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Healthcare · head to head

Cliniko vs Therapixel

Cliniko logo

Cliniko

Healthcare

Clinic management software for health practitioners

From
Free
Rated
-
Full reviewWebsite
Therapixel logo

Therapixel

Healthcare

French mammography AI with FDA clearances for 2D and tomosynthesis breast screening

From
On request
Rated
-
Full reviewWebsite

The short version

  • Only Cliniko has a free tier, so it costs nothing to try first.
  • Each has a real cost: Cliniko priced in practitioner bands rather than per seat, so a clinic adding a sixth practitioner jumps from $95 to $145 a month; Therapixel european and American regulatory positions were established under different regimes, and under the EU Medical Device Regulation this class of diagnostic AI faces a higher classification and notified body scrutiny, so European buyers must verify the current MDR certificate and expiry rather than relying on a legacy CE reference.
  • They diverge on capability: Cliniko covers Appointment Scheduling, Therapixel covers MammoScreen 2D.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Cliniko and Therapixel actually diverge.

Attributes where Cliniko and Therapixel differ
AttributeClinikoTherapixel
Starting priceFreeOn request
Pricing modelsubscriptionquote
Free tierYesNo
PlatformsWeb, MobileWeb
Founded2012Unknown

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 Cliniko

  • Appointment Scheduling
  • Online Booking
  • Client Management
  • Invoicing
  • Patient Portal
  • Telehealth
  • Payment processors
  • Online forms

Only in Therapixel

  • MammoScreen 2D
  • MammoScreen DBT
  • One to ten suspicion score
  • Summary report
  • Workstation and PACS delivery
  • Reading workflow configurations

What people use each for

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

Cliniko

  • Practice management for allied health clinicsnot Therapixel
  • Appointment scheduling and online bookingsnot Therapixel
  • Clinical notes and patient recordsnot Therapixel
  • Telehealth consultationsnot Therapixel
  • Invoicing and payment tracking for a multi-practitioner clinicnot Therapixel

Therapixel

  • A European breast screening programme running mandatory double reading that wants to evaluate AI as a concurrent or second reader within what national guidance permitsnot Cliniko
  • An American breast centre that has moved to tomosynthesis and needs reading support on DBT specifically, which Therapixel holds a clearance fornot Cliniko
  • A screening service wanting a graded suspicion score rather than a binary flag so readers can calibrate their own thresholdnot Cliniko
  • A radiology group evaluating multiple mammography AI vendors head to head on their own historic case set before committingnot Cliniko

Where each one falls short

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

Cliniko

  • Priced in practitioner bands rather than per seat, so a clinic adding a sixth practitioner jumps from $95 to $145 a month
  • The top published band stops at 200 practitioners
  • SMS is charged separately at 10 cents a message
  • Telehealth requires entering card details before it unlocks, even during the trial
  • There is no free tier, only a 30 day trial

Therapixel

  • European and American regulatory positions were established under different regimes, and under the EU Medical Device Regulation this class of diagnostic AI faces a higher classification and notified body scrutiny, so European buyers must verify the current MDR certificate and expiry rather than relying on a legacy CE reference.
  • MammoScreen does mammography only, so a hospital wanting AI across head CT, chest and breast needs several vendors and several PACS integrations, or an orchestration layer bought from someone else.
  • Therapixel is a small French company competing against Hologic and iCAD, which have incumbency inside the mammography reading workstation, so integration into an American breast centre is more work than it is for the workstation vendor own AI.
  • Detection performance is sensitive to the mammography unit vendor and acquisition protocol, so published results do not transfer between estates and each site needs local validation it must fund itself.
  • Whether AI can substitute for one of two human readers is a national workforce and liability question, not a product capability, so the labour saving that justifies the purchase in one country is not permitted in another.

Pricing, plan by plan

Cliniko

Free
  • 1 Practitioner$45/month
  • 2-5 Practitioners$95/month
  • 6-8 Practitioners$145/month
  • 9-12 Practitioners$195/month

Therapixel

On request
  • MammoScreen$undefined/year
    • Priced per examination or by annual screening volume
    • 2D and tomosynthesis licensed by the versions cleared for each
    • Cloud or on premises deployment quoted differently

Which should you pick?

Choose Cliniko if

  • You need appointment scheduling.
  • You want to start without paying.
  • You work on Web, Mobile.
  • You also want online booking.
Cliniko review

Choose Therapixel if

  • You need mammoscreen 2d.
  • You also want mammoscreen dbt.
Therapixel review

Questions people ask

Is Cliniko or Therapixel better?
Neither clearly leads. Cliniko starts at Free and Therapixel at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Cliniko or Therapixel?
Cliniko has a free tier; the other does not. Paid plans start at Free for Cliniko and On request for Therapixel.
Does Cliniko or Therapixel run on more platforms?
Cliniko runs on Web, Mobile. Therapixel runs on Web.
Can I use Cliniko for free?
Yes. Cliniko has a free tier, so you can try it without paying. Therapixel starts at On request.
What is Cliniko best used for?
Cliniko is most often used for practice management for allied health clinics, appointment scheduling and online bookings, clinical notes and patient records, telehealth consultations. Of those, practice management for allied health clinics and appointment scheduling and online bookings are not what Therapixel is typically brought in for.
What can Cliniko do that Therapixel cannot?
Cliniko covers Appointment Scheduling, Online Booking, Client Management, Invoicing. Therapixel covers MammoScreen 2D, MammoScreen DBT, One to ten suspicion score, Summary report.

Answered from the vendors’ own pages

Cliniko: How much does Cliniko cost for a practice?

Cliniko uses per-practitioner pricing: 1 practitioner $45/month, 2-5 practitioners $95/month, 6-8 practitioners $145/month, 9-12 practitioners $195/month, 13-25 practitioners $295/month, 26-200 practitioners $395/month.

Source
Therapixel: Is MammoScreen FDA cleared?

Yes. It holds 510(k) clearance K192854 for two dimensional mammography from July 2020, a November 2021 clearance for digital breast tomosynthesis, and two further clearances in October 2024 for later versions.

Cliniko: Does Cliniko offer a free trial?

Cliniko is free to try for the first 30 days with no credit card required initially. A credit card is required to unlock features like Telehealth after the trial begins.

Source
Therapixel: Is it CE marked?

Yes, but European buyers should ask specifically for the current certificate under the Medical Device Regulation and its expiry date, because this class of diagnostic AI moved to a higher classification under MDR.

Cliniko: What is included in all Cliniko plans?

Every Cliniko subscription includes complete feature access, unlimited admin and reception users, unlimited locations, unlimited file storage, unlimited patients, 24/7 monitoring, automatic backups, regular updates, and 24/7 customer support.

Source
Therapixel: What does the one to ten score mean?

It is a graded suspicion score per finding and per study, designed to be integrated alongside a radiologist BI-RADS assessment rather than treated as a positive or negative result.

Cliniko: Does Cliniko charge extra for SMS and what discounts apply?

SMS messaging costs 10 cents per message (pre-paid credits required). Annual billing includes one month free every year. Charities and educational institutions qualify for free access. Cliniko commits to no feature-specific fees beyond SMS and offers no annual commitment discounts.

Source
Therapixel: Does it cover anything besides mammography?

No. It is a mammography product only, including tomosynthesis. Other body regions need a different vendor.

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