Home health software pricing: what it costs in 2026

No home health software vendor we checked shows a price on its site. What buyers are quoted, what sits outside the quote, and the questions to ask before you sign.

Author

Enzo Health Team

Enzo Health

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Read Time: 4 min read

Date: November 5, 2026

The short answer. Across 33 calls with buyers, Software Advice's advisors put the median quote at about $490 a month, most between $350 and $1,500, plus a setup fee that usually sits around $1,000 [11]. That figure mixes home care and home health tools, so it is a category number, not any one vendor's price. No vendor we checked shows a price on its site; you get a quote based on your size. The number to compare is what you pay in the first year, all in.

Key takeaways

Ask whether setup, moving your data, training, the clearinghouse and add-on modules are in the subscription or billed on their own.
When you start paying matters as much as how much. Paying for two systems during a switch is a real cost.
Get one number for the first twelve months, in writing, on your own census.

What sits outside the subscription?

Implementation. Setup, configuration, your forms and workflows built in.
Moving your data. Patients, open periods, history. Ask what moves, what stays behind, and who checks it.
Training. How many hours, for whom, and whether new hires next year cost extra.
Claims and payer connections. Clearinghouse fees, eligibility checks, connections to each payer you bill.
Add-on modules. Billing, scheduling, intake, telehealth, an AI scribe, analytics.
The old system. You must keep clinical records for five years after a patient's discharge, longer if your state requires it [2]. If your records stay in the old EHR, find out what read access costs once your contract ends.
Getting your data out later. Ask what it costs to export your records if you ever leave, and put the answer in the contract. For federally certified systems, a fee for that export can break federal rules [3].

What the vendors' own sites say about price

Checked November 2 and 4, 2026.

Alora. "Pricing simply depends on how many people in your agency will use Alora software, or how many patients you serve." Quote by phone or email [1].
Enzo. A quote for your agency [5].
MatrixCare. "Start by having a call with one of our experts" [8].
Axxess, Homecare Homebase, KanTime, NestMed, Netsmart and WellSky. No price on their sites, and a demo request in its place [4][6][7][9][10][12].

Five questions to ask before you sign

What is our all-in number for the first twelve months? Subscription, implementation, data, training, clearinghouse, every module. One figure.
What triggers a price change? More users, more patients, a new location, a new service line. Get the formula.
When do we start paying? At signature, at go-live, or at first billed claim. During a switch you may be paying two vendors.
What happens to our data if we leave? Export format, export fees, and how long the old records stay readable.
How long is the term, and how does it renew? Contract length, auto-renewal, the notice period, and any early-exit fee.

A first-year worksheet

Fill this in from each quote. Compare the totals, not the monthly rates.

Subscription, 12 months: ____
Implementation and setup: ____
Moving your data: ____
Training, including next year's new hires: ____
Clearinghouse and payer connections, 12 months: ____
Add-on modules: ____
Old system kept readable: ____
Months paying two vendors at once: ____
First-year total: ____

Frequently asked questions

Sources

Alora, Pricing (alorahealth.com/pricing) and home page FAQ (alorahealth.com) (read Nov 2, 2026)
42 CFR 484.110(c)(1), Clinical records, retention. ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484/subpart-C/section-484.110 (read Nov 2, 2026)
45 CFR 171.302(b)(3), Fees exception, and 171.102, Definitions. ecfr.gov/current/title-45/subtitle-A/subchapter-D/part-171 (read Nov 2, 2026)
Axxess, Pricing. axxess.com/pricing (read Nov 2, 2026)
Enzo, Best home health EHR guide. enzo.health/resource/best-home-health-ehr (read Nov 2, 2026)
Homecare Homebase, home page. hchb.com (read Nov 2, 2026)
KanTime, home page. kantime.com (read Nov 2, 2026)
MatrixCare, home page. matrixcare.com (read Nov 2, 2026)
NestMed, home page. nestmed.com (read Nov 2, 2026)
Netsmart, home page. ntst.com (read Nov 2, 2026)
Software Advice, "Best Home Health Care Software of 2026," updated Oct 28, 2026, FAQ answer "based on 33 advisor calls" (Jan 2025 to Jul 2026): median around $490, common range $350 to $1,500 per month; setup "usually sits at $1,000 but sometimes reaches $4,000". softwareadvice.com/home-health (read Nov 2, 2026, in a browser)
WellSky, home health page. wellsky.com/home-health (read Nov 4, 2026; wellsky.com/pricing returns 404)