How much does a commercial management system for clinics really cost in Latin America? (2026)

"How much does a billing and commercial management system cost for my clinic?" It's the first question any healthcare administrator asks when looking to professionalize their commercial operations. And the answer varies wildly: from S/.0 (free) to over $50,000 USD in implementation alone.

In this article, we break down the real costs by solution category, so you know exactly what to expect in 2026.

The 4 tiers of solutions (and their real costs)

Tier 1: Free SUNAT billing tool

SUNAT's billing tool is free and official. It issues valid electronic receipts. But it has no user-friendly interface, no reports, no business logic, no API for integrations, and no commercial management features whatsoever. It's like writing invoices by hand — but on a computer.

Works for: Solo practitioners issuing fewer than 10 receipts per month. Doesn't work for: Clinics, imaging centers, laboratories — any healthcare business with real operations.

Tier 2: Generic billing tools (NubeFact, Alegra, Quesito)

These billing tools solve the problem of issuing tax receipts. They're affordable, easy to use, and reliable. But they don't understand the complexity of a healthcare facility:

• They don't manage insurance company agreements
• They don't calculate copays
• They don't generate insurer settlements
• They don't integrate with PACS, LIS, or HIS
• They don't report by payer type

The hidden cost: Your staff spends hours on manual processes (copays in Excel, settlements by hand, charges entered manually). That time is money that doesn't show up on the software bill.

Tier 3: Generic ERPs (Odoo, SAP, Defontana)

Generic ERPs are powerful, but they're designed for every type of business. To make them work in a clinic, you need customization: adapting billing for health insurance agreements, integrating with clinical systems, configuring differentiated rate schedules. That customization costs more than the software itself.

The hidden cost: Implementing a generic ERP for healthcare typically takes 3-12 months and requires specialized consultants. 60-70% of the total cost is in customization, not the license.

Tier 4: Enterprise healthcare platforms (LOLIMSA, Cirrus)

LOLIMSA (Peru, 30+ years) and Cirrus (Mexico) are comprehensive hospital management platforms with billing included. They're powerful but geared toward large hospitals. Neither publishes pricing — you have to request a quote. Implementation is heavy and contracts tend to be long.

Do they publish pricing? Neither one. You must contact sales and wait for a quote.

Where does Davix fit?

Detailed breakdown for a typical clinic (200 invoices/month):

Total cost of ownership (TCO) comparison — first year

For a clinic issuing ~200 receipts per month:

The difference: Davix costs about the same as NubeFact/Alegra, but includes all the healthcare logic (agreements, copays, settlements, clinical integration) that generic tools lack. And it costs a fraction of what ERPs and enterprise platforms charge.

The pay-per-transaction model: is it more expensive?

At first glance, paying S/.0.25 per document might seem like an extra cost. But let's look at the real numbers:

NubeFact is cheaper on a per-receipt basis. That's a fact. But NubeFact only issues receipts. If you need agreement management, copays, settlements, and clinical integration, those features don't exist in NubeFact at any price.

The real cost isn't "S/.70 vs S/.99 per month." It's "S/.70/month + hours of manual work + Excel + errors + delayed insurer collections" vs "S/.99/month with everything automated."

Frequently asked questions

What's the cheapest commercial management system for clinics in Peru?

In raw subscription price, Keyfacil (~S/.40/month, ~$11 USD) and Davix Essential (S/.49/month, ~$15 USD) are the most affordable. But Keyfacil caps at 30 documents/month and has no healthcare features. Davix is the most affordable among systems that include healthcare logic (agreements, copays, settlements, clinical integration).

Is an ERP like Odoo or SAP worth it for a clinic?

For a small or mid-sized clinic, no. The implementation cost ($5,000–$50,000+ USD) and healthcare customization far exceed the cost of a solution already designed for the sector. Odoo or SAP make sense for large corporations that already use the ERP across other divisions.

What's included in Davix activation?

Activation (S/.900–S/.1,440, ~$280–$450 USD) includes: full implementation, system configuration, staff training, and data migration from your previous system. There are no hidden implementation costs.

Can I use Davix Commercial Management without buying PACS or LIS?

Yes. Each Davix product is sold separately. You can buy just Commercial Management without any other module. If you later need PACS or LIS, you activate it with no migration required.

Does Davix work for clinics that don't deal with insurers?

Yes. If your clinic only serves private-pay patients, Davix Commercial Management still delivers value: point of sale, electronic billing, cash register control, financial reports. The agreement and insurer features are simply there if you need them — they're included in the plan at no extra cost.

Conclusion

The cost of a commercial management system for clinics varies enormously:

• Generic billing tools (S/.40–199/month, ~$11–$55 USD): They issue receipts, but they don't understand healthcare.
• Generic ERPs ($2,000–$200,000+ first year): Powerful, but require costly customization.
• Enterprise healthcare platforms ($10,000–$100,000+ estimated): Comprehensive, but opaque on pricing and heavy on implementation.
• Davix Commercial Management (~S/.2,628 first year, ~$820 USD): Built for healthcare, integrates with clinical systems, fully public pricing, no customization needed.

Davix fills a unique space: it costs like a generic billing tool but works like an enterprise healthcare platform. And it's the only solution with 100% public pricing.