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Healthcare · head to head

Athenahealth vs Zanda Health

Athenahealth logo

Athenahealth

Healthcare

Cloud-based medical practice management

From
$140/month
Rated
-
Full reviewWebsite
Zanda Health logo

Zanda Health

Healthcare

Practice management and clinical notes for allied health clinics, formerly Power Diary

From
$19/month
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Athenahealth high implementation costs ranging up to $50,000+ for enterprise deployments; Zanda Health the 2024 rename from Power Diary means most third party reviews, integration guides and community answers still sit under the old name, so buyers researching Zanda Health find a thin trail and may wrongly conclude it is a new and unproven product.
  • They diverge on capability: Athenahealth covers Electronic Health Records, Zanda Health covers Unlimited admin users.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which Athenahealth and Zanda Health actually diverge.

Attributes where Athenahealth and Zanda Health differ
AttributeAthenahealthZanda Health
Starting price$140/month$19/month
Pricing modelUnknownPer user per month
Founded1997Unknown

Identical on both: free tier (No), platforms (Web, iOS, Android), 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

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

Only in Zanda Health

  • Unlimited admin users
  • Australian funder billing
  • Clinical note templates
  • Two way SMS
  • Telehealth Pro
  • Practitioner rostering
  • Client portal
  • BizzyAI Scribe

What people use each for

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

Athenahealth

  • Patient Carenot Zanda Health
  • Medical Recordsnot Zanda Health
  • Practice Managementnot Zanda Health
  • Telehealthnot Zanda Health

Zanda Health

  • A five physiotherapist clinic in Melbourne that bulk bills Medicare and wants claiming inside the diary rather than a separate portalnot Athenahealth
  • A psychology group practice with more reception staff than clinicians, where per seat pricing elsewhere would double the billnot Athenahealth
  • A UK osteopathy practice moving off paper diaries that needs online booking and card payment without an implementation projectnot Athenahealth
  • A multi site podiatry business that needs room and equipment allocation alongside practitioner availabilitynot 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

Zanda Health

  • The 2024 rename from Power Diary means most third party reviews, integration guides and community answers still sit under the old name, so buyers researching Zanda Health find a thin trail and may wrongly conclude it is a new and unproven product.
  • North American billing is not properly served: there is no claims clearinghouse and superbill handling is basic, so a United States practice will need a separate revenue cycle tool and will pay for two systems.
  • Pricing is quoted in United States dollars while the company, support hours and product depth are Australian, so buyers outside those two time zones get support with an overnight lag on urgent clinical scheduling problems.
  • SMS is billed per message beyond the plan allowance and a dedicated number is required in the United States and Canada, so a busy clinic sending reminders and follow ups accumulates a variable monthly cost that is not visible in the headline plan price.
  • Reporting is adequate for a single clinic but weak for a group: cross site financial consolidation and practitioner productivity comparison generally end up exported to a spreadsheet, which becomes a monthly manual job as soon as you pass a handful of locations.

Pricing, plan by plan

Athenahealth

$140/month

No published plan breakdown. See the Athenahealth review.

Zanda Health

$19/month
  • Starter$19/month
    • One practitioner
    • One administrative user
    • 1,000 appointments per year
  • Growth$49/month
    • Base fee plus 19 USD per additional practitioner per month
    • Unlimited free administrative users
    • Unlimited appointments
  • Telehealth Pro add-on$9/month
    • Per practitioner
    • Unlimited video consultations
    • Recording and waiting room

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 Zanda Health if

  • You need unlimited admin users.
  • You work on Web, iOS, Android.
  • You also want australian funder billing.
Zanda Health review

Questions people ask

Is Athenahealth or Zanda Health better?
Neither clearly leads. Athenahealth starts at $140/month and Zanda Health at $19/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Athenahealth or Zanda Health?
Athenahealth starts at $140/month and Zanda Health at $19/month.
Does Athenahealth or Zanda Health 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 Zanda Health is typically brought in for.
What can Athenahealth do that Zanda Health cannot?
Athenahealth covers Electronic Health Records, Medical Billing, Patient Engagement, Telehealth. Zanda Health covers Unlimited admin users, Australian funder billing, Clinical note templates, Two way SMS.

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
Zanda Health: Is Zanda Health the same as Power Diary?

Yes. Power Diary rebranded to Zanda Health in 2024. Same company, same product line, same data.

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
Zanda Health: Do receptionists count as paid users?

No. On the Growth plan administrative users are unlimited and free. Only practitioners are charged.

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
Zanda Health: Does it handle Medicare bulk billing?

Yes, Medicare Online, DVA and bulk billing claims are submitted from within the platform for Australian practices.

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
Zanda Health: Is it suitable for a United States practice?

Only partly. Charting, scheduling and telehealth work, but there is no claims clearinghouse, so US insurance billing needs a separate system.

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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