EHR software cost calculator
A focused specialty EMR covering charting and orders for one workflow starts around $100,000–$180,000. A standard ambulatory EHR with labs, billing and a FHIR API layer lands at $250,000–$450,000, and enterprise builds regularly exceed $900,000. Price your own module list below.
- 6 separately priced features
- Compliance costed as line items
- Itemised, not a single guess
- ±15–20% confidence range
At a glance
Baselines before features, compliance and multipliers.
- Specialty EMR$29K
- Standard EHR$72K
- Enterprise EHR$143K
A typical configuration lands near $163,050 over 37–52 weeks.
Configure your ehr software
Work through the steps below — scope, features, compliance and integrations — and you get an estimate with a range, a midpoint and a delivery window.
What each scope tier includes
Every calculator starts from one of three baselines. This is what separates them.
| Scope | Baseline | Typical shape |
|---|---|---|
| Specialty EMR | $29K | Narrowest useful release — one workflow, one user type, launched fast. |
| Standard EHR | $72K | The common case: multiple roles, reporting, and the integrations most buyers expect. |
| Enterprise EHR | $143K | Multi-site or enterprise scope, deeper interoperability and heavier non-functional requirements. |
Baselines are before feature adders, compliance programmes, integrations and the platform and design multipliers. Every configuration this calculator can produce falls inside $24K–$567K — the floor is the cheapest tier at the cheapest multipliers with nothing added, the ceiling is the top tier with every option selected at the dearest ones. Both ends are computed from the price table above, not written by hand. A typical mid-market configuration lands near $163,050. See how the numbers are built.
Frequently asked questions
How much does it cost to build a custom EHR?
A specialty EMR covering one clinical workflow costs $100,000–$180,000. A standard ambulatory EHR with documentation, CPOE, labs and billing costs $250,000–$450,000. An enterprise EHR with multi-facility support, a FHIR API layer and certification work runs $500,000–$900,000 or more.
Should we build an EHR or integrate with an existing one?
Integration is cheaper in almost every case: a single HL7 v2 interface costs $18,000–$40,000 and an Epic or Oracle Health app-program integration runs $30,000–$90,000, versus $250,000+ to build charting yourself. Build only when your clinical workflow has no commercial equivalent — otherwise use our EHR integration calculator.
What does ONC certification add to the cost?
ONC Health IT certification for the (g)(10) standardized API and related criteria typically adds $80,000–$200,000, covering test-lab fees of roughly $20,000–$45,000, real-world testing, and the engineering to close gaps. Most non-certified specialty EMRs skip it and rely on integration with a certified system instead.
Related calculators
Need a number you can put in a board deck?
A fixed-scope quote comes out of a 4-week Discovery sprint, which starts at $45,000 and ends with an architecture, a backlog and a firm price.