Luma Health vs Spruce Health

Luma Health and Spruce Health both serve healthcare organizations but automate different layers of the patient journey. Luma Health is an operational AI…

Best for Luma Health: Larger healthcare organizations that need EHR-integrated automation of referrals, intake forms, eligibility verification, and prior authorization -- Luma Health lists direct integrations with Epic, Oracle Health, MEDITECH, eClinicalWorks, Athenahealth, NextGen, Greenway, and Nextech.
Best for Spruce Health: Practices and clinics that need straightforward HIPAA-compliant texting, video visits, and e-fax without per-message charges, and want transparent pricing ($24/user/month Basic, $49/user/month Communicator) and a 14-day free trial with no credit card.

At a Glance

 Luma HealthSpruce Health
Primary categoryHealthcare & WellnessHealthcare & Wellness
RatingNot documentedNot documented
Pricing modelCustom / Quote-basedsubscription
Starting priceCustom pricing$24/user/month
Free planNot documentedNot documented
Free trialNot documentedYes
PlatformsWebWeb, iOS, Android
Team collaborationNot documentedNot documented
AI featuresYesYes
Public APINot documentedNot documented

Key Differences

Pricing Transparency

Luma Health: Luma Health does not publish pricing; a sales conversation is required to get a quote.

Spruce Health: Spruce Health publishes two tiers: Basic at $24/user/month and Communicator at $49/user/month, both billed month-to-month with annual contracts available.

Buyers evaluating on a budget can immediately compare Spruce's cost, while Luma Health requires a sales cycle before any pricing is known.

Core Product Focus

Luma Health: Luma Health centers on operational automation -- Agentic Access, Agentic Engagement, Agentic Intake, and Agentic Payments -- coordinated by an AI core called Spark.

Spruce Health: Spruce Health centers on direct communication: secure messaging, two-way SMS texting, video telehealth visits, e-fax, and team messaging with tasks.

The tools solve different problems: Luma automates back-office processes like referrals and prior auth, while Spruce replaces the phone, fax, and messaging tools front-line staff use every day.

EHR Integration Depth

Luma Health: Luma Health lists direct integrations with eight named EHR systems: Epic, Oracle Health, MEDITECH, eClinicalWorks, Athenahealth, NextGen, Greenway, and Nextech.

Spruce Health: Spruce Health does not publicly document specific EHR integrations, though its Communicator plan includes general integrations and API access.

Organizations that need patient data and workflows synced directly with a specific EHR will find Luma Health's named integration list far more decision-relevant.

No-Code Customization

Luma Health: Luma Health includes a no-code workflow builder that lets healthcare teams build custom automated workflows without developer support.

Spruce Health: Spruce Health does not document a no-code workflow builder or comparable customization tool.

Teams that need to adapt automated processes (like intake sequences or waitlist rules) without engineering resources benefit from a no-code builder.

Free Trial and Entry Cost

Luma Health: Luma Health does not mention a free trial or free plan; pricing and access require contacting sales.

Spruce Health: Spruce Health offers a 14-day free trial with no credit card required, covering all Basic plan features except SMS texting.

A free trial lets smaller practices test the actual product before committing budget, which is not possible with Luma Health's sales-only model.

Feature-by-Feature

Patient Communication

FeatureLuma HealthSpruce Health
Secure HIPAA-compliant messagingNot documentedAvailable
Two-way SMS textingNot documentedAvailable
Video telehealth visitsNot documentedAvailable
Fax handlingAvailableAvailable
VoIP phone systemNot documentedAvailable

Operational Automation & AI

FeatureLuma HealthSpruce Health
AI-driven digital intake formsAvailableNot documented
Eligibility verification / prior authorization automationAvailableNot documented
No-code workflow builderAvailableNot documented
Named EHR integrationsAvailableNot documented
AI-powered two-way translationAvailableNot documented

Pricing & Access

FeatureLuma HealthSpruce Health
Publicly published pricingUnavailableAvailable
Free trialUnavailableAvailable
API accessNot documentedLimited
Digital payment collectionAvailableAvailable

Pricing Compared

Starting price reflects the lowest paid tier, not the full cost for every team size or usage level.

Luma Health

Custom — Custom pricing Custom

Spruce Health

Basic — $24/user/month monthly
Communicator — $49/user/month monthly

Pros & Cons

Luma Health

Pros

  • Deep integration with a wide range of existing EHR systems
  • Automates high-volume administrative tasks like reminders and waitlist management
  • Well-suited to complex, multi-location health systems
  • Backed by significant funding, including a 130 million dollar Series C
  • Reduces no-show rates and front-office administrative burden

Cons

  • Pricing is not public and requires a sales consultation to obtain
  • Best suited to larger health systems rather than small independent practices
  • Implementation complexity tied to EHR integration can extend rollout timelines
  • Reported per-user costs may be high for smaller organizations
  • Competes in a crowded patient engagement software market

Spruce Health

Pros

  • Combines phone, fax, text, and video into one compliant inbox
  • Month-to-month billing with no long-term contract
  • 14-day free trial with no credit card required
  • Simple, transparent per-user pricing
  • Well suited to small practices replacing multiple disconnected tools

Cons

  • Advanced phone routing and API access require the pricier Communicator plan
  • Limited native EHR integrations compared to some larger competitors
  • Per-user pricing can add up for practices with many staff accounts
  • Some advanced workflow automation may require add-ons or higher plans
  • Smaller company size than some enterprise-focused competitors

Use Cases

Choose Luma Health: Larger healthcare organizations that need EHR-integrated automation of referrals, intake forms, eligibility verification, and prior authorization -- Luma Health lists direct integrations with Epic, Oracle Health, MEDITECH, eClinicalWorks, Athenahealth, NextGen, Greenway, and Nextech.
Choose Spruce Health: Practices and clinics that need straightforward HIPAA-compliant texting, video visits, and e-fax without per-message charges, and want transparent pricing ($24/user/month Basic, $49/user/month Communicator) and a 14-day free trial with no credit card.
Need both: A multi-site health system could use Luma Health to automate referral routing, digital intake forms, and prior-authorization workflows tied into its EHR, while giving front-desk and clinical staff Spruce Health for real-time HIPAA-compliant texting, video visits, and e-fax with patients -- Luma Health does not document two-way texting or video visits, and Spruce does not document eligibility or prior-authorization automation.

Luma Health

  • Reducing patient no-shows — Health systems use automated multi-channel reminders and waitlist backfill to reduce missed appointments and fill cancellations quickly.
  • Streamlining referral coordination — Multi-specialty systems use Luma Health to automate scheduling of patient referrals between providers.
  • Automating preventive care outreach — Organizations use recall campaigns to automatically follow up with patients due for preventive or follow-up care.

Spruce Health

  • Solo and small group medical practices — Replace personal cell phones and unsecured texting with a single compliant inbox for patient communication.
  • Telehealth-first care teams — Run entire patient visits through secure video calls combined with messaging and intake forms.
  • Multi-provider group practices — Route calls, assign conversations, and manage shared patient communication across a larger clinical staff.

Frequently Asked Questions

Does Luma Health publish its pricing?

No. Luma Health's pricing is not disclosed publicly and requires contacting sales for a quote.

Can I try Spruce Health before paying?

Yes, Spruce offers a 14-day free trial with no credit card required, though it excludes SMS texting until a paid plan is active.

Which tool integrates with Epic or other major EHRs?

Luma Health documents direct integrations with Epic, Oracle Health, MEDITECH, eClinicalWorks, Athenahealth, NextGen, Greenway, and Nextech. Spruce Health does not publish a specific EHR integration list.

Does Spruce Health charge per text or per call?

No, Spruce offers effectively unlimited texting, calling, and faxing with no per-use charges, aside from a one-time $19.50 SMS registration fee.

Is Luma Health built for small clinics or large health systems?

Luma Health's customer base of 1,000+ organizations, including Banner Health and UAMS, and its feature set around firm-wide automation suggest it is built primarily for larger healthcare organizations.

Does either tool offer video visits?

Spruce Health documents video telehealth visits as a core feature. Luma Health does not list video visits among its documented features.

Read the full Luma Health review · Read the full Spruce Health review