EHR cost and switching calculator
EHR cost includes subscription fees and the setup, data migration, interfaces and exit costs your practice needs. The Health IT Playbook says its Vendor Pricing Template defines line-item costs for EHR software, implementation, training and support. Compare the recorded coverage for 18 vendors, adding your own quotes where prices are missing.
Compare what an EHR would cost your practice. Start with the basics; add quotes when you have them.
Costs use recorded vendor prices and your figures; missing amounts stay missing, vendor payments do not affect the answer, and nothing is ranked.
Your result
Questions owners ask
Why isn't there a complete total?
Setup, data migration or export may have no published price. The answer names those gaps. Training is excluded until you add your figure; it does not block the total.
What does "Starting at" mean?
The vendor gives a minimum, without a ceiling. Some prices cover only part of the work. For example, AdvancedMD migration excludes financial history and prices clinical data separately; RXNT does not describe clinical-record migration.
Can I use my own quote?
Yes, for missing costs or starting prices. Ordinary starting prices keep their minimum. A quote for a price that covers only part of the work can be any nonnegative amount. Fixed published prices stay fixed.
How does this compare with my current bill?
Your monthly bill is held flat over the period you choose. Switching includes the new setup and data move, plus export, any money left on your current contract and any months running both systems. Training is included only when you enter a figure. Neither option includes taxes.
Does this tell me which EHR is best?
No. It compares costs, without ranking vendors. Check specialty fit, workflows and what each plan includes before choosing. A plan outside its stated practice-size range is not priced for your practice.
Assumptions
- Prices stay flat unless you add an annual increase. Taxes and promotional prices are excluded.
- Seat prices count providers as full-time seats. Add-ons use one location unless you change it.
- Starting prices have no published ceiling. Ranges stay ranges; missing costs stay missing.
- Training is excluded until you add your figure. Other missing costs keep totals incomplete. Quotes can replace missing or starting prices; fixed published prices stay fixed.
- Overlap and money left on your contract count as zero unless you enter them. Current-system comparisons use your monthly bill held flat.
Side by side
Show all vendors
What each vendor publishes
Published = a recorded numeric price; Starting price only = no published ceiling; Not published = no usable cost figure in the sources reviewed.
| EHR | Subscription | Setup | Data move | Interfaces | Training | Data export |
|---|---|---|---|---|---|---|
| AdvancedMD | Starting price only | Published | Starting price only | Published | Not published | Not published |
| athenahealth | Not published | Not published | Not published | Starting price only | Not published | Not published |
| CharmHealth EHR | Published | Not published | Starting price only | Starting price only | Not published | Not published |
| DrChrono | Not published | Not published | Not published | Published | Not published | Not published |
| eClinicalWorks | Starting price only | Published | Published | Not published | Not published | Not published |
| Elation Health EHR | Not published | Not published | Starting price only | Not published | Not published | Not published |
| Epic | Not published | Not published | Not published | Published | Not published | Not published |
| ICANotes | Published | Published | Not published | Not published | Not published | Not published |
| Jane App | Published | Published | Published | Not published | Not published | Starting price only |
| NextGen Healthcare | Not published | Not published | Not published | Not published | Not published | Not published |
| Oracle Health | Not published | Not published | Not published | Published | Not published | Starting price only |
| Practice Fusion EHR | Starting price only | Not published | Not published | Not published | Not published | Not published |
| RXNT | Published | Starting price only | Starting price only | Starting price only | Not published | Starting price only |
| SimplePractice | Published | Published | Not published | Starting price only | Not published | Not published |
| Tebra | Not published | Not published | Not published | Published | Not published | Not published |
| TheraNest | Published | Published | Not published | Starting price only | Not published | Not published |
| TherapyNotes | Published | Published | Starting price only | Not published | Not published | Not published |
| Valant | Not published | Not published | Not published | Not published | Not published | Not published |
Related decisions
Sources and review dates
Vendor sources reviewed 2026-10-05. These are the recorded source dates, not a new review today.
AdvancedMD: vendor sources and recorded review dates
- https://www.advancedmd.com/emr-ehr-software/ (reviewed 2026-10-05)
- https://www.advancedmd.com/software-pricing/ (reviewed 2026-10-05)
- https://www.advancedmd.com/group-practice/interoperability/ (reviewed 2026-10-05)
- https://www.advancedmd.com/group-practice/odbc/ (reviewed 2026-10-05)
- https://www.advancedmd.com/service-support-policy/ (reviewed 2026-10-05)
athenahealth: vendor sources and recorded review dates
- https://www.athenahealth.com/solutions/athenaone (reviewed 2026-10-05)
- https://www.athenahealth.com/why-choose-us/client-support (reviewed 2026-10-05)
- https://www.athenahealth.com/why-choose-us/interoperability (reviewed 2026-10-05)
CharmHealth EHR: vendor sources and recorded review dates
- https://www.charmhealth.com/ehr/medical-billing-claims.html (reviewed 2026-10-05)
- https://www.charmhealth.com/ehr/mu3-certified-ehr.html (reviewed 2026-10-05)
- https://www.charmhealth.com/ehr/ehr-pricing-us.html (reviewed 2026-10-05)
- https://www.charmhealth.com/ehr/switch-emr.html (reviewed 2026-10-05)
DrChrono: vendor sources and recorded review dates
- https://www.drchrono.com/rcm-and-medical-billing/ (reviewed 2026-10-05)
- https://www.drchrono.com/terms/ (reviewed 2026-10-05)
- https://www.drchrono.com/pricing/ (reviewed 2026-10-05)
- https://www.drchrono.com/meaningful-use-ehr/ (reviewed 2026-10-05)
- https://www.drchrono.com/request-a-quote/ (reviewed 2026-10-05)
- https://www.drchrono.com/small-practice/ (reviewed 2026-10-05)
eClinicalWorks: vendor sources and recorded review dates
- https://www.eclinicalworks.com/kickstart-your-practice/ (reviewed 2026-10-05)
- https://www.eclinicalworks.com/products-services/pricing/ (reviewed 2026-10-05)
- https://www.eclinicalworks.com/resources/certified-ehr-technology/ (reviewed 2026-10-05)
Elation Health EHR: vendor sources and recorded review dates
- https://www.elationhealth.com/who-we-serve/ (reviewed 2026-10-05)
- https://www.elationhealth.com/service-agreement/ (reviewed 2026-10-05)
- https://www.elationhealth.com/pricing/ (reviewed 2026-10-05)
- https://www.elationhealth.com/solutions/ehr/ (reviewed 2026-10-05)
Epic: vendor sources and recorded review dates
- https://www.epic.com/software/health-systems-and-clinics/ (reviewed 2026-10-05)
- https://www.epic.com/mu (reviewed 2026-10-05)
ICANotes: vendor sources and recorded review dates
- https://www.icanotes.com/features/billing/ (reviewed 2026-10-05)
- https://www.icanotes.com/pricing/ (reviewed 2026-10-05)
Jane App: vendor sources and recorded review dates
- https://jane.app/features/billing-and-insurance (reviewed 2026-10-05)
- https://jane.app/legal/terms-of-use (reviewed 2026-10-05)
- https://jane.app/start (reviewed 2026-10-05)
- https://jane.app/pricing (reviewed 2026-10-05)
NextGen Healthcare: vendor sources and recorded review dates
- https://www.nextgen.com/solutions/electronic-health-records/mid-size-to-enterprise-practices (reviewed 2026-10-05)
- https://www.nextgen.com/certifications-and-cost-disclosures (reviewed 2026-10-05)
- https://www.nextgen.com/contact-us (reviewed 2026-10-05)
- https://www.nextgen.com/solutions/electronic-health-records/small-practices-nextgen-office (reviewed 2026-10-05)
- https://www.nextgen.com/services/training (reviewed 2026-10-05)
Oracle Health: vendor sources and recorded review dates
- https://www.oracle.com/health/ambulatory-ehr/ (reviewed 2026-10-05)
- https://www.oracle.com/a/ocom/docs/industries/healthcare/certified-health-it-transparency-disclosure-information.pdf (reviewed 2026-10-05)
- https://www.oracle.com/health/certified-health-it/ (reviewed 2026-10-05)
Practice Fusion EHR: vendor sources and recorded review dates
- https://www.practicefusion.com/ehr-with-billing-software/ (reviewed 2026-10-05)
- https://www.practicefusion.com/ehr-with-billing-solutions/ (reviewed 2026-10-05)
- https://www.practicefusion.com/ehr-setup-support/ (reviewed 2026-10-05)
- https://www.practicefusion.com/electronic-health-record-ehr/ (reviewed 2026-10-05)
- https://www.practicefusion.com/pricing/ (reviewed 2026-10-05)
RXNT: vendor sources and recorded review dates
- https://www.rxnt.com/resources/frequently-asked-questions/ (reviewed 2026-10-05)
- https://www.rxnt.com/customer-agreement-may-2026/ (reviewed 2026-10-05)
- https://www.rxnt.com/pricing/ (reviewed 2026-10-05)
- https://core.service.elfsight.com/p/boot/?page=https%3A%2F%2Fwww.rxnt.com%2Fpricing%2F&w=22da06c0-a85e-4e74-88de-cc57e34a0682 (reviewed 2026-10-05)
- https://core.service.elfsight.com/p/boot/?page=https%3A%2F%2Fwww.rxnt.com%2Fpricing%2F&w=21256401-561f-4198-993d-1dfb43dd55c0 (reviewed 2026-10-05)
SimplePractice: vendor sources and recorded review dates
- https://www.simplepractice.com/features/faqs/ (reviewed 2026-10-05)
- https://www.simplepractice.com/features/eprescribe/ (reviewed 2026-10-05)
- https://www.simplepractice.com/pricing/ (reviewed 2026-10-05)
- https://www.simplepractice.com/features/group-practice/ (reviewed 2026-10-05)
Tebra: vendor sources and recorded review dates
- https://www.tebra.com/ehr-software (reviewed 2026-10-05)
- https://www.tebra.com/term-termination-return-data-faq (reviewed 2026-10-05)
- https://www.tebra.com/tebra-pricing-policy (reviewed 2026-10-05)
- https://www.tebra.com/independent-practices (reviewed 2026-10-05)
- https://www.tebra.com/pricing (reviewed 2026-10-05)
- https://www.tebra.com/customer-support-policy (reviewed 2026-10-05)
TheraNest: vendor sources and recorded review dates
- https://ensorahealth.com/product/theranest-mental-health/ (reviewed 2026-10-05)
- https://ensorahealth.com/pricing/theranest-mental-health/ (reviewed 2026-10-05)
- https://ensorahealth.com/pricing/ (reviewed 2026-10-05)
TherapyNotes: vendor sources and recorded review dates
- https://www.therapynotes.com/static/javascript/tsbin/Resources/Public/en-US/BillingPageLocale.js?v=2026.8.2.47895.513089 (reviewed 2026-10-05)
- https://www.therapynotes.com/static/javascript/tsbin/Resources/Public/en-US/Pricing/PricingPageLocaleV2.js?v=2026.8.2.47895.513089 (reviewed 2026-10-05)
- https://www.therapynotes.com/api/PublicPricingData (reviewed 2026-10-05)
Valant: vendor sources and recorded review dates
- https://www.valant.io/ai-info/ (reviewed 2026-10-05)
- https://www.valant.io/world-class-support/ (reviewed 2026-10-05)
- https://www.valant.io/plans-pricing/ (reviewed 2026-10-05)