A price guide for IT and finance leads budgeting Mirth Connect after its move to commercial licensing. It sets out what each NextGen tier includes, quotes the only public price we could find, and shows how to weigh the license against forks and other engines before you negotiate.
NextGen describes a flat annual fee for each production server running its software, with no charge per interface or data source. There are three tiers: Enterprise, Gold and Platinum. Enterprise can be bought through an online form that ends in a DocuSign agreement and payment, while Gold and Platinum go through sales. OEM, large-volume and perpetual models are available on request. No list price is published.
NextGen's own AWS Marketplace listing, a Mirth Connect AMI bundling SSL Manager, Channel History and Message Generator, showed version 4.8.0 at $0.60 per hour in software charges for every listed t3 and m5 size when we checked on November 1, 2026. Left running all year, one instance accrues about $5,256 in software fees (8,760 hours at $0.60) before EC2, storage and backups. The listing can be cancelled at any time and offers no refunds.
Consultancies publish their own estimates, but none come from NextGen and they disagree, so we do not repeat them. A budget you can defend starts from your server count and security requirements and ends with a written quote. Marketplace prices also change, so recheck the listing before using the figure above.
Taken from NextGen's comparison table on November 1, 2026. All three tiers include unlimited support cases, Mirth Command Center for version 4.6 and later, and upgrade support on NextGen-hosted servers.
SSL Manager, Channel History, Message Generator and the Enhancement Bundle, with Command Center analytics for 50 channels. The table lists no phone support for this tier.
Everything in Enterprise plus 24x7 phone support, analytics for 100 channels, multifactor authentication, role-based access control, LDAP authentication, Email Reader with OAuth, the Serial connector, FHIR R5, the Interoperability Connector Suite and ASTM E1394/E1318.
Everything in Gold plus analytics for 200 channels, Advanced Clustering and Advanced Alerting.
The Cures extension can join a Gold or Platinum package for version 4.5 and later. Mirth Fully Managed, a US-only service where NextGen builds and runs your interfaces on AWS, is separate. Active studies at non-profit research institutions can request a complimentary Mirth Connect for Research license.
NextGen does not sell extensions individually, so one feature you need can decide your tier.
The fee is per production server, so expect each clustered node or active site carrying live traffic to count. NextGen's page is silent on test and disaster recovery servers; get the treatment of both in writing.
MFA, role-based permissions and LDAP sign-in sit in Gold, not Enterprise. HIPAA requires unique user identification on systems holding ePHI, which rules out a shared admin login. Our HIPAA compliance consultants can map which controls you need.
Advanced Clustering appears only in Platinum. A single node recovered from tested backups may be enough for some estates.
Command Center analytics stop at 50, 100 or 200 channels by tier. Larger estates may watch the rest with their own tooling rather than move up a tier.
Self-hosting, NextGen's AWS environment, the hourly Marketplace AMI and Mirth Fully Managed carry different infrastructure and staffing costs.
Channels still need building, upgrading and support whichever route you take, so that labor belongs in the same budget as the fee.
| Aspect | Marketplace AMI (sold by NextGen) | Direct annual license |
|---|---|---|
| Billing | $0.60 per instance-hour in software charges, plus EC2 | Flat annual fee per production server |
| Commitment | None; cancel any time, no refunds | Annual agreement via DocuSign or sales |
| Extensions | SSL Manager, Channel History, Message Generator | Set by tier: Enterprise, Gold or Platinum |
| Version and downloads | 4.8.0 at the time of checking | Releases from the NextGen customer portal |
| Infrastructure | Your AWS account, t3.micro to m5.4xlarge | Self-hosted or NextGen's AWS environment |
| Usually fits | Pilots, small estates, monthly budgets | Steady estates needing Gold or Platinum features |
Run the arithmetic for your own uptime. At $0.60 an hour, one always-on instance is about $438 a month in software charges alone (730 hours), which you can set against a written annual quote.
Every route has a license line, a labor line and a risk line. Our guide to Mirth Connect alternatives explains the routes themselves; this is what each puts into the budget.
License: none. Labor: compensating controls, monitoring and a penetration test of the server. Risk: the flaws in CISA's September 2026 advisory stay open, and a breach of ePHI brings notification and remediation work no license fee would have.
License: the tier fee per production server, or the hourly AMI. Labor: upgrade testing from 4.5.2, then routine support. Risk: renewal pricing is set by a single vendor.
License: none. Support: Innovar lists BridgeLink and open-source Mirth support on AWS Marketplace at $499, $799 and $999 a month for its Essentials, Advanced and Premium plans, and its BridgeLink AMI bills $0.27 an hour. Open Integration Engine support is sold by several firms on quote.
License: Qvera's own page says channel-based licensing starts at $9,980 a year for two channels; Rhapsody, InterSystems and Infor quote privately. Labor: converting or rebuilding each channel, then a parallel run. Risk: a longer project.
We read these figures from vendor pages and AWS Marketplace on November 1, 2026. Vendors change prices without notice, so confirm every number before it enters a business case.
List every production node, plus test, staging and DR servers, and note which run all year. This is the unit NextGen prices on.
Check access-control, clustering and monitoring needs against the tier table. A single Gold-only control such as MFA can settle it.
Model self-hosting, NextGen hosting and the Marketplace AMI side by side, with backups and monitoring included.
Estimate upgrade, test and support hours from a channel inventory. Those hours apply to every engine.
Ask for a fork support quote and one commercial engine quote. A credible alternative changes the negotiation.
Ask how non-production and DR servers count, for multi-year pricing with a renewal cap, and whether NextGen's perpetual or large-volume models fit. Put the answers in the order form.
Prices change. Every figure on this page is a dated observation, not a quote. Confirm with NextGen or the vendor concerned before you commit.
License, hosting and labor for each route you are weighing, built from your actual server and channel counts.
An audit of channels, connectors and custom code that sizes upgrade or migration effort before anyone signs.
If you go with NextGen, we test your channels on the new release, update Java where needed, take backups and keep a rollback ready.
Chose Enterprise, which lists no phone support? Our Mirth Connect support team can fill that gap, up to round-the-clock coverage.
Our HIPAA Cloud Hosting is managed AWS for engines carrying PHI, with encryption, audit logs and a BAA we sign.
Share your server count, channel count and the controls your security policy requires. We will set out what each route is likely to involve and list the questions to put to NextGen before renewal.
Prefer email? info@xcodefixglobal.com
Talk to the specialist who would scope the work — not a call-centre script.
Ask us directlyNextGen does not publish list prices. It sells a flat annual license per production server in three tiers, each quoted individually. The only public figure we found is NextGen's AWS Marketplace AMI at $0.60 per instance-hour in software charges, roughly $5,256 a year for one always-on instance, checked November 1, 2026. Confirm current pricing with NextGen before budgeting.
NextGen announced on March 19, 2025 that Mirth Connect 4.6 and every later release would carry only a proprietary license, replacing the dual open-source and commercial model. Release 4.5.2 is the final open-source build, and NextGen stopped publishing new source code. Any upgrade past 4.5.2, security fixes included, now means paying NextGen or one of its resellers.
Enterprise is NextGen's entry tier and the only one sold through its online purchase form. It includes SSL Manager, Channel History, Message Generator and the Enhancement Bundle, with Command Center analytics for 50 channels. It leaves out multifactor authentication, role-based access control and LDAP sign-in, and lists no phone support, so check those gaps against your security policy.
No. NextGen states that it charges a flat annual fee for each production server and does not charge per interface or data source. Server count is therefore the main lever on cost. Consolidating lightly used servers can lower the bill, while adding clustered nodes for availability raises it, so model both layouts before requesting a quote.
Yes. NextGen lists a Mirth Connect AMI that bundles SSL Manager, Channel History and Message Generator, billed per instance-hour on top of EC2 with no long-term commitment. When we checked, it offered version 4.8.0 on t3 and m5 instance sizes. Separate listings from Innovar Healthcare cover BridgeLink and older open-source Mirth builds.
NextGen's public page prices production servers and says nothing about test, staging or disaster recovery instances. Their treatment may depend on your agreement, so ask NextGen directly and have the answer written into the order form. It can change the total noticeably if you keep full replicas of production for testing or failover.
Releases up to 4.5.2 remain MPL 2.0 open source and free to run, though NextGen no longer fixes them. Beyond that, NextGen offers a complimentary Mirth Connect for Research license to active studies linked to non-profit research institutions. Everyone else needs a paid license, or a move to one of the open-source forks.
There is no general answer. Licensing avoids rebuilding channels, which keeps early project costs down, but the fee recurs every year. Switching costs more labor up front and may cost less to run later, or not, depending on the engine. Compare license, hosting and labor for each route over the same multi-year period, using your own inventory.
