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Healthcare · head to head

Bahmni vs eClinicalWorks Prime

Bahmni logo

Bahmni

Healthcare

Open source hospital information system and EMR for low-resource hospitals, built on OpenMRS

From
Free
Rated
-
Full reviewWebsite
eClinicalWorks Prime logo

eClinicalWorks Prime

Healthcare

AI-powered cloud EHR for modern healthcare practices

From
$180/month
Rated
-
Full reviewWebsite

The short version

  • Only Bahmni has a free tier, so it costs nothing to try first.
  • Each has a real cost: Bahmni the licence is free and the implementation is not; configuration, data migration, training and multi-year support from a partner routinely cost far more than a small commercial system would have, and hospitals that budget only for hardware stall.; eClinicalWorks Prime eHR Only is $449/month per provider and EHR with Practice Management is $599/month per provider, priced per provider rather than a flat practice fee
  • They diverge on capability: Bahmni covers OpenMRS clinical record, eClinicalWorks Prime covers Electronic Health Records.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Bahmni and eClinicalWorks Prime actually diverge.

Attributes where Bahmni and eClinicalWorks Prime differ
AttributeBahmnieClinicalWorks Prime
Starting priceFree$180/month
Pricing modelOpen source, no licence feesubscription
Free tierYesNo
PlatformsWeb, Linux, AndroidWeb, Mobile, Api
FoundedUnknown1999

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 Bahmni

  • OpenMRS clinical record
  • Configurable clinical forms
  • Laboratory integration
  • Billing and inventory
  • Inpatient management
  • Offline-capable clinical app
  • Reporting
  • Multi-language and localisation

Only in eClinicalWorks Prime

  • Electronic Health Records
  • AI-Assisted Documentation
  • Practice Management
  • Revenue Cycle
  • Patient Portal
  • Voice Recognition
  • Telehealth
  • HL7

Both cover

  • Imaging

What people use each for

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

Bahmni

  • A mission or charitable hospital in India or East Africa that cannot fund a commercial hospital information system licence but needs a real EMR rather than papernot eClinicalWorks Prime
  • A ministry of health standardising district hospitals on one system and required by donors to use a recognised Digital Public Goodnot eClinicalWorks Prime
  • An NGO health network wanting one clinical record across several facilities with reporting that can feed a national DHIS2 instancenot eClinicalWorks Prime
  • A hospital that needs the clinical record, laboratory, pharmacy and billing to share one patient identity rather than running four disconnected systemsnot eClinicalWorks Prime

eClinicalWorks Prime

  • Small to mid-size practices (1-9 providers) wanting per-provider EHR pricing with included trainingnot Bahmni

Where each one falls short

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

Bahmni

  • The licence is free and the implementation is not; configuration, data migration, training and multi-year support from a partner routinely cost far more than a small commercial system would have, and hospitals that budget only for hardware stall.
  • There is no single vendor with an obligation to you unless you contract one, so upgrade timing, security patching and defect resolution depend on whichever partner you hired and how long they stay engaged.
  • It integrates four substantial open source systems, which means an upgrade touches OpenMRS, OpenELIS, Odoo and the imaging stack together, and hospitals with heavy customisation often freeze on an old version rather than risk it.
  • Skilled Bahmni implementers are concentrated in a small number of firms in India and a few African countries, so a hospital outside those markets may find nobody local who can support it.
  • Funding for the coalition and its shared engineering comes from donors and member contributions rather than licence revenue, which makes the pace of core development dependent on grant cycles rather than on customer demand.

eClinicalWorks Prime

  • EHR Only is $449/month per provider and EHR with Practice Management is $599/month per provider, priced per provider rather than a flat practice fee
  • The RCM as a Service option charges 2.9% of practice collections rather than a fixed fee
  • Practices with more than 9 providers are charged additional implementation fees beyond the included training

Pricing, plan by plan

Bahmni

Free
  • BahmniFree
    • AGPL open source, no licence fee
    • All modules included
    • Community support via forum and documentation

eClinicalWorks Prime

$180/month

No published plan breakdown. See the eClinicalWorks Prime review.

Which should you pick?

Choose Bahmni if

  • You need openmrs clinical record.
  • You want to start without paying.
  • You work on Web, Linux, Android.
  • You also want configurable clinical forms.
Bahmni review

Choose eClinicalWorks Prime if

  • You need electronic health records.
  • You work on Web, Mobile, Api.
  • You also want ai-assisted documentation.
eClinicalWorks Prime review

Questions people ask

Is Bahmni or eClinicalWorks Prime better?
Neither clearly leads. Bahmni starts at Free and eClinicalWorks Prime at $180/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Bahmni or eClinicalWorks Prime?
Bahmni has a free tier; the other does not. Paid plans start at Free for Bahmni and $180/month for eClinicalWorks Prime.
Does Bahmni or eClinicalWorks Prime run on more platforms?
Bahmni runs on Web, Linux, Android. eClinicalWorks Prime runs on Web, Mobile, Api.
Can I use Bahmni for free?
Yes. Bahmni has a free tier, so you can try it without paying. eClinicalWorks Prime starts at $180/month.
What is Bahmni best used for?
Bahmni is most often used for a mission or charitable hospital in india or east africa that cannot fund a commercial hospital information system licence but needs a real emr rather than paper, a ministry of health standardising district hospitals on one system and required by donors to use a recognised digital public good, an ngo health network wanting one clinical record across several facilities with reporting that can feed a national dhis2 instance, a hospital that needs the clinical record, laboratory, pharmacy and billing to share one patient identity rather than running four disconnected systems. Of those, a mission or charitable hospital in india or east africa that cannot fund a commercial hospital information system licence but needs a real emr rather than paper and a ministry of health standardising district hospitals on one system and required by donors to use a recognised digital public good are not what eClinicalWorks Prime is typically brought in for.
What can Bahmni do that eClinicalWorks Prime cannot?
Bahmni covers OpenMRS clinical record, Configurable clinical forms, Laboratory integration, Billing and inventory. eClinicalWorks Prime covers Electronic Health Records, AI-Assisted Documentation, Practice Management, Revenue Cycle. Both handle Imaging.

Answered from the vendors’ own pages

Bahmni: Is Bahmni free?

The software is, under an open source licence. Implementation, hosting, configuration, training and support are charged by whichever partner you engage.

eClinicalWorks Prime: How much does eClinicalWorks Prime cost?

eClinicalWorks does not publish pricing for its Prime RCM (Revenue Cycle Management) service. The vendor positions it as 'Better RCM service at a lower price than your current provider' but requires interested organizations to schedule a demo or contact sales at 508-836-2700 for custom pricing based on organizational size and specific requirements.

Source
Bahmni: Who owns and governs Bahmni?

Thoughtworks transferred ownership in October 2017 to the Bahmni Coalition, under the fiscal sponsorship of the non-profit OpenMRS Inc. Thoughtworks remains on the governing committee.

eClinicalWorks Prime: How can you get eClinicalWorks Prime pricing?

Contact eClinicalWorks directly at 508-836-2700 to speak with their sales team or schedule a demo to discuss pricing tailored to your organization.

Source
Bahmni: What does an implementation actually cost?

It varies by hospital size and country, but expect the dominant costs to be partner services, training and multi-year support rather than software or hardware. Get a fixed-scope quote covering upgrades, not just go-live.

Bahmni: Is it a recognised Digital Public Good?

Yes, Bahmni is on the Digital Public Goods Alliance register, which is increasingly a condition of donor funding for health information systems.

Bahmni: Where is it used?

More than 500 implementations across roughly 50 countries, concentrated in South Asia and Africa.

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