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EHRs for independent practices: price, AI and certification

Checked Oct 24, 2026As of October 2026, 5 of the 12 EHRs we track publish a price: SimplePractice ($49 a month for a solo clinician), TherapyNotes ($69 a month for a solo clinician), Practice Fusion ($199 a month per provider), CharmHealth EHR ($200 a month per provider), eClinicalWorks ($499 a month per provider). The other 7 are quote-only. 11 document AI features, usually an ambient scribe, and several charge extra for it.

Published prices

Base plan (per provider or solo clinician / month)
  1. SimplePractice logoSimplePractice$49 Starter, solo clinician
  2. TherapyNotes logoTherapyNotes$69 Solo
  3. Practice Fusion logoPractice Fusion$199 Practice Fusion EHR
  4. CharmHealth EHR logoCharmHealth EHR$200 Provider Plan
  5. eClinicalWorks logoeClinicalWorks$499 EHR Only
  6. AdvancedMD logoAdvancedMDQuote only
  7. athenaOneQuote only
  8. DrChrono (by EverHealth) logoDrChronoQuote only
  9. Elation Health logoElation HealthQuote only
  10. ModMed (Modernizing Medicine) EMA logoModMed EMAQuote only
  11. NextGen Office / NextGen Enterprise logoNextGen OfficeQuote only
  12. Tebra (formerly Kareo + PatientPop) logoTebraQuote only
EHRBase planPer monthWho it's for
SimplePractice logoSimplePracticeStarter, solo clinician$491Solo and group practices of therapists, behavioral health and wellness clinicians; 6+ practitioner groups work with sales.
TherapyNotes logoTherapyNotesSolo$692Behavioral health: solo, group and enterprise (20+ users) practices. TherapyNotes says thousands of providers use it.
Practice Fusion logoPractice FusionPractice Fusion EHR$1993Independent and small medical practices, including those new to EHR or switching.
CharmHealth EHR logoCharmHealth EHRProvider Plan$2004All sizes; family practice, urgent care, pediatrics, psychiatry and more. CharmHealth Enterprise for large groups.
eClinicalWorks logoeClinicalWorksEHR Only$4995Ambulatory practices of every size, urgent care, health centers and hospitals, across 50+ specialties.

Quote-only (no public price): AdvancedMD, athenaOne, DrChrono, Elation Health, ModMed EMA, NextGen Office, Tebra.

AI features, scribe support and certification

EHRIts own AI featuresAI scribes that list itONC certification
AdvancedMD logoAdvancedMDAI Clinical Assistant: ambient transcription, pre-visit summary, action items, plus AI insurance card capture.Commure Scribe, FreedAdvancedMD version 25, CHPL ID 15.04.04.2666.Adva.25.07.1.251215, certified 2025-12-15.6
athenaOneathenaAmbient scribe, Sage chart copilot, pre-visit patient summaries, and clinical inferences for documentation and care gaps.Ambience, Commure Scribe, Dragon Copilot, Freed, Heidi, Nabla, Suki, Sunoh.aiathenaClinicals v26, CHPL ID 15.04.04.2880.Athe.AM.13.1.260409, certified 2026-04-09.7
CharmHealth EHR logoCharmHealth EHRCharmCopilot Free and Professional ($75), Charm AI Scribe add-on, Smart Navigation ($10), Appointment Bot ($10).None foundCharmHealth EHR version 1.2, CHPL ID 15.04.04.1948.ChAR.12.00.1.181115, certified 2018-11-15.8
DrChrono (by EverHealth) logoDrChronoEverHealth Scribe, AI Billing Assist (CPT and ICD code suggestions) and No Show Predictor.None founddrchrono EHR version 11.0, certified 2022-05-31, CHPL ID 15.99.04.2897.DRCH.11.03.1.220531.9
eClinicalWorks logoeClinicalWorksSunoh.ai ambient scribe, AI Assistant, Image AI, healowIQ, healow Genie and healow No-Show AI Prediction Model.Commure Scribe, Freed, Heidi, Sunoh.aieClinicalWorks EHR Version 12.0.3, certified 2024-03-22 (CHPL ID 15.04.04.2883.eCli.12.08.1.240322).10
Elation Health logoElation HealthNote Assist AI scribe with Actions, AI-drafted letters and referrals, AI form and scan data extraction, AI Billing claim review.Commure Scribe, FreedElation EMR Version 3, CHPL ID 15.04.04.2717.Elat.03.00.1.181231, certified 2018-12-31.11
ModMed (Modernizing Medicine) EMA logoModMed EMAModMed Scribe, ModMed RCM AI Platform, and AI-powered patient engagement with smart message routing.Freed, Sunoh.aiEMA version 7, CHPL ID 15.04.04.2002.EMA6.70.18.1.221129, certified November 29, 2022.12
NextGen Office / NextGen Enterprise logoNextGen OfficeAmbient SOAP notes, ICD-10, medication and order suggestions, AI patient summaries, and an AI Rules Engine for claims.FreedEnterprise 8 certified June 2, 2025; NextGen Office v5.0 certified February 20, 2018.13
Practice Fusion logoPractice FusionNone foundCommure Scribe, Freed, Sunoh.aiVersion 3.7, certified 2024-08-26 (CHPL 15.04.04.2924.Prac.37.01.1.240826); needs Updox, Veradigm FollowMyHealth, MedAllies.14
SimplePractice logoSimplePracticeCare Aide add-on suite includes Note Taker, Session Sidekick, Treatment Planner (Beta) and Client Summaries.Commure Scribe, Freed, MentalycNo active listing found in the CHPL search on 2026-10-24.15
Tebra (formerly Kareo + PatientPop) logoTebraAI Note Assist scribe, Billing Assistant, Voice Assistant and review tools, under Tebra AI Smart Staff.Commure Scribe, Freed, Sunoh.aiTebra EHR 5.1, certified Dec 19, 2024 (CHPL ID 15.04.04.2777.Tebr.05.03.1.241219).16
TherapyNotes logoTherapyNotesTherapyFuel drafts progress notes and treatment plans, and summarizes client history. +$40/month per clinician.MentalycNo active listing found in a CHPL search on 2026-10-24.17

Does an EHR need ONC certification?

Only if you take part in programs that require certified technology, such as the Promoting Interoperability part of Medicare's MIPS program. Many therapy practices don't, which is why some popular therapy EHRs have no active listing. Each EHR's certification row above links to its listing on the ONC's public Certified Health IT Product List, or notes that we found none.

Ranked picks: the best EHRs for small practices.

Last checked Oct 24, 2026. Every figure links to the page it came from (see Sources). Found something out of date? Tell us. How we pick and rank: methodology.

Sources 17 sources from 9 sites, including simplepractice.com, therapynotes.com, practicefusion.comShow

Every fact on this page comes from one of these.

  1. Starter 50% off for 3 months $49simplepractice.com/pricing
  2. Solo $69 /month for one usertherapynotes.com/pricing
  3. An EHR that's right for you, starting at just $199/month per provider with a required annual commitment.practicefusion.com/pricing
  4. $ 200 per provider per monthcharmhealth.com/ehr/ehr-pricing.html
  5. EHR Only $499/mo per providereclinicalworks.com/products-services/pricing
  6. 15.04.04.2666.Adva.25.07.1.251215advancedmd.com/emr-ehr-software/certification
  7. 15.04.04.2880.Athe.AM.13.1.260409help.athenahealth.com/Ohelp/Content/athenaNet_Version_PH.htm
  8. Product: CharmHealth EHR Version: 1.2 CHPL ID: 15.04.04.1948.ChAR.12.00.1.181115chpl.healthit.gov
  9. Product: drchrono EHR Version: 11.0 CHPL ID: 15.99.04.2897.DRCH.11.03.1.220531chpl.healthit.gov
  10. Version 12.0.3eclinicalworks.com/wp-content/uploads/2026/02/ecw-onc-health-it-certification-details-an
  11. Product: Elation EMR Version: Version 3 CHPL ID: 15.04.04.2717.Elat.03.00.1.181231chpl.healthit.gov
  12. Product: EMA Version: 7 CHPL ID: 15.04.04.2002.EMA6.70.18.1.221129 Certification Date: Nov 29, 2022chpl.healthit.gov
  13. Holds Certificate No: 15.04.04.2054.Next.80.12.1.250602, Certification Date: June 2, 2025nextgen.com/certifications-and-cost-disclosures
  14. 15.04.04.2924.Prac.37.01.1.240826practicefusion.com/onc-certified-ehr
  15. No results foundchpl.healthit.gov
  16. Product: Tebra EHR Version: 5.1 CHPL ID: 15.04.04.2777.Tebr.05.03.1.241219 Certification Date: Dec 19, 2024chpl.healthit.gov
  17. No results foundchpl.healthit.gov