Unlimited telehealth
$10per clinician / month
20 hosted video appointments per practice each month are free. Add unlimited hosting for your whole practice.
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 costFree 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.
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.
Ambient AI scribe
$129per clinician / month
When enabled, billed for every clinician seat, including the first free seat.
Focus on the visit. Start your notes with a draft already waiting: record with consent, review and edit, then save the note and confirm suggested chart items individually.
Fair use: up to 60 minutes per session and 12,800 recorded minutes (213 hours 20 minutes) per clinician each month. The monthly allowance is individual, not a shared practice pool. At the monthly limit, new recordings pause until the next calendar month; there are no automatic overage charges. You can still write notes and update the chart.
Typed notes already include the same reviewed chart updates. The add-on captures the conversation and prepares the first draft.
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.
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.