EHR Pricing Transparency: How Many EHR Vendors Actually Publish a Price

We read the published pricing pages of 18 electronic health record vendors on 2026-10-05, taking each list price from the vendor's own site. 10 of 18 (56%) publish a base list price for at least one plan, specialty, model or service, and 8 of 18 (44%) are quote-only. 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: 44% of the vendors we checked will quote you only after a demo.

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The Short Answer

Of 18 EHR vendors we checked, 8 are quote-only and 10 publish a base list price, a 44% quote-only rate as of 2026-10-05. Add-ons and per-use fees do not count as a list price: a vendor counts as publishing only when its own pricing page shows a price for at least one plan, specialty, model or service. The quote-only vendors are athenahealth, DrChrono, Elation Health, Epic, NextGen Healthcare, Oracle Health, Tebra and Valant. The split is not a clean small-versus-large line: the enterprise and large-system vendors (Epic, Oracle Health, NextGen and athenahealth) all stay quote-only, and so do four small-practice vendors (DrChrono, Tebra, Elation Health and Valant), while most of the vendors that publish are small-practice, behavioral, and ambulatory cloud EHR. For a small or independent practice, a published-price comparison is realistic for most of the market. 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 (2026-10-05)

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 on 2026-10-05. 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.

Checked 18 vendors on 2026-10-05 (list-price-only discipline, promos excluded, no bot or demo-gate bypass). 10 published a base list price and 8 were quote-only, a 10 of 18 (56%) publish rate (44% 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 vendors. 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.

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. The enterprise and large-system vendors we checked do not publish a price, while most small-practice and behavioral cloud EHR vendors do, so the prices that are public describe one segment. Read as a band, for a small or independent practice, the middle half of published EHR entry prices runs $49-$199 per provider per month (each vendor's lowest first-seat monthly plan, across the 10 vendors that publish one), with a budget floor near $29 (TheraNest Essentials) and a full-suite or multi-specialty ceiling of roughly $499 to $1,070 (eClinicalWorks, AdvancedMD Medical Specialties). The full published range across the subset is $29 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 $49-$199 figure as a small/independent-practice range, expressed as a range rather than a single number because the underlying prices genuinely span that far.

The segmentation is visible in federal adoption data, and not only in vendor behavior. The ONC data brief Office-based Physician Electronic Health Record Adoption, 2008-2024 (ONC, June 2026) reports that 32% of physicians in solo practice used an EHR from one of the five market-leading developers, against 90% of physicians in practices of more than 50 -- a similar pattern to the one this page finds in who publishes a price. The small-practice market runs on a long tail of developers that compete on a public list price; the enterprise developers that dominate large groups do not need to. So a solo or small-group operator reading the $49-$199 band is reading the segment that actually serves practices like theirs, and a "most-used EHR" list built from large-group share is the wrong shortlist. What the subscription leaves out -- implementation, migration, interfaces, exit -- is itemized in the EHR pricing and cost guide; the vendor conversation that turns a list price into a real quote is scripted in the EHR selection toolkit and questions to ask before selecting an EHR; and the vendors themselves are compared in best EHR for small practices.

Implementation Cost Is Quote-Only

Implementation and onboarding cost is where transparency breaks down for the vendors that stay quote-only: we found no published implementation figure for any of them. Most of the vendors that publish a subscription price also show their setup terms. SimplePractice, Jane App, Practice Fusion, TherapyNotes, TheraNest, RXNT and eClinicalWorks show no setup fee for their published packages (RXNT includes its standard onboarding period, and eClinicalWorks notes additional implementation fees above nine providers, amount not published). ICANotes publishes a one-time activation fee, AdvancedMD publishes a setup fee that scales with practice size, and CharmHealth states no setup figure. That means there is no single published implementation dollar-band to report. We do not publish one. If a quote-only vendor or a comparison site gives 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 entry prices, one provider, and setup fees left out, the derived first-year subscription cost lands at roughly $588-$2,388 per provider per year for the small-practice band (twelve times the band above), inside a full published-subset envelope of about $348-$12,840 per provider per year (twelve times the published range).

Two assumptions are doing visible work here and travel with the number: one provider, and no setup fee. The no-setup-fee assumption holds at the entry prices that set the band and the floor of the envelope (SimplePractice, Practice Fusion and TheraNest show no setup fee), but not everywhere in the envelope: ICANotes publishes a one-time activation fee and AdvancedMD, which sets the top of the envelope, publishes a setup fee that scales with practice size, so the upper end understates a first-year cost that includes setup. 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 44% of the EHR vendors we checked quote only after a demo tells you how to plan: most small-practice and behavioral vendors will let you compare prices on a spreadsheet today, while the mid-market and enterprise vendors (and a few small-practice ones) 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: 8 of 18 quote-only (44%), 10 of 18 (56%) publishing a base list price, a scoped small-practice band, and no published implementation dollar-band.

Method and Provenance

Prices were read from each vendor's own pricing page on 2026-10-05, with each figure tied to a verbatim source passage from the fetched page. The same 18 vendors were first read on 2026-06-18; this read supersedes that one and changes four vendors: DrChrono moves from published to quote-only (its earlier '$30 per provider per month' is a footnote on the plan-comparison table, not a plan price), and ICANotes, TheraNest and TherapyNotes move to published because their plan prices are on their own pricing pages. Do not read 8 to 10 as a market trend. The June read counted 8 of 18 (44%) as publishing a usable list price (9 quote-only, with TherapyNotes partial), so its 44% measured vendors that publish; the October 44% measures vendors that are quote-only. The June source list has no own-pricing-page price for ICANotes, TheraNest or TherapyNotes, and DrChrono's June price was the footnote noted above, so the June and October counts were not taken on one rule with the same vendor coverage. We therefore show no June-to-October publish-rate comparison; the change is a correction of the June read, and a trend can only be stated from two reads taken on this page's October rule. 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. In the first pass, two vendors (AdvancedMD, CharmHealth) were re-read at their correct own-site pricing URLs after a 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.

Related Reading

• EHR Pricing and Cost Guide
• How to Choose an EHR
• Best EHR for Small Practices