Real prices. Your numbers.

Start free.
Pay for what you need.

Your first clinician is free. Each additional clinician is $50 a month. Non-clinician staff and patient accounts are always free.

Calculate your cost

Free Basic · not a trial

A real practice.
Starting at $0.

  • 1 clinician and unlimited non-clinician staff
  • Unlimited patients, appointments, and questionnaires
  • Patient self-booking, tasks, and secure messaging
  • Email notifications and appointment reminders
  • Referrals and collaboration teams
  • 20 hosted video appointments each month per practice
  • 5 GB of file storage

Add only what you need.

Unlimited telehealth

$10per clinician / month

20 hosted video appointments per practice each month are free. Add unlimited hosting for your whole practice.

Direct patient payments

$10per clinician / month

Accept online payments through your own Stripe account. Stripe processing fees are separate.

SMS messaging

$29per practice / month

Plus $0.029 per SMS segment and $150 one-time carrier registration. Email reminders stay free.

Marketing campaigns

$29per practice / month

Email campaigns included within fair use. Text campaigns also need SMS messaging.

AI notes

$99per clinician / month

Unlimited visit transcription and draft notes for clinician review.

Extra storage

$10per 5 GB / month

5 GB included. Add storage in 5 GB blocks when you need it.

No email address required

What would your practice pay?

Estimate one practice’s monthly bill in US dollars.

Receptionists, administrators, billers, and other non-clinician staff do not add seat charges.

Optional add-ons

A few things worth knowing.

Does every clinician pay for telehealth and payments?

These add-ons apply to your whole practice and are priced on all enabled clinicians, including the first clinician whose base seat is free. Joining another practice’s collaboration-team video visit is free; the hosting practice uses its allowance.

Are texts charged per message?

No. They are charged per SMS segment. Message length and characters affect how many segments a text uses. Campaigns and SMS are separate: email campaigns need Campaigns; text campaigns need both.

Do patients pay to use Akashic?

No. Your patient account is always free. Bills from your healthcare practice for care are separate from Akashic’s software pricing.

Do you charge per appointment or patient?

No. Appointments and patient counts do not raise your bill. Choose clinician seats and optional add-ons; add storage when you need more than the included allowance.

Welcome back

Where are you heading?

Use your Akashic account for the part of your day you're here for.

My healthYour record, care, and people you helpMy practice workspaceReception, administration, clinical work, and moreIndependent practitionercollaboration teams outside a practice workspaceContractor workspaceThe healthcare clients you support

Make yourself at home

What brings you to Akashic?

One account can serve more than one part of your life.

Manage my healthStart without waiting for a practice invitationSet up my practiceCreate your practice and its own Akashic addressParticipate as a practitionerConnect with authorized patient collaboration teamsSupport healthcare clientsIndependent contractors, agencies, and support teams

Joining an existing practice as staff? Find your practice’s sign-in.