Healthcare & Medical · head to head
Athenahealth vs TherapyNotes

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

TherapyNotes
Healthcare & Medical
EHR and practice management for therapists
- From
- $39/month
- Rated
- -
The short version
- Each has a real cost: Athenahealth high implementation costs ranging up to $50,000+ for enterprise deployments; TherapyNotes no API access, preventing integration with external systems
- They diverge on capability: Athenahealth covers Medical Billing, TherapyNotes covers Scheduling.
Where they differ
Only the attributes on which Athenahealth and TherapyNotes actually diverge.
| Attribute | Athenahealth | TherapyNotes |
|---|---|---|
| Starting price | $140/month | $39/month |
| Pricing model | Unknown | subscription |
| Platforms | Web, iOS, Android | Web |
| Founded | 1997 | 2010 |
Identical on both: free tier (No), user rating (Not yet rated), category (Healthcare & Medical).
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
- Analytics
- Labs
- Pharmacies
- Health Information Exchanges
- HITRUST
Only in TherapyNotes
- Scheduling
- Billing
- Patient Portal
- Outcome Tracking
- Insurance
Both cover
- Electronic Health Records
- Telehealth
- Clearinghouses
- HIPAA
- SOC2
- Cloud deployment
- Web support
- Mobile 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
TherapyNotes
- 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
TherapyNotes
- No API access, preventing integration with external systems
- Outdated interface compared to AI-driven competitors
- No native mobile app for iOS or Android
- No bulk actions to update multiple sessions at once
Pricing, plan by plan
Athenahealth
$140/monthNo published plan breakdown. See the Athenahealth review.
TherapyNotes
$39/month- Solo$39/month
- Full EHR
- Scheduling
- Patient portal
Which should you pick?
Choose Athenahealth if
- You need medical billing.
- You work on Web, iOS, Android.
- You also want patient engagement.
Questions people ask
- Is Athenahealth or TherapyNotes better?
- Neither clearly leads. Athenahealth starts at $140/month and TherapyNotes at $39/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
- Which is cheaper, Athenahealth or TherapyNotes?
- Athenahealth starts at $140/month and TherapyNotes at $39/month.
- Does Athenahealth or TherapyNotes run on more platforms?
- Athenahealth runs on Web, iOS, Android. TherapyNotes runs on Web.
- What is Athenahealth best used for?
- Athenahealth is most often used for patient care, medical records, practice management, telehealth.
- What can Athenahealth do that TherapyNotes cannot?
- Athenahealth covers Medical Billing, Patient Engagement, Analytics, Labs. TherapyNotes covers Scheduling, Billing, Patient Portal, Outcome Tracking. Both handle Electronic Health Records, Telehealth, Clearinghouses, HIPAA.
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.
SourceTherapyNotes: Does TherapyNotes integrate with other applications?
TherapyNotes has zero API availability and cannot connect to external systems including marketing platforms, CRMs, or data dashboards. Unlike competitors, it lacks integration capabilities.
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.
SourceTherapyNotes: What are TherapyNotes pricing plans?
TherapyNotes charges $69/month for a solo practitioner plan and $79/month for the first clinician in a group with $50/month per additional clinician. A 30-day free trial is included with every plan.
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.
SourceTherapyNotes: Does TherapyNotes include telehealth?
Yes. TherapyNotes includes Basic Telehealth at no extra cost on every plan, with standard-definition video for up to 2 participants. Premium Telehealth with full HD, screen sharing, and closed captions costs $15 per clinician per month.
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.
Source