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Comparison · Verified November 2, 2026

DrinCloud vs Cliniko: an honest comparison for cash-pay practices

Start with the number that decides most of these pages. Cliniko is cheaper than us at every team size, and at six practitioners it is not close: $145 a month against our $407. One practitioner is $45 there and $69 here with the AI scribe on, three is $95 against $179, and the gap only widens. Cliniko is also a careful product with a loyal following in physiotherapy, osteopathy, massage and allied health, and this page will not pretend otherwise. DrinCloud is the US edition of a clinic system with 12+ years and 8,000+ clinics in 14 countries, built for practices the patient pays directly. Our case is not the invoice: the AI scribe at $20 a provider with no counter, a record you shape per specialty, real clinic modules, superbills for out-of-network reimbursement, three languages. Prices on pricing, the field in all comparisons.

The final score
DrinCloud
3.6/5
★★★★☆
Cliniko
3.3/5
★★★☆☆

Cliniko wins the money, outright and at every size. It charges by practitioner band with every feature in every subscription: $45 for one, $95 for two to five, $145 for six to eight, then $195, $295 and $395 up to two hundred. Unlimited reception users, locations, storage and patients, free support, no setup fee, a 30-day trial with no credit card, and a minimum 2% of revenue donated to charity. We do none of that for the same money. At six practitioners with the scribe on we are $407 against their $145, and they take the pricing block 4.3 to our 2.5.

Our case is what sits inside the record, not the bill. Cliniko's own pages document no AI of its own: its directory lists 34 third-party AI apps, each billed separately, and its dictation article points at Apple, Windows and Dragon. Ours is $20 a month per provider with no minute or appointment counter, plus a clinical assistant included on every plan. Its claiming is Australian, Medicare, DVA, NDIS and health funds, so a US practice gets nothing from it, and we file no claims either. What a US cash-pay practice needs is the superbill, with NPI, EIN, CPT and ICD-10. If price is your first filter, buy Cliniko.

Methodology: data comes from the public pages of cliniko.com (pricing, features, the appointments, transactions and health records feature pages, the FAQ, the connected apps directory and the API documentation), from help.cliniko.com (billable items, online payments, voice dictation, telehealth and the Australian Medicare collection), and from drincloud.com, all checked on November 2, 2026. Each cell is scored Yes = 1 point, partial or plan-limited = 0.5, No or Not documented = 0; purely informational pricing rows do not score. A block's score is its points divided by its scored rows, on a 5-point scale, and the final score is the weighted average of the seven scored blocks: pricing and transparency 20%, clinical record and AI 25%, scheduling and patient communication 15%, cash-pay billing 15%, languages and patient experience 10%, where Cliniko wins 10%, and integrations and data 5%. This comparison is published by DrinCloud: we are an interested party, which is exactly why every claim points to a public source with a date, and why we mark a cell 'Not documented' instead of 'No' when a vendor's site is silent. If you find an outdated cell, write to info@dricloud.com and we will correct the data and the score.
Verified pricing

What each one really costs (November 2026)

PricingDrinCloudCliniko
The published price ladder$49 · $107 · $119 · $287 · $574Essential, Solo, Clinic 1 to 3, Medical Center 4 to 30, Large Clinics 31 to 50$45 · $95 · $145 · $195 · $295 · $395bands of 1, 2 to 5, 6 to 8, 9 to 12, 13 to 25, 26 to 200
Lower price for one practitioner✗ No$49, or $69 with the scribe on✓ Yes$45, everything included
Lower price at two or three practitioners✗ No$159 with two, $179 with three✓ Yes$95 covers two through five
Lower price at six practitioners✗ No**$407**✓ Yes**$145**, a difference of $262 a month
What the fourth practitioner adds✗ Nothe 4th and 5th Clinic user are $45 each✓ Yesnothing until practitioner six
Price by practice size, not per seat✓ Yes✓ Yes
Every price published, no quote form✓ Yes✓ Yes
Free trial before you pay✗ Nopaid signup in about 3 minutes; one month is our smallest commitment✓ 30 daysno card to start
Annual billing discount✓ 2 months free12 months at the price of 10, about 17%Partialone month free a year, about 8%
AI note drafting with a published price✓ $20/moper provider, no counterNot documentedits pricing page names no AI and no AI price
No setup fee, no minimum term✓ Yes✓ Yes
Block score · Pricing and transparency (20%)2.54.3

Sources: cliniko.com/pricing/ and cliniko.com/faq/ for the bands, the inclusions, the 30-day trial, the annual month free and the 10c SMS credits, plus drincloud.com/pricing, checked November 2, 2026. DrinCloud figures are the annual rate.

This is the block Cliniko wins, and it wins it everywhere. Its bands are tighter and its ceiling lower: practitioner six costs them $145 and costs us $407. Everything sits inside the subscription, reception users are free, and the trial runs 30 days without a card while we ask you to pay for a month. Two rows go our way and both are small: a bigger annual discount, and an AI price printed next to the plans, because theirs names none. Run your headcount through pricing first.

The real math

The real math: four invoices, AI included on our side

ScenarioDrinCloudCliniko
Solo practitioner, AI scribe on$69/moEssential $49 plus the $20 scribe$45/moeverything included, no AI. They win by $24
3 practitioners, AI for all three$179/moClinic $119 covers 1 to 3, plus 3 x $20$95/mothe 2 to 5 band. They win by $84
6 practitioners, AI for everyone$407/moMedical Center $287 covers 4 to 30, plus 6 x $20$145/mothe 6 to 8 band. They win by $262
20 practitioners, AI for everyone$687/moMedical Center $287 still covers it, plus 20 x $20$295/mothe 13 to 25 band. They win by $392

Arithmetic with the rates on cliniko.com/pricing/ and drincloud.com/pricing, checked November 2, 2026, with our AI scribe on for every provider and nothing added on the Cliniko side, because its pricing page sells no AI add-on. DrinCloud rows are the annual rate. SMS is excluded on both sides: ours is $36 per 300 messages, theirs is 10c a message.

There is no crossover to wait for. Cliniko is cheaper at one practitioner, at three, at six and at twenty, and the gap widens because our scribe is charged per provider while they charge nothing for AI they do not sell. Turn our scribe off and the twenty seat line drops to $287, still roughly double their band. The question is not which bill is smaller. It is whether the record, the AI and the clinic modules are worth the difference. See what an EHR really costs.

Clinical record and AI

Charting, notes and the AI that drafts them

FeatureDrinCloudCliniko
Custom note templates per discipline✓ Yes✓ Yes
Record depth per specialty, history carried forward✓ Yesmemory fields pull allergies, medication and history forwardPartialyou copy the last note into a blank template, by hand
AI records the visit and drafts the note, built in✓ Yes$20 a month per provider, one buttonPartialnone of its own; its directory lists third-party scribes such as Heidi and PatientNotes, billed separately
AI clinical assistant for differentials and interactions✓ YesNot documented
AI chatbot that books for patients✓ Yes$20 a month per practicePartialthird-party AI receptionists, own fees
Body charts and diagrams in the noteNot documentedwe attach before and after photos instead✓ Yes
Pre-visit forms the patient fills in✓ Yes✓ Yessecure patient forms, filed automatically
In-visit procedures billed on top of the visit✓ Yesbilled separately from the visitNot documented
Consents signed remotely by the patient✓ Yessigned on the patient's own phoneNot documentedforms are submitted online, but no e-signature
Ward, operating room and diagnostic test modules✓ Yesinpatients by floor and room, surgery from the recordNot documentedbuilt for allied health clinics
Letter templates that fill patient data✓ Yestagged templates, printed or emailed✓ Yes
Block score · Clinical record and AI (25%)4.52.5

Sources: cliniko.com/features/health-records/, cliniko.com/features/, cliniko.com/connected-apps/artificial-intelligence/ (94 connected apps, 34 of them AI, with 'most of these apps were developed by third parties'), help.cliniko.com voice dictation options, plus drincloud.com/features, checked November 2, 2026.

The heaviest block, and the one that has to pay for the price difference. Cliniko's notes are genuinely good: unlimited templates, body charts, drafts, pinned notes, letter templates with placeholders. What its own pages do not document is AI. Dictation is handed to Apple, Windows or Dragon, and the scribes live in a directory of apps you pay for separately. Ours records, drafts, answers clinical questions on every plan, and costs $20 a provider. Details on the AI scribe.

Front desk

Scheduling and patient communication

FeatureDrinCloudCliniko
Multi-practitioner, multi-room calendar✓ Yesshifts tie the provider to the room, plus an operating room calendarPartialunlimited locations with a view each; rooms not described
Online booking on your own website✓ Yesembeddable widget, availability by provider✓ Yes
Waitlist that fills a cancelled slot✓ Yes✓ Yes
Automatic email appointment reminders✓ Yesincluded✓ Yes
Text message remindersPartialincluded, but $36 per 300 messages, with TCPA consent at intakePartialincluded, but 10c a message on prepaid credits
Patient portal: appointments, payments, documents, messages✓ Yesfrom the $107 Solo plan, $10 on EssentialNot documentedsecure forms and booking, but no portal
Telehealth with no minute counter✓ Unlimitedfrom Solo, $10 on Essential✓ Yesincluded, once a card is on file
Group appointments and classesNot documentedwe chart one patient at a time✓ Yesseveral clients in one appointment
Recurring and repeat appointments✓ Yesplus follow-up recall from the note✓ Yesany interval, any number of occurrences
Check-in kiosk and waiting room call screen✓ Yestablet check-in and a visit ratingNot documented
Google Calendar sync✓ Yestwo wayNot documentedconfirmation emails carry a calendar attachment
Block score · Scheduling and patient communication (15%)4.33.2

Sources: cliniko.com/features/appointments/, cliniko.com/features/, help.cliniko.com on how telehealth works and on appointment confirmations and reminders, cliniko.com/pricing/ for the SMS credits, plus drincloud.com/features, checked November 2, 2026.

The daily basics tie, and they should: calendar, online booking, waitlist, email reminders, telehealth, repeat appointments. Cliniko wins group appointments outright, which matters if you run classes, and its SMS is cheaper per message than our packs. We pull ahead at the physical front desk, because this product grew up in buildings with waiting rooms: tablet check-in with a visit rating, a call screen, an operating room calendar, and a portal their pages do not describe. Weigh both lists if you run a physical therapy clinic.

Cash-pay billing

Getting paid without an insurer in the middle

FeatureDrinCloudCliniko
Charge at the desk, online or by link✓ Yes✓ Yesonline payments, refunds, account credit
Your own payment account, no markup✓ Yesyour own Stripe, standard US rates 2.9% + $0.30 online✓ Yesyour own Stripe too, and Cliniko takes no cut of the fee
Deposit charged when the slot is booked✓ Yesthe card is taken when the appointment isPartialprepayments applied to a later invoice
Superbill with NPI, EIN, CPT and ICD-10✓ Yesa PDF with the balance, for the patient to submitPartialinvoice item codes help patients claim; no superbill document
Prices per service, specialty and professional✓ Yesby service, specialty and provider✓ Yes
Sliding scale or concession rates per patient✓ Yes✓ Yes
Product sales with stock deducted✓ Yes✓ Yes
Quotes and treatment plans the patient approves✓ Yesa priced plan the patient signsNot documented
Production and revenue reporting per professional✓ Yesproduction, occupancy and revenue✓ Yesrevenue, outstanding invoices, daily payments
Practice expenses and tax trackingNot documentedwe report revenue, not expenses✓ Yesexpenses, tax rates, plus Xero
Block score · Cash-pay billing (15%)4.54.0

Sources: cliniko.com/features/transactions/, help.cliniko.com on online payments (Stripe connected from Settings, with Cliniko stating it does not profit from Stripe's fees) and on setting up billable items, plus drincloud.com/features, checked November 2, 2026. Card rates quoted for DrinCloud are the standard Stripe US rates on the client's own Stripe account, not a DrinCloud fee.

Closer than we expected, and one row deserves credit: Cliniko also runs on your own Stripe account and takes nothing off the top, which most of this market does not offer. Its bookkeeping beats ours, with expenses, tax rates and Xero. Three rows separate us and all three are cash-pay specifics: a deposit charged at booking, a priced plan the patient signs, and a real superbill with NPI, EIN, CPT and ICD-10. Item codes on an invoice help a patient claim, but an invoice is not a superbill.

Languages and experience

Languages, surveys and how patients experience you

FeatureDrinCloudCliniko
Interface language chosen per user✓ YesEnglish, Spanish, Portuguese and moreNot documentedno language setting on its pages
Communication language per patient✓ YesEnglish, Spanish, Portuguese or GermanNot documented
Support in Spanish and Portuguese✓ Yesemail, and WhatsApp with video from SoloNot documentedhelp center and forum are in English
Secure two way messaging with the patient✓ Yesportal messages attached to the fileNot documentedstaff messaging yes, patient messaging no
Patient surveys and questionnaires you send out✓ Yesafter each visit, anonymous or named✓ Yesquestionnaires and surveys as patient forms
Survey statistics and event campaigns✓ Yesif X happened, send Y after Z days, results chartedNot documentedchannel reporting, but no event campaigns
Referral source recorded per patient✓ Yes✓ Yes
Automatic birthday greetings to patients✓ Yessent on their ownNot documented
Free support on every subscription, plus a public user forumPartialsupport is free, but no public forum✓ Yesfree support, help center and a user forum
Phone support line✗ No✗ Noforum, help center and email only
Native app for iOS and Android✗ Nobrowser only✗ Noits FAQ says no native app, but the software is mobile friendly
Block score · Languages and patient experience (10%)3.91.4

Sources: cliniko.com/faq/ (no native app, support by forum, help center and email, HIPAA settings), cliniko.com/features/, cliniko.com/features/health-records/ and cliniko.com/pricing/ for free support on every subscription, plus drincloud.com/features, checked November 2, 2026.

Two honest notes before the score. Cliniko's free support on every subscription, with a forum where users answer each other, is better than ours, and neither of us answers a telephone or ships a native app. The block still goes our way for one reason: language. The software in each user's language, and a field on the patient that decides what language the reminders, portal and documents arrive in. If half your schedule speaks Spanish, that field does more for attendance than anything else here. Relevant for massage therapy.

Where Cliniko wins

Where Cliniko wins and we do not: price, polish and the things we simply lack

FeatureDrinCloudCliniko
Years of focus on physiotherapy, osteopathy and massage✗ Nonew to the US and to allied health, and it shows✓ YesMelbourne founded, owner operated, users who stay
30-day free trial with no credit card✗ Nopaid signup; one month is our smallest commitment✓ Yesthe full product, and it becomes your live account
Lower monthly bill at every team size✗ No$69 against $45, $179 against $95, $407 against $145✓ Yescheaper at every band
Public API documented openly with no feePartial$300 to set up plus $80 a month, no developer docs✓ Yespublic REST API with OpenAPI docs, no fee
Every feature in every subscription, nothing gatedPartialrecord, superbills and scribe from $49, but portal, telehealth and CRM are gated✓ Yesevery feature on every subscription, SMS the only extra
Unlimited file storage on every subscriptionPartial2 GB on Essential, 1 TB on Clinic, unlimited from Medical Center✓ Yesstorage, patients and locations unlimited on all six bands
Unlimited reception and admin users at no costPartialthe 4th and 5th Clinic user are $45 each✓ Yesunlimited, every subscription
Insurance or third-party claiming built in✗ Nono claims engine at all, by design✓ Yesreal claiming, but Australian: Medicare, DVA, NDIS, health funds. Useless in the US
US e-prescribing with EPCS✗ Nowe print or send a PDF, which fails the mandates in CA, FL, NY, MI, MN and DENot documented
ONC certification and a licensed CPT code set✗ Nono certification, and no CPT database: the code set is an AMA license, so you type your ownNot documented
Block score · Where Cliniko wins (10%)1.04.0

Sources: cliniko.com/pricing/, cliniko.com/faq/, docs.api.cliniko.com for the public API documentation, help.cliniko.com collection 'Processing Medicare, health fund, DVA claims (Australia only)' and its Tyro Health and HealthPoint articles, plus drincloud.com, checked November 2, 2026.

Four point zero against one point zero, and this is the block to read twice. Cliniko is cheaper at every size, trials for 30 days without a card, puts every feature in every subscription, gives unlimited storage and free reception users, and publishes an API we charge for. Then come our plain absences: no US claims, no e-prescribing, no ONC certification, no CPT database. Their claiming is Australian, so it saves a US practice nothing, but ours does not exist at all. See alternatives.

Integrations and data

Moving in, moving out and compliance

FeatureDrinCloudCliniko
Free import you run yourself✓ Yesany Excel or XML file, and a bad import is redone✓ Yesfree transfer, usually from CSV, with help preparing files
Full data export, free, no retention✓ YesCSV and PDF whenever you wantPartialnotes to PDF and reports to spreadsheet; no full account export, data kept 12 months
Public API with open documentationPartial$300 setup plus $80 a month, no public docs✓ Yespublic REST API, OpenAPI file, developers group
Directory of third-party integrations✗ NoStripe and Google Calendar, the honest list✓ Yes94 connected apps, 34 of them AI
Accounting software integrationNot documentedwe export CSV for your accountant✓ YesXero
HIPAA with a BAA✓ Yesevery plan, encryption in transit and at rest✓ Yesa HIPAA setting, and a BAA on request
Multi-location in one account✓ Yes✓ Yesunlimited locations, every subscription
Patient data never used to train AI✓ Yeswritten into our termsNot documentedno AI of its own; third-party apps set their own terms
Role based permissions per user✓ Yes✓ Yes
Continuous backups and systems monitoring✓ Yescontinuous backup and encryption✓ Yes
HL7 or FHIR interoperabilityNot documentedNot documented
Block score · Integrations and data (5%)3.43.9

Sources: cliniko.com/faq/ (data import, Xero, HIPAA and the BAA request), cliniko.com/pricing/, cliniko.com/connected-apps/artificial-intelligence/, docs.api.cliniko.com and drincloud.com/security, checked November 2, 2026. 'Not documented' here means the item does not appear on those public pages on that date.

Cliniko takes this block and the reason is fair. It is the better citizen of other people's software: a free public REST API with real documentation, 94 connected apps, Xero for the bookkeeping. We publish no developer docs, we charge $300 plus $80 a month for API access, and we name two integrations in total. What we do better is the exit: a full CSV and PDF export whenever you want, with no retention period, where their pages keep your data 12 months after you cancel.

The honest answer

Which one fits you?

Cliniko is the better fit if...

  • Price is your first filter. Cliniko is cheaper at every team size: $45 against our $69 solo, $95 against $179 at three, $145 against $407 at six, $295 against $687 at twenty.
  • You want to try before you pay: 30 days of the whole product with no credit card, and the trial becomes your live account. We sell one paid month as the smallest commitment.
  • You are a physiotherapist, osteopath, massage therapist or allied health practitioner. The product was built for that work for years, by an owner operated team, and its users stay.
  • You hate plan ladders. Every feature is in every subscription, with unlimited reception users, locations, storage and patients, and SMS at 10c the only extra.
  • You want integrations: a free public REST API with real documentation, and 94 connected apps, 34 of them AI, that you pick and pay for yourself.
  • You run classes, you want body charts in your notes, or you want expenses and Xero beside your invoices. Those are theirs, not ours.

DrinCloud is the better fit if...

  • You want the AI scribe inside the software at a price you can read: $20 a month per provider, no minute counter and no appointment counter. Cliniko's pages name no AI price and point you at third-party apps you pay for separately. See the AI scribe.
  • You want a clinical assistant for differentials, drug interactions and guidelines included on every plan, from $49.
  • You want the record shaped to your specialty, with memory fields that drag allergies, medication and history forward instead of copying the last note by hand.
  • You are a medical clinic, not an allied health practice: inpatients by floor and room, separate nursing and physician forms, surgery from the record, diagnostic tests, stock.
  • Out-of-network reimbursement is the heart of your billing. We build a superbill with NPI, EIN, CPT and ICD-10 for the patient to submit, not an invoice with item codes.
  • Part of your schedule speaks Spanish or Portuguese: the software in each user's language, and reminders, portal and documents in each patient's language.
  • You want a patient portal and a patient CRM in one system: forms, messages, satisfaction surveys with statistics, event campaigns, birthday greetings.
  • Your front desk is a physical one: tablet check-in with a visit rating, a waiting room call screen, an operating room calendar with its own waitlist.
  • You charge cash-pay the way it works: a deposit at booking, a sliding scale rate on the patient record, a priced treatment plan the patient signs.
  • You want the price in front of you before anyone calls, the move in free and the exit open. It is on pricing, the rest in all comparisons.
FAQ

Questions about this comparison

Which one is cheaper, honestly?
Cliniko, at every size, with no crossover to wait for. One practitioner is $45 there against $69 here with our scribe on. Three is $95 against $179. Six is $145 against $407. Twenty is $295 against $687. Their bands are tighter and every feature is inside the subscription, so there is nothing to add except SMS at 10c a message. If the monthly number decides it, buy Cliniko.
Does Cliniko have AI note taking?
Not of its own, going by its public pages on November 2, 2026. Its pricing page names no AI feature and no AI price, its features and health records pages describe none, and its help center article on dictation points at Apple dictation, Windows Dictation, Gboard and Dragon Medical One. What it has is a connected apps directory of 94 apps, 34 filed under artificial intelligence, including scribes such as Heidi and PatientNotes. Those are third-party products with their own subscriptions, so you pay twice. Ours is $20 a month per provider inside the software.
Can Cliniko bill US insurance or produce a superbill?
Its public pages document neither. The claiming it has is Australian: its help center files Medicare, DVA, NDIS and health fund claims under a collection labeled Australia only, through Tyro Health and HealthPoint. There is no US clearinghouse, no CMS-1500 and no US eligibility check. Its transactions page says invoice item codes help patients make third-party claims, which is useful, but an invoice with codes is not a superbill. We produce a superbill PDF with NPI, EIN, CPT, ICD-10 and the balance. Neither of us files a US claim.
Why would anyone pay $407 instead of $145?
Only for what the extra buys, and only if you need it. The scribe for six providers is $120 of the difference, with no counter on it. The rest is the record: depth per specialty, memory fields, in-visit procedures billed on top, remote consents, inpatient and operating room modules, the patient portal, the CRM with surveys and event campaigns, and three languages with the portal and the reminders translated. If you are one massage therapist who wants a clean calendar and clean notes, none of that is worth $262 a month, and we would rather you knew now.
Where does the final score come from?
From the tables on this page and nothing else. Every scored row gives each product 1, 0.5 or 0 points, each block becomes a score out of 5, and the final number is the weighted average with the weights in the methodology. DrinCloud comes out at 3.6 and Cliniko at 3.3, with their 4.3 in pricing and their 4.0 in the block where we lose inside that average. Weight price at 50% and Cliniko wins this page outright.
Can I migrate from Cliniko to DrinCloud?
Yes, and the import is free because you run it yourself. Export your patient list from Cliniko, then upload the Excel or XML file with the importer built into DrinCloud. Notes exported as PDFs attach to each patient's file pool, so history stays one click away. If an import did not come out right you delete it whole and upload it again corrected, with no fee and nobody to wait for. Signup is online in about 3 minutes and one month is our smallest commitment.
Is this comparison impartial?
It is published by DrinCloud and we say so in the methodology. That is why the page opens by telling you our competitor is cheaper at every team size, why Cliniko takes the pricing block 4.3 to 2.5 and the seventh block 4.0 to 1.0, why every Cliniko cell points to its pricing page, a named feature page, its FAQ or its help center with a check date, and why features we could not find read 'Not documented' instead of 'No'. If you represent Cliniko and spot an outdated cell, write to info@dricloud.com and we will fix the data and the score.

See it yourself: online signup in about 3 minutes

No sales call and no setup fee. You pick a plan, pay for it and the account is live, and the software's built-in AI assistant walks you through setup in your own language. One month is our smallest commitment, and if Cliniko's price is the right answer for your practice, buy Cliniko.