What you’ll pay

Pricing is a platform tier plus the products you choose, à la carte. Pick a tier and add products to see your estimate. Usage shown in amber is metered (it varies month to month).

Typical customers

Evaluating (Sandbox)

Test-drive every product free — synthetic data; everything simulated.

All products — simulated
Free
Billing — test mode (test cards)
Free
Real calls / messages / PHI / payments
on Starter+
Monthly$0free test mode

Solo practice, starting out

One clinician, wants the phone covered.

Starter tier
$99
Phone Agent
$199
Voice (within 200 min)
incl
Monthly$298/mo

Small practice, patient-facing

Adds an online portal (3 providers) + a billing webhook.

Starter tier
$99
Patient Portal (3 providers)
$128
API & webhooks
$49
Monthly$276/mo
most common

Growing group, full automation

8 providers; voice + proactive outreach + portal.

Growth tier
$399
Digital Assistant
$299
Patient Portal (8 providers)
$273
Messaging (500 over 2,000)
$15
Monthly$986/mo

High phone volume

Busy front desk — 1,000 call-minutes/mo.

Growth tier
$399
Phone Agent
$199
Voice overage (800 min × $0.35)
$280
Monthly$878/mo

Multi-site network

Custom scale, SSO, SLA, white-label.

Enterprise tier
Custom
Digital Assistant
$299
Patient Portal (25 providers)
$766
MonthlyContact sales

Builder / health-tech

Builds its own app on Cernia; 3,000 voice min.

Developer — Production
$1,500
Voice runtime (3,000 min × $0.35)
$1,050
Monthly$2,550/mo

Build your own estimate

Platform tier

Products & add-ons

Platform tier$99
Monthly total$99

recurring + current-month usage

Sandbox is 100% simulated and free — calls, messages, AI, the patient portal, API/webhooks, and billing (test-card mode) run with synthetic data; nothing is sent or charged. Live pricing applies from Starter up. Estimates exclude payment-processing fees (3.5% + $0.40 per transaction) and any applicable taxes, added at checkout. Enterprise and implementation services are quoted (Contact Sales). The Digital Assistant includes the Phone Agent's voice — selecting it covers both. Annual = 10% off recurring fees; metered usage is billed monthly as incurred.