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Healthcare · head to head

athenaOne vs OpenMRS

athenaOne logo

athenaOne

Healthcare

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

From
$250/month
Rated
-
Full reviewWebsite
OpenMRS logo

OpenMRS

Healthcare

Open source electronic medical record platform for low-resource settings, with no vendor and paid implementers instead

From
Free
Rated
-
Full reviewWebsite

The short version

  • Only OpenMRS has a free tier, so it costs nothing to try first.
  • Each has a real cost: athenaOne no published pricing on homepage, pricing available through request for demo only; OpenMRS there is no vendor and no support contract from OpenMRS itself, so a procurement that requires a named supplier with a service level must instead contract an implementer, and the quality of that implementer determines the outcome more than the software does
  • They diverge on capability: athenaOne covers Electronic Health Records, OpenMRS covers Concept dictionary.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which athenaOne and OpenMRS actually diverge.

Attributes where athenaOne and OpenMRS differ
AttributeathenaOneOpenMRS
Starting price$250/monthFree
Pricing modelsubscriptionOpen source, no licence fee
Free tierNoYes
PlatformsWeb, Mobile, ApiLinux, Web, Windows
Founded1997Unknown

Identical on both: 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 athenaOne

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

Only in OpenMRS

  • Concept dictionary
  • Modular architecture
  • Modern front end
  • FHIR support
  • Offline tolerance
  • Patient matching and registration
  • Distributions

What people use each for

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

athenaOne

  • Patient Carenot OpenMRS
  • Medical Recordsnot OpenMRS
  • Practice Managementnot OpenMRS
  • Telehealthnot OpenMRS

OpenMRS

  • A ministry of health standardising HIV treatment records across hundreds of facilities where per-patient licensing would be unaffordablenot athenaOne
  • A hospital network in a country where no commercial vendor supports the local language, clinical forms or reporting requirementsnot athenaOne
  • An NGO running a tuberculosis programme that must report into DHIS2 and needs the clinical record beneath it to be modifiablenot athenaOne
  • A health system that wants to own its clinical data model outright rather than depend on a vendor to extend itnot 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

OpenMRS

  • There is no vendor and no support contract from OpenMRS itself, so a procurement that requires a named supplier with a service level must instead contract an implementer, and the quality of that implementer determines the outcome more than the software does
  • It is a framework rather than a ready product, so a deployment requires clinical content, form design, concept dictionary work and integration before a single patient is registered, and that work is months of skilled effort
  • Funding comes largely from donor programmes, which makes the pace of core development dependent on grant cycles rather than on a commercial roadmap, and priorities can shift when a funder does
  • Distribution choice, core OpenMRS against Bahmni against Ozone, locks in a different set of components and a different implementer pool, and migrating between distributions later is close to a fresh implementation
  • The people cost never goes away: a national deployment needs permanent internal informatics capacity or a permanent support contract, and organisations that budget only the zero licence fee run out of money at the point the system becomes clinically critical

Pricing, plan by plan

athenaOne

$250/month

No published plan breakdown. See the athenaOne review.

OpenMRS

Free
  • OpenMRSFree
    • Openly licensed, no licence fee and no seat limits
    • Community support through forums and the OpenMRS Talk platform
    • No support contract available from OpenMRS itself

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 OpenMRS if

  • You need concept dictionary.
  • You want to start without paying.
  • You work on Linux, Web, Windows.
  • You also want modular architecture.
OpenMRS review

Questions people ask

Is athenaOne or OpenMRS better?
Neither clearly leads. athenaOne starts at $250/month and OpenMRS at Free, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, athenaOne or OpenMRS?
OpenMRS has a free tier; the other does not. Paid plans start at $250/month for athenaOne and Free for OpenMRS.
Does athenaOne or OpenMRS run on more platforms?
athenaOne runs on Web, Mobile, Api. OpenMRS runs on Linux, Web, Windows.
Can I use OpenMRS for free?
Yes. OpenMRS has a free tier, so you can try it without paying. athenaOne starts at $250/month.
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 OpenMRS is typically brought in for.
What can athenaOne do that OpenMRS cannot?
athenaOne covers Electronic Health Records, Practice Management, Patient Engagement, Care Coordination. OpenMRS covers Concept dictionary, Modular architecture, Modern front end, FHIR support.

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
OpenMRS: Who supports OpenMRS if it breaks?

Not OpenMRS itself. Support is bought from implementers such as Mekom Solutions, which offers long-term production service level agreements for OpenMRS, Bahmni and Ozone deployments, or from regional partners.

OpenMRS: Is it really free?

The software has no licence fee. Hosting, configuration, clinical content, integration and support are the real cost, and they are ongoing.

OpenMRS: What is the difference between OpenMRS, Bahmni and Ozone?

OpenMRS is the core platform. Bahmni and Ozone are distributions that package it with billing, laboratory and inventory components. Choosing a distribution constrains your implementer options.

OpenMRS: Does it support FHIR?

Yes. FHIR support is the standard route for integrating laboratory, pharmacy and national reporting systems.

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