3 articles
Almost every page answering this question hides behind the words it depends, so this one does the opposite. Here are the real price bands, a typical quote taken apart line by line, the arithmetic behind every driver that lifts a number, the bill that arrives every year after launch, and an honest account of the times when the cheaper option is the one we would tell you to take.
Most articles on this question quote one vendor's licence price and stop there. This one builds the whole bill a clinic actually signs: the software line, the migration, the training, the hardware on the desks, and the running costs that arrive every year after go live. It also runs the five year arithmetic for renting against owning at eight users and at forty, and says honestly where a custom build stops paying for itself.
Most guides to this question give a vague range and stop. This one hands you the whole calculation: the price bands we quote in practice, where the money goes inside a build, the yearly bill that arrives after launch, and the five year totals for renting against building set side by side at 40 users and at 80. It also names the cases where we tell a client to buy something ready-made instead.
