How Much Does Chronic Care Management Software Really Cost in 2025?

Pricing for chronic care management (CCM) software can be complex and confusing. Between per-patient charges, flat fees, and revenue-sharing models, figuring out what you'll actually pay (and what you'll get in return) isn't always straightforward.

But if you’re a practice managing patients with long-term conditions—like diabetes, hypertension, or heart failure—investing in the right CCM software can seriously streamline your operations and boost your Medicare reimbursements. So how do you make sure you’re getting your money’s worth?

Let's review the common pricing structures that will be in use in 2025, the factors that affect the price, and how to avoid paying too much for features that you don't require or, worse, too little for something that has the potential to significantly improve your workflow.

1. Per-patient monthly payment

This pricing model is the most widely used and simple. The number of patients you actively enroll in your CCM program determines how much you pay. The monthly average fee for each patient ranges from $6 to $25.

Advantages: It grows with you and closely matches your Medicare reimbursement (CPT 99490 reimburses about $62 per month).

Disadvantage: If you have more patients than you anticipated, expenses can mount up quickly.

2. Flat Monthly Fee

Some vendors offer a set fee—between $499 and $1,500 per month—regardless of how many patients you have. This can be great for smaller practices that just want predictable billing.

But if your program grows rapidly, a flat fee might not be the best fit financially.

3. Revenue-Sharing (aka Value-Based)

This one’s appealing if you’re just getting started: the vendor takes a percentage of your CCM reimbursement (usually 20–30%). No big upfront cost.

Just know that over time, this can eat into your margins. You’re basically trading long-term revenue for short-term ease.

So what’s Driving the Price Up—or Down?

Feature sets matter. The more your software can do (remote patient monitoring, EHR integration, smart billing tools), the more you’ll likely pay.

You’re also paying for support, on-boarding, patient communication features, and compliance tools. And honestly, these can be worth every penny if they help you avoid claim denials or staff burnout.

Let's talk ROI.

If you're managing 100 CCM patients, your Medicare reimbursement could be over $6,000/month. This will still give you a good return even if your software costs $1,000 a month.

However, your software can also add value to your services. Software that helps you maintain compliance, precisely record time, and enhance patient outcomes. Software becomes an investment because of this.

The only prerequisite is to confirm that the software supports all relevant CPT codes, including 99490 and 99439.

How to Make Sensible Decisions

Verify that the program supports all applicable CPT codes, such as 99490 and 99439.

Inquire if support, training, and onboarding are covered.

Verify that the software integrates with the EHR and RPM platforms that you currently use.

Is it easy to keep track of and audit care minutes?

Examine whether the interaction with patients maintains their interest.