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What US practice management software actually costs, in one table
Sixteen US practice management and EHR platforms, with the price each one publishes on its own site, read on November 2, 2026. No review-site numbers, no estimates and no sales calls. Where a vendor does not publish a figure, the cell says so.
What each vendor publishes
Monthly prices in US dollars, on the billing term each vendor advertises. Read the small print under each figure: it is usually where the real cost lives.
| Vendor | Entry plan | Published plans | How the price scales | AI notes |
|---|---|---|---|---|
| DrinClouddrincloud.com/pricing/ | $49ESSENTIAL, billed annually; $59 month to month. One provider. | $49 · $107 · $119 · $287 · $574 | By practice size bandCLINIC covers 1 to 3 users for $119 and each user above three is $15; MEDICAL CENTER covers 4 to 30 for $287 and LARGE CLINICS 31 to 50 for $574 | $20per provider, no minute or appointment counter |
| SimplePracticesimplepractice.com/pricing | $49Starter, solo practice | $49 · $79 · $99 | Per clinician$74 a month for each additional clinician on a group plan | $35Note Taker, per clinician, after a 30-day trial |
| Jane Appjane.app/pricing | $54Balance: one practitioner, capped at 20 appointments a month | $54 · $79 · $99 | Per practitionerabout $35 a month per extra full-time practitioner on Practice, $40 on Thrive | $15unlimited AI Scribe per opted-in practitioner; 5 notes a month are free on every plan |
| TherapyNotestherapynotes.com | $69Solo | $69 · $79 + $50 per extra clinician | Per cliniciannon-clinical users are included at no charge | $40TherapyFuel, per clinician |
| Practice Betterpracticebetter.io/pricing | $0Sprout, free tier; Starter is $35 ($25 annual) | $0 · $35 · $69 · $99 · $155 | Per practitioner above twoTeam at $155 includes 2 practitioner licences; the third and beyond are $50 each, Team only | from $10by minute bundle, and only from the $69 Professional plan up |
| IntakeQ / PracticeQintakeq.com/pricing | $54.90Forms Only; Practice Management is $84.90 | $54.90 · $84.90 | Per practitioner$20 per practitioner on Forms Only, $30 on Practice Management | noneno AI scribe of any kind at the check date |
| Healthiegethealthie.com/pricing | $19Core; Essentials $49, Plus $129, Group from $149 | $19 · $49 · $129 · $149+ | Per provider$50 per additional provider | not publishedthe AI add-on appears only on Plus and Group, and the page says only that additional fees apply |
| TheraNest (Ensora Mental Health)ensorahealth.com/pricing/mental-health/ | $29Essentials, per therapist; telehealth is $12 extra on this plan | $29 · $59 · $89 | Per therapistunlimited admin users included; card processing is 2.99% + $0.30 | $35Ensai Session Assistant, per provider |
| Carepatroncarepatron.com/pricing | $0Free tier includes the AI scribe; Plus is $31 per user | $0 · $31 · $39 | Per user | includedAI scribe and note taker are in the free plan |
| Noterronoterro.com/pricing | $33Core, one practitioner included | $33 · $55 · $77 | Per extra practitioner$13.20 on Core, $22 on Plus, $27.50 on Max | by credit300 credits a month are included, which is 18 minutes of recording; after that $0.01 a credit |
| TheraPlatformtheraplatform.com/pricing | $39Basic, which cannot add providers | $39 · $69 · $79 | Per provider$39 per extra provider on Pro, $49 on Pro Plus | $30AI Notes, per provider; the page does not mark which plans include it |
| Sessions Healthsessionshealth.com/pricing | $0Freemium up to 3 clients; Professional is $39 | $0 · $39 | Per practitioner$29 per additional practitioner; telehealth is $10 extra per practitioner | $35AI Assist, per practitioner |
| Clinikocliniko.com/pricing | $45one practitioner | $45 · $95 · $145 · $195 · $295 · $395 | By practitioner band2 to 5 practitioners is $95, 6 to 8 is $145, and every feature is in every subscription | noneno AI notes, scribe or dictation of its own at the check date |
| Zanda (formerly Power Diary)zandahealth.com/pricing | $29Starter: 1 practitioner, 1,000 appointments. List price; the site shows 50% off for six months | $29 · $49 | Per practitioner$29 per extra practitioner on Growth; Zanda adds a 50 cent Stripe Connect fee to every card payment | $19AI Pro for unlimited scribe; without it, 4 appointments per practitioner a month |
| Tebratebra.com/pricing | not publishedthe pricing page asks for a quote or a demo | not published | not publishedthe only figures published are EPCS setup at about $75 a provider and PDMP at $500 plus about $50 a user a year | $99AI Note Assist, per provider, for 400 notes, then $0.25 a note |
| CounSol.comcounsol.com | not publishedits pricing page did not load on the check date | not published | not published | not published |
Source for every row is linked in the first column and was read on November 2, 2026. Two of the sixteen publish no subscription price at all.
The same practice, priced by every vendor
The published subscription at one, two, three, five, thirty and fifty providers, with that vendor's own AI note feature switched on for every provider. Card processing, SMS, claim fees and anything billed per transaction are excluded, because they depend on volume.
| Vendor | 1 provider | 2 providers | 3 providers | 5 providers | 30 providers | 50 providers |
|---|---|---|---|---|---|---|
| DrinCloud | $69 | $159 | $179 | $249 | $887 | $1,574 |
| SimplePractice | $84 | $243 | $352 | $570 | $3,295 | $5,475 |
| Jane App | $69 | $144 | $194 | $294 | $1,544 | $2,544 |
| TherapyNotes | $109 | $209 | $299 | $479 | $2,729 | $4,529 |
| Practice Better | $79 | $175 | $235 | $355 | $1,855 | $3,055 |
| IntakeQ / PracticeQ | $84.90 | $114.90 | $144.90 | $204.90 | $954.90 | $1,554.90 |
| Healthie | $129 | $199+ | not published | not published | not published | not published |
| TheraNest (Ensora Mental Health) | $94 | $188 | $282 | $470 | $2,820 | $4,700 |
| Carepatron | $31 | $62 | $93 | $155 | $930 | $1,550 |
| Noterro | $55 | $77 | $99 | $143 | $693 | $1,133 |
| TheraPlatform | $99 | $168 | $237 | $375 | $2,100 | $3,480 |
| Sessions Health | $74 | $138 | $202 | $330 | $1,930 | $3,210 |
| Cliniko | $45 | $95 | $95 | $95 | $395 | $395 |
| Zanda (formerly Power Diary) | $68 | $116 | $164 | $260 | $1,460 | $2,420 |
| Tebra | not published | not published | not published | not published | not published | not published |
| CounSol.com | not published | not published | not published | not published | not published | not published |
Read this honestly: Cliniko and Noterro come out below DrinCloud at every size on this table, Carepatron up to thirty providers, and Zanda up to five. DrinCloud comes out below SimplePractice, TherapyNotes, Jane App, Healthie, Practice Better, TheraNest, TheraPlatform and Sessions Health from two providers up, because our price moves in practice size bands instead of per seat, and the gap grows with headcount. The comparison pages go through what each of those platforms does for the money.
About the thirty and fifty provider columns: only DrinCloud and Cliniko publish a band that reaches that far. For every other vendor the figure is their own published per-seat rate multiplied out, which is what their pricing page says it costs. Several of them would quote a volume discount at that size, and none of them publishes what it is, so treat those two columns as the published price rather than the price a large group would end up paying.
Take the table with you
The same sixteen vendors on three pages, with the sources, the check date and the method, ready to drop into a board pack or a shortlist. We will email you the next edition when the prices are re-checked, and nothing else.
- Every figure linked to the vendor's own page
- The monthly bill at 1, 2, 3 and 6 providers
- Updated every quarter, next in February 2027
Questions about this index
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Priced in bands, not per seat
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