Mirth Connect Support Pricing 2026: Every Tier, Every Price

Most healthcare integration consultancies hide pricing behind discovery calls. We publish every number. The reasoning is simple: if our floor is $3,800/month and your budget is $500/month, the discovery call wastes both our time. Transparent pricing filters leads up-front, builds trust with the ones that fit, and helps procurement write SOWs faster.

This article is the long-form companion to our pricing page. It exists to answer a specific question — “What does Mirth Connect support actually cost, what do you get for it, and how do I pick the right package?” — comprehensively enough that you can make a decision without scheduling a call.

If you'd rather skip to a structured conversation, the Free Mirth Health Check is a 60-minute call with a senior engineer plus a written report at the end, with no obligation to purchase anything afterward. For ongoing context on our broader practice, see Mirth Connect support and the support services guide.

Every engagement with Taction Software falls into one of two product lines, with overlapping pricing structures designed for different buying patterns.

Product Line 1 — Monthly Managed Support (recurring). For organizations with production Mirth Connect that needs ongoing operational support. Predictable monthly cost, named tiers, defined hours and SLAs.

• Bronze — $3,800/mo
• Silver — $6,800/mo (most popular)
• Gold — $12,500/mo
• Enterprise — From $28,000/mo

Product Line 2 — Fixed-Price Integration Sprints (one-time). For organizations with discrete projects — installations, migrations, FHIR adapters, audits — that need defined scope, defined timeline, fixed price.

• Mirth Installation Sprint — from $4,500, 2 weeks
• eClinicalWorks $export Sprint — from $13,500, 6 weeks
• FHIR R4 Adapter Sprint — from $13,500, 6 weeks
• Engine Migration Sprint (Rhapsody / Iguana / Corepoint) — from $34,500, 8 weeks
• HIPAA Audit + Remediation Sprint — scoped per audit
• NextGen Connect Upgrade Sprint — scoped per version
• Enterprise migration scope — up to $118,000 for very large engagements

The two product lines work together. The most common path: Free Mirth Health Check → one or more sprints → ongoing Silver support, with a 10% discount on the first month of any support tier for sprint clients.

The four tiers at a glance:

Each tier is explained in detail in the sections below.

Bronze is the entry-level tier — $3,800/month for 60 hours of senior engineer time with a 4-hour critical-issue SLA.

What's included:

• 60 hours/month of senior Mirth Connect engineer time
• 4-hour critical SLA during business hours
• Email and ticket support for technical questions
• Quarterly health check — lighter version of the standalone audit
• Patch and version-upgrade guidance as new Mirth releases ship
• Knowledge base access with proprietary runbooks
• BAA on file before any PHI touches our environment

What's not included:

• 24/7 on-call coverage (Silver tier and above)
• Proactive monitoring (Silver tier and above)
• Hands-on production change management (Silver tier and above)
• New large-scale integration development (handled as sprint engagements)

Right for:

• Pre-production deployments in build phase
• Small clinics, single-site practices
• HealthTech startups with under 10 channels in production
• Established in-house teams seeking a backup advisor

Annual cost: $45,600. For context, a single senior US integration engineer's loaded annual cost (salary + benefits + overhead) is approximately $190K–$280K — so Bronze is about 2–3 months of one engineer's loaded cost per year, while providing a full team's expertise on tap.

Silver is the most commonly chosen tier — $6,800/month for 120 hours of senior engineer time with a 15-minute critical SLA and 24/7 monitoring.

What's included:

• 120 hours/month of senior engineer time
• 15-minute critical SLA, around the clock
• 24/7 proactive monitoring of channel state, heap, queue depth, certificate expiration
• Routine change management — channel deploys, transformer updates, patches
• Monthly performance and reliability review with documented findings
• Quarterly DR drills with backup verification
• Security and compliance support — assistance with audits, control evidence, posture reviews
• All Bronze features included

What's not included:

• New large-scale integration development (sprint engagements)
• Multi-tenant scale-out architecture (Gold or Enterprise tier)
• Bespoke 24/7 dedicated engineer coverage (Enterprise tier)

Right for:

• Hospitals with production Mirth carrying clinical HL7 data
• Healthtech platforms running Mirth in production for early customers
• Organizations that have lost their primary Mirth engineer and need ongoing operational coverage
• 10–30 channels in production

Annual cost: $81,600. This is less than half the loaded cost of one senior integration engineer, while providing 24/7 coverage, no single-person dependency, and access to a full team's specialist skills (HL7, FHIR, JVM, database, security). For most organizations with production Mirth, Silver is the operational sweet spot.

Gold is for high-availability and critical workloads — $12,500/month for 240 hours (1.5 FTE equivalent) with 24/7 on-call rotation.

What's included:

• 240 hours/month of senior engineer time (1.5 FTE)
• 24/7 on-call rotation with named primary and secondary engineers
• Active-active or active-passive HA architecture design and ongoing operations
• Dedicated technical account manager familiar with your specific deployment
• Quarterly architecture reviews with documented recommendations
• Recurring performance tuning (not just incident-driven)
• Multi-region or multi-AZ deployments support
• Annual disaster recovery drill with documented RTO/RPO achievement
• All Silver features included

Right for:

• Hospitals with Mirth at the center of clinical workflows (ICU dashboards, real-time alarm routing)
• Healthtech platforms whose own SLA to customers depends on Mirth uptime
• Multi-site health systems and hospital networks
• Organizations with regulatory requirements for high-availability operations

Annual cost: $150,000. This is approximately one senior engineer's loaded annual cost — but with a 1.5 FTE-equivalent of bandwidth, a 24/7 on-call rotation, dedicated TAM, and the full breadth of a specialist team (no single-person dependency, no vacation gaps, no hiring/retention risk).

Enterprise is for multi-tenant SaaS-scale operations and strategic engagements — from $28,000/month for a dedicated 4-FTE team (640 hours/month) with custom SLA.

What's included:

• 640 hours/month of senior engineer time (4 FTE)
• Custom SLA — typically faster than 15 minutes for the most critical workflows
• Dedicated engineering team assigned to your account, not pooled with other clients
• Strategic engagement — capacity planning, technology decisions, vendor reviews
• Multi-tenant operational expertise — dozens of hospital connections, per-tenant SLAs, audit support
• Custom development as part of the relationship rather than as separate engagements
• IP escrow for client-specific code and configurations
• Embedded engineers when needed — temporarily or long-term placement of our team into your operations
• All Gold features included

Right for:

• Healthtech platforms with 10+ hospital EHR connections in production
• Multi-tenant Mirth Connect SaaS operations
• Large enterprise relationships where the technology partnership is strategic
• IDNs, Fortune 500 healthcare, large payer-provider integrations

Annual cost: from $336,000. Engagement shape is custom by definition — discuss specifics with our team via /contact-us. For organizations of this scale, Enterprise is typically cost-competitive with hiring a 4-engineer in-house Mirth team while providing significantly more depth and operational maturity.

Eight productized sprints, all with public pricing and fixed timelines.

All sprints include:

• Defined scope written up front, with named deliverables
• Fixed price — no hourly billing, no scope creep, no surprise invoices
• BAA in place before any PHI access
• Senior engineer leadership from our US-based architects

When a sprint package doesn't quite match your need, we scope it as a sprint extension to the closest standard package, or as a custom Statement of Work — the base economics are the same; only the wrapper changes.

Two bundling mechanics, both automatic.

Sprint → Support: 10% off first month. Every sprint client receives a 10% discount on the first month of any Support tier, applied automatically. The most common pattern:

1. Free Mirth Health Check (60 min, written report, no commitment)
2. One sprint engagement (Installation, FHIR Adapter, Engine Migration, etc.)
3. Roll into Silver Managed Support ($6,800/mo, 10% off month one = $6,120 first month)

This pattern handles the “build + run” lifecycle cleanly: sprints deliver the project, Support tier handles ongoing operations.

Multi-sprint: 10–15% off. Three or more sprints purchased together qualify for a 10–15% discount on the total. Common multi-sprint scenarios:

• New deployment program: Mirth Installation + FHIR R4 Adapter + HIPAA Audit (~$31,500 base × 15% off = ~$26,775)
• EHR-onboarding bundle: Mirth Installation + eClinicalWorks $export + Engine Migration (~$52,500 base × 15% off = ~$44,625)
• Enterprise rollout: Engine Migration + FHIR Adapter + HIPAA Audit + Installation (≥3 sprints → discount applies)

The multi-sprint bundle plus the sprint-to-support discount can stack — multi-sprint clients moving into Silver support get the multi-sprint discount on the sprint total AND 10% off their first Silver month.

For organizations that aren't ready to commit to either a sprint or an ongoing support tier, the Free Mirth Health Check is the recommended starting point.

What's included (free, for qualifying organizations):

• 60-minute deep-dive call with a senior Mirth Connect engineer
• Channel inventory review of your current Mirth deployment
• Performance and reliability assessment
• HIPAA posture review
• Written report with prioritized recommendations and a ballpark effort estimate

What's not included:

• Hands-on remediation work (separate sprint or support engagement)
• Detailed audit-grade documentation (requires HIPAA Audit Sprint)
• Long-term commitments — no obligation to purchase anything afterward

Why it's free.The Health Check filters good-fit prospects from poor-fit prospects quickly. Organizations that find serious problems and have budget become clients; organizations that have no real issues or don't have budget save us a longer sales process. Either way, both parties save time.

The most common outcome of a Health Check is that the organization identifies 3–8 prioritized improvements, picks the most urgent as a sprint engagement, and rolls into Silver support for ongoing operations. For the deep-dive on what to expect, see Free Mirth Health Check: what to expect.

This question gets asked often enough to address directly.

Hiding prices wastes everyone's time. If our floor is $3,800/month and your budget is $500/month, a discovery call helps neither of us. Transparent pricing filters leads up-front.

Trust signals matter for enterprise buyers. Hospital procurement and healthcare CTOs evaluate dozens of integration vendors per year. Vendors who publish prices look credible; vendors who hide prices look like they price-discriminate or change terms based on perceived budget. Procurement teams write SOWs faster against vendors with published pricing.

Productized packages rank better in AI Overviews and ChatGPT answers. Large language models cite pages with concrete prices over pages with “contact us for a quote.” This is increasingly important as buyers research vendors through AI tools before reaching websites directly. (You can test this — ask ChatGPT or Claude “what does Mirth Connect support cost?” and the answers most likely to be cited are pages with named numbers.)

It enforces internal scope discipline.Productized pricing means we can't fudge scope to recover margin on a bad estimate. The price is the price; if our estimate is wrong we eat it. That pressure produces better scoping up front.

For more on why we picked productized over hourly billing, see our productized vs hourly pricing guide.

A practical decision tree:

Do you have production Mirth carrying live clinical traffic?
├── No, still in build/eval phase
│   └── Start: Mirth Installation Sprint ($4,500) or Free Health Check
│
└── Yes
    │
    ├── Does downtime cost real money or affect care?
    │   ├── Low risk → Bronze ($3,800/mo) + ad-hoc sprints as needed
    │   └── Yes → continue ↓
    │
    ├── Single deployment OR multi-tenant?
    │   ├── Single → Silver ($6,800/mo) is the standard answer
    │   └── Multi-tenant → continue ↓
    │
    ├── HA architecture in place or planned?
    │   ├── No → Silver, plan upgrade to Gold
    │   └── Yes → continue ↓
    │
    ├── 10+ hospital connections OR strategic partnership scale?
    │   ├── No → Gold ($12,500/mo)
    │   └── Yes → Enterprise (from $28,000/mo)

If you're unsure, the Free Mirth Health Check is designed exactly for this decision. A senior engineer reviews your specifics and produces a written recommendation — without obligating you to anything.

Every price is on this page and on /pricing. If you're ready to engage:

• Bronze — $3,800/mo for small clinics and pre-production deployments
• Silver — $6,800/mo for production deployments (most popular)
• Gold — $12,500/mo for hospital networks and HA workloads
• Enterprise — from $28,000/mo for IDNs and Fortune 500
• All 8 integration sprints for one-time projects

Not ready to pick yet? Start with the lowest-commitment option: the Free Mirth Health Check — 60-minute audit with a senior engineer, written report at the end, no obligation. Most successful engagements with us start here.

Claim My Free Mirth Health Check →