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EHR software · 12 alternatives

eClinicalWorks alternatives: 12 compared

Sebastiaan Smits Editor Sebastiaan Smits · Published November 12, 2026 · Updated November 12, 2026

Practices look past eClinicalWorks when the per-provider fee plus separate transaction charges, or the 2.9% revenue cycle option, stops matching what they use. Most start with Practice Fusion, RXNT or CharmHealth, which publish rates or a free entry point, and move to open source or quote-only systems only for specific needs.

Short answer: The closest replacements for eClinicalWorks in our EHR software ranking are Practice Fusion, RXNT and CharmHealth. Choose Practice Fusion if you want a published monthly rate and a small ambulatory practice. All 12 alternatives below are ranked products from Best EHR Software in 2026, and each says where it differs from eClinicalWorks and when eClinicalWorks is still the better choice.

Vendors can pay for more visibility on this website, for example a higher place in a ranking or more room on a page. Commercial relationships can also affect which products we feature and how prominently. Every vendor link is marked the same, whatever the arrangement behind it. The first three alternatives go to challengers, vendors outside the best-known brands in a category, wherever the category has them; the established names follow in their ranked order. How it works: placement disclosure · editorial process.

eClinicalWorks at a glance

  • Headquarters: United States
  • Pricing model: Per provider / month
  • Pricing: EHR Only is $499 per month per provider and EHR with Practice Management is $599 per month per provider, both with no start-up costs; RCM as a Service is 2.9% of practice collections.
  • Free option: None
  • Built for: Multi-provider practices wanting an incumbent
  • Wrong for: A solo clinician or a part-time practice, for whom $499 a month buys breadth that will sit unused. CharmHealth, Practice Fusion and RXNT all start far lower.
  • Place in our ranking: #6 of 14
  • Website: eclinicalworks.com

Facts from our EHR software ranking, last checked November 12, 2026.

Why buyers look past eClinicalWorks

  1. The headline price is not the whole bill

    The pricing page lists $499 or $599 per provider per month with no start-up costs. It also lists implementation fees above nine providers, fees per patient statement and per eClinicalMessenger transaction, and airfare billed separately. None of these extras carries an amount on the page.

  2. Revenue cycle cost follows collections

    The revenue cycle option is priced at 2.9% of practice collections, not per head. We infer, and the vendor does not say, that the fee rises as the practice collects more. Buyers who have grown without adding providers can find this unit hard to budget.

  3. Exit terms are thin on the public pages

    The pages we opened do not state contract length, notice period or export file formats. EHI Export is described as a request by a defined set of users, for one patient or a whole population. Buyers should get the terms in writing before signing.

12 alternatives at a glance

Closest replacement first. The last column is our place in the full 14-product ranking.

#AlternativeHeadquartersPricingKey differenceSwitch ifOur rank
1Practice FusionUnited StatesPer provider / month; free trialSingle-price cloud EHR for independent practicesyou want a published monthly rate and a small ambulatory practice#2
2RXNTUnited StatesPer provider / month; noneModular EHR, billing and e-prescribingyou want to buy modules separately instead of one bundled plan#3
3CharmHealthUnited StatesFree + paid tiers; free planCloud EHR priced per encounter or per provideryou want to start on a free tier and add paid features later#1
4TebraUnited StatesQuote only; noneEHR, billing and practice marketing in one suiteyour front-desk headcount is large and clinical headcount is small#5
5Elation HealthUnited StatesQuote only; nonePrimary care EHR with integrated billingyou accept a sales conversation and want pricing tailored to your practice#4
6AdvancedMDUnited StatesPer provider / month; noneCloud EHR and billing priced by specialtyyou want billing staff supplied with the software, not a collections percentage#7
7DrChronoUnited StatesQuote only; noneMobile-first EHR with revenue cycle servicesyou want a tier ladder to grow through and will accept a quote#11
8HealthieUnited StatesTiered monthly; free trialClient-count-priced EHR for virtual careyour cost should follow active client count, not provider count#10
9SimplePracticeUnited StatesPer practitioner / month; free trialPractice management and records for therapistsyou are a solo clinician or a small group and want a fixed per-practitioner tier#8
10CarepatronUnited StatesFree + paid tiers; free planLow-cost practice management with a free planyou want no contract and a free plan for a small caseload#9
11OpenMRSUnited StatesOpen source; open sourceOpen source medical record platformyou want to own the software and can supply hosting and technical staff#12
12NextGen OfficeUnited StatesQuote only; noneSmall-practice EHR from an incumbentyou want another established vendor with separate small and large practice products#13

What each alternative does differently

1. Practice Fusion

Single-price cloud EHR for independent practices · United States

Publishes one rate and a short list of what it covers: three signing staff seats and unlimited non-signing staff. It requires an annual commitment and is owned by Veradigm. Expect a narrower product than the eClinicalWorks range, with no inpatient, pharmacy or value-based modules named.

Switch from eClinicalWorks if you want a published monthly rate and a small ambulatory practice.

Pricing: $199 per month per provider with a required annual commitment, billed monthly; includes 3 signing staff licenses and unlimited non-signing staff licenses. A complimentary 2-week trial is offered. (free trial)

Full review: #2 of 14 in our ranking · Visit Practice Fusion →

2. RXNT

Modular EHR, billing and e-prescribing · United States

Sells modules a la carte, so a practice pays for what it switches on. Bundles beyond the headline price are not priced publicly, and data imports and historic database extensions are quote-only. A 10% discount applies for annual billing.

Switch from eClinicalWorks if you want to buy modules separately instead of one bundled plan.

Pricing: A-la-carte plans billed monthly or annually per provider; the pricing page advertises plans starting at $118 per month and the EHR page quotes $126 per month, with a 10% discount for annual payment. (none)

Full review: #3 of 14 in our ranking · Visit RXNT →

3. CharmHealth

Cloud EHR priced per encounter or per provider · United States

The homepage invites a practice to start for free and pay only for what it needs. We could not open a pricing page, so any plan limits or per-encounter charges must be confirmed with the vendor before you rely on them.

Switch from eClinicalWorks if you want to start on a free tier and add paid features later.

Pricing: Free plan limited to 50 encounters per month, 1 provider, 5 users and 1,000 patients; the Encounter plan is $0.50 per encounter per month with a $25 monthly minimum; the Provider plan is $200 per provider per month. (free plan)

Full review: #1 of 14 in our ranking · Visit CharmHealth →

4. Tebra

EHR, billing and practice marketing in one suite · United States

Base prices come only from a quote, but some fees are published: EPCS setup of about $75 per provider, once, and PDMP integration at $500 per facility plus about $50 per user per year. Non-clinical staff are unlimited at no extra cost.

Switch from eClinicalWorks if your front-desk headcount is large and clinical headcount is small.

Pricing: Quote only; Tebra says pricing varies with provider count, features and implementation, and is charged per clinical provider with unlimited non-clinical staff access at no extra cost. (none)

Full review: #5 of 14 in our ranking · Visit Tebra →

5. Elation Health

Primary care EHR with integrated billing · United States

Quote-only, with no price on the page. A Practice Specialist prepares tailored pricing after a conversation. That removes the guesswork of a feature-matrix plan but also the ability to compare costs before you talk to sales.

Switch from eClinicalWorks if you accept a sales conversation and want pricing tailored to your practice.

Pricing: Elation does not publish prices; a practice submits its specialty, payment model and clinician count through a form and receives a tailored quote. (none)

Full review: #4 of 14 in our ranking · Visit Elation Health →

6. AdvancedMD

Cloud EHR and billing priced by specialty · United States

The homepage describes an in-house revenue cycle team included at no charge, and a 2% card fee in Oklahoma. We found no price page, so budget figures must come from a quote. The pitch bundles billing staff with software.

Switch from eClinicalWorks if you want billing staff supplied with the software, not a collections percentage.

Pricing: Published ranges per provider per month: medical specialties $429-$1,070, mental health $130-$399, physical medicine $399; an encounter-based option bundled with EHR runs $1.08 to $2.17 per claim. (none)

Full review: #7 of 14 in our ranking · Visit AdvancedMD →

7. DrChrono

Mobile-first EHR with revenue cycle services · United States

Prices are not published; buyers request a quote across Foundation, Growth and Premium tiers. The footer names EverHealth Solutions Inc. as the operating company. The tier structure is clear, but the cost of each tier is not.

Switch from eClinicalWorks if you want a tier ladder to grow through and will accept a quote.

Pricing: Three tiers, Foundation, Growth and Premium, with no published prices; buyers request a quote, and overage fees apply at $0.05 per text, $0.07 per fax page and $0.10 per call. (none)

Full review: #11 of 14 in our ranking · Visit DrChrono →

8. Healthie

Client-count-priced EHR for virtual care · United States

Flat monthly tiers cap active clients: Essentials covers 250, while Plus and Group have none. API access is listed as an add-on, not part of the base plan. The model suits a practice that counts clients more easily than providers.

Switch from eClinicalWorks if your cost should follow active client count, not provider count.

Pricing: Billed monthly: Core $19 for 10 active clients, Essentials $49 for 250, Plus $129 for unlimited clients, Group from $149 plus $50 per month per clinician; annual billing is slightly lower. (free trial)

Full review: #10 of 14 in our ranking · Visit Healthie →

9. SimplePractice

Practice management and records for therapists · United States

Priced per practitioner in three solo tiers, with a 30-day trial. Care Aide and ePrescribe are priced add-ons, not part of the base tiers. The structure is built around individual clinicians, not provider groups of the size eClinicalWorks quotes.

Switch from eClinicalWorks if you are a solo clinician or a small group and want a fixed per-practitioner tier.

Pricing: Solo plans are Starter at $49 per month, Essential at $79 and Plus at $99; group Plus is $99 per month for the first practitioner and $74 for each additional one, with custom pricing from six practitioners. (free trial)

Full review: #8 of 14 in our ranking · Visit SimplePractice →

10. Carepatron

Low-cost practice management with a free plan · United States

Has a $0 plan with unlimited clients, no minimum contract and cancellation at any time. The paid tiers are small monthly fees. It is an entry-level choice, and the pages we read do not describe inpatient or pharmacy functions.

Switch from eClinicalWorks if you want no contract and a free plan for a small caseload.

Pricing: Free plan at $0 per month with unlimited clients and 1GB of storage; Plus is listed at $31 per month and Advanced at $39 per month, with a 20% discount for annual billing. (free plan)

Full review: #9 of 14 in our ranking · Visit Carepatron →

11. OpenMRS

Open source medical record platform · United States

Open source with no license fees or vendor lock-in, run by a community with a Board of Directors. It offers REST and FHIR APIs. The homepage states no hosting option, so a practice must find its own host and support partner.

Switch from eClinicalWorks if you want to own the software and can supply hosting and technical staff.

Pricing: Free and open source with no license fees; the implementer pays for its own hosting, configuration and support. (open source)

Full review: #12 of 14 in our ranking · Visit OpenMRS →

12. NextGen Office

Small-practice EHR from an incumbent · United States

Aimed at practices under 10 providers, with NextGen Enterprise for 10 or more. No price is shown for either, and purchase runs through a demo. It is a move between established vendors, not toward lower cost.

Switch from eClinicalWorks if you want another established vendor with separate small and large practice products.

Pricing: No prices appear on the NextGen pages we read; buyers are routed to a demo request or a sales meeting. (none)

Full review: #13 of 14 in our ranking · Visit NextGen Office →

When eClinicalWorks is still the right choice

Stay with eClinicalWorks if you need one vendor across outpatient, inpatient, pharmacy, value-based care and revenue cycle, which its product range covers and most alternatives here do not. A practice with a settled workflow and under nine providers also avoids the extra implementation fees. Switching costs are real, and a lower sticker price does not offset them on its own.

What to expect when you switch from eClinicalWorks

  1. Ask for the export before you sign anything

    The only export route we found is EHI Export, requested by a defined set of users. Ask which file formats it produces, how long a full population export takes and what it costs. The pages we opened answer none of these.

  2. Plan for interfaces and the billing split

    eClinicalWorks documents FHIR access for third-party developers and for patient-facing apps. Check that your new vendor can read what you export and connect to your clearinghouse. If you used the revenue cycle service, decide who bills during the overlap.

Questions and answers

Can I export my data from eClinicalWorks?

Yes, through EHI Export, which lets a defined set of users at a practice export one patient's records or request all patient data. The pages we opened do not name file formats, so ask the vendor before you commit.

Does eClinicalWorks publish its prices?

Yes for two plans: $499 per provider per month for EHR Only and $599 for EHR with Practice Management. Revenue cycle is 2.9% of practice collections. Add-on prices and implementation amounts are not published.

How long is the contract and what is the notice period?

The pricing page does not state either. Request the contract text and check minimums, renewal terms and notice before you plan a switch date.

Is eClinicalWorks cloud or self-hosted?

The vendor describes cloud-based solutions and names a Cloud EHR System. The pages we opened mention no self-hosted or on-premises option, so a practice wanting its own servers should look at open source such as OpenMRS.

Is there an API for connecting other software?

Yes. Third-party developers can integrate using FHIR through the eClinicalWorks Platform for Open Development, and a separate healow FHIR portal serves patient-facing apps. API pricing and sandbox details are not on the pages we opened.

Which alternatives list a price I can check today?

Practice Fusion, RXNT, SimplePractice, Carepatron and Healthie show prices on their pages. Elation, Tebra, DrChrono and NextGen Office route you to a quote, and AdvancedMD showed none on the pages we reached.

Sources

Prices, plan limits and product facts about eClinicalWorks on this page were checked against the vendors' own pages on November 12, 2026. Vendors change both without notice, so treat the figures as of that date.

Who wrote this

Sebastiaan Smits Sebastiaan Smits, Founder, wrote, edited and fact-checked this page. Founder of The Interregnum and of 2 Steps Ahead, an AI search visibility agency. Editorially responsible for every page here; research and drafting are AI-assisted. Last reviewed November 12, 2026. How we review.