We checked the published pricing pages of 18 electronic health record vendors in June 2026, reading each list price off the vendor's own site. Nine of the eighteen are quote-only, a 50% quote-only rate. Of the nine that show any pricing, eight publish a usable per-provider list price and one publishes partial pricing only, an 8 of 18 (44%) usable-list-price rate. That split, and where the line falls, is the finding this page exists to record. It is the single most useful thing to know before you start an EHR pricing search: roughly half the market will quote you only after a demo.
The Short Answer
Of 18 EHR vendors we checked, 9 are quote-only and 9 show some pricing, a 50% quote-only rate as of June 2026. Of the 9 that show pricing, 8 publish a usable per-provider list price and 1 (TherapyNotes) publishes partial pricing only, an 8 of 18 (44%) usable-list-price rate. The split is not random. The vendors that publish lean small-practice, behavioral, and ambulatory cloud EHR; the vendors that stay quote-only lean mid-market and enterprise. For a small or independent practice, a published-price comparison is realistic. For enterprise EHR, expect a quote-only process. Implementation and onboarding cost is a separate matter and is covered qualitatively below -- it is not something this data can put a published number on.
Which EHR Vendors Publish a Price (June 2026)
The table below lists every vendor we checked, whether its own pricing page showed a list price, and, where it did, the published figure as read in June 2026. A vendor is marked quote-only when its own pricing page resolves to a contact-sales form, a demo request, or product copy with no figure. Prices are list prices; promotional rates are excluded.
| Vendor | Publishes a price? | Published list price (own site, June 2026) | Source |
|---|---|---|---|
| SimplePractice | Yes | $49 / $79 / $99 per clinician / month (Starter / Essential / Plus; behavioral) | simplepractice.com/pricing |
| DrChrono | Yes | $30 per provider / month (base tier) | drchrono.com/pricing |
| Jane App | Yes | $54 / $79 / $99 per month per clinic; +$5 / $2.50 per additional practitioner | jane.app/pricing |
| RXNT | Yes | From $118 / month (suite); onboarding and implementation included | rxnt.com/pricing |
| Practice Fusion | Yes | $199 / month per provider (annual commitment required) | practicefusion.com/pricing |
| CharmHealth | Yes | Provider $200 / provider / month; Encounter $0.50 / encounter ($25 / mo min); Free under 50 encounters | charmhealth.com/ehr/ehr-pricing-us |
| eClinicalWorks | Yes | EHR $449 / month per provider; EHR + PM $599 / month per provider | eclinicalworks.com/products-services/pricing |
| AdvancedMD | Yes | Per provider / month: Mental Health $130–$399; Medical Specialties $429–$1,070; MedSpa $278 | advancedmd.com/software-pricing |
| TherapyNotes | Partial | Add-ons published ($15 / $40 per clinician / mo; $65 / mo per prescriber); base solo price not cleanly published | therapynotes.com/pricing |
| Tebra (Kareo + PatientPop) | Quote-only | Pricing tailored during the demo; core per-provider price not published on its own site | tebra.com/pricing |
| athenahealth | Quote-only | Own site publishes no fixed price; percentage-of-collections model, quote-only | athenahealth.com/pricing |
| NextGen | Quote-only | Pricing page resolves to Contact Us / Schedule a Demo | nextgen.com/pricing |
| Valant | Quote-only | Custom-quote; own site lists no fixed per-provider price | valant.io/pricing |
| ICANotes | Quote-only | Only illustrative per-session cost copy; no subscription list price on its own site | icanotes.com/pricing |
| TheraNest (Ensora) | Quote-only | Product copy only, demo-gated; no price figures on its own site | theranest.com/pricing |
| Elation Health | Quote-only | Lead-capture gate; no price shown on its own site | elationhealth.com/pricing |
| Epic | Quote-only | Enterprise; no price published on its own site (control vendor) | epic.com/software |
| Oracle Health (Cerner) | Quote-only | Enterprise; no price published on its own site (control vendor) | oracle.com/health |
Checked 18 vendors in June 2026 (list-price-only discipline, promos excluded, no bot or demo-gate bypass). 8 published a usable per-provider list price, 1 (TherapyNotes) published partial pricing only, and 9 were quote-only, an 8 of 18 (44%) usable-list-price rate (50% quote-only). Epic and Oracle Health are included as deliberate enterprise controls, vendors expected to be quote-only. This is a representative review of EHR vendors serving US medical and behavioral-health practices, not an exhaustive census.
Where the Price Surfaces
Whether a vendor publishes a subscription price is only the first layer. EHR pricing is not a binary of public versus quote-only. A second layer sits underneath it: every vendor certified by the federal ONC Health IT Certification Program has to publish, on its own site, the TYPES of additional costs and fees a buyer may face -- implementation, interfaces, e-prescribing of controlled substances, data export, and so on. The program requires the categories, not the dollar amounts, so this layer tells you the SHAPE of a vendor's extra costs even when it will not quote you a number.
That changes how to read the quote-only half of the market. NextGen will not put a price on its own pricing page -- its pricing page resolves to a contact form -- but its mandated ONC disclosure still lists the kinds of fees its contracts can carry: a software license fee, an implementation fee, annual support and maintenance, a one-time setup fee, a per-provider portal subscription, data migration, and third-party HL7 interface fees. The matrix below pairs each vendor's own-site list-price status with the fee types it discloses through ONC, so a buyer can see where each vendor's cost information actually surfaces.
| Vendor | Own-site list price | ONC-disclosed fee types |
|---|---|---|
| SimplePractice | Yes | Not ONC-certified (not listed in CHPL) |
| DrChrono | Yes | DIRECT secure email; EPCS; PDMP; standardized FHIR API; immunization-registry connection; electronic case reporting |
| Jane App | Yes | Not ONC-certified (not listed in CHPL) |
| RXNT | Yes | EPCS add-on; DIRECT email add-on; immunization-registry reporting (all other certified modules included in the license) |
| Practice Fusion | Yes | Monthly subscription (certified software included); optional EPCS add-on; third-party AMA CPT licensing |
| CharmHealth | Yes | One-time identity-verification; per-provider e-prescribing and Direct messaging; EPCS via ExoStar; custom interface build plus annual interface maintenance; certified FHIR API subscription |
| eClinicalWorks | Yes | Software license; support and maintenance; hosting; implementation; travel; optional-services; interfaces (statement of work); per-provider or per-FTE recurring; RCM claim-count or percentage-of-collections |
| AdvancedMD | Yes | Per-provider licensing and subscription; additional per-provider e-prescribing; interface set-up; implementation and training; per-registry immunization fee; Direct messaging storage and archiving |
| TherapyNotes | Partial | EHR not ONC-certified (only an affiliated e-prescribing module is listed in CHPL) |
| Tebra (Kareo + PatientPop) | Quote-only | One-time EPCS set-up per provider; standardized FHIR API (most certified capabilities included in the base Kareo EHR price) |
| athenahealth | Quote-only | Custom interface and integration; additional EHI export data-device copies; customized reporting; required service contracting for certain patient-facing and public-health transmission |
| NextGen | Quote-only | Software license; implementation; annual support and maintenance; per-provider license; one-time setup; per-provider portal subscription; data migration; interface and third-party HL7 integration; security certificate |
| Valant | Quote-only | No current ONC certification (all CHPL listings retired) |
| ICANotes | Quote-only | DrFirst Rcopia e-prescribing (annual plus setup); per-prescriber CPOE; one-time controlled-substances token; Direct messaging one-time setup plus monthly fee by practice size; training |
| TheraNest (Ensora) | Quote-only | EHR not ONC-certified (only the Ensora eRx module is listed in CHPL) |
| Elation Health | Quote-only | Per-seat subscription; one-time and ongoing implementation and configuration; interface fees for diagnostic facilities; Developer Platform API subscription |
| Epic | Quote-only | One-time software license; annual maintenance (covers support and upgrades); implementation; hardware and infrastructure; hosting; third-party material licenses; ancillary HIT and interfaces; training; optional bundled subscription model |
| Oracle Health (Cerner) | Quote-only | Software subscription; Oracle Cloud Infrastructure hosting; professional services for implementation and upgrades; out-of-spec interface and export configuration; custom reporting; third-party code-set subscriptions; FHIR API subscription plus setup; optional add-on components; identity-provider costs; out-of-scope managed-services fees |
ONC fee-type column read from each vendor's mandatory ONC cost disclosure (or CHPL listing) on 2026-06-19. The federal program requires vendors to disclose the TYPES of additional costs, not dollar amounts, so no figures appear in this column. Thirteen of the eighteen vendors are ONC-certified with a current disclosure; the five marked otherwise are behavioral or allied-health platforms not certified as a complete EHR, or have let their certification lapse. "Curated" from the vendors' own published and federally mandated disclosures, not a vendor survey.
The Published Prices Are a Small-Practice Band
The publish rate is not uniform across the market. It is close to 100% for small-practice and behavioral cloud EHR and close to 0% for enterprise, so the prices that are public describe one segment. Read as a band, for a small or independent practice, published EHR list prices cluster around $50 to $200 per provider per month, with a budget floor near $30 (DrChrono) and a full-suite or multi-specialty ceiling of roughly $449 to $1,070 (eClinicalWorks, AdvancedMD Medical Specialties). The full published range across the subset is $30 to $1,070 per provider per month.
This band is scoped on purpose. It is the answer to "what does a small-practice EHR cost," not "what does EHR cost." Enterprise EHR pricing is not in it, because enterprise vendors do not publish. Treat the $50 to $200 figure as a small/independent-practice range, expressed as a range rather than a single number because the underlying prices genuinely span that far.
Implementation Cost Is Quote-Only
Implementation and onboarding cost is where transparency breaks down entirely: across the vendors we checked, implementation cost is quote-only. Small-practice cloud EHRs that publish a subscription price commonly bundle onboarding. RXNT states implementation is included, and several others fold setup into the subscription, so the published signal for that segment is "$0 / included." Every vendor that quantifies a separate, material implementation fee is itself quote-only on its core price. That means there is no published implementation dollar-band to report. We do not publish one. If a vendor or comparison site quotes you a specific implementation figure, it came from a quote, not from a public price.
Derived First-Year Cost, Under Stated Assumptions
The figure a vendor pricing page never shows is the real first-year cost: subscription times providers times twelve months, plus any one-time setup. Using the published small-practice prices, one provider, and the published-subset norm of bundled onboarding, the derived first-year cost lands at roughly $588 to $2,400 per provider per year for the small-practice band, inside a full published-subset envelope of about $360 to $12,840 per provider per year.
Two assumptions are doing visible work here and travel with the number: one provider, and no separate onboarding charge. The $0 setup assumption holds only because the published subset bundles onboarding into the subscription. The moment a practice needs a quote-only mid-market or enterprise system, real first-year cost becomes unknowable from published data. That is the entire reason this transparency finding exists.
Why the Publish Rate Is the Useful Number
For an independent practice operator, the publish rate sets the expectation for the search itself. Knowing that half the EHR market quotes only after a demo tells you how to plan: the small-practice and behavioral vendors will let you compare prices on a spreadsheet today, while the mid-market and enterprise vendors will route you into a sales process before they name a number. If a comparison site presents a single tidy "EHR costs $X" figure across the whole market, it is either averaging quote-only vendors it could not actually price, or quietly scoping to the small-practice segment without saying so. The accurate version is the one on this page: 9 of 18 quote-only (50%), 8 of 18 publishing a usable list price (44%) with 1 partial, a scoped small-practice band, and quote-only implementation.
Method and Provenance
Prices were obtained by crawling each vendor's own pricing page on 2026-06-18, using a managed crawler, and reading the published list price directly. Promotional and limited-time rates were excluded. A page that required a sign-in, demo, or sales contact to reveal a price was recorded as quote-only -- we did not bypass any gate or bot protection, because a walled price was never going to be a published price. Two vendors (AdvancedMD, CharmHealth) were re-crawled at their correct own-site pricing URLs after a first-pass wrong-slug 404, since a 404 on a guessed URL means "unverified," not "quote-only." Figures will be re-verified on a recurring cadence and re-dated or retired as vendor pricing changes. The full dataset behind this page is published as structured data and licensed under our methodology.