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Healthcare · head to head

Athenahealth vs Hippo Manager

Athenahealth logo

Athenahealth

Healthcare

Cloud-based medical practice management

From
$140/month
Rated
-
Full reviewWebsite
Hippo Manager logo

Hippo Manager

Veterinary

Cloud veterinary practice management software with flat per-user pricing

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Athenahealth high implementation costs ranging up to $50,000+ for enterprise deployments; Hippo Manager pricing is per user, so a practice with a rota of part-time technicians and relief veterinarians pays full seats for people who log in a few times a month.
  • They diverge on capability: Athenahealth covers Electronic Health Records, Hippo Manager covers Cloud patient records.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which Athenahealth and Hippo Manager actually diverge.

Attributes where Athenahealth and Hippo Manager differ
AttributeAthenahealthHippo Manager
Starting price$140/monthOn request
Pricing modelUnknownquote
CategoryHealthcareVeterinary
Founded1997Unknown

Identical on both: free tier (No), platforms (Web, iOS, Android), user rating (Not yet rated).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in Athenahealth

  • Electronic Health Records
  • Medical Billing
  • Patient Engagement
  • Telehealth
  • Analytics
  • Labs
  • Pharmacies
  • Clearinghouses

Only in Hippo Manager

  • Cloud patient records
  • Scheduling
  • Invoicing and payments
  • Inventory
  • Laboratory results
  • Reporting

What people use each for

The jobs each tool is most often brought in to do.

Athenahealth

  • Patient Carenot Hippo Manager
  • Medical Recordsnot Hippo Manager
  • Practice Managementnot Hippo Manager
  • Telehealthnot Hippo Manager

Hippo Manager

  • A new clinic opening with no server, no IT provider and a need to be running within weeksnot Athenahealth
  • A mobile or house call veterinarian working from a tablet between appointmentsnot Athenahealth
  • A two doctor practice replacing a legacy on-premise system and wanting predictable monthly costnot Athenahealth
  • A veterinary teaching programme needing many inexpensive logins on shared recordsnot Athenahealth

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

Athenahealth

  • High implementation costs ranging up to $50,000+ for enterprise deployments
  • Pricing tiers not transparently listed, requiring custom quotes

Hippo Manager

  • Pricing is per user, so a practice with a rota of part-time technicians and relief veterinarians pays full seats for people who log in a few times a month.
  • Inpatient and treatment sheet workflows are lighter than in systems built for referral and emergency hospitals, which pushes overnight care onto paper.
  • The integration catalogue is short relative to the larger cloud platforms, so a practice with an existing imaging, communications or payment preference may find no connector.
  • Multi-location reporting is basic, which limits its usefulness to a group beyond a handful of sites that wants consolidated production figures.
  • As a browser only system it stops when the internet does, and a practice without a backup connection loses records, scheduling and invoicing at the same time.

Pricing, plan by plan

Athenahealth

$140/month

No published plan breakdown. See the Athenahealth review.

Hippo Manager

On request
  • Hippo Manager$undefined/month
    • Flat monthly subscription charged per user
    • Core clinical, billing and inventory functionality included
    • Data conversion and onboarding quoted separately

Which should you pick?

Choose Athenahealth if

  • You need electronic health records.
  • You work on Web, iOS, Android.
  • You also want medical billing.
Athenahealth review

Choose Hippo Manager if

  • You need cloud patient records.
  • You work on Web, iOS, Android.
  • You also want scheduling.
Hippo Manager review

Questions people ask

Is Athenahealth or Hippo Manager better?
Neither clearly leads. Athenahealth starts at $140/month and Hippo Manager at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Athenahealth or Hippo Manager?
Athenahealth starts at $140/month and Hippo Manager at On request.
Does Athenahealth or Hippo Manager run on more platforms?
Both run on Web, iOS, Android, so platform support will not decide this one for you.
What is Athenahealth best used for?
Athenahealth is most often used for patient care, medical records, practice management, telehealth. Of those, patient care and medical records are not what Hippo Manager is typically brought in for.
What can Athenahealth do that Hippo Manager cannot?
Athenahealth covers Electronic Health Records, Medical Billing, Patient Engagement, Telehealth. Hippo Manager covers Cloud patient records, Scheduling, Invoicing and payments, Inventory.

Answered from the vendors’ own pages

Athenahealth: What platforms does Athenahealth serve?

Athenahealth's athenaOne serves small to medium-sized physician practices and hospitals with integrated clinical, financial, and operational workflows.

Source
Hippo Manager: Is this veterinary software?

Yes. Hippo Manager is a veterinary practice management system for animal clinics, unrelated to similarly named products in other software categories.

Athenahealth: What is the pricing model for athenaOne?

Athenahealth uses customized pricing with percent-based or encounter-based models. Starting price reported at $140/month with implementation costs ranging from $5,000-$20,000 for small businesses.

Source
Hippo Manager: How is it priced?

As a flat monthly fee per user with the feature set included, rather than a base licence plus paid modules.

Athenahealth: Does Athenahealth include revenue cycle management?

Yes, athenaOne includes network-driven claims scrubbing with 95%+ first-pass rates, denial management, and A/R optimization.

Source
Hippo Manager: Does it suit an emergency or referral hospital?

Not well. Inpatient workflow depth is limited and specialist practices should look at systems built for that setting.

Athenahealth: What patient engagement features does Athenahealth offer?

Athenahealth provides athenaCommunicator for patient portals, automated appointment reminders, online scheduling, telehealth integration, digital intake, and broadcast messaging.

Source
Hippo Manager: Is there an on-premise version?

No. It is browser only, which means no server to maintain and no offline working.

Athenahealth: How many pre-built integrations does Athenahealth have?

Athenahealth's marketplace includes over 250 pre-integrated third-party apps, allowing practices to extend functionality without custom development.

Source
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