Almost every article about hospital software pricing in India gives you a range instead of a price. "₹2,000 to ₹25,000 a month." "₹50,000 to ₹3 lakh a year." Those ranges are wide because the people writing them are not selling the software, or because they are, and would rather you booked a call.
This guide does the opposite. It gives you real, published numbers — ours in full, and everyone else's where they publish them — explains the two billing models that decide your actual bill, and lists the four questions that determine whether the quote you receive is the price you will pay.
The Short Answer
For a small to mid-size Indian hospital in 2026, cloud hospital management software costs roughly ₹14,000 to ₹1,20,000 per year depending on beds, modules and how many staff need logins. A 20-bed nursing home running everything should expect somewhere near ₹40,000 a year. A 50-bed hospital, near ₹70,000. Above 100 beds, almost everyone quotes rather than lists.
Those figures are ours, and they are published in full on our pricing page along with the renewal rate. Here is the complete table.
| Beds | First year | Renewal (year 2 onward) | Named users included |
|---|---|---|---|
| OPD only, no beds | ₹14,000 | ₹7,000 | 3 |
| Up to 20 | ₹40,000 | ₹20,000 | 5 |
| 30 | ₹50,000 | ₹23,000 | 6 |
| 40 | ₹60,000 | ₹26,000 | 7 |
| 50 | ₹70,000 | ₹29,000 | 8 |
| 60 | ₹80,000 | ₹32,000 | 9 |
| 70 | ₹90,000 | ₹35,000 | 10 |
| 80 | ₹1,00,000 | ₹38,000 | 11 |
| 90 | ₹1,10,000 | ₹41,000 | 12 |
| 100 | ₹1,20,000 | ₹44,000 | 13 |
| 100+ | Custom quote | ||
All figures are per year and exclusive of GST. Every module is included at every slab — OPD, IPD, wards, EMR, billing, pharmacy, pathology, TPA, payroll, reports and ABDM. If you do not run a pharmacy or a pathology lab, deduct ₹3,000 per module in year one and ₹1,500 at renewal.
The Two Billing Models, and Why They Matter More Than the Headline Price
Indian hospital software is sold in one of three ways: a cloud subscription billed per user per month, a cloud subscription billed per bed, or a one-time on-premise licence with an annual maintenance contract. The third is fading; the first two are what you will actually be choosing between.
The difference is not academic. It decides which direction your bill grows in.
| Per-user billing | Per-bed billing | |
|---|---|---|
| Your bill grows when | You hire staff or add shifts | You add beds |
| Good for | Small clinics with 2–3 logins | Hospitals with many staff across shifts |
| Typical Indian rate | ₹500–₹2,000 per user per month | Fixed slab per bed band |
| Hidden risk | Staff share logins to save money | Bed count is disputed at renewal |
Run the arithmetic for your own hospital before choosing. A 50-bed hospital running three shifts realistically needs 12 to 15 logins. At ₹500 per user per month that is ₹72,000 to ₹90,000 a year in user charges alone. On a per-bed model with users bundled, the same hospital is ₹70,000 all in.
There is a safety point buried in this too. When logins are expensive, staff share them — and a shared login destroys prescription attribution, breaks your audit trail, and undermines the ABDM record-linking you are legally moving toward. Cheap named users are not a pricing nicety; they are a compliance requirement.
Which Indian Vendors Actually Publish Their Prices?
We checked, in August 2026. The split is stark.
| Vendor | Publishes price? | What is public |
|---|---|---|
| Healthixio | Yes | Full bed table, renewal rate, seat rates, module deductions |
| Healthray | Yes | Per-user monthly rates from ₹499, annual per-centre figures from ₹30,000 |
| MocDoc | No | Quote on request; indicative figures appear only on third-party directories |
| KareXpert | No | "Price on Request" on listings; callback required |
| Most enterprise HIS vendors | No | Scoped enterprise quote after discovery |
There is a legitimate reason large vendors hide prices: their deals genuinely vary tenfold, because they are scoped per hospital with integrations and custom work. That logic holds above about 100 beds. Below it, where the software is the same for everyone, a quote form is mostly a toll gate on a number that follows a fixed rule.
We have written detailed, sourced comparisons for the main three: Healthixio vs Healthray, Healthixio vs MocDoc and Healthixio vs KareXpert. If you are on clinic software today, Practo Ray alternatives covers the move to a hospital system.
The Renewal Is Where Hospital Software Contracts Hurt
Year one is the number everyone negotiates. Year two is the number that decides what you actually spend over five years, and it is very often not discussed at all.
Traditional on-premise systems charge an annual maintenance contract of 15–20% of a licence fee that may itself run to several lakh. Cloud subscriptions simply continue at the same rate. Ask, in writing, before you sign:
- What is the year-two figure, in rupees? Not a percentage, not "roughly the same" — a number.
- Does it rise annually? If so, by what, and capped at what?
- What happens if I add beds mid-term? Pro-rated, or a full new slab?
- Is there a re-installation, migration or reactivation fee at renewal?
For reference, our renewal is a published figure roughly half of year one — ₹20,000 for up to 20 beds, rising ₹3,000 per additional 10 beds. That renewal is the AMC: it is payable every year from year two, and it is the only annual charge, with no additional maintenance contract stacked on top and no separate fee for updates or support.
The Charges That Do Not Appear in the Headline Price
Across the Indian market, these are where the quoted price and the invoiced price diverge:
- Per-user licences. The single most common source of bill shock. Get the per-login rate in writing even if you think you have enough users included.
- Setup and implementation fees. One-time, sometimes substantial, and frequently introduced after the demo.
- Data migration. Moving your existing patient records out of your old system. Ask whether it is included or quoted separately.
- Training. Per-session charges for staff training are common; so is a limit on the number of sessions.
- Module add-ons. Pathology, pharmacy or TPA discovered to be a paid upgrade after go-live.
- WhatsApp and SMS. Often billed per message beyond a monthly allowance.
- GST. Almost always extra, on top of everything above.
At Healthixio, onboarding, staff training, data migration from your existing system, updates and support are part of the subscription. The only charges beyond the published table are extra user seats — ₹3,000 a year for staff, ₹1,500 for doctors — and GST.
What Should a Hospital of Your Size Budget?
OPD clinic, no beds
You do not need a hospital system and should not pay for one. Budget ₹14,000 to ₹30,000 a year for outpatient software covering appointments, queue, registration, EMR, digital prescriptions and OPD billing.
Nursing home, 10–25 beds
Budget ₹40,000 to ₹60,000 a year including pharmacy and lab. Watch the user count — a 20-bed nursing home with three shifts on reception will need more than the bundled logins on most plans.
Hospital, 30–60 beds
Budget ₹50,000 to ₹85,000 a year. At this size TPA and Ayushman claim handling starts to matter to your revenue, so confirm it is included rather than an add-on.
Hospital, 60–100 beds
Budget ₹80,000 to ₹1,25,000 a year. Payroll, multi-department MIS and referral tracking become real requirements; so does having enough named logins that nobody shares one.
Above 100 beds
Expect a scoped quote from everyone, including us. Ask each vendor for the same four numbers — year one, year two, per-user rate, and what is excluded — so the quotes are actually comparable.
Is Cheaper Software a False Economy?
Sometimes, and it is worth being honest about when. Price should be the last filter, not the first. Before comparing rupees, confirm each shortlisted system genuinely covers:
- ABDM and ABHA — increasingly mandatory, and covered in our guide to whether ABDM is mandatory.
- Your actual departments — pharmacy with GST billing, pathology with report delivery, OT, TPA.
- Named-user access control and audit logs — for both compliance and internal theft prevention.
- Support you can reach — in your language, at the hours your hospital runs.
- An exit path — can you export your data if you leave?
Software that fails any of those is not cheap at any price. Once two or three systems clear the bar, then compare cost — and compare year two, not just year one.
How to Compare Quotes Fairly
Put every vendor's numbers into the same five-line format and the winner usually becomes obvious:
- First-year total, including setup and migration
- Year-two renewal, in rupees
- Cost of one additional staff login, per year
- Modules included, listed by name
- Five-year total (year one plus four renewals)
That last line is the one vendors least like to see written down, and the one that most changes decisions.
See the Software and the Price Before You Call Anyone
You can price Healthixio yourself with the calculator on our pricing page — move the bed slider, pick your modules and users, and the first-year and renewal figures appear immediately. You can also see all 49 screens of the actual software on our product tour, or download the whole walkthrough as a PDF, without speaking to a salesperson.
If you would like the same evaluation for the rest of your shortlist, our buyer's guide to the best hospital management software in India sets out what to look for beyond price.