Real numbers for 2026 — what the subscription costs, what the quote leaves out, and what a 50, 100 or 200-bed hospital actually ends up paying.
The short answer: for a mid-size Indian hospital, expect a monthly subscription per location rather than a per-user licence. ZenoHosp's Essential Pack — HMS, Inventory, Asset, Finance and People — is ₹9,000 per month billed monthly, or ₹8,000 per month billed annually (₹96,000 a year), plus GST. Clinical add-ons are priced separately: OT Room from ₹1,000, Pharmacy from ₹2,000 and Lab from ₹2,500 per month. Pricing scales with bed capacity.
We publish those figures because almost nobody else in this market does. Insta quotes on request. MocDoc quotes on request. Attune prices per engagement. That is normal for Indian HMS vendors, and it is why this page exists — you cannot budget for a system nobody will price until you are three sales calls deep.
Published rates, per hospital location, exclusive of GST.
| What you get | Billed monthly | Billed annually |
|---|---|---|
| Essential Pack HMS + Inventory + Asset + Finance + People |
₹9,000 / month | ₹8,000 / month (₹96,000 / year) |
| OT Room add-on Surgical scheduling and live boards |
+₹1,000 / month | +₹900 / month |
| Pharmacy add-on Dispensing and stock management |
+₹2,000 / month | +₹1,800 / month |
| Lab add-on Diagnostics and reporting |
+₹2,500 / month | +₹2,250 / month |
| On-premise deployment | One-time perpetual licence plus annual maintenance contract — quoted per hospital | |
Rates scale across four bed tiers — 35–80, 81–150, 151–250 and 251+ beds. There is no per-user fee, so adding front-desk staff, nurses or consultants does not change the bill. See the full pricing page and module calculator →
Essential Pack base rate by bed tier. Add-ons are charged on top and do not change with tier.
| Hospital capacity | Billed monthly | Billed annually |
|---|---|---|
| 35–80 beds | ₹9,000 / month | ₹8,000 / month |
| 81–150 beds | ₹15,000 / month | ₹13,500 / month |
| 151–250 beds | ₹25,000 / month | ₹22,500 / month |
| 251+ beds | ₹40,000 / month | ₹36,000 / month |
Worth noting the step between tiers is a jump, not a slope — crossing from 80 to 81 beds moves the base rate from ₹9,000 to ₹15,000. If you are close to a boundary and planning to add beds, price both tiers before you commit, and factor the step into the expansion case.
The subscription is usually the smaller number. These are the line items to ask about before you sign.
Three worked examples using ZenoHosp's published annual rates, excluding GST and one-time implementation.
| Hospital | Typical module mix | Indicative monthly | Per bed, per month |
|---|---|---|---|
| 50-bed Single-location multispeciality 35–80 bed tier |
Essential Pack + Pharmacy | ₹9,800 | roughly ₹196 |
| 100-bed With in-house lab and OT 81–150 bed tier |
Essential Pack + Pharmacy + Lab + OT Room | ₹18,450 | roughly ₹185 |
| 200-bed Multi-department 151–250 bed tier |
Essential Pack + Pharmacy + Lab + OT Room | ₹27,450 | roughly ₹137 |
The per-bed figure is the number worth holding on to. Software that costs a couple of hundred rupees per bed per month sits against a single unbilled procedure or one expired drug batch — which is usually where the money actually goes. If you want that comparison for your own numbers, the ROI calculator runs it.
Five things worth checking before the number at the bottom.
1. Per-user or per-location? Per-user pricing punishes you for hiring and quietly encourages password sharing, which is a real patient-data risk in a ward. Per-location pricing tied to bed capacity is more predictable, because bed count changes rarely and headcount changes constantly.
2. What happens in year two? Ask for the renewal rate in writing. A low first-year figure with an unstated renewal is the oldest move in enterprise software.
3. Is support included, or a tier? Establish response times for a billing outage at 9pm, not just business-hours email.
4. Who owns the data, and how do you get it out? Ask for the export format before you sign. A vendor confident in the product will answer this immediately.
5. Does the price change when you add a department? If you open a dialysis unit or a second OT next year, find out now what that does to the bill.
Quote-on-request lets a vendor set the number after learning your bed count, your budget and how urgently you need to switch. It is not necessarily predatory — enterprise deals genuinely vary — but it does mean two similar hospitals can pay very different amounts for the same system, and it makes shortlisting slow.
Cloud is cheaper to start and usually cheaper across three to five years once you count server hardware, the replacement cycle, power, backup and IT staff time. On-premise earns its keep where data residency policy demands it or connectivity is genuinely unreliable. ZenoHosp offers on-premise as a perpetual licence plus AMC.
It should not be a separate SKU. ABHA creation and health-record linking are part of operating a hospital in India now, not a premium feature. Ask whether ABDM support is included or billed as an integration.
The honest answer depends on where your leakage is. Hospitals that recover unbilled IPD procedures and pharmacy expiry typically see the subscription covered well inside a year — but ask any vendor promising a specific payback to show you the arithmetic on your own numbers.
Share your bed count, OT rooms and the modules you need. We will send a final quote within one business day — and if ZenoHosp is the wrong fit for your size, we will say so.