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Software · head to head

eClinicalWorks Prime vs Epic Systems

eClinicalWorks Prime logo

eClinicalWorks Prime

Software

AI-powered cloud EHR for modern healthcare practices

From
$180/month
Rated
-
Full reviewWebsite
Epic Systems logo

Epic Systems

Software

Leading electronic health records system for healthcare organizations

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: 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; Epic Systems no free version or trial; enterprise pricing only with custom negotiation required
  • They diverge on capability: eClinicalWorks Prime covers AI-Assisted Documentation, Epic Systems covers Revenue Cycle Management.

Where they differ

Only the attributes on which eClinicalWorks Prime and Epic Systems actually diverge.

Attributes where eClinicalWorks Prime and Epic Systems differ
AttributeeClinicalWorks PrimeEpic Systems
Starting price$180/monthOn request
Pricing modelsubscriptionquote
PlatformsWeb, Mobile, ApiWeb, Desktop, Mobile
Founded19991979

Identical on both: free tier (No), user rating (Not yet rated), category (Unknown).

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 eClinicalWorks Prime

  • AI-Assisted Documentation
  • Practice Management
  • Revenue Cycle
  • Voice Recognition
  • Telehealth
  • HL7
  • FHIR
  • Labs

Only in Epic Systems

  • Revenue Cycle Management
  • Clinical Decision Support
  • Population Health
  • Lab Systems
  • Imaging Systems
  • Pharmacy Systems
  • On-premise deployment
  • Desktop support

Both cover

  • Electronic Health Records
  • Patient Portal
  • HIPAA
  • HITRUST
  • SOC2
  • Cloud deployment
  • Web support
  • Mobile support

What people use each for

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

eClinicalWorks Prime

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

Epic Systems

  • Patient Carenot eClinicalWorks Prime
  • Medical Recordsnot eClinicalWorks Prime
  • Practice Managementnot eClinicalWorks Prime
  • Telehealthnot eClinicalWorks Prime

Where each one falls short

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

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

Epic Systems

  • No free version or trial; enterprise pricing only with custom negotiation required
  • Lengthy implementation timeline: 12-24 months for single hospitals, 3-5 years for multi-system rollouts
  • Customization and workflow adaptation requires extensive consulting services
  • Very high licensing costs ranging from 100,000 to 30 million USD depending on organization size

Pricing, plan by plan

eClinicalWorks Prime

$180/month

No published plan breakdown. See the eClinicalWorks Prime review.

Epic Systems

On request

No published plan breakdown. See the Epic Systems review.

Which should you pick?

Choose eClinicalWorks Prime if

  • You need ai-assisted documentation.
  • You work on Web, Mobile, Api.
  • You also want practice management.
eClinicalWorks Prime review

Choose Epic Systems if

  • You need revenue cycle management.
  • You work on Web, Desktop, Mobile.
  • You also want clinical decision support.
Epic Systems review

Questions people ask

Is eClinicalWorks Prime or Epic Systems better?
Neither clearly leads. eClinicalWorks Prime starts at $180/month and Epic Systems at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, eClinicalWorks Prime or Epic Systems?
eClinicalWorks Prime starts at $180/month and Epic Systems at On request.
Does eClinicalWorks Prime or Epic Systems run on more platforms?
eClinicalWorks Prime runs on Web, Mobile, Api. Epic Systems runs on Web, Desktop, Mobile.
What is eClinicalWorks Prime best used for?
eClinicalWorks Prime is most often used for small to mid-size practices (1-9 providers) wanting per-provider ehr pricing with included training. Of those, small to mid-size practices (1-9 providers) wanting per-provider ehr pricing with included training is not what Epic Systems is typically brought in for.
What can eClinicalWorks Prime do that Epic Systems cannot?
eClinicalWorks Prime covers AI-Assisted Documentation, Practice Management, Revenue Cycle, Voice Recognition. Epic Systems covers Revenue Cycle Management, Clinical Decision Support, Population Health, Lab Systems. Both handle Electronic Health Records, Patient Portal, HIPAA, HITRUST.

Answered from the vendors’ own pages

Epic Systems: What is Epic's market position?

Epic holds 36 percent of the U.S. EHR market and manages over 280 million patient records across 1,200+ healthcare organizations. Among hospitals with over 300 beds, Epic has 52 percent market share, and 71 percent market share in major academic medical centers as of 2026.

Source
Epic Systems: Is there a free trial or demo available?

Epic does not offer a free version or trial. The software is enterprise-only with custom pricing negotiated directly with organizations. Typical implementation timelines for single hospitals range from 12 to 24 months, and multi-hospital systems can take 3 to 5 years for phased rollouts.

Source
Epic Systems: How does Epic integrate with third-party systems?

Epic provides multiple integration pathways: FHIR R4 APIs, HL7 v2 messaging, CCDA document exchange, and proprietary APIs through Epic Showroom (formerly App Orchard). Over 1,000 certified apps are available in the marketplace, enabling real-time data synchronization and interoperability.

Source
Epic Systems: What is included in Epic's unified platform?

Epic provides a truly unified system spanning inpatient, outpatient, emergency department, surgical, pharmacy, laboratory, radiology, billing, and population health on a single database. It includes appointment scheduling, medical billing, clinical decision support, patient portal (MyChart), telehealth capabilities, and analytics.

Source
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Related pages

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