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Healthcare · head to head

Athenahealth vs Lighthouse 360

Athenahealth logo

Athenahealth

Healthcare

Cloud-based medical practice management

From
$140/month
Rated
-
Full reviewWebsite
Lighthouse 360 logo

Lighthouse 360

Dental

Cloud Dental Practice Management Platform

From
$399/month
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Athenahealth high implementation costs ranging up to $50,000+ for enterprise deployments; Lighthouse 360 sold as part of the Henry Schein One line rather than standalone, and lighthouse360.com no longer resolves
  • They diverge on capability: Athenahealth covers Electronic Health Records, Lighthouse 360 covers Cloud scheduling.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which Athenahealth and Lighthouse 360 actually diverge.

Attributes where Athenahealth and Lighthouse 360 differ
AttributeAthenahealthLighthouse 360
Starting price$140/month$399/month
Pricing modelUnknownsubscription
CategoryHealthcareDental
Founded19972009

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 Lighthouse 360

  • Cloud scheduling
  • Digital charting
  • Treatment planning
  • Billing system
  • Patient portal
  • Imaging integration
  • Insurance processing
  • Analytics dashboard

Both cover

  • Cloud deployment
  • Web support

What people use each for

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

Athenahealth

  • Patient Carenot Lighthouse 360
  • Medical Recordsnot Lighthouse 360
  • Practice Managementnot Lighthouse 360
  • Telehealthnot Lighthouse 360

Lighthouse 360

  • Automated appointment reminders by text, email and phonenot Athenahealth
  • Reducing no-shows in dental practicesnot Athenahealth
  • Recall management for overdue patientsnot Athenahealth
  • Pre-visit forms collected before the appointmentnot Athenahealth
  • Review requests after a visitnot 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

Lighthouse 360

  • Sold as part of the Henry Schein One line rather than standalone, and lighthouse360.com no longer resolves
  • Pricing is not published and requires a demo
  • Offered in the United States, Canada and the UK only

Pricing, plan by plan

Athenahealth

$140/month

No published plan breakdown. See the Athenahealth review.

Lighthouse 360

$399/month
  • Core$399/month
    • Scheduling
    • Charting
    • Billing
  • Complete$599/month
    • All core features
    • Imaging integration
    • Insurance management

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 Lighthouse 360 if

  • You need cloud scheduling.
  • You work on Web, Ios, Android.
  • You also want digital charting.
Lighthouse 360 review

Questions people ask

Is Athenahealth or Lighthouse 360 better?
Neither clearly leads. Athenahealth starts at $140/month and Lighthouse 360 at $399/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Athenahealth or Lighthouse 360?
Athenahealth starts at $140/month and Lighthouse 360 at $399/month.
Does Athenahealth or Lighthouse 360 run on more platforms?
Athenahealth runs on Web, iOS, Android. Lighthouse 360 runs on Web, Ios, Android.
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 Lighthouse 360 is typically brought in for.
What can Athenahealth do that Lighthouse 360 cannot?
Athenahealth covers Electronic Health Records, Medical Billing, Patient Engagement, Telehealth. Lighthouse 360 covers Cloud scheduling, Digital charting, Treatment planning, Billing system. Both handle Cloud deployment, Web support.

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
Lighthouse 360: How much does Lighthouse 360 cost?

Lighthouse 360 pricing is not published on the vendor website. Customers must request a demo or contact the sales team directly to receive a quote.

Source
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
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
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
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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