Background We previously conducted a survey on users of tele-health consultations system to investigate their willingness to pay (WTP). To assess the economic value of the tele-health system, we need to investigate the demand and value of the tele-health in another way. Therefore, the purpose of this study is to submit basic information to create a sustainable business model and to investigate the economic value of the tele-health consultation system. Methods The 480 respondents were instructed to assume an environment where a tele-health consultation system is implemented in a region with no prior experience with such a service. This study adopted a Contingent Valuation Method to measure the demand and value of tele-health. A WTP fee for using the tele-health consultation system for 10 min was calculated using a Double-Bounded Dichotomous Choice and a Random Utility Logit Model. Results The median and average amount of the WTP fee for using the tele-health consultation system for 10 min was ¥ 367 (US$ 3.30) and ¥ 495 (US$ 4.40) respectively. Further analysis indicates that the WTP fee tends to be higher when a certain factor is present, namely, intention to use the service. Conclusion To gather basic information concerning the economic value of the tele-health consultation system, we clarified the appropriate WTP fee and the factors leading to a higher WTP fee. In future research, we will conduct follow-up research and consider adding more information concerning the advantages and limitations of implementing remote health consulting to build a clearer scenario.