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Healthcare · head to head

athenaOne vs IDEXX Neo

athenaOne logo

athenaOne

Healthcare

Unified cloud platform combining EHR, practice management, and patient engagement

From
$250/month
Rated
-
Full reviewWebsite
IDEXX Neo logo

IDEXX Neo

Veterinary

Cloud practice management from IDEXX, designed around IDEXX analysers and reference laboratories

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: athenaOne no published pricing on homepage, pricing available through request for demo only; IDEXX Neo the value depends on running IDEXX diagnostics, so a practice that later changes analyser or reference laboratory supplier loses the main reason it chose the software and faces two migrations instead of one.
  • They diverge on capability: athenaOne covers Electronic Health Records, IDEXX Neo covers IDEXX analyser integration.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which athenaOne and IDEXX Neo actually diverge.

Attributes where athenaOne and IDEXX Neo differ
AttributeathenaOneIDEXX Neo
Starting price$250/monthOn request
Pricing modelsubscriptionquote
PlatformsWeb, Mobile, ApiWeb, iOS, Android
CategoryHealthcareVeterinary
Founded1997Unknown

Identical on both: free tier (No), 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 athenaOne

  • Electronic Health Records
  • Practice Management
  • Patient Engagement
  • Care Coordination
  • Analytics
  • Mobile App
  • Telehealth
  • Labs

Only in IDEXX Neo

  • IDEXX analyser integration
  • Reference laboratory integration
  • Cloud hosting
  • Templated medical records
  • Scheduling and reminders
  • Invoicing and inventory

What people use each for

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

athenaOne

  • Patient Carenot IDEXX Neo
  • Medical Recordsnot IDEXX Neo
  • Practice Managementnot IDEXX Neo
  • Telehealthnot IDEXX Neo

IDEXX Neo

  • A one to three doctor small animal clinic that already runs IDEXX in-house analysersnot athenaOne
  • A practice moving off a server-based system that wants hosting and backup to stop being its problemnot athenaOne
  • A new clinic opening with IDEXX diagnostics that wants the laboratory workflow set up on day onenot athenaOne
  • A practice whose staff turnover is high and which needs software simple enough to train someone on in a daynot athenaOne

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

athenaOne

  • No published pricing on homepage, pricing available through request for demo only
  • Healthcare EHR systems typically require enterprise-level contracts

IDEXX Neo

  • The value depends on running IDEXX diagnostics, so a practice that later changes analyser or reference laboratory supplier loses the main reason it chose the software and faces two migrations instead of one.
  • Software pricing is often folded into a diagnostics purchase agreement, which makes it hard to see what the practice management system actually costs and harder still to compare it against a neutral vendor.
  • It is designed for small single-site practices, so multi-location groups quickly hit limits in reporting, consolidated inventory and cross-site records and are steered towards Cornerstone instead.
  • Reporting and inventory management are basic by design, so a practice that wants detailed production analysis by veterinary surgeon or tight stock control will need to export and work outside the system.
  • The third-party integration surface is narrower than open cloud systems, so specialist tools for communication, imaging or wellness plans may not connect without manual work.

Pricing, plan by plan

athenaOne

$250/month

No published plan breakdown. See the athenaOne review.

IDEXX Neo

On request
  • IDEXX Neo$undefined/year
    • Quoted per practice, frequently as part of a diagnostics agreement
    • Cloud hosting, backup and updates included
    • Data conversion charged separately

Which should you pick?

Choose athenaOne if

  • You need electronic health records.
  • You work on Web, Mobile, Api.
  • You also want practice management.
athenaOne review

Choose IDEXX Neo if

  • You need idexx analyser integration.
  • You work on Web, iOS, Android.
  • You also want reference laboratory integration.
IDEXX Neo review

Questions people ask

Is athenaOne or IDEXX Neo better?
Neither clearly leads. athenaOne starts at $250/month and IDEXX Neo at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, athenaOne or IDEXX Neo?
athenaOne starts at $250/month and IDEXX Neo at On request.
Does athenaOne or IDEXX Neo run on more platforms?
athenaOne runs on Web, Mobile, Api. IDEXX Neo runs on Web, iOS, Android.
What is athenaOne best used for?
athenaOne is most often used for patient care, medical records, practice management, telehealth. Of those, patient care and medical records are not what IDEXX Neo is typically brought in for.
What can athenaOne do that IDEXX Neo cannot?
athenaOne covers Electronic Health Records, Practice Management, Patient Engagement, Care Coordination. IDEXX Neo covers IDEXX analyser integration, Reference laboratory integration, Cloud hosting, Templated medical records.

Answered from the vendors’ own pages

athenaOne: What does athenaOne cost?

athenaOne does not publish pricing on their website. Organizations must contact their sales team or schedule a demo to receive a customized quote based on practice size, specialty, and required features.

Source
IDEXX Neo: Do I have to use IDEXX diagnostics?

No, but almost all the advantage of choosing Neo over a neutral cloud system comes from the IDEXX analyser and reference laboratory integration.

IDEXX Neo: How is Neo different from Cornerstone?

Cornerstone is the older on-premise product for larger and multi-site hospitals, with much deeper inventory and reporting. Neo is cloud, simpler and aimed at small practices.

IDEXX Neo: Is pricing published?

No. It is quoted per practice and is frequently negotiated alongside diagnostics commitments, so ask for the software price as a standalone figure.

IDEXX Neo: Can I export my records if I leave?

Data extracts are available on request, but plan the extract and test it before you commit, because migration off a diagnostics-linked system is usually a bigger project than expected.

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