[ 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 09, 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** 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 The Basic plan is a great plan to get started. If you have multiple teammates, on this plan you can all get your own direct number. - Simple and Robust HIPAA Compliance - Business Associate Agreement (BAA) - Advanced Medical Phone System - Secure App-Based Messaging - 2-way SMS texting - Secure Team Chat - Video Telemedicine - Team Organization and Practice Administration Tools - User Access Controls - Contact and Patient List Management - Clinical Questionnaires - Scheduled Messages - Saved Messages - Auto-Replies - E-Fax - Dedicated Support - Transfer in existing number or get a new one Show More Communicator Plan $49.00 1 User Per Month The Communicator plan is for practices that need more customization, such as phone trees, special routing based on time of day, VoIP desk phones, and additional workflows built for healthcare offices. - Everything in the Basic Plan and - Auto-Attendant Phone Trees (IVR) - VoIP Desk Phones - Scheduled Auto-Replies and Call Routing - Bulk (Broadcast) Messaging - Mobile Payments - Integrations - API Access Show More Spruce pricing is per user per month, and a user is any teammate you have added to your Spruce organization. Generally, this will include all clinicians, staff, and other employees (but not your patients). Spruce is not priced by number of phone lines or amount of feature usage. Whenever you add or remove a teammate on Spruce, your bill will automatically increase or decrease to reflect the change. Spruce uses month-to-month contracts and billing by default, and we don't have contracts longer than this, unless you've specifically planned one with us. We want to win your trust and your business every month by providing a great service, not by locking you into a long-term payment obligation. ‍ We also make it easy to cancel your Spruce subscription at any time, for any reason. You can do this right from within Spruce, but please consider reaching out to us before you do, if there's anything we can do to keep you with us. Our goal is to make Spruce the easiest and most valuable choice every medical practice can make, and we're all ears for ways we can continue to improve. If you do decide to cancel, we'll prorate the bill for your current service period. 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. Please visit www.sprucehealth.com/plans to learn more details about our pricing and specific features. Spruce pricing is per user per month, and a user is any teammate you have added to your Spruce organization. Generally, this will include all clinicians, staff, and other employees (but not your patients). Spruce is not priced by number of phone lines or amount of feature usage. Whenever you add or remove a teammate on Spruce, your bill will automatically increase or decrease to reflect the change. Spruce uses month-to-month contracts and billing by default, and we don't have contracts longer than this, unless you've specifically planned one with us. We want to win your trust and your business every month by providing a great service, not by locking you into a long-term payment obligation. ‍ We also make it easy to cancel your Spruce subscription at any time, for any reason. You can do this right from within Spruce, but please consider reaching out to us before you do, if there's anything we can do to keep you with us. Our goal is to make Spruce the easiest and most valuable choice every medical practice can make, and we're all ears for ways we can continue to improve. If you do decide to cancel, we'll prorate the bill for your current service period. Spruce can support any number of phone and fax lines for your organization, and the system is designed to let users provision and configure new lines in a self-service manner. By default, your subscription plan will determine the number of phone lines that your organization can provision: • Basic: One line for each user, plus one additional line • Communicator: Two lines for each user, plus one additional line Fax lines work the same way. So a 3-user practice on our Basic plan could set up 4 phone lines and 4 fax lines without needing any help from our support team. If your practice has unique requirements that exceed these limits, please message our support team in the Spruce app. Additional lines are reviewed on a case-by-case basis, and may have additional requirements. Pricing information was last updated on April 07, 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'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. [ ![Hello Patient](https://images.g2crowd.com/uploads/product/hd_favicon/690924eb9e5995d1baea08c4013dfb62/hello-patient.png "Hello Patient") Sponsored Hello Patient Visit Website ](javascript:void(0)) ## Top-Rated Alternatives [ ![Weave](https://images.g2crowd.com/uploads/product/hd_favicon/b409b22ce786b9a3b9e9aaef1169cea0/weave-weave.svg "Weave") Weave 4.6/5 (416) ](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 (200) ](https://www.g2.com/products/iplum/reviews) [ View All Alternatives ](https://www.g2.com/products/spruce-health/competitors/alternatives) ## Spruce Health Alternatives Pricing The following is a quick overview of editions offered by other [Telemedicine Software](https://www.g2.com/categories/telemedicine) | ![Weave](https://images.g2crowd.com/uploads/product/image/small_square/small_square_59f781932c12f2cbe314502e6312471a/weave-weave.png) [Weave](https://www.g2.com/products/weave-weave/reviews) ##### Weave | Starting at $249.001 Location Per Month | - VOIP Phones - Bulk Texting - Phone Tree - Call Queue - Messaging (Texting) - Call Analytics - Fax - Call Pop - Customer Profile - Mobile App - Text to Pay - Payments - Schedule Management - Appointment Reminders - Save the Date Reminders - Scheduling Confirmations - Automated Reviews - Reactivation - Missed Call Texts - Team Chat - ASAP List/Quick Fill - Email Marketing - Text Connect - Online Scheduling - Digital Forms - Insurance Verification (Dental) - Call Intelligence [Show More](javascript:void(0);) | | ![OhMD](https://images.g2crowd.com/uploads/product/image/small_square/small_square_c5259b74223c4b538406f5dd8fc4a1ad/ohmd.png) [OhMD](https://www.g2.com/products/ohmd/reviews) ##### Communicate | Starting at $300.00Per Month | Turn endless phone calls into simple, secure digital conversations managed from a single inbox. Two-way texting, call deflection, video visits, web chat, voicemail transcription, and broadcast messaging free staff from phones and make communication effortless. - Two-way SMS & Secure Texting - Text-enabled Landline - Unified Inbox for All Communications - Call-to-Text - Call deflection to text message - Voicemail Transcription - Broadcast Messaging - One-to-many texting - Text Message Attachments - Outbound Voice Calling - Video Visits - Telemedicine - Live Web Chat - Standard Autopilot - Keyword-triggered automated text workflows for common request like scheduling, Rx refills, etc. - Unlimited Patients - Desktop/Mobile Access for Staff - Colleague Messaging - Business Associate Agreement (BAA) - Digital forms (à la carte) [Show More](javascript:void(0);) | | ![iPlum](https://images.g2crowd.com/uploads/product/image/small_square/small_square_59ab92bc7cbe456f925c2f84c45b67bc/iplum.png) [iPlum](https://www.g2.com/products/iplum/reviews) ##### Standard | $8.99 | For mobile app calling, texting, voicemail, auto-text reply, business hours, phone tree and extensions. - Get US or Canada Local Number - Calling & Multimedia Texting - Voicemail - Business Hours - Out of Office Greeting - Auto-Reply Text - Text Signature - Spam Blocking - Phone Tree with Extensions - AES-256 Data Encryption [Show More](javascript:void(0);) | Various alternatives pricing & plans Free Trial Pricing information for the above various Spruce Health alternatives is supplied by the respective software provider or retrieved from publicly accessible pricing materials. Final cost negotiations to purchase any of these products must be conducted with the seller. ## Spruce Health Pricing Reviews (2) JA Jeremy A. Owner / Provider Small-Business (50 or fewer emp.) 8/23/2025 More Options - "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 More Options - "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. Show More Current UserValidated ReviewerSource: Organic Spruce Health Comparisons ![Product Avatar Image](https://images.g2crowd.com/uploads/product/image/small_square/small_square_59ab92bc7cbe456f925c2f84c45b67bc/iplum.png "Product Avatar Image") iPlum 4.3/5 (201) [ Compare Now ](https://www.g2.com/compare/spruce-health-vs-iplum) ![Product Avatar Image](https://images.g2crowd.com/uploads/product/image/small_square/small_square_c5259b74223c4b538406f5dd8fc4a1ad/ohmd.png "Product Avatar Image") OhMD 4.8/5 (170) [ Compare Now ](https://www.g2.com/compare/ohmd-vs-spruce-health) ![Product Avatar Image](https://images.g2crowd.com/uploads/product/image/small_square/small_square_59f781932c12f2cbe314502e6312471a/weave-weave.png "Product Avatar Image") Weave 4.6/5 (433) [ Compare Now ](https://www.g2.com/compare/spruce-health-vs-weave-weave) ##### Categories on G2 [ Patient Engagement ](https://www.g2.com/categories/patient-engagement)[ HIPAA Compliant Messaging ](https://www.g2.com/categories/hipaa-compliant-messaging)[ Telemedicine ](https://www.g2.com/categories/telemedicine) [ Medical Spa ](https://www.g2.com/categories/medical-spa) Show More ##### Explore More [ Branding Agencies in Phoenix ](https://www.g2.com/categories/branding-agencies/locations/phoenix-az-us)[ Top platforms for measuring training program effectiveness ](https://www.g2.com/discussions/top-platforms-for-measuring-training-program-effectiveness)[ What are some of the premium social media platforms for business use? ](https://www.g2.com/discussions/what-are-some-of-the-premium-social-media-platforms-for-business-use) [ Best SaaS backup software for small businesses ](https://www.g2.com/discussions/what-s-the-best-saas-backup-software-for-small-businesses)[ Which EDI app is best for logistics companies ](https://www.g2.com/discussions/which-edi-app-is-best-for-logistics-companies)[ Pros and Cons Details ](https://www.g2.com/products/spruce-health/reviews?qs=pros-and-cons) Show More [ Branding Agencies in Phoenix ](https://www.g2.com/categories/branding-agencies/locations/phoenix-az-us)[ Top platforms for measuring training program effectiveness ](https://www.g2.com/discussions/top-platforms-for-measuring-training-program-effectiveness)[ What are some of the premium social media platforms for business use? ](https://www.g2.com/discussions/what-are-some-of-the-premium-social-media-platforms-for-business-use) [ Best SaaS backup software for small businesses ](https://www.g2.com/discussions/what-s-the-best-saas-backup-software-for-small-businesses)[ Which EDI app is best for logistics companies ](https://www.g2.com/discussions/which-edi-app-is-best-for-logistics-companies)[ Pros and Cons Details ](https://www.g2.com/products/spruce-health/reviews?qs=pros-and-cons)