Healthcare & Medical · head to head
Athenahealth vs NextGen Enterprise EHR

Athenahealth
Healthcare & Medical
Cloud-based medical practice management
- From
- $140/month
- Rated
- -

NextGen Enterprise EHR
Healthcare & Medical
Enterprise-grade EHR and RCM for large healthcare organizations
- From
- On request
- Rated
- -
The short version
- Each has a real cost: Athenahealth high implementation costs ranging up to $50,000+ for enterprise deployments; NextGen Enterprise EHR nextGen Enterprise is designed for mid-size to enterprise practices with 10 or more providers, per the vendor product page
- They diverge on capability: Athenahealth covers Medical Billing, NextGen Enterprise EHR covers Clinical Documentation.
Where they differ
Only the attributes on which Athenahealth and NextGen Enterprise EHR actually diverge.
| Attribute | Athenahealth | NextGen Enterprise EHR |
|---|---|---|
| Starting price | $140/month | On request |
| Pricing model | Unknown | quote |
| Platforms | Web, iOS, Android | Web, Desktop |
Identical on both: free tier (No), user rating (Not yet rated), category (Healthcare & Medical), founded (1997).
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
- Medical Billing
- Patient Engagement
- Telehealth
- Clearinghouses
- Health Information Exchanges
- SOC2
- Mobile support
Only in NextGen Enterprise EHR
- Clinical Documentation
- Revenue Cycle Management
- Patient Management
- Interoperability
- Reporting
- HL7
- FHIR
- On-premise deployment
Both cover
- Electronic Health Records
- Analytics
- Labs
- Pharmacies
- HIPAA
- HITRUST
- Cloud deployment
- Web support
What people use each for
The jobs each tool is most often brought in to do.
Athenahealth
- Patient Care
- Medical Records
- Practice Management
- Telehealth
NextGen Enterprise EHR
- Patient Care
- Medical Records
- Practice Management
- Telehealth
Both are used for patient care, medical records, practice management, telehealth, on those jobs the choice comes down to price and fit rather than capability.
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
NextGen Enterprise EHR
- NextGen Enterprise is designed for mid-size to enterprise practices with 10 or more providers, per the vendor product page
Pricing, plan by plan
Athenahealth
$140/monthNo published plan breakdown. See the Athenahealth review.
NextGen Enterprise EHR
On requestNo published plan breakdown. See the NextGen Enterprise EHR review.
Which should you pick?
Choose Athenahealth if
- You need medical billing.
- You work on Web, iOS, Android.
- You also want patient engagement.
Choose NextGen Enterprise EHR if
- You need clinical documentation.
- You work on Web, Desktop.
- You also want revenue cycle management.
Questions people ask
- Is Athenahealth or NextGen Enterprise EHR better?
- Neither clearly leads. Athenahealth starts at $140/month and NextGen Enterprise EHR at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
- Which is cheaper, Athenahealth or NextGen Enterprise EHR?
- Athenahealth starts at $140/month and NextGen Enterprise EHR at On request.
- Does Athenahealth or NextGen Enterprise EHR run on more platforms?
- Athenahealth runs on Web, iOS, Android. NextGen Enterprise EHR runs on Web, Desktop.
- What is Athenahealth best used for?
- Athenahealth is most often used for patient care, medical records, practice management, telehealth.
- What can Athenahealth do that NextGen Enterprise EHR cannot?
- Athenahealth covers Medical Billing, Patient Engagement, Telehealth, Clearinghouses. NextGen Enterprise EHR covers Clinical Documentation, Revenue Cycle Management, Patient Management, Interoperability. Both handle Electronic Health Records, Analytics, Labs, Pharmacies.
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.
SourceAthenahealth: 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.
SourceAthenahealth: Does Athenahealth include revenue cycle management?
Yes, athenaOne includes network-driven claims scrubbing with 95%+ first-pass rates, denial management, and A/R optimization.
SourceAthenahealth: 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.
SourceAthenahealth: 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.
SourceRelated pages
More on Athenahealth
More on NextGen Enterprise EHR
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