours.
What changes between 100 and 1,000 patients
At 100 patients the setup fee and the monthly fee are most of the bill. Telegra Pro costs about $68 per patient-month at that size, which is why we said in the Telegra comparison that Plus or Pro is heavy for a test.
By 1,000 patients the per-unit lines take over. Fuse's 2% on $3.6M is $72,000. Cuvo's and Tessic's $25 consults come to $100,000. A fixed fee shrinks toward nothing per patient: Telegra Plus lands at $3.50 per patient-month and Rimo's floor at $2.50.
Telegra and Rimo look cheapest at scale only because their variable costs are not on the page. Telegra's pricing page shows phone and video care as features without a price, and Rimo says it "bills consultation fees and card processing separately" without publishing the consultation number. If either adds $20 a consult, Telegra Plus at 1,000 patients goes from $41,988 to $121,988, right next to Cuvo Launch. We would not pick a vendor off this table until every "not published" cell has a number in writing.
The other sensitivity worth running is consult frequency. At 6 consults a year instead of 4, Cuvo and Tessic rows rise by $50 per patient per year: $50,000 more at 1,000 patients. At a $200 average charge instead of $300, every percentage fee falls by a third, which helps Fuse and CareValidate and does nothing for anyone else.
What this model does not include
Medication. Excluded everywhere. Cuvo and Tessic publish a 0% markup with medication passed through at wholesale; most others do not say, and pharmacy margin can be larger than the platform fee.
Clinician pay where it is not published. Cuvo, Tessic and Qualiphy publish a per-consult number and it is in the table. We did not confirm that $25 covers the clinician in every visit type; Cuvo lists live video visits as priced separately. Fuse says it charges "no per-visit or per-prescription fees" but that clinical costs "may apply." Remedora says provider pay is separate. Rimo bills consultation fees separately without a published amount, and Telegra does not publish one. In all of those rows the clinical line is missing.
Card processing. Excluded except for CareValidate, as above. Add roughly 3% plus a per-charge fee to every other row.
LegitScript. $975 per website to apply plus $2,150 a year once certified, $2,500 extra to expedite, per LegitScript's pricing page on November 4. Fuse Growth and Partner include "expedited LegitScript coordination"; ask whether that includes LegitScript's own fees. Our LegitScript post has the timeline.
Add-ons. Cuvo and Tessic both list a branded mobile app at $4,999 a year and a BI add-on at $499 a month.
Churn. A steady 500 active patients with monthly churn means more than 500 people pass through in a year, so ID checks and initial consults run higher than modeled.
Getting a quote-only vendor into the table
Turbopills is in private beta and quotes per program, so we sit in the row with no numbers. That is a disadvantage when a buyer is reading a table like this one, and we know it. Here is what to ask us, and any other vendor that quotes:
- Year-one total at your patient count, with setup, monthly fee and term on one line.
- Every per-unit fee: per consult (by visit type), per order, per ID check, per active patient, and any percentage of payment volume.
- Whose merchant account processes the cards, and whether any fee is charged on top of processing.
- Medication pricing next to a wholesale reference, and whether you can route to your own pharmacy.
- The exit: export format, cost, and what happens to stored cards.
Our answers to 3 and 5 are the ones we can state here: billing runs on your own gateway accounts, subscriptions start only after a clinician approves the visit, and your data is readable through the GraphQL API while you are a customer. Storefront, conditional intake, state-aware provider routing, pharmacy routing, the branded portal and the mobile app come as one system, and launches take weeks, not months. Get the rest in writing and put it in the table. If our number does not beat the published rows at your volume, buy one of them.
The founder's own costs (the clinical entity, a medical director, marketing) sit outside every row here, ours included. The $10,000 budget post covers those, and the margin math shows what a platform line of $8 to $12 per patient-month does to profit.
FAQ
How much does a white-label telehealth platform cost per year? On published prices checked November 4, 2026, year one at 500 active patients ran from $2,400 (Remedora's fee alone, with provider pay unpriced) to $95,000 (Cuvo Grow, including $25 consults). Most full-service plans landed between $41,000 and $72,000 at that size, before medication and card processing.
Which telehealth platform is cheapest at 1,000 patients? Among plans that publish every per-unit fee, Fuse Growth came out lowest in our model at $85,289, mostly its 2% merchant fee. Telegra Plus ($41,988) and Rimo ($30,000) look cheaper but do not publish consult or per-patient charges, so their real totals are unknown.
Is a percentage fee or a per-consult fee better? It depends on your average charge and visit frequency. At $300 a month and 4 consults a year, Fuse's 2% costs $72 per patient per year and a $25 consult fee costs $100. Raise your price and the percentage fee grows with it; add visits and the per-consult fee grows instead.
Does Turbopills publish its price? No. We are in private beta and quote per program. Ask for a year-one total at your patient count with every per-unit fee itemized, and compare it with the table above.