About Us
AtTally Sofper was established in the year 1999 by Mahesh Attal & Dinesh Attal at Visakhapatnam. Over the last 20 years, the company has grown from one office of 2 members to two offices of 25 members
Contact Info
- AtTally Sofper, #201, Tirumala Plaza, Dabagardens, VISAKHAPATNAM-530020,A.P
- 0891-2716023, 93460 98990
- attally@tallyvizag.com
- Week Days: 09.00 to 18.00 Sunday: Closed
Hospital Software Pricing in India: What You’ll Really Pay in 2026
You ask three vendors for a quote. One sends a one-time license fee. Another quotes a monthly fee per user. The third wants a demo before naming any number. Now you hold three figures and no fair way to compare them.
This is the everyday problem behind hospital software pricing in India. The sticker price is only one part of the cost. Setup, data migration, training, support, and tax all change what you actually pay.
This guide is for hospital owners, administrators, finance teams, and procurement teams. It explains the common pricing models, the eight costs behind most quotes, and a simple worksheet to compare offers on equal terms.
What We Cover
Why Hospital Software Quotes Are Hard to Compare
Published price guides for Indian hospitals disagree by a wide margin. For a hospital of around 100 beds, one guide lists cloud plans at roughly ₹80,000 to ₹1.2 lakh a year. Another puts hospitals of 100+ beds at ₹12 lakh to ₹50 lakh or more a year. That is a gap of ten times or more.
Several things explain the gap. Some guides price only OPD and billing, while others price a full hospital system. Some include setup, training, and first-year support, while others do not. Also, most of these guides are written by software vendors. Treat their figures as directional, not as a price list.
How AtTally handles pricing: AtTally does not publish a fixed price list for Shivam HMS. Your quote depends on bed count, number of users, modules, deployment type, and data migration scope. Any generic figure, including the ranges in this guide, is only a starting point for your budget.
The Three Common Pricing Models
Most hospital software quotes fall into one of three models. Each one moves cost to a different point in time.
*Ranges come from third-party Indian pricing guides published in 2025 and 2026. They are not AtTally or Shivam Medisoft prices.
The 8 Real Costs Behind a Hospital Software Quote
A fair comparison starts with a full list. These are the eight cost heads to ask about, whichever vendor you choose.
Two of these heads get missed most often. The first is data migration. Old records sit in paper files, Excel sheets, or an older system. Moving them cleanly takes planning, so a quote that leaves it out will add a separate line later.
The second is your own team’s time. Staff still see patients while they learn a new system. Plan for a short period where old and new processes run together. That time has a cost, even though no vendor invoices it.
Want these eight heads filled in for your hospital? Ask AtTally for an itemized Shivam HMS quote →
What Pushes the Price Up or Down
Six factors shape most hospital software quotes:
You can also control cost through sequencing. A phased rollout that starts with OPD and e-prescription, then moves to wards, billing, and inventory, spreads the spend. It also lets staff learn one workflow at a time.
GST, DPDP, and ABDM: Costs on Top of the Quote
Finance teams should add three more items to the worksheet. None of them appears in a vendor’s headline price.
GST on the software invoice
Healthcare services by a clinical establishment are exempt from GST under Entry 74 of Notification 12/2017–Central Tax (Rate). That helps your patients. It also affects your purchase.
GST is usually added to a software invoice, often at 18%. Input tax credit is generally not available on inputs used only for exempt services. If you also make some taxable supplies, such as retail pharmacy sales, credit has to be apportioned. So for many hospitals, GST becomes part of the real cost. Ask your chartered accountant how it applies to your setup. This is general information, not tax advice.
DPDP readiness
The Government of India notified the Digital Personal Data Protection Rules in November 2025 with an 18-month phased compliance timeline. Most obligations are scheduled from May 2027, but dates can change, so check the latest status.
Patient records hold highly personal data. Ask each vendor how the software handles consent records, access controls, activity logs, and breach reporting. Budget for these checks now, not during a last-minute rush.
ABDM integration
The Ayushman Bharat Digital Mission (ABDM) links patient records to ABHA IDs. Ask whether ABDM integration is part of your quote or an add-on. The National Health Authority has run a Digital Health Incentive Scheme for hospitals and software providers, but its terms and dates have changed over time. Check the current rules before you count on any offset. Ask every vendor, including AtTally, exactly what is included and what is not.
Cloud vs On-Premise: Which Costs Less Over Five Years?
Neither option always wins. Cloud spreads cost over time, while on-premise puts more of it upfront. Compare three to five years of total cost, not just Year 1.
A Simple 3-Year Worksheet to Compare Quotes
Put every quote into the same table. Add the license or subscription for three years. Then add every other cost head from the list above. A lower first-year price can cost more by Year 3.
Illustrative example with invented numbers, only to show the method. These are not real quotes, and they are not AtTally or Shivam Medisoft prices.
Then put these five questions to every vendor:
Reading the Cost Against Revenue Leakage
Software is a cost. It should also earn its place. Start with the money your hospital may already be losing. Our guide to hospital revenue leakage in Andhra Pradesh explains where missed charges, rejected claims, and lost follow-ups hide.
Here is a simple test. Audit a sample of recent bills against ward and pharmacy records. Count the services that were delivered but never billed. Scale that count to your monthly volume, and compare the result with the yearly cost from your worksheet.
Be careful with promises, though. No vendor can guarantee savings, and results depend on how well your team adopts the system. Use the audit to judge whether the case is strong, not to justify one particular quote.
If you run separate HMS, ERP, and CRM tools today, add up what you pay for all three. Our guide to HMS, ERP, and CRM on one platform shows where consolidation may reduce duplicate spend.
Where Shivam HMS Fits
Shivam HMS is the hospital management platform AtTally Sofper implements and supports in Andhra Pradesh. It covers OPD and IPD, emergency, pharmacy, laboratory, radiology, billing, inventory, HR, and finance on shared patient and financial data. It also connects with TallyPrime, so billing data can reach your accounts without double entry. You can see the full module list on our Shivam HMS page.
For the AI Assistant and the Control Tower dashboard, read why hospitals are upgrading to AI-driven hospital management.
An AtTally quote for Shivam HMS is built around six inputs: bed count, users, modules, cloud or on-site deployment, number of branches, and data migration scope. We also cover consultation, implementation, training, and ongoing support, so you can see the full picture in one itemized offer.
Get an itemized quote for your hospital
Share your bed count, departments, and current software. We will map the eight cost heads for your setup and show what a phased rollout could look like.
Talk to our team → Or book a free Shivam HMS demo
Frequently Asked Questions
How much does hospital management software cost in India?
There is no single price. Published Indian guides range from a few thousand rupees a month for small clinics to tens of lakhs for large hospitals, and they often disagree for the same size. Your cost depends on beds, users, modules, deployment, and migration. Ask for an itemized quote instead of relying on a generic figure.
Is hospital software priced per bed, per user, or per module?
All three exist, and some vendors mix them. Per-user pricing grows as you add staff. Per-bed pricing grows with capacity. Module-based pricing grows as you add departments. Ask which model your quote uses and how it changes when you expand.
Is cloud hospital software cheaper than on-premise?
Cloud usually costs less upfront because you skip the server. But you pay every month or year. On-premise costs more at the start, then adds AMC and server upkeep. Compare three to five years of total cost, and think about internet reliability at your location.
What hidden costs should I look for in a hospital software quote?
The usual ones are data migration, training, hardware, customization, integrations, and yearly support increases. Third-party charges, such as SMS or payment gateway fees, may also apply where you use them. Ask which of these are excluded before you sign.
What is AMC, and how much does it cost?
AMC means annual maintenance contract. It covers support and fixes for licensed software, and sometimes upgrades. Several third-party guides cite roughly 15–20% of the license fee per year, but this varies by vendor. Confirm what your AMC covers and how much it can rise.
Does GST apply to hospital software, and can I claim input tax credit?
GST is usually charged on software invoices, often at 18%. Healthcare services by clinical establishments are exempt, so credit is generally not available for inputs used only for exempt services. If you also make taxable supplies, credit may need apportioning. Confirm the treatment with your chartered accountant.
Do ABDM and DPDP compliance add to the cost?
They can. Ask each vendor whether ABDM integration is in the quote or an add-on. Also ask how the software supports consent, access control, and breach reporting under the DPDP Rules. The Rules follow an 18-month phased timeline, so it pays to plan now.
How long does implementation take, and does it affect cost?
Timelines vary with hospital size and the number of modules. A phased rollout, starting with OPD and prescriptions, usually goes live faster than switching every department at once. A longer parallel-running period adds staff time, so ask for a realistic schedule.
Can a small hospital or nursing home afford hospital software?
Often yes, if you start with the modules you need most, such as OPD, billing, and pharmacy. You can add others later. Ask your vendor for a phased quote, so early costs match the workflows you use first.
How do I get a Shivam HMS quote in Andhra Pradesh?
Contact AtTally Sofper with your bed count, departments, user numbers, and current software. We scope the modules and deployment that fit, then quote against that scope. We support hospitals online and from our offices in Visakhapatnam and Vijayawada. Talk to our team →
About AtTally Sofper Pvt. Ltd.
AtTally Sofper Pvt. Ltd. has helped businesses across Andhra Pradesh choose and set up the right software since 1999. We are an authorized reseller for Shivam HMS, with offices in Visakhapatnam (Vizag) and Vijayawada. We also support hospitals online, so distance is never a barrier.
If you are comparing hospital software quotes, we can help you fill in the worksheet. We provide consultation, implementation, data migration, and ongoing support for Shivam HMS, including its TallyPrime connection. Contact AtTally Sofper for a free consultation →
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