[ Spruce ... Reviews ](https://www.g2.com/products/spruce-health/reviews) [ Spruce ... Reviews ](https://www.g2.com/products/spruce-health/reviews) # Spruce Health Pricing Overview [Editedit](https://my.g2.com/spruce-health/pricings) Free Trial ## Spruce Health Pricing Key Insights Last updated on Apr 30, 2026 * * * Spruce Health offers **2 pricing editions** , starting from **$24** to **$49**. Spruce Health pricing tiers are designed to support different usage levels and team sizes. Spruce Health also offers a **free trial**. Compare the Spruce Health pricing table below to figure out the best fit for your needs. Some plans may require you to contact **Spruce Health** for **custom pricing**. * * * Basic Plan — $24 / 1 User Per Month Communicator Plan — $49 / 1 User Per Month Rated 4.7 / 5 \*Pricing information is supplied by the software provider or retrieved from publicly accessible pricing materials. Final cost negotiations must be conducted with the seller. Basic Plan $24.00 1 User Per Month Core communication tools to streamline patient interactions, simplify daily workflows, and stay compliant. - HIPAA BAA - Advanced medical phone, text, video, fax, and internal team chat - Customizable, shared inbox for better organization - Auto-replies - AI-enabled voicemail transcription - Advanced Medical Phone System - Advanced Spam Call Control - SMS Texting - Secure App-Based Messaging - Secure Team Chat - Video Telemedicine - E-Fax - Scheduled Messages - Saved Messages - Auto-Replies - Custom Hold Music - Voicemail - AI Transcription - Audio Messages and Dictation - Customizable Inboxes - Internal Notes - Task Assignment and Management - Internal Paging (Mentions) - Contact & Conversation Tags - User Access Management Controls - User Notification Controls - Contact and Patient List Management - Clinical Questionnaires - Assignments Oversight Dashboard - Simple and Robust HIPAA Compliance - Business Associate Agreement (BAA) - Dedicated Support - Onboarding Resources - SOC 2 Type II Audited Platform - Activity Dashboard Show More Communicator Plan $49.00 1 User Per Month Best Value - The advanced toolkit to automate workflows, enhance team collaboration, and optimize practice productivity. - HIPAA BAA - Advanced medical phone, text, video, fax, and internal team chat - Customizable, shared inbox for better organization - Auto-replies - Self-service, customizable call flows (IVR) - Urgent escalation and after-hours triage - Integrations & API Access - VoIP Desk Phone Service - AI-enabled transcription & summarization for voicemails, call recordings, and audio messages - Advanced Medical Phone System - Advanced Spam Call Control - SMS Texting - Secure App-Based Messaging - Secure Team Chat - Video Telemedicine - E-Fax - Scheduled Messages - Saved Messages - Auto-Replies - Custom Hold Music - Voicemail - Audio Messages and Dictation - Call Recording - Self-Service Call Flows (IVR) - Missed-Call Text-Back - Scheduled Auto-Replies and Call Routing - Urgent Escalation and After-Hours Triage - Bulk (Broadcast) Messaging - Customizable Inboxes - Internal Notes - Task Assignment and Management - Internal Paging (Mentions) - Contact & Conversation Tags - User Access Management Controls - User Notification Controls - Contact and Patient List Management - Clinical Questionnaires - Assignments Oversight Dashboard - Simple and Robust HIPAA Compliance - Business Associate Agreement (BAA) - Mobile Payments - Integrations - API Access - Dedicated Support - Onboarding Resources - SOC 2 Type II Audited Platform - Advanced Analytics Dashboard Show More Choose the plan that fits your practice and access Spruce anywhere — on mobile, desktop, or web. Our Basic Plan offers core communication tools to streamline patient interactions, simplify daily workflows, and stay compliant at $24/month per user. Our Communicator Plan offers the best value, as an advanced toolkit to automate workflows, enhance team collaboration, and optimize practice productivity. Includes everything basic, plus Self-service, customizable call flows (IVR), Urgent escalation and after-hours triage, Integrations & API Access, VoIP Phone Service, Advanced Analytics Dashboards and AI-enabled transcription & summarization for voicemails, call recordings, and audio messages. Learn more at sprucehealth.com/plans. Pricing information for Spruce Health is supplied by the software provider or retrieved from publicly accessible pricing materials. Final cost negotiations to purchase Spruce Health must be conducted with the seller. Pricing does not include taxes or fees. Start a free 14-day trial, with no credit card required. Month-to-month billing. Cancel any time. Pricing information was last updated on August 25, 2026 Show More ## Spruce Health Pricing FAQs Generated using AI Is Spruce Health free, or does it offer a free trial? Spruce Health does not offer a permanent free plan, but it does provide a free trial that lets users to test the product before committing to a paid plan. Trial availability and duration may vary, so users should review the seller's official pricing page for the most current details. How much does Spruce Health cost in 2026? According to G2 data, Spruce Health pricing in 2026 starts at $24.00 and can reach $49.00 depending on the selected plan. Pricing may vary based on billing terms or usage, so users should review the Spruce Health's official pricing page for the most current details. Who is Spruce Health pricing best suited for? Spruce Health's pricing is best suited for small healthcare practices, solo practitioners, and independent clinicians, particularly in mental health, medical practice, and health and wellness industries. G2 reviewers from these segments consistently praise the Basic plan at $24.00/month as ideal for individual therapists, counselors, and small medical offices needing HIPAA-compliant communication without heavy infrastructure costs. The Communicator plan at $49.00/month suits growing practices requiring phone trees, advanced routing, and workflow automation. According to G2 reviews of Spruce Health, multistate telemedicine clinics and multi-provider practices with larger teams and complex communication workflows derive the most value from Spruce Health's higher tier. What are the key differences between the free and paid versions of Spruce Health? Spruce Health does not offer a permanent free tier but provides a free trial for evaluation. The Basic plan at $24.00/month includes HIPAA-compliant messaging, video telemedicine, e-fax, secure team chat, and clinical questionnaires. Spruce Health's Communicator plan at $49.00/month adds auto-attendant phone trees, VoIP desk phones, scheduled call routing, bulk messaging, mobile payments, integrations, and API access. G2 reviewers frequently cite the absence of auto-replies for missed calls, phone trees, and scheduled routing in the Basic plan as the primary drivers for upgrading. Several G2 users note the jump to the Communicator plan feels significant for solo practitioners needing just one or two additional features. Is Spruce Health considered good value for its pricing? G2 reviewers overwhelmingly consider Spruce Health good value, with the Basic plan at $24.00/month frequently praised as affordable and feature-rich for solo practitioners and small practices. Reviewers repeatedly highlight that phone, fax, secure messaging, and telemedicine in one HIPAA-compliant platform justifies the cost. Multiple G2 users compare Spruce Health favorably against competitors like RingCentral, noting it is significantly less expensive. Some reviewers mention the Communicator plan at $49.00/month feels steep, particularly for solo practitioners who only need one or two advanced features. A few G2 reviews note per-user pricing can become costly as practices scale, but the overall sentiment strongly favors Spruce Health's pricing as reasonable. ## Top-Rated Alternatives [ ![Weave](https://images.g2crowd.com/uploads/product/hd_favicon/b409b22ce786b9a3b9e9aaef1169cea0/weave-weave.svg "Weave") Weave 4.6/5(433) ](https://www.g2.com/products/weave-weave/reviews) [ ![OhMD](https://images.g2crowd.com/uploads/product/hd_favicon/d83973218c5581ff37977ce08eb76336/ohmd.svg "OhMD") OhMD 4.8/5(170) ](https://www.g2.com/products/ohmd/reviews) [ ![iPlum](https://images.g2crowd.com/uploads/product/hd_favicon/c8716f4bd929c9b99a6939f2b59d7c81/iplum.svg "iPlum") iPlum 4.3/5(201) ](https://www.g2.com/products/iplum/reviews) [ View All Alternatives ](https://www.g2.com/products/spruce-health/competitors/alternatives) ## Spruce Health Pricing Reviews (2) JA Jeremy A. Owner / Provider Small-Business (50 or fewer emp.) 8/23/2025 "Going Great for Solo Provider" 5/5 What do you like best about Spruce Health? Nice intuitive flow, great customer service, and EMR integration. I currently have the basic, and wish they had a “try it before you buy it” option to see what the higher tier provides. But otherwise, the features of even a basic account are plenty to efficiently and effectively run my medical practice. I’ve had a few telemedicine calls and those went well, good quality video and audio. I just started getting into the saved messages feature, but like it so far. Review collected by and hosted on G2.com. What do you dislike about Spruce Health? As above, I do wish they gave basic tier clients a trial of the “Communicator” level to see if the upgrade features are worth doubling the price. Review collected by and hosted on G2.com. What problems is Spruce Health solving and how is that benefiting you? Spruce is the Cloud economy’s comprehensive phone service: telemedicine, multiple lines, texting, communication automation. Review collected by and hosted on G2.com. Show More Current UserValidated ReviewerSource: Organic ![Verified User in Medical Practice](/assets/icons/anonymous-avatar-purple-4ae1032bdb50ee5682003170c8184aee790d25958bd397abbd384ba52c596a7b.svg "Verified User in Medical Practice") UM Verified User in Medical Practice Small-Business (50 or fewer emp.) 4/4/2026 "Great Messaging and Telehealth, but Reliability and Upgrade Costs Hold It Back" 3.5/5 What do you like best about Spruce Health? Ability to both have messaging and telehealth visits. Ability to collect payments using linked Stripe account. Generally high quality communications as long as both parties have adequate bandwidth. Easy to set up. Easy to have away messages. I essentially use this app daily. Review collected by and hosted on G2.com. What do you dislike about Spruce Health? Reliability and difficulty some patients have receiving calls (patients have told me, for example that they hear no ring and saw no pop-up, despite obviously being signed in.) Customer service is not always helpful. Lack of ability to have three way calls (making it hard, for example, to involve language interpretation and to have a patient's family member connect if they are not in the same location.) Some features which would be helpful, such as screening non-urgent messages to not alert me in the middle of the night (such as payments and requests for refills and appointment confirmations) require an expensive upgrade, that all participants must accept, making cost go from affordable to not affordable. Some patients have older phones with little storage space making it hard for them to download the application and therefor would be easier for them to use a service such as Doxy. Review collected by and hosted on G2.com. What problems is Spruce Health solving and how is that benefiting you? Spruce hasn't really solved any business problems. I originally started using Doxy, with free service, but found the quality lacking. Also, the ability to collect funds is very useful, but Doxy, even the paid version, doesn't allow for messaging which Spruce does. Review collected by and hosted on G2.com. 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