Summary
Medesk publishes two plans in United States dollars, read on medesk.net on 23 September 2026. The free plan covers 2 users, 1,000 patient records and 50 appointments a month at no cost. Pro is $16 a month per 50 appointments, with unlimited users and unlimited patient records. It does not charge per clinician, and it shows no pound figure anywhere.
Medesk prices differently from everything else a UK private practice shortlists. There is no per clinician fee. Users are unlimited, patient records are unlimited, and the meter runs on appointments at $16 per 50 a month, read on medesk.net on 23 September 2026.
For the right clinic that is genuinely attractive. A practice with several part time clinicians, a receptionist and a practice manager pays for the work it does rather than for the people who log in, and on a per seat product those non clinical seats are pure cost.
The two things to understand before budgeting on it are that the meter follows your busiest month rather than your average one, and that a UK clinic is being billed in dollars.
Our price is published in pounds, and it covers the enquiries and the letters rather than the record alone.
Book a demo| Appointments a month | Blocks of 50 | Monthly cost | Notes |
|---|---|---|---|
| Up to 50 | Free plan | $0 | 2 users, 1,000 patient records |
| 100 | 2 | $32 | Unlimited users and records |
| 300 | 6 | $96 | |
| 600 | 12 | $192 | |
| 1,000 | 20 | $320 |
Paying per appointment
The Pro plan includes unlimited users and unlimited patient records and charges $16 per 50 appointments a month. A clinic running 600 appointments buys 12 blocks at $16 each, so the software bill is $192 and it does not matter whether four people or fourteen are logged in.
That inverts the usual arithmetic. On a per clinician product the receptionist, the practice manager and the part time physiotherapist each cost a seat, and a practice ends up rationing logins to control a bill. Here they cost nothing.
It suits a clinic with more people than appointments. It suits a busy two clinician practice considerably less well, because two clinicians running full lists generate a lot of appointments between them and the bill follows the appointments.
The meter follows your busiest month
Volume pricing is smooth until it is not. A clinic averaging 400 appointments a month that runs 700 in October pays for October, and the budget was built on the average.
Model the expected volume twelve months out with a seasonal peak in it rather than taking the current month and multiplying. Aesthetic clinics with a December rush and musculoskeletal practices with a January one will both find the peak is where the cost lives.
Growth is also cost here in a way it is not on a per seat plan. A practice that doubles its appointments doubles its software bill, where a per clinician product only charges more when a clinician is added.
The free plan is a working plan
50 appointments a month, 2 users and 1,000 patient records at no cost, read on medesk.net on 23 September 2026. That is enough for a new practice to see real patients through the system rather than to browse a demo.
Fifty appointments is roughly twelve a week, which a single clinician starting out passes within a few months. Treat it as a genuine runway rather than a permanent tier, and know that the step up is a meter rather than a flat fee.
A free plan with real patient records in it is also a migration question in waiting. Ask what the export looks like before putting a thousand patients into it.
Published in dollars
Medesk states its figures in United States dollars with no sterling equivalent, while selling to United Kingdom clinics. Cliniko does the same, covered in Cliniko pricing in the UK.
A UK clinic billed in dollars carries an exchange rate on its software line, and most business cards add a non sterling transaction fee on top, commonly around 2.75 to 2.99 percent. On a $192 month that is a few pounds, and on a busy clinic across a year it is not nothing.
The larger cost is that the figure moves. A budget set in March against one rate is a different number in November, through no decision anybody made.
What Medesk is good at
The pricing model is genuinely well judged for the practice it is aimed at, and it is unusual enough to be worth a shortlist slot on its own. Unlimited users means the front desk, the practice manager and the part time clinicians all get proper accounts rather than a shared login, which is better for the record as well as for the bill.
The free tier is real rather than a trial, and the product is built for private practice rather than adapted from something else.
Our full comparison is in Medesk vs Wai, and the wider UK set is in the private practice price index.
Where Wai is different
Medesk stores the diary, the record and the invoice, and meters it by appointment. A person still answers the enquiry, takes the booking, chases the result and drafts the letter.
Wai is priced on that work instead. The enquiry is answered, the booking is taken, the note is composed from the consultation and the letter is drafted for approval, on one record, at a figure published in pounds on our pricing page.
If the monthly software bill is the only thing that decides it, Medesk costs less than Wai and its model suits some clinics. If the hours decide it, Wai Admin answers enquiries, books, reminds, checks eligibility, claims and invoices around the clock, and that is where a clinic's cost actually sits. Clinicians still decide what enters the record.
See it on your own appointment volumes. Fifteen minutes, and our number is already public.
Book a demoFrequently asked questions
How much does Medesk cost?
The Pro plan is $16 a month per 50 appointments, with unlimited users and unlimited patient records, read on medesk.net on 23 September 2026. A clinic running 600 appointments a month buys 12 blocks and pays $192. The free plan covers 50 appointments, 2 users and 1,000 records at no cost.
Does Medesk charge per user?
No. Users are unlimited on Pro and the meter runs on appointment volume instead. That suits a clinic with more people than appointments, because the receptionist, the practice manager and part time clinicians cost nothing rather than a seat each.
What is the catch with Medesk volume pricing?
It follows your busiest month rather than your average one. A clinic averaging 400 appointments that runs 700 in October pays for October. Growth is also cost, since doubling appointments doubles the bill, where a per clinician product only charges more when a clinician is added.
Is the Medesk free plan any good?
It is a working plan rather than a demo. 50 appointments a month, 2 users and 1,000 patient records at no cost. Fifty appointments is roughly twelve a week, which a single clinician starting out passes within a few months, so treat it as a runway.
Does Medesk publish prices in pounds?
No. It states its figures in United States dollars with no sterling equivalent while selling to UK clinics, as Cliniko does. A UK clinic carries the exchange rate on its software line and most business cards add a non sterling fee on top.
How does Medesk compare with Wai on price?
Medesk costs less, and it does a different job. It stores the diary, the record and the invoice while a person answers the enquiry, chases the result and drafts the letter. Wai is priced on that surrounding work, at a figure published in pounds. A practice optimising the software bill should buy Medesk.
Which UK practice systems publish in sterling?
Jump EHR, Carebit and WriteUpp publish full rate cards in pounds. Semble, Pabau and iaptus publish no figure at all. Cliniko and Medesk publish in United States dollars, and Halaxy prices its UK customers in euros.
Priced on the work done
Fifteen minutes on your workflows. If it is a fit we reply within 24 hours.