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Healthcare · head to head

Bahmni vs MDLive

Bahmni logo

Bahmni

Healthcare

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

From
Free
Rated
-
Full reviewWebsite
MDLive logo

MDLive

Healthcare

On-demand telehealth and virtual doctor visits

From
Free
Rated
-
Full reviewWebsite

The short version

  • 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.; MDLive wide price ranges ($0-89, $0-179, $0-299) indicate insurance-dependent costs with minimal baseline transparency
  • They diverge on capability: Bahmni covers OpenMRS clinical record, MDLive covers Video Consultations.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Bahmni and MDLive actually diverge.

Attributes where Bahmni and MDLive differ
AttributeBahmniMDLive
Pricing modelOpen source, no licence feeusage-based
PlatformsWeb, Linux, AndroidWeb, Mobile
FoundedUnknown2002

Identical on both: starting price (Free), free tier (Yes), 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
  • Imaging
  • Inpatient management
  • Offline-capable clinical app
  • Reporting

Only in MDLive

  • Video Consultations
  • Mental Health Services
  • Psychiatry
  • Prescription Services
  • Urgent Care
  • Insurance
  • EHR Systems
  • HIPAA

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 MDLive
  • A ministry of health standardising district hospitals on one system and required by donors to use a recognised Digital Public Goodnot MDLive
  • An NGO health network wanting one clinical record across several facilities with reporting that can feed a national DHIS2 instancenot MDLive
  • A hospital that needs the clinical record, laboratory, pharmacy and billing to share one patient identity rather than running four disconnected systemsnot MDLive

MDLive

  • Telemedicine urgent care visitsnot Bahmni
  • Mental health counseling and psychiatrynot Bahmni
  • Dermatology consultationsnot Bahmni
  • Primary care wellness screeningsnot 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.

MDLive

  • Wide price ranges ($0-89, $0-179, $0-299) indicate insurance-dependent costs with minimal baseline transparency
  • Cancellation fees up to $50 for mental health appointments apply within 24 hours
  • Pricing varies substantially based on insurance coverage with no guaranteed maximum out-of-pocket

Pricing, plan by plan

Bahmni

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

MDLive

Free
  • Urgent Care$null/visit
    • $0-89 per visit with insurance
    • Immediate care access
  • Primary CareFree
    • $0 wellness screenings for eligible insurance plans
    • Upfront pricing shown before appointment
  • Mental Health Talk Therapy$null/visit
    • $0-179 initial appointments
    • $140 follow-up sessions before insurance
  • Mental Health Psychiatry$null/visit
    • $0-299 initial appointments
    • $159 follow-up sessions before insurance

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 MDLive if

  • You need video consultations.
  • You want to start without paying.
  • You work on Web, Mobile.
  • You also want mental health services.
MDLive review

Questions people ask

Is Bahmni or MDLive better?
Neither clearly leads. Bahmni starts at Free and MDLive at Free, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Bahmni or MDLive?
Bahmni starts at Free and MDLive at Free.
Does Bahmni or MDLive run on more platforms?
Bahmni runs on Web, Linux, Android. MDLive runs on Web, Mobile.
Can I use Bahmni for free?
Both have a free tier, so you can try either at no cost before committing.
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 MDLive is typically brought in for.
What can Bahmni do that MDLive cannot?
Bahmni covers OpenMRS clinical record, Configurable clinical forms, Laboratory integration, Billing and inventory. MDLive covers Video Consultations, Mental Health Services, Psychiatry, Prescription Services.

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.

MDLive: What is the cost of an urgent care visit through MD Live?

Urgent care visits cost $0-89 per visit depending on insurance coverage. Pricing is shown upfront before confirming appointment. Most major credit and debit cards accepted for uninsured patients.

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.

MDLive: What cancellation fees apply if I need to reschedule?

Wellness visits incur $25 cancellation fee if cancelled within 24 hours. Routine care $25 if cancelled within 2 hours. Mental health $50 if cancelled within 24 hours. Medicaid and Medicare members exempt from fees.

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.

MDLive: Are follow-up mental health sessions cheaper than initial appointments?

Talk therapy follow-ups are $140 before insurance (versus $0-179 for initial). Psychiatry follow-ups are $159 before insurance (versus $0-299 for initial). Insurance copays may apply on top of these base rates.

Source
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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