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$100K
- Standard EHR$250K
- Enterprise EHR$500K
A typical configuration lands near $406,000 over 30–42 weeks.
Configure your ehr software
Work through the steps below — scope, features, compliance and integrations — and you get an itemised 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 | $100K | Narrowest useful release — one workflow, one user type, launched fast. |
| Standard EHR | $250K | The common case: multiple roles, reporting, and the integrations most buyers expect. |
| Enterprise EHR | $500K | Multi-site or enterprise scope, deeper interoperability and heavier non-functional requirements. |
Baselines are before feature adders, compliance programmes, integrations and the platform, design and team-location multipliers. The headline range for this calculator is $100K–$600K. 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.