Softwr

Healthcare · head to head

Athenahealth vs TherapyNotes

Athenahealth logo

Athenahealth

Healthcare

Cloud-based medical practice management

From
$140/month
Rated
-
Full reviewWebsite
TherapyNotes logo

TherapyNotes

Healthcare

EHR and practice management for therapists

From
$39/month
Rated
-
Full reviewWebsite

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.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which Athenahealth and TherapyNotes actually diverge.

Attributes where Athenahealth and TherapyNotes differ
AttributeAthenahealthTherapyNotes
Starting price$140/month$39/month
Pricing modelUnknownsubscription
PlatformsWeb, iOS, AndroidWeb
Founded19972010

Identical on both: free tier (No), user rating (Not yet rated), category (Healthcare).

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  • Outdated interface compared to AI-driven competitors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/month

No 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.
Athenahealth review

Choose TherapyNotes if

  • You need scheduling.
  • You also want billing.
TherapyNotes review

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.

Source
TherapyNotes: 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.

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
TherapyNotes: 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.

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
TherapyNotes: 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.

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
Share

Related pages

More on Athenahealth

More on TherapyNotes

Keep looking

Other head to heads