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Patient portaliOS + Android + Web

How much does it cost to build an app like MyChart?

Estimated US development cost, the features and surfaces involved, the team and timeline it takes, the infrastructure it needs at scale, and what it costs to run once it is live.

A patient-facing portal onto a health system's medical record. Patients read visit notes and test results, message their care team, request refills, book and check in for appointments, and pay balances. Access is granted by the health system rather than by open signup, and proxy access lets a parent or carer act for someone else.

What this build involves

Patient portal
Features listed
28
Sides served
4
Industry
Healthcare
Sensitivity
5/5

The calculator returns

Cost rangeEngineering hoursTimelineTeam compositionRunning costs
Price a build like this

It is not one app — it is 4

The most common reason a budget for something like this comes in low is counting one application when the product needs several, plus the shared platform underneath that nobody sees.

Applications people use — 4

  1. Patient app

    iOS · Android · Web

    Patients and proxies

    Results, notes, messaging, scheduling, check-in and payment.

  2. Proxy & caregiver access

    Web

    Parents, carers, guardians

    Delegated access with its own consent lifecycle and age-transition rules. Almost always underestimated.

  3. Clinician inbox

    Web · Desktop

    Care teams

    Where patient messages land, get triaged and get answered inside clinical workflow.

  4. Health-system console

    Web

    IT and compliance

    Access grants, audit review, release rules, break-glass logging.

Shared platform underneath — 9

  • Backend & API

    The shared data model, business rules and the API every side reads and writes through. Built once, and the single largest line in almost every estimate.

  • Identity & permissions

    Sign-in, sessions, second factors and a role model enforced on the server. Multi-sided products need one identity system that understands several kinds of user.

  • Payments & money movement

    Charging, refunding, paying out, reconciling and surviving audit. Never just an SDK call — the ledger and the failure paths are the work.

  • Notification system

    Templating, preferences, delivery across push, email and SMS, retries, and the suppression rules that stop a product becoming spam.

  • Real-time transport

    Persistent connections, presence, fan-out and reconnection. A separate scaling problem from the request/response API, with its own capacity model.

  • Media pipeline

    Upload, transcode, storage, delivery and the CDN in front of it. Egress is usually the largest single running cost in a media product.

  • Admin & operations console

    Where your own staff fix what customers cannot: account issues, refunds, overrides, escalations. Consistently underbudgeted, and consistently the reason support costs balloon.

  • Analytics & reporting

    Event instrumentation, a warehouse and the dashboards the business actually runs on. Retrofitting instrumentation costs several times what building it in does.

  • Infrastructure & delivery

    Environments, pipelines, secrets, monitoring, alerting and on-call. The work that makes everything above deployable more than once a month.

What has to be built

Split by the phase each capability realistically lands in. The MVP column is priced as its own configuration above, so the split is a real costing decision rather than a diagram.

MVP features

12

The smallest set that is still this product.

  • Email & password sign-in
  • Multi-factor authentication
  • User profiles
  • Consent & authorisation records
  • Roles & permissions
  • Documents & file handling
  • Compliant secure messaging
  • Availability & booking calendar
  • Transactional email
  • Push notifications
  • Audit logging
  • Accessibility (WCAG 2.2 AA)

Advanced features

9

What a credible competitor is expected to have.

  • Face ID / fingerprint unlock
  • Video calling
  • Card payments
  • Transaction history & statements
  • Search, filters & sorting
  • Notification centre
  • Retention & deletion policy
  • Multi-language support
  • Approval workflows

Enterprise features

7

Scale, governance and the work nobody demos.

  • Enterprise SSO (SAML / OIDC)
  • Admin console
  • Dashboards & reporting
  • Scheduled exports & feeds
  • Support tooling
  • Feature flags & remote config
  • White-labelling & theming

The same features, by who uses them

Customer experience

What the people you are building for actually touch.

  • Email & password sign-in
  • Multi-factor authentication
  • User profiles
  • Consent & authorisation records
  • Roles & permissions
  • Documents & file handling
  • Audit logging
  • Face ID / fingerprint unlock
  • Card payments
  • Transaction history & statements
  • Retention & deletion policy
  • Enterprise SSO (SAML / OIDC)

Communication

How the product reaches people and how they reach each other.

  • Compliant secure messaging
  • Transactional email
  • Push notifications
  • Video calling
  • Notification centre

Operations & staff

The consoles your own team lives in. Rarely demoed, always needed.

  • Availability & booking calendar
  • Approval workflows
  • Admin console
  • Support tooling

Data & intelligence

Reporting, analysis and anything model-driven.

  • Search, filters & sorting
  • Dashboards & reporting
  • Scheduled exports & feeds

Platform

The cross-cutting obligations — access, languages, configuration.

  • Accessibility (WCAG 2.2 AA)
  • Multi-language support
  • Feature flags & remote config
  • White-labelling & theming

Technology a build like this would use

Derived from the platforms and capabilities above.

These are typical choices for building a product of this shape today. They are derived from the platforms and capabilities described above — not a claim about what MyChart actually runs on. We do not publish other companies’ internal technology, and you should be sceptical of anyone who does.

Mobile

  • React Native or Flutter (one codebase)
  • Swift / SwiftUI (native iOS)
  • Kotlin / Jetpack Compose (native Android)

Two native codebases buy platform fidelity and cost roughly 66–70% more on the client than one shared codebase. Cross-platform is the default unless a specific capability forces native.

Web

  • TypeScript
  • React with Next.js
  • Tailwind CSS or a component library

Server rendering matters here if the pages need to be indexed; if the web surface is an authenticated console only, it does not.

Backend

  • Node.js or Go for the real-time edge
  • Python or Java for domain services
  • gRPC or REST between services

A real-time product usually ends up with two server profiles: a connection-handling tier tuned for many idle sockets, and a conventional application tier behind it.

Data

  • PostgreSQL (primary transactional store)
  • Redis (cache, sessions, queues)

One relational database plus a cache covers more products than teams expect. Add a specialist store when a real query pattern demands it, not in anticipation.

Cloud & delivery

  • AWS, Google Cloud or Azure
  • Containers on a managed orchestrator
  • Terraform or equivalent for infrastructure as code
  • GitHub Actions or similar for CI/CD

The architecture tier this product needs is driven by traffic, not preference — see the scale section below.

Payments

  • Stripe, Adyen or Braintree
  • Apple Pay and Google Pay via the platform SDKs
  • Reconciliation against processor settlement reports

Using a processor keeps card data out of your systems and shrinks PCI scope dramatically. It does not remove the need for your own reconciliation.

Messaging & notifications

  • APNs and FCM for push, usually via a delivery service
  • Twilio for SMS and voice
  • SES, SendGrid or Resend for email

Deliverability is an operational discipline: warm-up, domain authentication, bounce handling and suppression lists. It is not solved by picking a vendor.

Video

  • LiveKit, Daily or Agora for real-time calls
  • WebRTC directly if you have the expertise

Building video transport in-house is a multi-year specialism. Buy the transport; spend your engineering on the product around it.

Observability

  • Sentry for errors
  • Datadog, Grafana or an equivalent for metrics and traces
  • Structured logging with retention matched to your compliance regime

Instrumentation is cheapest when added during the build. Retrofitting it after the first production incident costs several times more.

How an app like MyChart works

The portal is a read-and-write surface onto a clinical system of record it does not own. Almost everything a patient sees — results, notes, medication lists, appointment slots — originates in the electronic health record and is surfaced through an interface layer. That inversion is the whole engineering story: the product is mostly integration, identity and consent, and comparatively little novel data modelling. What the portal adds on top is a consumer-grade experience over data that was designed for clinicians, plus the release logic that decides when a result is safe to show a patient before their doctor has discussed it.

In costing terms that shape matters more than the feature count. A records & documents in healthcare inherits obligations before anyone designs a screen — this sector rates 5 out of 5 for regulatory and procurement difficulty on this site, and that rating is what drives the security posture, the audit work and the integration surface any estimate has to carry.

MVP versus the full product

A first version of this is a materially smaller build than the mature product, and the calculator will show you by how much. It gets there by shipping fewer features, on fewer surfaces, at a launch-sized audience rather than the traffic the mature product carries.

What it does not cut is compliance. A regulated product is regulated from its first user, so the primary regime stays in the MVP even though almost everything else is deferred. Teams that defer it discover that retrofitting audit logging, access control and data retention costs several times what building them in would have.

Monetisation

How products of this shape make money

  • Licensed to health systems as part of an EHR contract
  • Per-bed or per-provider enterprise licensing
  • Implementation and interface engineering fees

Generic to the category, not a description of MyChart’s commercial arrangements.

What these numbers are, and are not

This page carries no figures deliberately. What it sets out is the shape of the build — the sides, the tiers, the stack, the compliance — because that is what an estimate is derived from and what you can check. The calculator turns your own version of that shape into a planning estimate with a stated confidence band; use it to decide the order of magnitude, then spend two to four weeks on a technical specification and get a real quote against that document.

Nothing here is a statement about MyChart as a company. We do not know and do not publish what any business spent building its product, what it earns, how many people it employs, or what technology it runs on. What we describe is the product shape any user can observe — the surfaces it presents, the roles it serves, the capabilities it evidently has — and what building that shape would cost in the United States today.

Building an app like MyChart, answered

How much does it cost to build an app like MyChart?

There is no one figure, because "an app like MyChart" covers three very different builds: a first version with only the essential features, a complete and credible competitor, and a rebuild of everything the mature product does at the traffic it carries. Those are several-fold apart. What this page gives you is the shape of each — the sides, the feature tiers, the stack and the compliance — and the calculator turns whichever one you actually mean into a cost range, hours and a timeline.

Why is an app like MyChart more expensive than a typical app?

Because it is not one app. It is 4 separate applications — patient app, proxy & caregiver access, clinician inbox, health-system console — sharing one backend, each with its own design, release cycle and test matrix. Most quotes that come in low have counted one of them. The integration is the product: A portal that cannot read the chart is a brochure. FHIR gets you a modern read API; the write paths, the older HL7 v2 interfaces and the site-specific extensions are where the schedule goes. Budget interface work per health system, not once — two hospitals running the same EHR vendor rarely expose the same fields.

Could I build a cheaper version first?

Yes, and you should. A first version ships the essential feature tier rather than all three, on fewer surfaces, at a launch-sized audience — materially less than the full product, and the calculator will show you by how much. What it does not cut is compliance: healthcare obligations apply from the first user, so those stay in whatever else is deferred.

How long would it take to build?

It depends on the same three things the cost does — which tier of the product you mean, how many surfaces you ship, and how settled the scope is. The calculator returns a timeline alongside the cost, derived the same way: hours divided across a realistic team shape, never a target date worked backwards from.

What does it cost to run once it is live?

Cloud infrastructure, third-party services and annual maintenance, and the calculator reports all three separately from the build. They are kept out of the build figure deliberately: they are operating expenditure rather than capital, and adding the two together produces a number that means nothing. Maintenance in particular is not optional — an app that receives none stops working within about a year as OS releases and SDK deprecations accumulate.

Are these real figures for MyChart?

This page carries no figures at all, and nobody outside the company has real ones. What it describes is the product SHAPE, observed from what any user can see — the sides, the feature tiers, the stack, the compliance. Nothing here describes what MyChart actually spent, earns, employs or runs on. The calculator prices building something of that shape today, for the United States market, at our own blended delivery rate.

Does my healthcare app need to be HIPAA compliant?

Only if you handle protected health information as a covered entity or on behalf of one. A fitness tracker you sell directly to consumers generally is not in scope. A patient portal for a clinic, an app a provider gives to patients, or anything where you sign a business associate agreement absolutely is. The distinction is about your relationship with the provider, not the type of data — and it should be settled before you design your data model, because retrofitting HIPAA controls costs several times what building with them costs.

What does EHR integration actually cost?

A single HL7 v2 interface through an integration engine is $30,000–$70,000. A FHIR R4 API layer is $45,000–$90,000. An Epic or Oracle Health app-program integration runs $60,000–$160,000 and is gated by their onboarding and review timeline rather than your engineering speed, so it belongs on the critical path from day one. Read-only access is dramatically cheaper than write-back, and starting read-only is usually the right call.

Price your own build, not MyChart's

Every control on one page, a live spec sheet beside it, and nothing behind a form.