The best electronic medical records software of 2026

Practice Fusion is a cloud EHR for independent practices, now part of Veradigm. It publishes one price, which makes budgeting easy: $199 a provider a month on November 4, 2026, with a required yearly commitment and taxes extra.

Each provider license covers charting, e-prescribing of regular and controlled substances, MIPS reporting and claim submission. You also get three signing staff licenses, for nurses or other staff who sign chart notes, and as many non-signing staff accounts as you need for scheduling and document uploads. That staff allowance matters in a small office where the front desk, billing and clinical staff all need access.

Billing software, billing services, extra e-prescribing options and patient engagement tools are sold separately, and Practice Fusion does not publish their prices. Plan on a quote if you want billing handled inside the same system.

You can try it for two weeks with no card and no upfront cost. Choose Practice Fusion if you want a certified EHR at a price you can see before a sales call. Skip it if you want billing included in the base price, or if you need month-to-month terms.

eClinicalWorks publishes its prices, which saves you a sales call just to find out what it costs. On November 4, 2026 it listed two plans per provider per month, both with no start-up costs:

• EHR only, $499: the medical record, mobile app, patient portal, secure messaging, document and referral management, registry reporting, e-prescribing with formulary checks, 24/7 support and cloud hosting.
• EHR with practice management, $599: everything above plus practice management and billing setup.

If you'd rather hand billing off, eClinicalWorks also runs revenue cycle management as a service for 2.9% of collections. Scanning, faxing, ICD-10 and CPT codes, an E&M coder and clinical templates are included at no extra charge, and the company says it will migrate data from your current EHR for free.

Read the small print before you sign. Training is included for practices with one to nine providers; larger practices pay extra implementation fees, and airfare for trainers is billed separately. eClinicalWorks also charges per patient statement and per eClinicalMessenger transaction without listing the amounts. The pricing page says nothing about contract length.

The product line is broad: an AI scribe called Sunoh.ai, healow tools for patient self-scheduling, check-in and telehealth, and specialty versions for dental, vision, behavioral health and urgent care. Choose it if you run a primary care or multi-specialty practice and want EHR and billing from one vendor at a known monthly rate. Skip it if you are a solo therapist or a very small practice, where SimplePractice or Practice Fusion costs far less.

Amazing Charts sells an EHR to independent practices and is the only commercial vendor in this guide that still offers a locally installed version alongside its hosted one. Its pricing page on November 4, 2026 listed three options:

• Hosted EHR, $229 a month: available around the clock with automatic updates, e-prescribing, templates and US-based support.
• Locally installed EHR, $249 a month: the same charting, e-prescribing and templates, running on your own computers.
• EHR with practice management, $499 a month: adds an integrated clearinghouse, claims manager, payment posting and reporting.

The page does not say whether those prices are per provider, so ask before you compare them with per-provider rates elsewhere. Revenue cycle management, patient engagement, population health and lab and radiology interfaces are extra and quoted on request.

Choose Amazing Charts if you want a simple EHR at a published monthly price, or if your practice prefers to keep the software on its own machines. Skip it if you want patient marketing built in, such as review management and a practice website; Tebra covers that side.

AdvancedMD prices by specialty rather than by plan, and it publishes the ranges. On November 4, 2026 its pricing page listed, per provider per month:

• Medical specialties: $429 to $1,070
• Mental health: $130 to $399
• Physical medicine and addiction medicine: $399
• MedSpa: $278

Low-volume practices can pay per claim instead, from $0.87 to $1.74 for practice management alone or $1.08 to $2.17 with the EHR. Small mental health practices can start on AdvancedMD Now, a self-service edition with instant access and a free 30-day trial.

Budget for setup. AdvancedMD lists setup fees from nothing to $1,000 for smaller practices and up to $6,000 for complex ones, data migration from $800 for demographics to $1,200 with appointment history, and its AI tools at $100 a provider a month or $0.99 an encounter. Controlled-substance e-prescribing is typically $35 a month.

Choose AdvancedMD if you run a specialty practice and want the EHR, scheduling, billing and patient tools from one company, with a price range you can check first. Skip it if you are a solo general practice on a tight budget; Practice Fusion's $199 is lower than AdvancedMD's medical range.

SimplePractice is built for therapists, speech-language pathologists, occupational therapists and psychiatrists. It covers notes and treatment plans, scheduling, a client portal, telehealth, billing and insurance tools in one account, so a solo clinician can run the whole practice from it.

Prices for one clinician on November 4, 2026, billed monthly:

• Starter: $49 a month
• Essential: $79 a month
• Plus: $99 a month, with group appointments, group telehealth, advanced analytics and a premium support line. Each extra practitioner costs $74 a month.

New accounts that start paying within seven days of signing up get 50% off for the first three months. If you need longer to decide, the free trial runs up to 30 days, after which you pay the standard price. Groups of six or more clinicians can ask for custom pricing.

Add-ons push the bill up: ePrescribe is $49 a month plus an $89 setup fee, the AI Note Taker is $35 a month, the fuller Care Aide AI bundle is $59, and Insurance Navigator charges $1.79 for each claim after 30 days free.

Choose SimplePractice if you run a private therapy or psychiatry practice and want everything in one place at a clear monthly price. Skip it if you run a medical practice with labs, imaging and a large billing team; it isn't built for that.

Healthie is an EHR and practice tool for nutrition, health coaching, behavioral health and other wellness providers, and for digital health startups that want to build their own patient app on top of it. Food and lifestyle journaling, goals and metrics, care plans and online programs come built in, which sets it apart from a general medical EHR.

Yearly-billed prices per month on November 4, 2026:

• Core, $18: up to 10 active clients, scheduling, payments, charting, telehealth, client portal and mobile app.
• Essentials, $45: up to 250 active clients, outbound fax, custom forms and CMS 1500 claim forms.
• Plus, $115: unlimited clients, group telehealth, online programs and a dedicated fax line.
• Group, from $135: shared calendar, roles and permissions, team chat, and $50 a month for each added clinician.

Monthly billing costs more. Card payments run through Stripe at 2.9% plus $0.30, and e-prescribing through DoseSpot is $40 a clinician a month. Larger companies can use Healthie+, which adds an API and SDKs for building custom patient and provider experiences.

You can try Plus free for 14 days with no card. Choose Healthie if your practice runs on programs, journaling and virtual visits. Skip it if you are a primary care or specialty medical practice; the medical EHRs above handle labs, orders and claims more fully.

Tebra is the company formed from Kareo and PatientPop, and its pitch is that an independent practice can run the clinical, billing and marketing sides from one account. The EHR side includes AI note drafting, e-prescribing, telehealth, electronic labs and scheduling. The billing side handles eligibility checks, claims and patient payments. The marketing side, inherited from PatientPop, adds a practice website, listings on Google and other sites, review management with AI-drafted replies, online booking and reminders.

Tebra does not publish prices. Its pricing page lists bundles instead: Practice Automation, which includes everything; EHR+, which pairs the EHR with practice management, billing and telehealth; and smaller EHR Starter, Billing Starter and Patient Experience + Marketing packages. Price depends on your provider count, features and setup needs. The FAQ lists a one-time controlled-substance e-prescribing setup of about $75 a provider and a prescription monitoring integration of $500 a facility plus about $50 a user each year.

Choose Tebra if you want new patients finding and booking you online, and you'd rather manage reviews and your website in the same place as your charts and claims. Skip it if you only need charting, or if you want a published price before a sales call; Practice Fusion and eClinicalWorks both show theirs.

DrChrono, now sold by EverHealth, leads with mobile charting and calls itself the first mobile EHR in Apple's Mobility Partner program. It is aimed at independent practices in primary care, behavioral health, physical therapy and podiatry. Its plans include speech-to-text, text-expanding macros, photo and drawing tools, specialty templates and integrated mobile apps, so a provider can chart in the exam room instead of at a desk afterward.

The plans are Foundation, Growth and Premium. Foundation brings together the EHR, patient portal and check-in, scheduling, reminders and billing. Growth adds medication management and automated revenue cycle workflows. Premium adds more AI features and add-ons. An AI scribe, EverHealth Scribe, is an add-on.

DrChrono does not publish plan prices on its pricing page, so you'll need a quote. Some items, such as insurance eligibility checks and claims, are charged per use.

Choose DrChrono if your providers want to chart on an iPad and you want billing in the same system. Skip it if you want a fixed published price, or if your staff work mainly at desktop computers, where the mobile focus matters less.

OpenEMR is free, open-source EHR and practice management software maintained by a volunteer community under the OpenEMR Foundation. It is ONC certified and covers scheduling with repeating appointments and reminders, e-prescribing to the patient's pharmacy, billing that supports the X12 5010 claim standard, and a patient portal. The current stable release, 8.5.0, came out on October 27, 2026.

Free software still costs money to run. You need a server or a cloud host such as AWS, someone to install, secure and update it, and a plan for backups and HIPAA safeguards. To keep the certification active you also have to upgrade, and the project notes additional costs for that. Support comes from community forums or paid vendors listed by the project.

Choose OpenEMR if your clinic has IT help, wants full control of its data, or works in a setting where a per-provider subscription doesn't fit, such as a free clinic or a practice outside the US. Skip it if nobody on your team can maintain a web application; a cloud EHR with vendor support will save you more time than it costs.