Updox vs Spruce Health
Side-by-side from the Top 11 ranking of The 11 Best Telehealth Platforms. Last verified May 31, 2026.
The short answer
Updox ranks higher on Top 11 (#6 vs #11) for Healthcare providers running virtual visits. A complete communication platform with strong EHR integrations to streamline practice workflows.
At a glance
| Updox | Spruce Health | |
|---|---|---|
| Top 11 rank | #6 / The 11 Best Telehealth Platforms | #11 / The 11 Best Telehealth Platforms |
| Score (out of 9.4) | 8.2 | 7.2 |
| Best for | Unified patient communication hub | Unified communication for modern practices |
| Pricing | $$$ (Custom pricing) | $ ($24 to $79/mo) |
| HQ | Dublin, USA | San Francisco, USA |
| Founded | 2008 | 2013 |
Updox
A complete communication platform with strong EHR integrations to streamline practice workflows.
www.updox.com/Spruce Health
A communication-first platform where video is one piece of a unified patient conversation.
www.sprucehealth.com/Methodology and scoring weights live at /methodology. No vendor pays for placement — see about.