Free Transparent EHR Cost Calculator 2027Compare the Real Price of 50+ EHRs for Your Practice

An EHR cost calculator is only as good as the prices behind it, so this one is built from each vendor's own pricing page, read on 26 September 2026, and it shows every charge it adds up. Tell it what kind of practice you run, how many clinicians and staff need a login, where you are and which features you can't do without, and it prices each EHR that publishes a price for a practice like yours. Add the EHR you use today and it shows what switching would save, or cost. Vendors that only sell by quote are listed separately, with a planning range that is clearly labelled as ours, not theirs. It is free, it needs no sign-up, and nothing you enter is stored on our servers unless you choose to email yourself the estimate or share what you pay.

Set your practice type, team and must-haves below; the results update as you type, and each vendor's breakdown links to the page its prices came from.

Quick Answer

The calculator compares 122 EHRs and practice tools plus ClinikEHR, which is our own product, across twelve practice types: therapy, medical, med spa, dental, physical therapy and chiropractic, optometry and eye care, college and university health, hospitals, NGOs and non-profit clinics, military and veteran-serving clinics, research sites, and addiction treatment and residential care. You can combine two, such as a college clinic with a counseling center. Of the 122, 59 publish prices the calculator can use, 57 sell by quote and 6 sell hospital-scale enterprise contracts (checked 26 September 2026). Seven are practice tools rather than full EHRs, such as Doximity, Spruce Health, Doxy.me and Square Appointments; they are priced and labelled but never set the price a full EHR is compared with. For each vendor with published prices it picks the cheapest plan that covers your must-haves and returns a monthly cost, a first-year total and a three-year total, including card-processing fees, data migration and paid onboarding when you ask it to.

For the inputs shown, checked 26 September 2026: a solo therapist who needs AI notes and telehealth would pay from $33 a month (Noterro Core) among EHRs that price both, the middle half of 16 comparable vendors runs $80 to $150 a month, and ClinikEHR comes to $99.90 a month on Essential. A three-clinician therapy group that needs AI notes, telehealth and 150 insurance claims a month would pay $140.15 a month with ClinikEHR, $293.40 more over three years than the lowest full EHR that prices all three (Noterro Max), and if that group is on SimplePractice today, the calculator puts the switch at $9,912.60 saved over three years. Your numbers will differ, which is the point of the tool.

How the Calculator Works

The calculator asks for the things vendors actually price by. You choose one practice type, or two, which decides the vendors you are compared against, then enter the number of clinicians who chart and see patients, the admin staff who need a login, your locations, the patients you see in a typical month and, if you like, your country and US state. Some EHRs charge per clinician, some per user including the front desk, some per location and a few by encounter, member or study, so each input matters to at least one vendor. Then you tick your must-have features, grouped the way practices think about them: clinical (AI notes, telehealth, e-prescribing, controlled-substance e-prescribing, lab orders and LabCorp or Quest interfaces), patients and forms (a portal, online intake forms, e-signature documents, online booking, group sessions and outcome measures), communication and growth (HIPAA-compliant email, text messages, voice calls, fax, secure team chat, marketing email and a listing in a vendor's directory or marketplace), billing and money (insurance claims, TRICARE and VA Community Care claims, online card payments, memberships, gift cards, a point of sale, an online store, inventory, accounting, and payroll and commissions) and setting-specific needs (immunization compliance, separate counseling records, inpatient wards and beds, residential and detox care, medication-assisted treatment, offline use, donor reporting, research eConsent, 21 CFR Part 11 and an API). Features suggested for your practice type are marked, and ticked for you when you first pick the type.

Behind the form, every vendor with published prices has its own pricing function, written from that vendor's pricing page (or its help-center pricing article) as it read on 26 September 2026, with the research recorded in our files. Each function picks the cheapest plan that covers your must-haves. If no plan covers one of them, it prices the plan that covers the most and marks the gap. Every charge is itemised: the base plan, extra seats, add-ons, per-claim fees, setup fees and small yearly items such as the AMA CPT licence some therapy EHRs pass on. Open any vendor in the comparison to see those lines, the plain-English assumptions behind them and a link to the source page.

Monthly, first-year and three-year totals

The comparison shows three numbers for each EHR. The monthly figure is the steady-state cost after any introductory rates end, with yearly fees spread over twelve months, which is why TheraNest shows $30.63 a month for a solo therapist: its $29 Essentials plan plus a $19.50 yearly AMA CPT licence, checked September 2026. The first-year total is twelve months at the first-year rates plus every one-time fee. The three-year total is the first year plus two more years at the regular rate, and it is the number the ranking uses, because a low first year can hide a higher bill later.

One-time fees and year-one rates

Setup fees are counted once, in the first year. For example, Aesthetic Record lists a $399 startup and onboarding fee, and ClinikEHR lists a $99 setup fee for its ePrescribe add-on and $25 for a text and voice number. Some vendors price the first year differently from later years. Open Dental's US support fee is $199 per location a month for the first 12 months and $149 after that, and tab32's Alpine Start-Up rate is $125 a month in year one for a new practice and $225 from then on (both checked September 2026). The breakdown shows the year-one rate under the regular one so you can see where the difference comes from.

What the coverage labels mean

Each vendor carries a coverage badge for your must-haves. Not offered means the vendor's pages say it doesn't have that feature at all. Price not published means the feature exists, but the vendor sells it at a price it doesn't publish, so the total can't include it. Capped on this plan means the plan includes the feature only up to a limit you might exceed, such as a monthly allowance of telehealth links or text messages. Not on their pricing page means the vendor's pages don't mention the feature either way; it may exist, so ask the vendor before you rule it in or out. A feature a vendor's site confirms without a price, such as an API "available on request", counts as offered but is never described as included at no extra charge. Only vendors with every must-have offered at a published price count as a complete fit, and complete fits feed the planning range described below.

Ten Practice Types, and Combining Two

The five original practice types cover most private practices. The seven added in this version cover settings that buy differently:

• College and university health. Student health and counseling centers need immunization compliance tracking, counseling records kept apart from medical ones, and a portal students use. Most campus EHRs sell by quote, so the calculator shows public contract figures where a college published one: Rancho Santiago Community College District's 2021 Point and Click agreement listed $29,399 a year for Santiago Canyon College before a $22,105 incentive discount, and Yosemite Community College District reported PyraMED at $16,453 a year for Columbia College (both from the districts' own documents).
• Optometry and eye care. Optometry practices need a dispensary with frames and contact-lens inventory, e-prescribing and insurance filing. LiquidEHR publishes one flat price, $299 a month for unlimited doctors and 5 concurrent users with every module. RevolutionEHR lists Core at $455 a month, with Advanced from $660 for claims and two-way texting, and Eyefinity Encompass starts at $340 a month on Essential (one doctor, one location, first year of a one-year contract, using EncompassPay), with patient notifications at $99 a month (all checked 26 September 2026). Neither says how its price changes with more doctors or locations, so the calculator prices them for a one-doctor practice and lists them as quote-based above that. Crystal PM, Compulink, MaximEyes, ModMed and Nextech sell by quote; Crystal PM publishes $150 a month for each extra doctor on Essentials.
• Addiction treatment and residential care. Treatment centers need residential and detox levels of care, a bed board, medication-assisted treatment and outcome measures. BestNotes publishes $59 per user a month for the first 10 users with a $100 setup fee, and Opus EHR from $29 per user; Kipu, Qualifacts, Sunwave, Lightning Step (now part of Sunwave), Alleva and Behave Health sell by quote. Pend Oreille County Counseling Services in Washington published its Qualifacts CareLogic order form: $75.84 per named user a month for December 2021 to November 2026. ClinikEHR doesn't list residential care or medication-assisted treatment, and the recommendation says so rather than claiming them.
• Hospitals and inpatient care. Ticking inpatient wards and beds moves the comparison to hospital systems: MEDITECH, TruBridge, Altera, MEDHOST, Netsmart, Helium Health, eClinicalWorks, CareCloud, Epic and Oracle Health. None publishes a hospital price. ClinikEHR's Hospital & Enterprise edition is priced by quote too, and the calculator says so rather than inventing a number.
• NGOs and non-profit clinics. CommCare publishes plans from $120 a month for 50 mobile users, and five open-source systems (OpenMRS, Bahmni, DHIS2 Tracker, the Community Health Toolkit and OpenSRP) cost nothing to license. Those five are marked self-hosted: their hosting, implementation and support aren't published, so $0 is never treated as their real cost. ClinikEHR offers a non-profit discount; ask us for the terms, because the calculator shows list prices only.
• Military and veteran-serving clinics. Private and contractor clinics that bill TRICARE and VA Community Care are medical and behavioral-health practices, so the calculator compares every medical and therapy EHR and adds TRICARE and VA claims as a must-have. Bases that run the Defense Department's own system, MHS GENESIS, aren't buying an EHR, and the calculator doesn't pretend otherwise.
• Research sites and academic clinics. Sites compare EHRs with the eSource, CTMS and EDC systems they also buy: OpenClinica publishes study plans from $750 a month, SimpleTrials publishes a sites plan at $599 a month for up to 10 users, and CRIO, RealTime, Florence, Advarra, Castor and REDCap are listed with what each one is.

Pick two types when your practice spans both, such as a college clinic with a counseling center, or a med spa that also offers therapy. The comparison then includes every vendor that serves either type. Vendors that serve both rank first, and the rest carry a label such as "Serves therapy & mental health only", so a counseling-only product never passes for a campus health system.

Your Country, State Rules and Local Pricing

Country and US state are optional, and the calculator suggests your country from your connection without storing it. With a country set, a vendor whose own site says it doesn't sell there is marked "Not sold in your country" and is never the best pick, although it stays in the list. Vendors that don't say where they sell are never flagged, because we won't guess.

In Nigeria, ClinikEHR's plans are shown in naira as well: Essential is ₦129,900 a month and Team ₦325,000, or ₦104,000 and ₦260,000 a month billed annually, paid through Paystack. Add-ons have no published naira price, so they stay in US dollars, labelled, and the totals used for ranking stay in dollars so every vendor is compared on the same basis. ClinikEHR's text, voice and fax number is available in the US and Canada, so elsewhere those features are marked as capped.

Pick a US state and the result adds two sourced notes: whether the state requires controlled-substance prescriptions to be sent electronically, and when prescribers must check the state prescription-monitoring program. They link to the statute or agency page, they never change a price, and they sit alongside the federal Medicare Part D rule, which has required electronic prescribing of controlled substances since 2023.

Card Fees, Data Migration and Onboarding

Three costs that most comparisons leave out are now in the calculator, under "Refine my estimate":

• Card processing. Enter what you take by card each month and your average payment, and each EHR's published processing rate is added to its total. ClinikEHR's card payments carry a 1.9% platform fee plus Stripe's 2.9% + $0.30, which is higher than processors that charge 2.9% + $0.30 alone, and the calculator shows it. Many vendors process cards without publishing a rate; they are marked "Card fees not published", and whenever one side of a comparison doesn't publish a rate, the difference is worked out before card fees for both, so an unpublished rate never looks like a free one.
• Data migration. Tick "I'm moving from another EHR" and published migration fees are added once: Open Dental's typical conversion is $1,450 per database, eClinicalWorks, Cliniko and TherapyNotes say migration is free, and ClinikEHR's self-serve CSV import is included on every plan. Where a vendor mentions migration without a price, the card says so.
• Onboarding and training. Required setup fees are always counted. Optional paid packages, such as Aesthetic Record's $250 training sessions or CommCare's Quick Start from $3,500, are added only when you ask for them.

The share of visits you bill to insurance sets the default claims volume, and setting it to zero drops insurance billing for a cash-pay practice.

Compare With Your Current EHR

Choose the EHR you use today and the calculator works out what switching would save. If you enter what you actually pay, it uses that; if you don't, it prices your current EHR from its own published prices for the practice you described. Either way it counts three years at today's rate, with no setup because you already have it, against the best pick's three-year total with its setup and migration included. If switching would cost more, the card says that too. For a quote-only EHR such as athenahealth or Epic, it asks for your monthly figure, because there is no published price to estimate from.

What Practices Like Yours Report Paying

Published prices tell you the list price; what practices really pay can differ, after discounts, add-ons and contracts. So the savings panel also shows what practices of your type and size report paying for your current EHR, from anonymous answers visitors choose to share. A figure appears only once 5 practices on the same EHR, practice type and size band have answered. It is the middle value after the highest and lowest 10% are left out, it is rounded, and it is labelled as self-reported. Sharing your own figure takes a few seconds and asks for no name, email or practice name; see our privacy policy for exactly what is kept.

Share or Embed the Calculator

Every result has its own link. Share it from the result with one click to LinkedIn, X, Facebook, WhatsApp or email, or copy the link. The link opens a preview card with the result's headline, such as "Save $9,913 over 3 years", and then the exact estimate. Nothing personal is in the link, only the calculator answers.

Consultants, associations, publishers and schools can put the calculator on their own site for free: open Embed this calculator on your site under the results and paste the snippet. The embed resizes itself, keeps its prices up to date and shows a "Powered by ClinikEHR" link, which must stay visible. Affiliates can add their code to the snippet, or share a result link with their code, so sign-ups are credited to them.

Practice Tools That Aren't Full EHRs

Practices often weigh a full EHR against tools that cover part of the job. The calculator includes seven of them, priced from their own pages and labelled "Not a full EHR":

• Doximity: free telehealth (Dialer), fax, an AI scribe and an AI assistant for verified US clinicians; Dialer Pro is $288 a year per licence for group video.
• Spruce Health: a HIPAA-compliant phone, text, fax, secure messaging and video platform at $24 or $49 per user a month.
• Doxy.me: telehealth, free for one-to-one video, or $35 per user a month on Premium ($29 billed annually).
• Glass Health: AI clinical decision support with an ambient scribe, from $20 per clinician a month on Starter.
• Mentalyc: AI note-taking for therapists, from $19.99 a month.
• Square Appointments and Fresha: booking, payments and point-of-sale software for wellness businesses, with intake forms but no clinical charting.

A tool can come out at $0 because it does one thing well, so tools are listed but never become the cheapest option, an alternative, part of a planning range or the target of a savings figure. Blueprint, which sells both an AI notes tool and a full therapy EHR, is priced as the EHR.

Visits, Other Currencies and Per-Visit Pricing

Some vendors charge per visit or per session: Blueprint at $1.49 per session, CharmHealth's Encounter Plan and ClinicMind from $2 per visit. Under "Refine my estimate", Visits a month sets that volume; it starts at the number of patients you see, so a therapist who sees each client weekly should raise it to about four times that.

A few vendors publish prices only in another currency. Semble lists its fees in pounds, for example. Those vendors are shown in their own currency under "Published in other currencies" and are never ranked against US-dollar prices, because converting them would mean picking an exchange rate. Where a vendor publishes a US edition, such as Halaxy, Zanda, Nookal and WriteUpp, the US-dollar prices are used. Halaxy's core platform is free, with paid credits for texts, video and AI; it's a hosted EHR, so it can be the lowest price in the comparison.

Vendors With No Published Price

Many EHRs don't publish a price. Of the 122 vendors besides ClinikEHR, 59 publish prices the calculator can use, 57 sell by quote and 6 sell hospital-scale enterprise contracts (Epic, Oracle Health, MEDITECH, Altera, MEDHOST and Advarra OnCore), all checked 26 September 2026. Quote-based vendors include Valant and Owl Practice for therapy; DrChrono, Tebra, athenahealth, Elation Health, NextGen Healthcare, ModMed, CareCloud, Greenway, Veradigm, CureMD, Praxis EMR, MEDENT, ChartLogic, Meditab and OmniMD for medical practices; Vagaro, Zenoti, PatientNow, Moxie, Nextech, Pabau and Mindbody for med spas; Dentrix, Curve Dental, Denticon and Eaglesoft for dental; WebPT, Prompt Health, ChiroTouch, ChiroFusion, ClinicMind and Raintree for physical therapy and chiropractic; Kipu, Qualifacts, Sunwave, Lightning Step, Alleva and Behave Health for addiction treatment; Crystal PM, Compulink and MaximEyes for optometry; Point and Click, PyraMED, ADS MedicsCloud and Magnus Health for college health; TruBridge, Netsmart and Helium Health for hospitals; and CRIO, RealTime, Florence, Advarra Clinical Conductor, Castor and REDCap for research sites. They appear under the comparison in a "Contact vendor for a quote" list and are never ranked, because there is nothing honest to rank them on.

Where a vendor or a public body publishes a figure, the card shows it with a link: Mindbody lists a Starter plan from $79 per location a month, ChiroTouch lists CT Launch from $99 a month for new practices only, and college districts' own contract documents give PyraMED and Point and Click figures (all checked September 2026). A figure from one customer's contract is labelled as exactly that, never as a price list. A vendor that recently withdrew its prices gets a "Last published" note instead. Tebra's pricing page listed Practice Essentials at $599 per physician a month in June 2026, for example, but no longer shows prices, so the calculator treats Tebra as quote-based and shows the old figure only as history.

A vendor with published prices can also drop into the quote list for a particular visitor. If your practice is larger than any plan the vendor publishes, its pricing function returns nothing and the card says that no published plan covers a practice that size. The same happens to ClinikEHR when you need inpatient care: the Hospital & Enterprise edition is sold on the Enterprise plan, by quote.

How the planning range is built

So that a quote-based vendor isn't a blank, each one gets a planning range. It is built from what comparable vendors with published prices would charge your practice: the same practice type, the same must-haves, and only vendors that are a complete fit. The range uses only vendors that serve every practice type you picked and sell in your country. ClinikEHR is left out so our price can't pull the range around, and so is self-hosted software such as OpenEMR, OpenMRS or Titanium Schedule, whose licence price leaves out the server and the people to run it. If fewer than two vendors price every must-have, the range falls back to vendors that price everything they list, and the card says some don't list every feature you picked. With four or more comparable vendors, the range is the middle half of their monthly prices (the 25th to the 75th percentile); with two or three it is the lowest to the highest; with fewer than two there is no range at all. The figures are rounded, and the card says how many vendors the range came from.

A planning range is never that vendor's price. A quote-based vendor may cost far more or less than its peers, and only a written quote tells you. What the range gives you is a sensible number to budget with before the sales call, and a way to notice when a quote is well outside what similar practices would pay for the same features elsewhere.

Epic and Oracle Health

Hospital systems are a different kind of purchase, so the calculator gives enterprise vendors no planning range. Instead it shows a public contract figure, with a link, to make the scale clear. In 2023 Sonoma Valley Hospital in California budgeted $720,000 a year in Epic operating costs plus $288,000 for third-party applications, according to its own finance committee papers. The US Department of Veterans Affairs' 2018 EHR contract with Cerner, now Oracle Health, had a ceiling of $10 billion over 10 years. Warren General Hospital in Pennsylvania expected its MEDITECH project to cost $2.3 million in 2022, as its local paper reported. None of these is a per-clinician price, and none tells a small practice what it would pay; they show why hospital systems are bought through contracts rather than price lists.

How the Recommendation Is Chosen

ClinikEHR is our product, and the calculator recommends it whenever it offers every must-have you tick and lists each one, so every claim it makes is sourced. We would rather say that plainly than dress it up, and the result card says it too, right under the pick. The rule is in the code, the reasons are shown in your terms, and the alternatives with their exact cost difference sit right under the recommendation, so you can overrule it.

When ClinikEHR is recommended, the card says which plan covers your needs and roughly what it costs a month, and whether it is the lowest three-year cost among EHRs that cover your must-haves, one of the three lowest, or neither. When it is not the cheapest, the cheaper options are listed right beneath it with how much less each costs over three years. Each vendor is compared with ClinikEHR one to one, like for like, so a card fee one of them doesn't publish never tips the result. For a solo therapist with no must-haves who sees 150 patients a month, for example, Halaxy's free core costs $3,596.40 less over three years than ClinikEHR, and the card says exactly that.

When ClinikEHR can't cover a must-have, it isn't recommended. Today the clearest case is direct LabCorp and Quest interfaces: ClinikEHR's E-Lab add-on sends electronic lab orders, but it has no LabCorp or Quest integration. Tick that feature and the card says ClinikEHR doesn't offer it and isn't the best pick for this practice. The recommendation then goes to the lowest three-year cost among EHRs that cover every must-have at a published price. If no EHR does, it goes to the lowest among those that at least offer every must-have, and the card leaves out the words "at a published price".

For a three-provider primary care practice that needs e-prescribing, 300 claims a month, 60 lab orders a month and LabCorp or Quest interfaces, that is what happens (checked 26 September 2026). Office Ally is recommended at $134.85 a month, because its EHR 24/7 includes e-prescribing and claims to participating payers at no extra charge and lists LabCorp among its lab interfaces (Quest isn't confirmed on the part of its list we could read). The card says ClinikEHR doesn't offer LabCorp or Quest interfaces.

Self-hosted software is listed but never recommended on price. OpenEMR and OpenMRS appear at $0 because their licences are free, but their hosting, support and implementation costs aren't published, so $0 isn't what they would cost you to run. The same goes for a vendor that doesn't sell in your country, or one that serves only one of the two practice types you picked when others serve both.

What the Totals Include and Leave Out

The totals include every recurring subscription charge, seat, add-on and one-time fee that a vendor publishes for the plan the calculator picked, plus per-use charges estimated from the volumes you enter. They leave out several costs that are real but can't be priced from a public page.

• Card processing, unless you add it. Card fees depend on your revenue, so they are included only when you enter your monthly card volume, and only at each vendor's published rate. ClinikEHR's card payments carry a 1.9% platform fee + Stripe's 2.9% + $0.30. Ask every vendor marked "Card fees not published" for its rate and whether you can use your own processor.
• Taxes. Sales tax and VAT are excluded. Some vendors, CharmHealth among them, note that taxes are extra.
• Clearinghouse fees billed by third parties. Where a vendor bundles claims, the calculator prices its published per-claim rate. Where claims run through a clearinghouse that bills you separately, that bill isn't included, and neither are eligibility or claim-status checks that some vendors count as separate transactions.
• Unpublished implementation, migration and training. The calculator counts required setup fees always, and published migration and optional onboarding fees when you ask for them. Most vendors publish neither, so the card says "Migration fee not published" and the rest is a question for the sales call.
• Promotions. Introductory discounts are not list prices. SimplePractice's 50% off for three months and TheraNest's new-customer promotion (checked September 2026) are mentioned in the assumptions but not deducted.
• Per-use charges beyond your inputs. Claims, lab orders, prescribers and text messages are priced from the numbers you enter. If your volume grows, so does the bill; SimplePractice, for example, charges $0.39 per claim for the first 250 a month from 1 October 2026, with no free claims (checked September 2026). Change the inputs to see how sensitive each vendor is to volume.

What EHRs Cost in 2027, by Practice Type

These rows are real runs of the calculator for typical practices, for these inputs, checked 26 September 2026. Every practice is on monthly billing with one location, no extra admin logins and no card volume unless stated. "Lowest published price" is the cheapest full EHR other than ClinikEHR that serves the practice type and offers every must-have at a published price, with its three-year total in brackets; practice tools and free self-hosted software with no published running cost (OpenEMR, OpenMRS) are left out, while Open Dental's self-hosted edition counts because it publishes a monthly support fee. The planning range is what the calculator shows for quote-based vendors with those inputs.

A few things stand out. For a solo therapist with no must-haves, 24 of the 27 other options with published prices cost less than ClinikEHR, starting with Halaxy's free core, and the calculator says so. Why is ClinikEHR on Essential rather than the Free plan in that row? Because Free covers up to 50 patients and 2 staff, and this practice sees 150 patients a month; a new practice under those limits would see ClinikEHR at $0. The gap narrows as must-haves are added, because many vendors sell AI notes, telehealth and claims as per-clinician add-ons: in the therapy group, ClinikEHR is $293.40 behind Noterro Max over three years, because Essential includes AI notes for 3 clinicians and 35 claims a month, then from $0.35 per claim (checked 26 September 2026).

The primary care row shows the opposite pattern for prescribing: ClinikEHR's ePrescribe add-on is $49 per prescriber a month, while Office Ally's EHR 24/7 is $44.95 per provider with e-prescribing and participating-payer claims at no extra charge, so the card shows Office Ally as $7,471.80 less over three years. In the med spa row, Fresha and Square Appointments charge less but are booking and payments tools without clinical charting, so they're labelled and left out of the lowest-price column. The research row compares ClinikEHR with study software priced per study: OpenClinica's Advanced plan is the one that includes eConsent. In the dental row, Open Dental's US edition is self-hosted, so your own server and IT costs come on top. The calculator also compares only the features in its list; specialty workflows such as dental charting, injectable tracking or PT flowsheets aren't priced, so check them in a demo before you decide.

Hidden Costs to Ask Every Vendor About

A published price is a starting point, not a contract. Before you sign, ask each vendor, including us, to confirm these in writing:

• Setup and onboarding fees, and whether they are waived on an annual contract.
• Data migration: what is imported, in which formats, who does the work and what it costs.
• Training: what is included, and what extra sessions cost.
• Per-use fees: claims, eligibility checks, text messages, e-faxes, lab orders and e-signature envelopes, with the rate at your volume.
• Add-ons you will need later: AI notes for new hires, e-prescribing for a new prescriber, extra locations.
• Price protection: how much the price can rise at renewal, and the notice you get.
• Contract term and exit: minimum term, auto-renewal, the export format for your data and any fee to take it with you.
• Support: response times on your plan, and whether phone support costs extra.
• Card processing: the rate, and whether you must use the vendor's processor.

Our EHR pricing guide explains the common pricing models and the fees that most often surprise practices, and our EHR implementation guide covers setup, migration, training and the contract terms to negotiate before you sign.

How to Use Your Estimate

The address bar updates as you change the inputs, so the page link always reopens your exact estimate. Use the share buttons or Copy link to send it to a business partner, practice manager or board, or to keep it for later. Email me this estimate sends the full comparison, the recommendation, your savings against your current EHR and a link to reopen it to the address you enter.

Then treat the estimate as a shortlist, not a verdict. Pick the two or three EHRs that cover your must-haves at a cost you can carry for three years, and ask each for a written quote for exactly the inputs you entered: the same number of clinicians, admin logins and locations, the same features, and your real claims, prescriber and lab volumes. Ask for every one-time fee, every per-use rate and the renewal terms on the same page. If a quote-based vendor comes back far outside the planning range, ask what you get for the difference. If you bill insurance, look at how each system handles claims and insurance, and compare the plans side by side on the ClinikEHR pricing page.

Run the calculator again when something changes: a new clinician, a second location, a move into insurance billing or a new must-have. The cheapest EHR for a solo practice is often not the cheapest for a group of five, and the three-year total is the fairest way to see when a switch starts to pay for itself.

Frequently Asked Questions

How much does an EHR cost for a small practice?

For the inputs in this article, checked 26 September 2026, a solo therapist with no must-haves could pay from $0 a month (Halaxy's free core), a three-clinician therapy group needing AI notes, telehealth and 150 claims a month from $132 a month (Noterro Max) or $140.15 a month with ClinikEHR, and a three-provider primary care practice needing e-prescribing and 300 claims a month from $134.85 a month (Office Ally). Enter your own practice in the calculator to see your figures.

Is the EHR cost calculator free to use?

Yes. The calculator is free and shows every result on the page without a sign-up, and nothing you enter is stored on our servers. Emailing yourself the estimate is optional and asks only for your email address, and sharing what you pay for your current EHR is optional and anonymous.

Where do the calculator's prices come from?

Each vendor's figures come from its own pricing page or help-center pricing article, checked on 26 September 2026 and recorded in our research files. Every vendor in the comparison links to its source page and shows the date it was checked, along with the assumptions behind each line.

Which practice types does the calculator cover?

Twelve: therapy and mental health, medical and primary care, med spa and aesthetics, dental, physical therapy and chiropractic, optometry and eye care, college and university health, hospitals and inpatient care, NGOs and non-profit clinics, military and veteran-serving clinics, research sites and academic clinics, and addiction treatment and residential care. You can combine two, such as a college clinic with a counseling center, and vendors that serve both rank first.

Why is there no price for Epic, athenahealth or Tebra?

They don't publish prices for a practice like yours. The calculator lists 57 quote-based vendors and 6 enterprise vendors separately and never ranks them. Quote-based vendors get a planning range from comparable vendors' published prices, and enterprise vendors show a public contract figure instead.

Is the planning range the vendor's actual price?

No. The planning range is the middle half of what comparable vendors with published prices would cost for the same practice type and features, or the lowest to highest when only two or three are comparable. It is a budgeting aid, not that vendor's price, and only a written quote tells you what the vendor charges.

How does the calculator work out my savings?

Choose your current EHR and, if you like, enter what you pay a month. The calculator counts three years at that rate, or at your current EHR's published prices for your practice if you leave the figure blank, and compares it with the best pick's three-year total, setup and migration included. If switching would cost more, it says so.

Why does the calculator recommend ClinikEHR?

ClinikEHR is our product, and the calculator recommends it whenever it offers and lists every must-have you pick, even when another EHR costs less; the cheaper alternatives are shown with their exact three-year difference. When ClinikEHR can't cover a must-have, such as LabCorp or Quest interfaces or a listing in a public directory, or doesn't list one, it says so and recommends the lowest three-year cost among EHRs that do.

Do the totals include card processing and setup fees?

Required setup fees are always included, once, in the first year. Card-processing fees are included when you enter your monthly card volume, at each vendor's published rate; vendors that don't publish a rate are marked, and comparisons with them leave card fees out on both sides. Published migration and optional onboarding fees are added when you ask for them. Taxes and clearinghouse fees billed by third parties are not included.

Can I put the calculator on my website?

Yes, for free. Open Embed this calculator on your site under the results, copy the snippet and paste it into your page. The calculator resizes itself, stays up to date and shows a "Powered by ClinikEHR" link that must stay visible. Affiliates can add their code so sign-ups from the embed are credited to them.

How current are the prices?

Every figure in this version was checked on 26 September 2026, and each vendor card shows its checked date. Vendors change plans and prices without notice, so confirm the price with each vendor before you buy.

Disclaimer

This estimate is for planning only. It is based on each vendor's published list prices as checked on the date shown, for the inputs you entered, and it is not a quote or an offer. Prices, plans and add-ons change, taxes are excluded, card-processing fees are included only where a vendor publishes a rate and you entered your card volume, and vendors may charge setup, onboarding, training or data-migration fees that aren't published. Savings against your current EHR use the figure you entered or that EHR's published prices, and peer benchmarks are anonymous, self-reported and unverified. For vendors that don't publish prices, the planning range is derived from comparable vendors' published prices and is not that vendor's price. Always confirm pricing directly with each vendor before you buy. ClinikEHR is a product of Bettar Platforms, Inc.

Vendor names and trademarks belong to their respective owners, and this comparison is independent of those vendors: none of them sponsored, reviewed or endorsed it.

Conclusion

The real price of an EHR depends on your practice: how many people need a login, which features you can't work without and how many claims, prescriptions and lab orders you send. A list price on a vendor's homepage rarely answers that. The calculator does the arithmetic for every EHR that publishes its prices, for twelve kinds of practice and in your country, shows each charge including card fees and migration when you ask, gives quote-based vendors an honest planning range, shows what switching from your current EHR would save and tells you plainly when our own product isn't the right fit. Use the three-year total to shortlist, then get written quotes for exactly what you entered.

Related Articles

• How Much Does an EHR Cost in 2027? Real Prices, Hidden Fees & Pricing Models Compared
• EHR Implementation Cost 2027: Timeline, Contracts & What to Expect
• Free EHR Software for Private Practice 2027: Is There a Truly Free EHR? (11 Compared)
• Best EHR for Solo Practitioners 2027: 9 Systems Compared
• Best EHR for Therapists and Counselors 2027: Mental Health Software Compared
• Best EHR for Private Practice in 2027: 7 Compared
• SimplePractice vs ClinikEHR 2027: Pricing, AI Notes & Features Compared
• ClinikEHR Pricing

Competitor figures are from each vendor's own pricing page, checked September 2026. Prices and terms change, so confirm them with the vendor before you sign.