Spruce Health pricing starts at $24/user/month. Compare its HIPAA-compliant messaging, telehealth, and e-fax plans, features, pros and cons.
Category
Healthcare & Wellness
Pricing
subscription, from $24/user/month
Verified
Not yet
Last updated
July 19, 2026
Founded
2013
Headquarters
San Francisco, California, USA
Web AppiOSFree TrialAndroidAI
What Is Spruce Health
Spruce Health is a healthcare communication platform that gives clinics and independent practices one HIPAA-compliant inbox for phone calls, secure texting, video visits, e-fax, and team chat.
Founded in 2013 and based in San Francisco, Spruce Health was built to replace the mix of personal cell phones, fax machines, and unsecured texting many small healthcare practices rely on with a single compliant system.
Key Features
The platform's core is a shared team inbox where staff can send secure messages, place and receive calls, send e-faxes, and conduct video telemedicine visits, with conversations assignable to specific teammates or groups.
Automated tools include appointment reminders, intake questionnaires, scheduled messages, and bulk broadcast messaging, while the Communicator plan adds business-grade phone infrastructure like auto-attendants, call routing rules, and VoIP desk phone support.
Pricing
Spruce Health charges per user per month with two plans: Basic at 24 dollars per user per month and Communicator at 49 dollars per user per month for practices needing more advanced phone and workflow customization.
Billing is month-to-month with no long-term contract, and a 14-day free trial is available without requiring a credit card.
Key Features
HIPAA-Compliant Secure Messaging — Two-way SMS-style texting with patients that stays compliant, including file sharing and read receipts.
Video Telemedicine — Secure, HIPAA-compliant video visits that patients can join from a browser link with no app download required.
Business Phone and E-Fax — A dedicated business phone number with calling, voicemail transcription, and e-fax sending and receiving from any device.
Shared Team Inbox — Conversations can be assigned, tagged, and paged to specific teammates or groups so nothing falls through the cracks.
Automated Patient Communication — Scheduled messages, appointment reminders, and intake questionnaires reduce no-shows and manual outreach.
Mobile Payments and Billing Requests — Send payment requests to patients directly through the messaging thread on select plans.
Call Routing and Phone Trees — On the Communicator plan, practices can build auto-attendant phone trees and route calls based on time of day.
API Access — The Communicator plan exposes an API for integrating Spruce communication data with EHRs and other practice systems.
Pros & Cons
Pros
Combines phone, fax, text, and video into one compliant inbox
Month-to-month billing with no long-term contract
14-day free trial with no credit card required
Simple, transparent per-user pricing
Well suited to small practices replacing multiple disconnected tools
Cons
Advanced phone routing and API access require the pricier Communicator plan
Limited native EHR integrations compared to some larger competitors
Per-user pricing can add up for practices with many staff accounts
Some advanced workflow automation may require add-ons or higher plans
Smaller company size than some enterprise-focused competitors
Pricing
Basic $24/user/month monthly
Communicator $49/user/month monthly
Frequently Asked Questions
How much does Spruce Health cost
The Basic plan is 24 dollars per user per month and the Communicator plan is 49 dollars per user per month, both billed month-to-month.
Is Spruce Health HIPAA compliant
Yes, Spruce Health is built specifically for HIPAA-compliant communication including messaging, calls, and video visits with patients.
Does Spruce Health offer a free trial
Yes, a 14-day free trial is available and does not require a credit card.
Can Spruce Health replace my clinic's fax machine
Yes, e-fax sending and receiving from any device is included on both pricing plans.
Does Spruce Health support video telemedicine visits
Yes, secure HIPAA-compliant video visits are included starting on the Basic plan.
Is there a long-term contract with Spruce Health
No, Spruce Health uses month-to-month billing by default and customers can cancel at any time.
Who is Spruce Health best suited for
Solo practitioners, small group practices, and healthcare teams that want to consolidate phone, text, fax, and video into one compliant tool.
Does Spruce Health integrate with EHR systems
API access is available on the Communicator plan for integrating with other practice systems, though native EHR integrations are more limited than some competitors.