How much does telehealth cost?

What actually drives the price

• Whether you pay per visit or by subscription
• Whether the clinician is available around the clock or only in business hours
• Whether follow-up on the same problem is included
• Whether the service is standalone or attached to a primary care practice
• Whether labs, imaging and medications are quoted at member cash rates

Per-visit pricing

Standalone telehealth typically charges a flat fee per visit, sometimes with a higher fee after hours. It is a reasonable choice for someone who needs care once in a year and wants no ongoing commitment. Its weaknesses are predictable: the price signal discourages asking early, follow-up often costs again, and each encounter starts from scratch clinically.

We do not publish competitor prices here because they move and vary by state; check the service's own page before paying, and specifically ask what a follow-up costs.

Membership pricing at Presence

There is no copay for included virtual visits and no surcharge for nights, weekends or holidays. Memberships are a 12-month commitment billed monthly, and a one-time $49 clinical onboarding applies before a first in-person visit. Full terms are on the pricing page.

Working out your break-even

Count how many times your household saw someone for something routine last year: virtual visits, walk-in clinics, urgent care, plus the times you wanted to and did not. For a single adult who used care twice, per-visit pricing might still win. For a household of four during a normal winter, it rarely does.

The part that does not appear in a spreadsheet is behavioral. When each visit has a price, people wait. When it does not, they ask on day two instead of day six, and day two is almost always the cheaper problem clinically. That is the argument for a membership even when the arithmetic is close.

For the wider cost picture including in-person care, see how much direct primary care costs.